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2017-135 Contract - Grayback Forestry
r ~r ~ ~ ~ ~ITI~TC~I~: r~ybac~C ~Qre~try, Inc. ~~T~T. Thom ~dem fast Ilan ~tre~t ~~hl~n~, ~r~~c ~75~~ ~I~~R~~; F'~ Box 5~~, (~rli~, ~7~~~ Teleph~n~: fax: ~~1~~~~~~~1 TELEPHt~ht~: {~~1~7~=~~3 ~AT~ ~~~~l~I~T I~l~~l~~l~~r~; I`~x: ~~4~} ~ ~ ~~~IIN~ DATE: ~~I~9j~~~~ C~[~PL~T1~N C~~T~: ~13~~C~!~~ ~~1~1~ENATI~3~J; ~~~r ~~r~, t~ t~►t~l~t~ be ~ ~~n ~~m I~ti~n ~~~I~ ~~rn unit. y,, ~~~f~ ~~D EF~~'I~E T~ F'I~~'~lIDEf~; ~~ntr~~t~r tivill prv~rl~~ ar~~ ~~r~ic~s n~~e~~ry to complete prescribed under~uming ~n pity cfi Ashland ficrestl~nc~s acc~rdin tc Exhibit T~c~nrca~ ~~cificatict~~ and additional resources under Exhibit L~: ~rt~w~c!~~1 f~~s~~rce P~rcir~ . ADDITI~h1A. TE~~: In the event of conflicts or discrepancies ar~eng the contract do~~arnents, the pity of ~~hlar~~ C~ntr~~t fir end erviees mill prir~~r~ take pre~ec~enee, exhil~t~ ~r ~neill~ry contracts cr agreements having redundant er centrary pra~risiens will su~or~inate end interpreted in a manner that will trot conflict v~ith tl~e said primary pity of sl~land ~c~ntract. The ~Ity reserves the right to remove any burn unit from the list with cur without a substitute unit. ~~W THEREI=~R~, pursuant to Af~C ~,g,ggg and after consideration of the mutual covenants contained herein the CITY ~l~lD C~~~ITRA~T~R as follows: 1, Ali Cysts ~y ~~ntractc~r: Contractor shall, provide all goods as specii`ied above and shall at its own risk and expense, perform any work described above and; unless otherrise specified, furnish all labor, equiprrrent and materials required fir the proper partorrnar~oe of such wcr~. ~~alifi+~d '~Vc~rkF Contractor has represented, and by entering initc this contract now represents. that any persc~r~nel assigned to the v~or~, r~uired under this contract are fully gu~lied to pertorrr~ the worl~ to u~rhich they will he assigned ire a skilled and ~ror~er~like rnar~ner and, if repaired try be registered, licensed or bonded by the Mate cf Oregar~, are so registered, lcer~se~ and banded. ~ontract~r roust a~s~ rn~iCtt~iri a current pity business lir~se. Cr~mp[~tion Date; Contractor shall pro~ride all goods in aocordan~ce with the standards and specifications, no later than thedate indicated abc~l~e and start performing the ~rork under this cc~ntraot an or after the Beginning date indicated above and complete the vrork ~y the completion date indicated above. 4. Cc~mpens~tior~: +City shall pay orttrac;c~r for the specified c~c~ods ar~d for any work performed, including costs and e~epenses, the sum specified above. payments shall he made v~~ithin 3g days of the date of the invoice, ~hculd the contract be prematurely terminated, payments u+~ill be made fc~r ~~ar co~~leted and accepted to date of termination. Compensation under this contract; including all costs and expenses of Contracta~r, is limited to 3,~~g unless a separate wr~ten contract is entered into by the City, 1 ~wners~ip of ~ocu~r~r~ts~ All documents prepared by Contractor pursuant to this contract shall be the property of City, t~tu~~~y ~e~uirem~~ts: ~7~.~~~; ~g~.~~, chapter X44 and t~~S arc made part of this contract, Liv~int~ Wage ~e~ur~r~~nts: If contractor is providing services under this ntract and tl~e emc«nt cf this contract is ~,8~~.~g or rncre, contractor is rewired to comply with chapter 3,~2 ofthe Ashland Municipal Cade ~y paying a living v~age, as dafined in thin chapter, to all employees performing ~vc~rk under this contract and to any subcantractar wl+io perforc~s or more cf the ~rc~rk tinder this contract. Contractor is aiso reguirec~ to pest the notice attached hereto as exhibit ~ predominantly in areas where it will be s~er~ y all ernpl~yees, Indemnification; ~antractor agrees to defend, indemr;ify and save pity, its officers, employees and agents harmless from any end all lasses, ~l~inns, actions, costs, expense, jud~rnents, ~ubro~ation~, or other damages resulting tram injury to arny person {including injury resulting in death, or damage ~includinc~ loss or destructions to property, of whatsoever nature arising out ofi or incident to the performance of this contract ~y Contractor including but not limited to; ~ontractnrts ernploye~es; agents, and others designated by Cantractc~r to perform worl~ rar services attendant to this contract. Contractor shall not de 1'~eltl responsible fior any losses, expenses, claims, subrc~gatic~ns, actions, costs, audgments, or other damages, directly, solely, and proxit~ately caused b~ the negligence of City, Contra~~ for Caads ar~d ~ei~i~es, l~~ge 1 of 1~ Tet'triit~~tiet~: Mutual ~ansent, This contract may be terminated at any tine by mutual consent of bath parties. b, pity's ~onyeni~n~~. This contract may be terminated at any tires by pity upon ~ days' notice in writing and delivered by certified rr~ail cr in person. ~`ar pause. pity may terminate or rnvdify this contract, in whole ar in part, ee+ctve upon delivery of written native to ~oritractor, or at such later date as may be estat~lished by pity under any of the following cond~tlc~ns: i, If ~~y funding Tram federal., state, oour~ty or other sources is not obtained and continued at levels sufficient to allow far the purcf~ase of the indicate€t quantit~,~ of services; ii. If federal ar state regulations ar guidelines are modified, changed, ar interpreted in such a way that the services are na longer allowable ar appropriate far pc~rcl~ase under this contract or are no longer eligible far the funding proposed far payments authari~ed by this contract; ar iii. If any license cr ~i~cate required by law or regulation to be held by Contractor to provide the services required by this contract is for any reason denied, re~rol~ed; suspended:, or eat renewed. d. Far Defeult er breach: i. Either City or Contractor may terminate this contract in tlne event of a breach of the contract by tl~e ether: prior to such termination the party seeking termination shall dive to the gather party written native of the breach and intent to terminate. !f the pad cca~nmi~ing the breach has not 1 entirely cured the breach within ~ ~ days of the date of the native, or within such other period the party giving the native may authori~e~ ar rer~uire, then the contract may be terminated at any time thereafter by a written notice of termination by the party giving notice, ii. Tune is of the essence far Contractor's perrormance of each and every obligation and duty under this contract. ~ify by written nati~ce to Contractor of default or breach, may at any time Terminate the whale or any part of this contract if ~c~ntractor fails to provide services called far by this contract within the tines specified herein ar in any extension thereof, iii, The rights and remedies of City provided in this subsection ~d~ are not exclusive and are in addition t4 any ether rights and rer~ectes provided by law ar under this contract. e C~bligatio~n~~.iability of Parties. T~rminatitan or rn4dil:icatian of this contract pursuant to subsections a, b, 4r c shave steal[ be u~~itl~out prejudice to any obligations or liabilities of either party already accrued prior to such termination or rnodifcatican, However, upon receiving a native of termination regardless whether such notice is given pursuant to sul~sectians a, b, c or d of this section, Cantractear shall irnrnediately cease all activities under this car~tract, unless eatpress(y directed otherwise by City iri the notice of termination. Further, upon ter~inatian, Contractor shall deliver to City all contract documents, inforrnatian, dvcarks-iniprogress~ and ether property that are ar ~vauld be deliverables had the contract 4een completed. City shall pay Cor~tractar for work performed prier to the termination date if such work. vsas performed in accordance with the Contract, 1g. 1n~fepen€tent ontract~r status: Contractor is an independent Contractor and not an ernpfcayee Qf the City. CQrtractar shall have the complete responsibility far the perforrnan~ of this contract. 1 Non~discriminatiQn Certifi+~atior~: The undersigned certifies that the ~indersigned Contractor has not discriminated against minority, women or emerging small businesses enterprises in abt~ining any required subcontracts: Contractor further certifies that it shall not ciiscrin'iinate ire the award of such subcontracts, if any. The Contractor understands and acl~no~raledges that. it may be disqualified Tram bidding on this car~tract, including but eat limited tc~ City discovery ref a misrepreser►tatian ar shorn regarding a subcontract or that the Bidder has violated any requirefnent of SRS 27'g~„11~ ar the administrative rules implementing the statute. ~ Asbestos Abatement License: If required under CRS ~~8~.71 Contractor ar ~ubcontra~ctor shall possess an asbestos abatement license. f. Asslgr~mer~t end Subcontracts, Gcantractor shall not assign this contract or subcontract any parti4n of the wortC without the written consent of City. Any attert7pt~i assignment ar ,subcontract withcaut written consent of City shall be void_ Contractor shall be fully responsible ftar the acts or omissions of any assigns ar subcontractors and of all persons employed by there, anal the approval by City of any assignment. or subcontract shall not. create any contractual relation between the assignee or subcontractor and pity, 14. use of l~ec~clablc Products: Contractor shall use recyclable products to the maximum extent ecanamically feasible in The performance t~f the contract work set forth in this document. 15. ~efaul#~ The Contractor shah be irr default of this agreement il' Contractor: commits any material broach or default of ? any covenant, warranty; certification; or c~bligatian it awes under the Contract, if it lases its t~F status pursuant tc~ the ~~F pules ar lases a►~y licer►se, carti~cate car certification that is required to pe~arm the work or to qualify as a ~RF if Contractor has qualified as a ~F~F for this agreement; institutes an action for reliof in banltruptcy or has instituted against it an action for insolvency; makes a general assignment far the beneft of creditors; ar ceases doing business an a regular basis of the type identified in its obligations under the contract; or attempts to assign rights in, or delegate duties under, the C~antract. Ir~suran+c~, Contractor shall at its own ex seas ravide the follawin insurance:. contract for Goods and ~arvi~es, gage ~ ~f 13 U11c~rkar~s omnsatiari ns~~rance in ccjmpliance with ~~~.~17', w#~i~h requires subject employers tc provide ~reor~ worl~ers' compensation coverage for all their subject workers b, general l.iabilit~~ insurance with ~ ~ambined sir~c~le limit, ~r tho epuivaler~t; of not less than ~,0~0,~4~ camb~ine~i car 1,~~~,~04 fir each occurrence far ~adily lr~jury and Property amaze, It shall inctu~de contractual liability coverage far the ir~demc`lit~ provided under this carrtfiact~ c, Autamabile Liability insurance with a combined sCngle limit, cr the equivalent, of nc~t l~~s than ~,(~~~,~00, for each accident for Paddy ir~jul~y and Property ~amae, including coverage far owned, hired ar na+n- awned vehicles, as applicable. N~,tiGe of cancellati~r! or cl~anr~e. There shall na cancellation, rnaterial change, reduction of li~lits or intent net to renew the insurance coverages} without days' rr~ritten notice from ttre contractor Qr its insurer~s~ to the it~y. e. Additional Insuredl~ertCficates Qf Insurance, ar~tractQr shall nave The ~itry ~f Ashland. ~regcr~, and its elected officials officers and employees Ariditianal Insureds ran any insurance policies rewired herein but only pith respect to ~antractor`s services to ~ provided under this ~antract. ~ evidence cf the insurance cc~v~erages required by this ~cntract, the Cc~ntractar shall furnish acceptable insurance certificates prior tQ commencing work under this cr~ntract: The cc~ntractc~r's insurance is pri~rary and non-car~tributary. The certificate ;wiCl specify all of the parties why are Acidlt►~nal Insureds. Insuring campanles or er°ltit~es are sut~aect to the fty' acceptance. if req~lestedy complete copies of insurance policies, trust agreerner~ts, etc. shall be provided to the pity, The ~ontractcr shall be financially resp~nible for all pertinent deductibles, self-insured retentiar~s ~nd~or self- insurar~ce. 17. ~~verning Lava; Jurisdiction, ~'enue~ This car~tract shall be governed ar~d rc~nstrued in ac~cardance with the laws of the Mote t~f t~regan without resort to ar~y jurisdic~kian's conflict of laws, rules ar r~actrines, Any claim, aotian, suit ar proceeding ~cellectively, '°the elaim`'~ betvueen the pity {arld~cr ar~y ether or depar~ent of tl~e State of ~regan~ and the ~antractar that arises from or relates to this contract shall be k~rQUght end conducted solely and exclusively u~rithir! the circuit ~ac~rt cif Jacl~san Gaunty fir the Mate of ~regan: If, ha~rever, tl~e Maim must be brought in a federal forum, then it shall be brought end conducted sr~lely and exclusively within the united Metes district ~au~ far the district of ~re~vn flea in Jack~cn Jaunty', C~re~c~rr. ~vntractar, by the signature herein of its authorized representative; hereby consents to the in personarr~ jurisdictign Qf said courts, In na event shall this sectit~n be E construed as a waiver by pity cif any form of defense ar irnrnunity, based on the Elevenths Amendment to the united Mates ~anstitutiar~, ar ather~iser from any claim ~r firam the jurisdiction, ~ THIS ~~NTF~T ANA ATT~►NE~ E~NIBITS ~~I~ISTIT~TE THE ENTIRE AREEIVIEI'~T ~ET~lEEN THE PARTIES: h1~ VvAItiER, ~~NSEI~T, I~~DIFIATI~N ~R ~I-IAI~I~E ~E~ TERftlls ~F THIS ~~NTRA~T SI~ALI. ~IN~ EITHER PANTY t~lI~ESS IN UVRITIN~ Ahl~ DINED gY BATH PANTIES. St~~N U'ilAl~'ER, ~~NSENT, IutC~~IFIATI~I~ ~R SHANE, I F P~Af~E, ~I-I~t.t. BE EFFECTIVE N~.~ IN TI--IE I~E~IFI~ 1N~T~~1~E ~N[~ FAR THE ~PE~IFI~ P~1RPC~E ~I~EN~ THERE APF N{~ lJ~1DFRSTANDII'~~5, A~REEf'~ENTS, ~l; F~EPRESEITATI~NS, C~R~A~. t~l'I~ITTEI`~, NAT ~I~E~1f=1E~ I~iEl~Ell~l I~E~~R~It~ TI`•Il QI~iTR~~T. ~(~NTRA~TC~R, ~II~AT~IRE ~1~ ITS ADTHt~RI~F[~ I~F~'RESENTATIVE= I~IERE~Y` A~KN~~AtLED~ES THAT H~SHE I~AS READ T~iIS ~~NTI~A~T, IJN~EI~STAh~DS IT, ANA A~I~EES T~ PE B~~l~~ BY ITS TEl~lU1 Alfa ~C~lrlDlTINS, I~lana~propriativns ~Iause. Funds AvaiCable and Autharized~ pity has sufficient funds c~irreritly available and autf~rarized cr expenditure tc~ finance tl~e casts of this cantroct ~witf~iC! the pity's fiscal year budget ~antractor understands and agrees that pity's payment of amounts under this contract attributable tc work performed after the last day of the current fscal year is crarltnger~t cn City apprcpriatians, ar ether expenditure authority sufficient to allow pity in the exercise of its reasonable edrninistrati~~e discretian~ to continue to make payments under #his cantract~ In the event City tray insufficient appropriations, limitations car ether expenditure autharity6 pity may terminate this contract without penalty ar liability to pity, effecti~~e open the delivery of written native to ~antraetar, with nc further liability tt~ Gr~ntractc~r, I~'ri~r Approval acquired Prouisi~n. Approval key the pity of Ashland ~c~uncil ter the Public Contracting officer is required before any warp may begin under this can'~ract. 21: ~;erti~c~ton: ~c~ntractor shall sign the certification attached hereto as Exhibit A and herein in~rporated by reference. ~~nkra~t for ~ov~~ ~~d ~~r~i~es, Page of 1 Contractor; City of Ashland ' ~y By Signature ~ Depa ent Head ~ I" Print N e Print Name • / f~ , Tide Date f W-9 One copy of a W-9 is to be submitted with the signed contract. Purchase Order No. P'~ ~E~ A~ TO 'F~R~4 nd Asst. Ci Attorney l Contract far Goods and Services, Page 4 of 13 ~~HI BIT ~ CERTIFfCATf4fySlREPRESENTATIONS: Contractor, under penalty of perjury, certif es that (a) the number shown on the attached w-9 form is its correct taxpayer 1D (ar is waiting for the number to be issued to it and (b} Contractor is not subject to backup withholding because (i) it is exempt from backup withholding or (ii} it has not been notified by the Internal Revenue Service {IRS} that it is subject to backup withholding as a result of a failure to report all interest or dividends, or {iii} the IRS has notified it that it is no longersubject to backup withholding. Contractorfurtherrepnsents and warrants to City that (a) it has the power and authority to enter into and perform the work, {b) the Contract, when executed and delivered, shall be a valid and binding obligation of Contractor enforceable in accordance with its terms, (c) the work under the Contract shall be performed in accordance with the highest professional standards, and ~d} Contractor is qualified, professionally competent and duly licensed to perform the work. Contractor also certifies under penalty of perjury that its business is not in violation of any Oregon tax laws, and it is a corporation authorized to act on behalf of the entity designated above and authorized to da business in Oregon or is an independent Contractor as defined in the contract documents, and has checked four or more of the following criteria: 1 f carry out the tabor ar services at a location separate from my residence or is in a specific portion of my residence, set aside as the location of the business. ~2) Commercial advertising or business cards or a trade association membership are purchased far the business. {3) Telephone lEStmg is used for the business separate from the personal residence listing. {4) Labor or services are performed only pursuant to written contracts. {5) Labor or services are performed for two or more different persons within a period of one ar. I assume financial responsibility for defective workr~r~anship or for service not provided as evidenced by the ownership of performance bonds, warranties, errors and omission insurance or liability insurance relating to the labor or services to be provided. d/~ Contr for {Date) Contract for Gads and Services, Page 5 of 13 ~ ~ ~ ~ ~ ~ ~ I ~1~ ~ ~ i f i 1~ i i per h+~ur ~f~~~v~ T~~ L~rin~ i~ ~~~~~ted ~nn~~l~r ~ver~ ~ ~ ~h~ ~rr~um~r P~r~+~~ ~r~d~x. ~ ~ - ~ ~ ~ , ~ portion ~ business of choir ~ l~s oli~ilo ~rnplo~er, if tho err~~l~~er ~s ~~fot~rie ~I~ns ~noiu~ing - ton ar r~aro orr~~lQ~oe~, anc ohifi~~~r~~ k~en~fits t~ too has recoi~ro~ financial amount of rofioi~od ~y as~i~tar~ca for tho ~rojoot car tho omplo~oe, Far ali hours w~r~i under a ~osinoss the pity of senric~ oontraot ~eeen t~~eir ~~hiar~d ire ekes cif ~ ~V~~~: ~Ern~loyee~' does nat errEpio~rer end the pity Qf includo ~orr~porary or dart-tir~~e ~shlarid if the o~r~tract omlo~eos hirod for less than Q,~~~~~~ ~r mare, ~ If Choir emfoyer is the ~it:~ of ~~4Q hears i ,~elv~~ ~shi~r~d iclu~in~ tl~a Pare rr~~th p~ri~d. For rn~re For ali fours ~or~f ire ~ ark ~~cr~a~ion ar#mer~t, details on appii~,ablity of this m~ntb if the ernpl~y~e ~~ends p~lio~, ~leaso gee Ashland ~r morn of tote ~ In caicalatif~~ Cho livid ~~uag~, t~~unicial ectio~ om~ioyoe's timo iii that moth er~pl~yers ray aid the valuo v~or~io~ on ~ r~je~t er of health care, retirom~nt, ~ t ~ ~ ~ ~ ~~li the ~shlan~ pity ,~drnnistrator's o~ioe at ~ o~ ~~~ite fie the its dr~i~strator~ ~ify ~4a11, E~s~ C~~ain ~fire~t~ ~hC~n+, v~s~~ the ~~~sit~ ~t ~;~s~i hJ~~ic~ tc~ E~~~aye~s; This ~~tice mint be p~ste~ ~re~omnentCy in areas v~he~e it ears he seen by aii am~i~~ees ~ ~ ~ F ~a~tt~act f~a~ ~o~~s end services, Pa~~ ~ ~f ~urra u~~~~'ir~~it~~ ~`r~rrr~~~~~r~~~~~~~~'~~~~~~~~~t: ~i~{ Tl~ p~~ ~atractar far ~b~rn ply ~l~rr~~r~t~ ~~~np~~tion, ~ireline installatic~~z, and X11 bci~~ c~p~-~t~n~l equir~rr~ents ap-ul~ listed bela~~~ pert a~tl~e per acre eon~p~leted hum price, burn P~~r~ Corn~let~i~n ~`c~n~plete ~.nd submit l~r~r ~FFr~ral ~ ~r~scrihed Fire Flan ~c~r each ~~nd~rsta.~~ l~ur~~. ~it~r of ~~sl~l~nd will pra~rit~e ~ Fre~~rib~d l~i~~ ~`~r e~el~ u.r►t with Elements 1 thy. completed. The ~it~~ a~;~sbl~~d ~~ill ca~plet~ een~e~t~ aria ~i~,~ture p~~, cum~l~~ityr ~.~~1 ri~i~ ~.r~.l~~~sls, des~ripti~an al~the balm ~.re~, burn abje~ctiv~s, resQUrc prc~t~ctic~n, pest-bum ~~be~:ti~e;~, burn Fr~scripti~n, natific~tians, «ildfire can~tersia~r sm~~~e mana~cmcnt ~~d air qualit~•. Tl~e cantractor shall co~npletc Elcm.ents thru l~ ~a~°ri~~~ ~r~~i~~tic~~ cud ~~uir~~t r~~;~d~, i~r~iiit~t~ plan, h.oldin ~ map-~~p flan, cc~ntin~cnc~ plan, cc~rr~~nuncatians plan, and medical plan, Element ~ - r~~,ni~ation ~~ui~n~c~~ l~~decl - ~h~~~~ ire the ~~n-~le Fre~cril:~e ire an, This partian is ca~nplct~d l~;r ~c ~a~~tra.ctor, `l'he ~~~~~traetc~r ~b~li c~t~~~~~iete the ~~f~~r~fc~~ee a~xd ec~ui~rnent n~ed~, portlan ~#~the flan ~`c~r the Ifa~~, I~csred, and ~-1i~h acceptable ~,re~erlpt~a~l ran~~ cif the u1 ~ ~~~~~the~ ~~r~etar~. ~e ~~Tarkar~;~ ~r~d egt~ipr~~e~.t ~~t~d b~~ t~~e orltractor v~~ili represc~~t the n~ir~mu~~~ acceptt~l~ie t~~~aunts needed at that le~lel to successfi~ll;~ car~° gut the bur~~ and to captain an~~ esea.ped fires; Thy ~~ntra.ct~~r ~~~ll determine the mnrr~urn equiprr~er~t and p~rsannel needs at thc~ time a~a.~~ escaped ire in ``c~ul~ide fuels` ~vitl~ i~fen prescription para~~leters. The contractor gill deterrnir~e ling l~uildin~. ~ap~bilit~~ ref resauzees an site, f~r~e l~uildin~ capal~ilit~~ ~~ill be cc~n~pared to the predicted rate off` spread in I~fIlf~~~E tc~ detcr~~~ine ir~-esc~urc;cs are adcclu~►te to ct~ntain eseaped #re. Element 1~} and 1 l4 Initia~~ Flan f~aldit~~ Fl, - ~hc~~~ i~ tl~e ~~~~pl~ I'rseril~e~l 1-Fire T~lan, This partic~n is cotnplcted b~~ the Contractor, a, ~~a~-ratk~e disc'~ssi~~ l~r~r~~ plan ~t~d technique; identif~~ potential l~al~ln~, pri~hlems at~d lacatic~n o~'l~~~ldic~~ faree~, st~-~t~~ies a~~cl ~~b~ecti~~es; lc~catian a~~~rater sc~u.rces, gaunter rlleas~~res for slc~pa~~ers; ~~nd env ether i~~z~iti~~n l~al~.i~~ ~;at~~ideratans, Indicate ~~~hat shall be deans, ~~fher~ it shall. lee dare, l~o~~i it sljall he lone, ~rha shall do it, and shall include ~~~~ar~ f~}rec, ccluir~~ent and supplies needed. h. I~l~p at ~ ~calc fitting fhe entire: unit has lure as l~~}s~ible) on ~ 1~~~~ b~f 1 finch sheet l~apcr5 sl~a~~~in~ i~nitian tccl~~~q~le and pat~e~~~. placen~cnt of hc~ldin; ~~r~i~w~ ~,nd ~~uipi~~;nt, ~re~~s~ of car~cer~~, and l~~c~.ti~r~ ~~;here ~featl~er shall be ~nanitarecl and ~locumcntcd..~. snap legend shall be ini~luded: e. a~n~3 changes in tl~e initian and haldin lenlen~~ ~f the Freerib~d Eire Fl~~, ~b~ll lie subnZitted t~ the it~~ nf`~sl~land I~epres~er~tati~~e fear appra~7~~1 the d~~v a initic~n {~r ~~el~3r~:. ElenZent l ~ - C~ntin~n~~~ Fly e~ Fire Flan - ~ba*n in the ample Frescril~ed Fire Flan. This aartian is con~pl~t~d her the ~'r~tret~~r: Cantr~ctc~r ~~ill clesc~ibe its detz~il the strategies and ap~artunit.ies far c~al~tainin ~ escaped ire f~c~~ ~rthe unit b i~:eludin~ direct and indirect a~tacl~ ~rjet s. ~~ntr~~t fir Goods anti ~~rv~~e~, Pa~~ ~ 1 l~leerzt t~ - ~~~r~rr~u~le~tions Plan ~ ~ho~~~n in the ample prescribed lire flan.. This is ec~rnpl~t~d ~ ~otra~t~r and the ~it~r of Ashl~n~, dement 1~ - l~~edical Flan - hc~~~n in the art~ple l~reseril,}ed l;~ire Ilan. This is used bar the ~it~• +~~'~~shland for ~t~ a~~shlancl emplo~rees anc ~`c~r ~ontractc~r employees ~~~hen a burn is d~elared ~ ~vildl~d fire, Thy ~"ontractor shad have its a~-n r~~edieal plan in pla~:e. preeril~ed Fire flan l~lements ~ censists a~ checl~:lists, ~orshe~:ts a~~~ ~c~rmati~n ~'~}r u~~ h~' the e~~~traet~r and it~~ ~al'~hln~ lepre~entati~e its preparing and irrzplementn~ the pr~seribed burn. 1 ~ l~l~a~ent ~ ~ lire lr~i~ic~n ~l~ee~.list - ~l~c~~~~n in the sample reseril~ed lire l~'lan. ~l'his is used C~it~~ ~~shlyd tc~ ~ri~: all ite~~ are in place to i~plernent tl~e bung. Elernet~t 1 - ~-No o ~;heel~li~t - h~~~~n in tl~e ~a~npl~ ~r~~~ri~d Fire Ili, This is rEsed the ~ontractc~r and. the ~t~, ol~~~shland. It is used on da~~ n~i~,nitit~n prier tc~ starting, initc~~, It is ~ine~ a~cl dated i~~' ontraetc~r the ~it~} c~f~~.shlar~d represc~nta~i~~~. 3. l~lcrnent 17 ~ ~~ri~~r~ ~ ~'heel4list - ~hoti~~n in the ample freseribcd Fire Plan, This is completed b~~ the: ~'ontraetor, bc~t sc~n~e items ma~f lie inel~.rd~d b~ .ity: ~~hland. It is t~ be ~~ed ~rz daft of i~flition for the l~rief~n~ prior t~ starting initi~n, l~~le;n~ent l ^ `T~:~t Fine Ir~'~'iic~~s ~ l~efiults ^ l~o~v~ in the arr~ple Preserihe~ Dire lay. This is eonpleted b~ the ~it~' c~l'~~~hlan~ P~pre~entive arr~ ~ used to ~~~eurnent tl~e test fre results a1~d ~~xhether car Trot presc~ripti~~n paran~~ter~ 4~~till lie rr~et. lezi~er►t 1~ - ~~orYitorin;~ - ~ho~~fn in the ~arnple pre,serjl~ed l~~re flan. Pl'his is ec~mplete~ h~~ the ~sit~, ft~~l~l~~nd ~epr°esentati~~e and is used to doeun~ent the fre c~~icts ar~d result reardin~ treatrr~ent t)~je~ti~'e~, and try ree~~~d ~~eather, duels, ~~nd Fire beha~c~r ol~sert~ations, Flerner°~t -post burn. l~,ctl~ltres ~ l~all~~ l~'l~-t~ shift flan - ha~~n in the Sample l"'c-eserl~ed Fire flan... This is completed by~ the ~'~ntraet~r and reuieu~~ed ~n~ a~prc~v°~~ h~~ the ~'it~~ of~~.sl~lanc~. The mop~up plan shall lie based on tan~ar~~ .patr~~l ~~nd ~~~~~p-1_lp. It shall address the, n~~~p-up ~~l~jecti~~es of ~ } the pre~~ention of fire escape outside the unit bourlclaries, ~~'~l prevention ofrehu~~. ~~~ithin ~~r~it l~~undt~rie~, ar~d pre~Tenton of'residu~~l srnc3l~e problcn7s in residential an~I rural ir~ter~a~~e ar~:~~s. ~t shell c~~usist ol'an initial plan anr~ fc:~ll~a~~~ tfp d~~il}~ plans he~innin~ on ignition da~~. Zee dail~~ plan shill he subn~itt~:d~ tea the C.`it~~ ~~r~hlar~~. Represcnt~ti~~~ prior i~ the n~~t da~~P's ~~~orl~ ar~c~ is subject to apprt~~;al. ~~11 cai l~~ rnop-up submissions shti~ll contain the ~`ollo~~~in~. 1~~1ap at a Seale sho~~~ir~~ tl~e entire ~~t~t ar~d bu~~ed areas outside ol- ~r~lar~e .lame a possible ~}n an ~li~ bar l l-inch ~hec~t e►~~paper, pattcn~ of mop~up plaecrner~t of`cre~v and cyuip~7~ei~t4 arir potential problem ~re~u~-n, hurnin.~ "'~~ldlife trees", lar7dir~,~s j map legend. h, na~•ati~te ~li~c~~s~ion ol'`hift c~bjeetive with ~nop~~~p pri~~rit~~, dail~~ result c~l~jeeti~fe~, schc,dulc c~~ m~~p-up, patrol ~r~~l eontin~ene~, plans should an escape aecl~r. ~`~n~~ special considerations or hazards shall be included in plan. ~~t tl~e ~pti~~~ a~'the ~'it~r of~~slala~d the initial n~ol-uf In n~a~~ be ac~eptab~l in lied of the ~ollo~~~ up daily plan. G~ntr~~~ ~~r Gauls ~~rie~$, Pa~~ ~ ~f 1 ~ 7. l~l~~n~nt ? 1 ~~~tivt , L~ - ~~~~n ifl t~~ ~~.~pl~ ~'reseribd~ l~~ir~ ~'l~n~ cc~mpl~t~~ the itv of sl~l~n~ l~.~pr~s~r~tativ~ is use t~ r~card ~c~cnm~nt acti~~iti~s during tl~~ ~it~n lmpl~m~n.tat~on, mop~up ~ p~tr~l. Figment ~ - ~ snit ~ - tt~ch Tni, i~;nitian~ and mc~p-up m~p~= . Fire ~e~a~rir l~+~delin~ ~e~uments - ~'Qpie~ of ~-I~~. r~a.n~ ~r~at~~ ~'it~~ ~t'A.~hl~ ~~ill be att~c~ic~ t~ tie l~reseri~e~ flan. I~E~-L~'E ins created b~~ tl~e cc~ntract~r u~~ul~ ~1s~ b~ attac~e~ here. `l'h~ ~r~~c:ribe~ dire b~ ver~~ ~pecific~ anal ~~sed upt~n tll~ ~'~nt~~~~t~r's can-site ~nspec~lon nit}~~ unit anal ~~l~~r~nmenta~ cc~nd~tl~ns. ~~.~~int a~~sitc insp~ctian in~~~oi~~in ~i~t~~ t~~ .n~trctor ar~~ tie Cite ~f'~~~~la~ci r~~a~, re~u~std either pav t~ clar~~, ~b~e~tive ~n~ re~c~l~~e ~efieiencie~ in tl~e plan. Tl~i ply ~l~~ll ~e ~ul~n~tte~d t~ the ~'it~~ ~f .A.s~l~.r~d l~~~presentati~~e ~ppr~~~~~1 ~ ~a~lend~~ d~~r p~i~~~ t~ tl~ ~~t~m~t~cl a~iti~n ~at~. ~a~np~~ ~'rescried lire plan sho~~~n in ~~t~et~ent Fi~rel~r~e ~'a~~~ructi~n and ~~air~ten~nc+e ~l~ tircline ~;un~tr~ctir~r~ shall be p~rf~r~nc~ and n~ai~.~ained ire ~eor~ance ~~~it~. the ~~I~~~<~i~l speei~ieati~t~s, a. L~e~tn - [~ni~~~ ~tl~e~~~~~e e~~~~ated~ ~relir~es ~l~~ll l~~at~d ~djae~t~fi t~ the ua~it 1~~;~u~~~.r~~, ~itr~ ~`et ~~atide {~~~~~~lal ~t~~it ~~~t~n~ar~' in I~~~t~~~ns ~f`~~~~i~~ tl~~ ~p~ia~~~l hc~ldin~ eapa~ii~, and remain ~ ~;it~r pr~~~rt~~. ~;i~y n~`~~s~land nla~r eh~~se to elearl~~ n~ar~ tie ~ireline c~c:afii~~~ v~~it}~ e~l~red plastic ri~b~n. The fireli~~e sl~a~l e~nstt~~c ed t~ ~ll~~~~ the line ~s e~~sel~r passible. `~~'ariati~~~s ~~rill be pe~nitte~ i~ unf~r~seen ~bstaeles are ~tc~und. ~~learin L~i~niis - lend ~areline ,~~11 ~le~.red t~ ~~idth ~ ~~e ~ laei~ht feet. Tl~c ~~idt~ shall be rn~;urt~d p~~rall~l v~~tl~ tl~~ r~n~~. {slz~pe distee:~~, Tl~e hci~t shall be mcas~ared ~r~r~~ tie side ~~'te llne a~~ayr fra~n unit. ~ ~tri~ at le~~~t l.~ f~~t s~~ide to a m~~imum ~ feet ~~~ic~ end ee~tere~ «~ith~ tl~e cleared area ~l~all cleared tt~ miner7l s~~il, stl~~ less tha~~ l fc~~~t ~,~~~e ~nE~~~° ~~sir~~Itecl fit tf~e ~'.t~~ cat ~h~ar~~ can st~r~~: ~.zlit~ l~~r resc~~r~;e prt~teutic~~ c~~T t~~ use are e~,i~ti~~~ tail. Iti~ate~it~I t~ ~lc~~red - ~'~~it~~it~ tie -fc~t line, tl~e f~tl~ti~~it~~; ~atcr~l shall cut ~~r~c~ rer~~~~d: t~er~~s, s~rllbs and other vc~etati~l~, ~;ut tc~ ~~~iti7in 1 inches ~f ~;~r~~Ynd ter as elc~se passible ti~~itl~c~ut at~ain~ vols. but li~~e and ~.eatl trees at ~ruun 1e~~el car c~l~se as p~s~i~le itl~t~ut dan~a~i~~~,~ tc~c~ls. trees lamer than 7 inel~es ~ sell The fir~lir~e shall fie located t~~ a~T~~id l~.rer ;ree~~ trees and trees, I~iml~~ ~t~n~iin~ ~~~tl~in tl~~ ~~~line sh~Il l~~ cut elc~~ t~~ if the €~nt ~ut~i +~an ~ re~~l~ecl fxor~~ tl~e. ~r~u~d ~ feet fr~~~a tl~e r~un~l~, Limb shall cat ~~~he~~ the4~ eater the fr~li~ae clearing limits if`tl~ev gut at tl7e trc~, Li111~►s cut elc~se to t~.~: trey; need nit cut f~us lout "spi.e" limbs ~~r~ll neat lie allo~7e~, ~vntra~t fir ~~ds end Se~ri~es, P~~e ~ ~f ~3 F~epre~entati~~~c wii~ n~ti~~ the ~r~tractor via t~~~h~n~ or dire~:t co~ununic~atic~ns at ©r before how ~n the ~ra~osed ~~ition ~f sm~l~e n~ana~men~ conditions end updated ~~~ath~r ~~re~asts that ~~~ul ean~el the hu~nin. The C~it~• of~~shland Representati~~~ ~~ll grant final app~~~~a t~ c~~d~t~t ~urnir~~, ppro~{al is an the ~it~~i of ~.~hland Reprt;sentati~~ ~eri~~rin~; } unit i'u~l d ~~cathcr t:onditions are within l~"rescrihed Fxe l~l~~ ~~rarneters and ~r~~cribed tiro and rc~~ur~e ~k~j~cti~~cs ar+~ attair~ahle; prescribed l~ir~ plan paratnet~ers ~bjecti~~cs for sr~al~c rnana:~ement are attainable based ~n smol~e mana~cment inst~ucti~ns and f~rec:ast, and wveath~r forecasts fir proposed bum date and tiro; and succc4sf~~l con~plctic~n of the o~~t~j{~ ~hccklist and the test arc. prior to i~nti~n, the ~it~~ ~shan~ ~.~present~ti~~~ will dcsinat~ t~ the ~'ontract~r an~r area ~~hc~r~ f~.nitit~ns sh~~t~ld maintain soil c~~~er~ rninmi~e urin it~ition ~~p~ralons; the 'c~~tract~~r'~ f~~~rr~ shall r~antair► contact ~~Pit~i the C~it~~ ~~f. :~sh~an~ cpresctltati~~~~ th~c~u~h ~x~utuai~~~r ~,rcctl ~'~~~~~i~~~c~:tiCjn~ s~rst~m at all tit~~~s: ~~ntract~r ~~ill r:~nduc~t h~ldin operations in a~~ordance ~~~ith the prescribed fire pfa~~a locator p~rsor~ncl and ~~upm~~t ma~~ he rc~uir~ ignition and burno~lt pr~~resses. The !~;ontract~~r's +~re~ s~uper~is~r shall recc~ni~e the nod for and male s~zch rel~cati~~ns, dependent upon on-~itc ~~~~cath~r and fire cor~diti~~ns. E?~tin~~~ish and. fire outside the irclino ~f the unit, ~►r unit bo~~ndr~r~ and promptl~~ rcpo~t tl-tis to ~it~ rf~~~hland ~epreserltati~r~ at the site. ~relin~: shall h~ constrt~ct~d com.plctc around an~~ fire, slt~por~~crs, ~r sit art: outside the p~imr~~ unit bo~~ndarc~. The mir~itr~urrl ~h~ll ~ a ~r~linc ~~r~p~d to mir~~~~l s~~il l ~ n~hc~ ire ~%dth pit all ~~~erhar~~in~; c~~~nb~~stfible n~atcrial clcar~tl fir ~e~ feet ~n either site and sip feet o~.~rh~a~3., l~ not fill anv reseed tr~cs or sr~a~s ~~~hich ma~~ ha~~c ~ir~ in tl~~~n v~~i~h~u~t appro~~~.1 ~f the ~'t~~ ~~~hlan~l epres~ntati~tc. I~~uP-uI~ shall ~crftJrn~~tl i~ act;t~rdancc v~~itl~ `~tar~artl loop-~Ip and I'atrt~l citc~l belt~~~'. l~estc~~~{~ti~n - after ignition and nlop=up, all ~~-~.tcr b~r$ shall bet re~torctl to ~ propcrl; furicti~~t~in~ ct~~~dition. ~tan~fa~~t~ ~c~~-IJ~ ~r~d ~`a#~~l t~znplete rnop~u~ and patrol ~f t~it~:~~ t~.~ the ~~.t~nt ~r~~rit~e~~ ~~r in t~i~ ~~eti~~~ t~ ~~eet t}~e n~op=rip ol~jecti~~~3s the prc~~~entior~ of fire cscap~ o~~it~idc the pri~n~.r~~ snit l~c~ond~rrics, • ~~inir~.i~in~ smo~~ i~~~.pacts s~~~~l~i~rin c~hu~ti~~t ors tie co~~~n~~tn.t~~ ~rnd ~~~or..~~~~-s pr~~~ntion rbi~ ~~~ithrt unit boundaries ~~trol ~~rl~ r~rc~p-up shall cin irn.~rr~+~~iatl}= t~~il~~it~~ t~~~rnf~l~ti~~~ ref i~uitio~~ 1?~~-ti.t~~~ ~~r ~~~hole each unit, omplctc ~ p~~~e~~t ~~t~p-~ ~ all spat and sl~p~~er~ ~r~tsd~ the unit l~~l~nd~~r~~ shill be ca~~~plctc hours ~l` the first da~~ ignition ~.nd ~~~ithin the first 1 feet sl~po di:~tancc inside of unit bou~zda~F ~~~~tlair~ hours hours on tie da~~ follo~~in~,~ oon~pletion of` ignition. ~~nlplete l ~ percent m~p~~~p ~.~nit aria ~~~iihn hours of am on the dad: follo~~~in~ co~npletit~n ~f~ ~niti~n. I~zl~~ patx~l shall contint~c fir hour period unless r~:Ie~~ed C~n~~~~t far and ~~r~ric~~, P~~e ~ t ~f ~ 3 tic it~~, t~~r =I fours, atiris~ ~it~ if`rn.~~-up ~~ill ~~~npl~t~~ ~~{itl~i~l tiie a~`~rern~rrti~ne~ ~~i~~~ur pe~i~~. 'atr1 l~.ll i~.elud t~~ ~i~u~.l i~p~cti~ ~~~1 its ~~°~r~ k~ui~~ p~r~r~~, ~~e~kir~~ ~r ~~p-o.p ~ u~in~ ~t~rial teat tl~r~atcns ~.~:~~~ie~e~~~~at ~f mod-u~ a~~cti~r~s or mr~p-up standards fir ~a~It ~~it"s Dai1~~~ ~hf~ Ian. Patrol shall also inclu~~ ta:in~ actions to pre~~~ent firs outside ~e unit u.nda~ ~~~~~r to prevent r~~urrt within the unit i~~unda~. Inunediat~ly t~~ aotio~~ t~ frelin~, ~p upa are id~nti° all ~l~~~ver~ ~r spat fire. I~ ~ontraot~~r is unablo t~ et~ntain ~~r euntrr~l slopovor ~~r spat f res ~~~ith patrol res~auree, pr~~ptl~~, within 3 rninute~ ~~ter dise~~~ery~, n~tif}~ t~~~ ~;it~° ~h~n~i ~~presontati~~ ~ tl~c sitoati~~a and cr►ntinue to tale action to contain ~r control dire. ~on~pletel~,, extin;uish all ~cimin~ rr~aterial ~~~itl~in tl~e ~le~i~;natc:~i mop-up area. o nit I'~i~ ~n~, reserw~~~ trees ~~hi~~~ m~~ ilav~a r~ irl tllm wit~~.~ut appro~~al tll~ ~it~t .~s~~and ~pr~s~n.tati~r~. The ~{~ntr~.et~~r use c~r°~1~~ ~1~t~r (nt~ ~~~n~n ant;) uriri, i~nt~~n anal ~~p-tip ~peratie~n~ tc~ t>~e pr~~imityf off` ut~it~ to ~l~la:nd `reel. ~~t ~upr~~te~ st~1~~~~ ~~ih r~c~t attach~~~ shall he th+~rs~u~:hl~~ e~tin~uishe~ ~du~ around ~.nd rotten car lt~c~se ~~F~~c~d scraped t~f~~~. ~~`irelit~e Penns shall tl~~~rou~~l~~ c~tit~~uisl~ed. L~~#~ t~ri~ Cl~lln~5 Vvltl~l ~ I111I11CnliITl s~~o 0~~ 1~` ir~cl~os ~Iiarr~eter ~ ~ I`eet in len~tl~ i~p t~ a maximum ~f inches di~imctcr x 1`cet in len~tl~ can slopes ~;ret~t~;r than shall turned tend pl~~~a in ~~~r that ~r~~~}~t~ tl~i~ ~liari~ ir~a~ r~iiin. projeet area I~ehu~ - ~l~ou1 return ac~ur ~~~ri~~ the mop-up c~peratian, tl~e ~or~tractor shall s~~ppress the fire ~ rYatif~~ the ~'it~, ~t~ ~~l~land I~epresentati~~e izr~mediatel~~. The cyst cif re~~~rl~ir~~ tl~e ~.rea to Gc~ntrac't re~iuirement~ shall hie tie ~`c~ntrac~t~~r. i'~~c~p-up ~:c~nt~n~n~~~~ ire ~~~~~li~l~e a~~~i ~~=il~ ~ i~~itiat~~ by ~l~e it~~ ~~sl~~anci .~t~r tic f~lloti~tin~, situations: a. F~ll~~~~in the dad, of ignition, if' I~'ir~ j eatl~er ~~'atch ~~r ~~~-Flab f arni~~~; i~ i~s~ied ~r predicted h~ tl~~~ ~rati~~nal'~~~:atl~er er~-icc l~r extreme 1~re ~~t~~~tl~c;r e~~n~iti~~n~, ~~r if ~mc~3~t' en~issi~ns t'rt~n~ tl~e burn unit duri~~~ ~~~optlu~ are ereatin~~ air itualit~~ irn~aet~ tc~ t~o~ulatian centers, ter other smoic sensiti~~G ~.rcas, tl~e ~~~tra~}ter n~a~~ r~~uir~~ t~ ~~m~l~t~ 1 f~~'o mop-gip ~~~ithir~ a periad less than tl~c hours. It~ s~~tisfact~ar~~ progress is nc~t mad4 thy: ~it~~' c~f,sl~land I~.cpres~;ntati~{~. ~~~hen tleterrnin~ed n~jcessar~~~ mar im~x~ciiiatcl~d assume c;~~~~tr~~l }f ~r~~+ct dr~~~ a~~d prc~~~i~i~ ~z- ~~rde~~ pcr~c~~~~~el ar~c~`~~r ~Iui~.}ant t~~ c~~n~pl~t~ t~~ ~~~~~rl.. In t~~is c~aent, ~~r~nt~aetr ~~~il he lialc for talc dust tc~ tic pity c~l~ ~l~iar~~ R~pr~s~ntati~Jc raf per~or~nin~~ a~~lditional mt~p-up. ~I'pr~~ri~~~ ~r~ ~ ~~~~~~r~c~ i~~il~n+ Ire} tea ~'~t~, ~'~~,~~n~ ~~px~~t~t~ti~~G ~~t rrl~ncdiatc~~~~ assume c~ntr~1 ~~`ti-rc project area, f'~~lo~~rin, t~~:el~rat~~~n oI't~~c ~~~~il~lall~~ arc, ~antractc~r's pcrsc~r~ncl shall h~ n~arle a~~ail~~le t~ tl~c ~'it~F of Ashland Representati~~~e for fire ~uppre~sion and a~~ill paid at tl~~ applie~~le f refi~~itin~ rates pail ~ t~ce ~~r~~~~n ~p~~~~t ~f For~str~~. ~vnt6~ct fir os and ~~rvrc~~, P~i~e ~ ~ ~ x~i~ In~ivi~t~~ ~~s~ur~e ~~i~~ L~~t ~T~ SHEET 1~~~~tlR~~ ELATE ~~IL~~~ SATE drew ~ersan ~ Trained ~irefi~hter ~ Fere~t werker In~lud~~ h~,nc~ tr~~l~, ra~i~~, torches, su~e~rviior~, overtime ~#r Tree I-ell~r - Ex~erien~ed ~r Tree Feller -Intermediate Hr raw Vel~i~le ~ P~Gk or farrier ~~~uire~ tc~ stay everni~ht ~~er Gie~~ ~~1.~0 Person T~~e ~ ~rgne~ 4x~ ~~~-5~~ ga~Ilon /with one operator ~r $~,~o Type ~ ~n~ine 700- galhon I with one eperatt~r Hr ~ Type ~ Tender gallon ~ with one t~~er~tor Nr , ~ 1~~~ Track Lachine 100 fallen ~ with one operator I-~r $~,7Q ~n~ fat ~ with one orator ~r $~.?o ~atlwith one ~~eratar Hr $3,70 shipper- ~apacit~ l with too operators ~1 ~3:Q~ ~lr 1 ATV 1 +r~ith tine t~perator t-lr ATV Polaris ~ gallon ~ with one operator 1-r dash Fuel Qur bulk rite + ~ o~'~Q chain Saw ~.~5 1~r ~'la~tic _ ~ mm 1 roll ~ 5 Poll I~iastic ~ mm ~ roll boll l~o~m `1~7E~~ ~ ~`I~leage I~a~e gill be charged round trip between our nearest base of operation and work site. « +~uali~ied Pura ~t~ss or ether sp~e~ciali~e~ personnel will be n~ec~tatiated. • Additional personnel for equipment will be charged at the crew person rate. • Additional rnok~ili~ation charges 1`or wt~rl~ tl~~t i~ more than ~I,~ Fours from our nearest base will be nec~oti~ted: I~at~s s~~jec~ ~c~ ohan~~ annualEy. ~~nEr~c~ ~n~ S~rvi~~~, Page 'i~ ~f f DATE (MMIDD/YYYY) ,~`coliL! CERTIFICATE OF LIABILITY INSURANCE 12/29/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER CONTACT NAME: Kendall POrI Protectors Insurance, LLC PHONE .541-842-2963 A,~ No ; 541-772-1906 P.O. Box 4669 E-MAIL Medford OR 97504 . kendallp@protectorsins.com INSURER S AFFORDING COVERAGE NAIC # INSURERA:Amencan States Ins Com an 19704 INSURED GRAYB-1 INSURER B :American ECOnom Insurance Grayback Forestry Inc INSURERC: Western Emergency Services LLC PO Box 838 INSURER D Merlin OR 97532-0838 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: 644644352 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY EFF POLICY EXP LTR INSD WVD POLICY NUMBER MMIDD/YYYY MMIDDlYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY 01-CI-311182-80 111/2017 1/112018 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED CLAIMS-MADE ~X OCCUR PREMISES Ea occurrence $1,000,000 X LBFPD MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY ~ JE ~ ~ LOC PRODUCTS - COMPIOP AGG $2,000,000 OTHER: Loggers Broad Form $1,000,000 B 11112017 1/112018 COMBINED SINGLE LIMIT $ AUTOMOBILE LIABILITY 02-CE-228304-50 Ea accident 1,000,000 X ANY AUTO BODILY INJURY (Per person) $ AUTOS~ED AUTOSULED BODILY INJURY (Peraccidenf) $ NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident X Pollution Pollution $1,004,000 A X UMBRELLA LIAB X OCCUR 01 SU417057-80 1/112017 1/1/2018 EACH OCCURRENCE $2,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $2,000,000 DED RETENTION $ $ WORKERS COMPENSATION PER OTH- ANDEMPLOYERS' LIABILITY STATUTE ER ANY PROPRIETOR(PARTNER/EXECUTIVE YIN N 1 A E.L. EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? ❑ (Mandatory in NH) E.L. DISEASE - EA EMPLOYE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS t LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Ashland THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 E Main St ACCORDANCE WITH THE POLICY PROVISIONS. Ashland OR 97520 AUTHORIZED REPRESENTATIVE ~ ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 X2014101) The ACORD name and logo are registered marks of ACORD (b} Thy auurance does not apply to a~nst any Ensur~ad~ alfega rtegli9enoel a ~ I~~u~~~~ COMMERCIAL GENERALI-tAB1LITY '~adliy hjury' ar '1xoPesiy darn- other vnangdoa5g h the sc~arvi5>on, hirirug, ' ~ CG 78 35 Ql DT arising put of Ute sole rtegri- at such person or employment, trebling a mar'fartng of ohers organization; by trot Neared, tt Ute 'acaurrenca' wfilch caused the 'boc&ly M{ury' a 'progeny THIS ENDORSE6IENT CHANGES 1'NE POLICY. PLEASE READ fT CAREFULLY. (4) Parent's blued by arty s~~ a pol;dcal damage' lrwoNed She ou,>Ershp, mahrie- suhd'rAsion wvh respect to operations Hance, use or en?rttstinent to others of any L~A8I~ITY PLUS END(?RS~ME~dT performed by you a on your behalr, elraafk `auto' or wateraal that is awned lathed to Ufa follcwing additional pro' or operated by or ranted or bartEd !o arty ht- nsbn: lured. i7>es arxlarsement modrles insurance pro'rfrled under the fdiawing: This insurance does not apply to 'bodily This exclusion does rat apply to: C0~4f~fERC1Al. GENERAL LIA81l)TY COYEFAGtc PAf1T tnjtgy~, ~ga•' or {7} A watetCrah wide ashore on pramisas 'personal and advertsGsg irrJury" arising you pun or rent; SCHEDULE out of cpetatlans performed for Uia s~:e (2) A waeraaR you do not ax~n that ts: or muncipai~y. Name of Person ar Organlzat[on: c. 7ha Iruuranea veldt respect to arty arch~eck (s} Less than 52 feet tong: and er>greer, or sun~eyor added as an Insure-d (fi) Not l,eing used to Carry persons or by this erdarserrent Baas not apply to property for a charge; BLANKET - PEIt CERTIFICATE= (}F ENSl1RANGE l+~ry`~ 'property damage", ar per- S P ~ 'auto' on, or an the ways lanai and advertising In)txyr ar~s3ng out of { } the rendering o4 ar the (aSure to rarxlCr amy next to, premises you ann or rent, pro- vfdad the ~Ua" fs not owned by or professbnal serv6ces by ar far you, inciud- rented or barwd to you ar the frtsured; i~. ,inured {t) The preparing, approving, ar taTng io {4) ElahiG;y assumed under any re or rove rra dra+rings, con;ract° for the ahnersh~p° malnte- prapa app fn, Hance ar use of alraaR ar waterua't; or opinions, reports, surveys, change or- ders, deslgru or sp:~ca'bns; artd {5} 'Godly lnury° or 'properrj damage' ADDITIONAL ENSURED ~ BY YyWTTEN lease or ocCup'/, eub}act Io 1}ra iolS~ning arising atrt oC CONTRACT, AGREEMENT OR PERMfT, OR add`tionalpravlslons: Supervsary, hnpec6on or englneer',ng (aJ the operation of machinery or SCHEDULE services. u' ant that b a"ached to, or eq (a) Thy insurance does tint apply to io 'body, amt bccurrerlca" wtrich talces pace d. Thx insurarxa does not apply y pail of, a land velv.cJe that wou'd The fo3aa'tng paragraph is added to WNO !5 Ali after ynu cease to be a lerrarrt M Injury" or 'Property damage' Inciudad wi'.hin qual'dy urldrr Ute d~rti^~n of L'~SURED {SecSon II}~, airy premises leased to ar tented to ti•,e 'products-campieted operators t>az• 'mobita tgulprrter#` U tt Isere not 4. Any person a arganEza9an charm In the Salted- ~ aid'. strbeCt to a compulsory a financial uis or for wtam u are r 'red bYwrit#encon- Tit?s htsuranca dyes Trot e l to respons~bic,y fa•s ar ether motor ve- Yro Y A rsan's or organfzatian's status a; an Insured un• hale Irt.uranCe Eaw In the stare Irad, agreement or pemuT to prov'sda hnusanca arty s7ucturat eYe+ations, rev con' de~Utis tindonerrent arsds when your operations {ar where R Is licensed or princ3pa'fy ~ an fissured, subject to the 1osoNring addtional structbn or damvGBan operators that Insured are competed. garaged: or provdsions performed by or on ~haH of the person a organ2atian added as an {b} the opara5ors of arrf of the machtn- a. The conJaCk egree~menl or permit must ba insured: ho co•reraga w1:1 ba provided tt, In the 2bsenca of the ery pr aqu pmsnt I sled >n Paragraph In effect during 1rB pot6Cy perod altrnm En endarsema~, no'3at~T`<y would ba Imposed by few an f.(2} or f.(3} of the de5n~'~on of ilea Declarations, and mull have been exe• ,2} Your ongo'ng aperaJons far that In- yrou. Coverage spas be tLmited to the extent at your 'mobsoequipment°. rated prior to the 'bodily Injury", 'property lured, whether the worx 6 perfo~rrted ne~igenoe or fa~~t aaad tog to the eppl'cab'a prir~i• damage", w `personal and ad~rer6sing by You or {or you; les of cnrc a'we fault {6} An eiraaft yrou da not cum pra~t'><1ed it Es p ~ hat operated by ~ kssured. bjurY°' {3} The ma!n!ertance, operation or use try b. The persorn a agartlzation added as an br you of equipment kasedto you by such NONAWNED WATERCRAFT AND N4It-0WNED TENANTS' PROPERTY DAMAGE LIABILITY lured try thds endarsarrterst is an Insured any person a organrzzt;on, sub?eCt to the AIRCRAFT LlA91LITY to the extent you ere F~3d liable due to: fo~~avring adddonal provlsforrs: k4Tsen a Damage To Pram~es Iterated Ta You Ltntii Gs {t} The awnershlp, ma,`ntenance or use o{ (a) This htsurance does not apply !o Exclusion g. of COVERAGE A (SecSOn I} Is replaced sf~n In the Declarations, FxrJuslon f . of Ca~c-raga that part o1 premises you owe, rent, any `occurrence' wf}fch tales place by lira toltaving: A, SecSan t ES rt:praced tr/the io'tor,1ng. aBer the egrrpment Beale expires; g, °Bod+ly Enury" or 'property damage' arising out of the o~nhnerhp, main!enance, the a j• Damage To Property enhwtznent fo others of arty alrCratt, 'aura" 'Property damage' to: or waSeraa~ armed or opera!ed by or rented { } operty you Indudas Copyrighted Mater>al of Insurarscv Services OfP~ca, Enc., with its permisslon. or loaned to arty Insured. Use Irxiudes apes- 1 Pr pun, rent, or occupy, Encludrrg orlon and 'ha ' or unk~a any costs or expenses Incurred by you, or Gopyr',ght, Insurance Services, ~C01 ~9 'i'ce • Stave x! tr Sa~aw b'a i+ ~tC'e4 tdrab d ~ eo~urin {q rfi 7S C2 @T Pg`! I d 1 ~ Pit 7 ~ E CG7835{0207) grit CG7635{02U7).pdf airy other person, organization or entity, for VYHO ES AH 1NSUREO fatANAGERS EXTENDED DEFIN]TION OF 80OILY INJURY ~ght•o ayat e 6alroadF1aet, roadKay, waterway, or repair, rep>aCament, c~hancarrent, restore' fen or mai~enarsca of such property far arty The foGaving ~ added to Paragraph 2.e. of N?lO IS Paragraph 3, of DEFEtiITIO~fS (Secdan Yf b replaced reason, Inc!udng preverulon of 'njury to a AN INSURED (Section II): try the faiiowir~: ENCREA5E0 MEDICAL EXPENSE LEkIfT person or damage to anathct's property; paragra h t does not a la execu'~ra of8ccrs, or 3, 't3oraly ir~ury" means Uod7y Injury, s1c'~ness a The fd~cal Expense tJmtt is amC{sded to $16,#x]. {2) Premises yvu se!I, r~•e away ar at,a,ndon, H p { } pply dbeasa sustained bj a person, Including mental the 'property damzga" arises out of airy part to ~ al the supavisary fa'el or above' 'sh ar death resin from a of these at angu Ong nY ItNDWLEDGE OF OCCURRENCE 01 thaw premises; SUPPLEMENTARY PAYMENTS ^ COVERAGES A ~ (3) Property loaned to you; yy}Ip g BAIL 8OND5 - TINE OFF FROM The fosar~ing Is added to Paragraph 2. Du'ias In The TRANSFER OF RfGHTS Of RECOVERY Ev'EVtt Gt OCCUrre,xe, Ofiansa, Galin Or Suit of {4) Personal property fin th9 care, cth`ody or WORTS Control of tt~ Insured; CO±ithiERCIAL GENERAL UAI3tE1TY t70NDITlONS paragraph I.b, o[ SUPPLE~UENTARY PAYME,`ITS - The fouowing Is added #o Paragraph & Tranf'er Of (Bect=on m; {Sj Tl~l partiCt9ar part ai real property on which COVERAGES A AAT3 B is replaced Try Uta fosowing: Rights Ot Recovery Against alters To Us et Ga!.!- you ar ~y CanrecArs or subcantraCmrs IIIERGAL GENERAL l.lABILITY COItiOtftOtlS (Sec' Kr~ow9edga of an bccurrenCa', Bairn or 'suit' by vrorsing dueClly or hxi'recUy on your behatt b. Up to Si,W9 tar Cast of lraT bonds req:sred lion IV): your agent, sen~ant a employee shall rv3t in hse?I are parfoming operatans, if tlr$ 'property because of acCldanis or Uatf~c dew vi~lal~ns constdu;e lotaniedga of the trained insured unless an damage' ar•~es out of those alit '.'ens, a arl5ing out of #ne use of any vehicle io which P!a waive airy righs oI recovery w'e may have sgs'nst p+.,tcer of Usa r~me~i insured has receivEd such no'ice the Body tnwy Llabisty Coverage spptes. any person ar argan¢atian because of pay~r~ents wa from the agent, servant or @mp<oyea. (6) That particrziar pars at arrf property brat r~# Wa do not have to furnish these bands, mzke for Ir>(ury or dar}age arising out of your ongairg ba restored, repaired or regtacad because operations or your wrork' done under a contact wRls UHINTENTlOf,1A1. FAILURE TO DISCLOSE ALL your war'n' was 6~carreCrty performed on k. Paragraph 1,d. Of SUPPLE~!Et.(fARY PAYI.fENTS that person a organizatipn and Included fn the }dATARDS Paragraphs {1}, {3) and {4} of this exclusion do CG'lERAGES A Ah'D B is replaced by the fotb;ring, `products~+orc¢rleted operatu~ns hazard', This wa,~rer hat apply to 'property damage' (other than d. As reasanab'.a expanses hnamed trj the In- appf~s only to a person or argartiza5on for stttom you ~ faifardng b added to Paragraph t;. R~pres~nf~• damage by fire) to premises, IncludFng the corn lured et our request to assbt us In Iha In• era regtrired by nrN.sn can!raCi, agreement or pzrm~t Sons ai Cd~ttttERCIAL GENERAL IJAbft1TY C41`DI- tents of suxh premisas, rented to yru. A separa!a vgsagat'on or defense e! lra claim or `suit', io waive these righs of recovery' 'DONS (5ec1!an IU}: Timis of fnsurarsc~ appl:~s !a Damage TO Preen- kaciud~sg actual lass of earnings up to 5500 Lses Rented To You as descried bt Sect~n rill a day because a1 dire o!f from wro~R. AGSIREGATE LfkIRS OF INSURANCE PER li you unlnterl5ona'•ly tali to dscbse any hazards ex- - Umr',s Of 1nSUranCe. LOCATION {stkxj at the tncepron dare of your palsy, ra w3d not Paragraph (2} ai this exclusion does not apply tt EMPLOYEES AS INSUREDS -HEALTH CARE deny corEtag@ under ih!s Coaeraga Farm because of the remisES are wror',r` and wErB never SERVICES Far att sums r;hkh the insured becomes tegzt°f ob'3' soh fa ore. Ho'rrsver, th5 prarisbn does not atkc# p 'Y~ gated to pay a3 damages Caused try 'oceunences" our right to cased adcGaonal premium er excro~e our occupied, rented or held for ren!ai by you. Provissan 2.aji}{d) of 1'r'HS) 1S AN INSURED (5ec5an under COVERAGE A (Saar'on I), ar~d for all medical right of carxti~latinn or nan•rerte,r~i. Paragraphs (3), {4), (5} and {6} of thPS exch.~fon 6} ~ dete_ed, l,~less excfud~ by sc-para'a endorse- ezdsenses caused by eccdants under Ct7YERAGE C do not apply to i;absly assumed under a side' mRnt (Section I}, wltlch can tx attr~uted only io operations LfBERAt.tZATION CLAUSE rra« agreement at a single 'location": Paragraph (6) of this exCius3on dc~s trot apply t0 F-~EpfDED COVERAGE d`OR NEWLY ACQl31RED The fol!owiag paragraph Is added to CO"A~dERgAL r dam Inchrded In tr,a roducts• ORGANI7.ATiONS Paragraphs 2,a. and 2.b. of Llm's of insurance (sec GENERAL LEABitJ1Y COhDITiONS {Section m: 'p operly age' 'p lion uq apply separate,'y to each of your 'ioCations' amplated operations hazard', pvnad by or rented to you 10. tf a revision fa this Co,+eraga Pad, wtyCh wauid Prarisfon 3,a of NlliO IS AN ENSURED {SecEan Itj is pro•rfca mare careraga wish no eddstlaRZS pre- Paragraph 6. of Ll!~T5 CF lNSUfIrL'iCE {section [!I) rspfaCed by the fallowirx,I; "Location' means premises tnvaiving fire soma or mum, b~mts e~ReCtive during trte polxy period b replaCC~i b`y ~ fa'lo~oing: a. Coverage tx~r this prov~bn Is afforded eonneCtng lots, or premiss vfiase conrtaCron Is in l1>e seta shrnvn En the Declarations, your pah 8. Suthect l0 8, move, the Damage To Premises only oral the end of the po~wy period. ILy will automa5calty pra~lda the additional ca~r• erage on the eHecdva dare o1 tlta ratits3on. Rented To You Llmkt is the mast wa will pay un- EXTENDED `PROPERTY DA3lAGE" der Govarage A to damages because a( 'property damage" to any one pramises, while ExClus;on a. of CO`lEftAGE A (SeC6an IJ is replaced rented to you, or in ~ Casa of damage by fire, by She falfaning: whsa rented Sa you ar tc-rnpcvanly aaup"ed by you with permsslon of the o+mer. a ~,,iy bjury. a `property damage' expected or fn#endad from the st3ndpoMt of the insured. The Damage To Premises Rented Ta Yau limit Is the ~ exclusion does not apply to 'bodily Jury' higher of the Each Occurrence Umrit shaven N the cr ~~dy " lasui!Jng from the use oI Declarations a' the amount sfrown In the Dadaratbns raasanzbb face to pia#eCt persons rx property. as Damage To Premises Ranted To You Limit. G} >6 3S ~ ar Pate t d r Fie 1 d ~ ,,,,,r~~„v,,,,, _~r r.r,~r*asrmnn ~1 acoR°® CERTIFICATE OF LIAB DATE,MM!°DIYYYY, ILITY INSURANCE 12isi2o16 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer ri hts to the certificate holder.in lieu of such endorsements . PRODUCER CONTACT KPD Insurance, Inc. ~ NAME: PO Box 784 PHONE , 541-741-0550 FAx .541-741-1674 Springfield OR 97477 E-MAIL Wc-Cer'ts@kpdinsurance.com INSURER S AFFORDING COVERAGE NAIC # INSURERA;SAIF Cor oration 36196 INSURED GRAYFOR02W INSURER B :Zurich American Insurance Co. 16535 Grayback Forestry, Inc. INSURER c PO Box 838 _ , Merlin OR 97532 INSURER D INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: 1079324031 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM1DDlYYW MMIDDMfYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE ~ OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP (Any one person} $ PERSONAL 8 ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER; GENERAL AGGREGATE $ POLICY ~ PRO- D JECT LOC PRODUCTS - COMPIOP AGG $ OTHER: $ AUTOMOBILE LI,481LITY MB N D IN L LIMIT $ Ea accident ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED BODILY INJURY (Per accident) $ AU70S ONLY AUTOS HIRED NON-OWNED PR PERTY DAMA E AUTOS ONLY AUTOS ONLY Per accident $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ $ A WORKERS COMPENSATION 395606 1/1/2017 1/112018 g AND EMPLOYERS' LIABILITY Y 1 N WC-9663291 (Multi State) 111/2017 111/2018 X STATUTE ERH ANY PROPRIETORIPARTNERIEXECUTIVE E.L. EACH ACCIDENT $500,000 OFFICERIMEMBER EXCLUDED? ❑ N 1 A (Mandatory in NH) E.L, DISEASE - EA EMPLOYE $500,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $500,000 Workers Compensation and Employers Liablity Limits DESCRIPTION OF OPERATIONS 1 LOCATIONS !VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more spade Is required) Re: All Operations CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City Of Ashland THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 East Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Ashland OR 97520 AUTHORIZED REPRESENTATIVE r ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Purchase Order Fiscal Year 2017 Page: 1 of: 1 _ _ ~ _ - - _ - - - _ - =4~pM~-_ -__1-~~---__-= B City of Ashland _ ~ ATTN: Accounts Payable Purchase L 20 E. Main 7 3 Ashland, OR 97520 Order T Phone: 5411552-2010 O Email: payable@ashland.or.us V H CIO Fire and Rescue Department E GRAYBACK FORESTRY INC 1455 Siskiyou Blvd D PO BOX 838 P Ashland, OR 97520 O MERLIN, OR 97532 Phone: 541/482-2770 O Fax: 541/488-5318 R V~n~Qr<Ph~ri~ ram Qom== ewe-~-_I~~m _ - r~ - _ - ~ _ _,-~T~ - ~ ~r~n - 541 476-0033 ~ Chris Chambers _Qate- Or~ere~ _~T_Q_ucn-~~ = _ " - - - ~ r~,~ 0512212017 y 989 FOB ASHLAND ORINET30 Cit Accounts Pa able Prescribed Underburning 1 Prescribed underburning on City of Ashland forestlands per 1 $53,380.0000 $53,380.00 attached contract. Contract for Goods and Services Beginning date: 0411912017 Completion date: 0613012020 Project Account: E-000516-400 GL SUMMARY 072900 - 604160 $53,380.00 !x B ~w M~° Date: ~ ~ ~ y~ Authorize~~Signature ~ $53 380.00 ~ ~y FORM #3 " T x ° F ~,SHLAND i~ REQUISITION ~ °~g ~ Date of request; 5/16/17 ~ Required date for delivery, 5123117 Vendor Name Gravharl~ c FnrP~trv Inr Address, City, State, Zip PO Box 838 Merlin OR 97532 Contact Name & Telephone Number Thom Oden (541) 4760033 Fax Number (541) 476-0162 SOURCING METHOD ❑ Exempt from Competitive Bidding ❑ Emergency ❑ Reason for exemption; ®Invitation to Bid (Copies on file) ❑ Form #13, Written findings and Authorization ❑ AMC 2.50 Date approved by Council; NlA ❑ Written quote or proposal attached ❑ Written cote or ro osal attached _ Attach co of council communication _ If council a royal re wired, attach co of CC ❑ Small Procurement Cooperative Procurement Less than $5,000 ❑ Request for Proposal (Copies on file) ❑ State of Oregon ❑ Direct Award Date approved by Council: Contract # ❑ VerballWritten quote(s) or proposal(s) -(Attach copy of council communication) ❑ State of Washington Intermediate Procurement ❑ Sole Source Contract # GOODS & SERUIGES ❑ Applicable Farm (#5,6, 7 or 8) ❑ Other government agency contract $5,000 to $100,000 ❑ Written quote or proposal attached Agency ❑ (3) Written quotes and solicitation attached ❑ Form #4, Personal Services $5K to $75K Contract # PERSONAL SERVICES ❑ Special Procurement Intergovernmental Agreement $5,000 to $75,000 ❑ Form #9, Request for Approval ❑ Agency ❑ Less than $35,000, by direct appointment ❑ Written quote or proposal attached Date original contract approved by Council: ❑ (3) Written proposalslwrittenso1icitation Date approved by Council; (Date) ❑ Form #4, Personal Services $5K to $75K Valid until: Date - (Attach copy of council communication) Description of SERVICES Total Cost Contractor will provide goods and services necessary to complete prescribed underburning on City of Ashland forestlands according to City contract Exhibit C; Technical Specifications and additional 53,380 resources under Exhibit D: Individual Resource Pricing, Item # Quantity Unit Description of MATERIALS Unit Price Total Cost TOTAL COST ❑ Per attached quotelproposal _ $53,380 s Project Number 000516.4 Account Number 670.07.29.00-604160 > AccountNumber___-__-.~_-__-_______ AccountNumber___-__•_ - - *Expendifure must be charged to fhe appropriate account numbers for fhe financials fo accurately reflect the actual expenditures, IT Director in collaboration with department fo approve all hard ware and software purchases: IT Director Dafe Support -Yes / No By signing this requisition form, l-certify that` he Gify's public contracting requirements have been satisfied, fi Em to ee ~~~.r ~~a ~ st~~~ p y ~ Department Head: ' " (~-dual to o ater than $5,000) Department{ManagerlSupervisor: City Administrator: (Equal to r greater than $25,000) Funds appropriated for current fiscal year; YES / NO ~ ~ ,r FlnanCe Di~c~r- (Equal to orgreaferfhan $5,000) Dafe Comments: Contract spans 3 years, but full amount is available in OWEB grant in current FY and work could be completed by June 30th, 2017. Form #3 -Requisition