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HomeMy WebLinkAbout2017-156 Contract - Steve Ennis Architect Contract for Personal Services less than $35,000.00 t t r Y o~ CONSULTANT: Steve Ennis Architect ~SHLANI~ CONTACT: Steve Ennis 20 East Main Street Ashland, Oregon 97520 ADDRESS: 1108 East Jackson St, Medford, OR 97501 Telephone: 541 /488-6002 Fax: 541!488-5311 TELEPHONE: 541.618.9155 DATE AGREEMENT PREPARED: 6.15.17 EMAIL: Steve@ennisarchitect.net BEGINNING DATE: 7.1.17 COMPLETION DATE: 9.1.17 COMPENSATION: $14,102 SERVICES TO BE PROVIDED: Structural assessment er Exhibit C Pro osal ADDITIONAL TERMS: In the event of conflicts or discrepancies among the contract documents, the City of Ashland Contract for Personal Services will be primary and take precedence, and any exhibits or ancillary contracts or agreements having redundant or contrary provisions will be subordinate to and interpreted in a manner that will not conflict with the said rima Cit of Ashland Contract. FINDINGS: Pursuant to AMC 2.50.120, after reasonable inquiry and evaluation, the undersigned Department Head finds and determines that: (1) the services to be acquired are personal services; (2) the City does not have adequate personnel nor resources to perform the services; (3) the statement of work represents the department's plan for utilization of such personal services; (4) the undersigned consultant has specialized experience, education, training and capability sufficient to perform the quality, quantity and type of work requested in the scope of work within the time and financial constraints provided; (5) the consultant's proposal will best serve the needs of the City; and (6) the compensation negotiated herein is fair and reasonable. NOW THEREFORE, inconsideration of the mutual covenants contained herein the CITY AND CONSULTANT AGREE as follows: 1. Findings !Recitations. The findings and recitations set forth above are true and correct and are incorporated herein by this reference. 2. All Costs by Consultant: Consultant shall, at its own risk and expense, perform the personal services described above and, unless otherwise specified, furnish all labor, equipment and materials required for the proper performance of such service. 3. Qualified Work: Consultant has represented, and by entering into this contract now represents, that all personnel assigned to the work required under this contract are fully qualified to perform the service to which they will be assigned in a skilled and worker-like manner and, if required to be registered, licensed or bonded by the State of Oregon, are so registered, licensed and bonded. 4. Completion Date: Consultant shall start performing the service under this contract by the beginning date indicated above and complete the service by the completion date indicated above. 5. Compensation: City shall pay Consultant for service performed, including casts and expenses, the sum specified above. Payments shall be made within 30 days of the date of the invoice. Should the contract be prematurely terminated, payments will be made for work completed and accepted to date of termination. 6. Ownership of Documents: All documents prepared by Consultant pursuant to this contract shall be the property of City. 7. Statutory Requirements: ORS 279C.505, 279C.515, 279C.520 and 279C.530 are made part of this contract. 8. Living Wage Requirements: If the amount of this contract is $20,283.20 or more, Consultant is required to comply with chapter 3.12 of the Ashland Municipal Code by paying a living wage, as defined in this chapter, to all employees performing work under this contract and to any Subcontractor who performs 50% or more of the service work under this contract. Consultant is also required to post the notice attached hereto as Exhibit B predominantly in areas where it will be seen by all employees. 9. Indemnification: Consultant agrees to defend, indemnify and save City, its officers, employees and agents harmless from any and all losses, claims, actions, costs, expenses, judgments, subrogations, or other damages resulting from injury to any person (including injury resulting in death), or damage (including loss or destruction) to property, of whatsoever nature arising out of or incident to the performance of this contract by Consultant (including but not limited to, Consultant's employees, agents, and others designated by Consultant to perform work or services attendant to this contract). Consultant shall not be held responsible for any losses, expenses, claims, subrogations, actions, costs, judgments, or other damages, directly, solely, and proximately caused by the negligence of City. 10. Termination: Contract for Personal Services less than $35,000.00, Page 1 of 5 a. Mutual Consent. This contract maybe terminated at any time by mutual consent of both parties. b. City's Convenience. This contract may be terminated at any time by City upon 30 days' notice in writing and delivered by certified mail or in person. c. For Cause. City may terminate or modify this contract, in whole or in part, effective upon delivery of written notice to Consultant, or at such later date as may be established by City under any of the following conditions: i. If City funding from federal, state, county or other sources is not obtained and continued at levels sufficient to allow for the purchase of the indicated quantity of services; ii. If federal or state regulations or guidelines are modified, changed, or interpreted in such a way that the services are no longer allowable or appropriate for purchase under this contract or are no longer eligible for the funding proposed for payments authorized by this contract; or iii. If any license or certificate required by law or regulation to be held by Consultant to provide the services required by this contract is for any reason denied, revoked, suspended, or not renewed. d. For Default or Breach. i. Either City or Consultant may terminate this contract in the event of a breach of the contract by the other. Prior to such termination the party seeking termination shall give to the other party written notice of the breach and intent to terminate. If the party committing the breach has not entirely cured the breach within 15 days of the date of the notice, or within such other period as the party giving the notice may authorize or require, then the contract maybe terminated at any time thereafter by a written notice of termination by the party giving notice. ii. Time is of the essence for Consultant's performance of each and every obligation and duty under this contract. City by written notice to Consultant of default or breach may at any time terminate the whole or any part of this contract if Consultant fails to provide services called for by this contract within the time specified herein or in any extension thereof. iii. The rights and remedies of City provided in this subsection (d)are not exclusive and are in addition to any other rights and remedies provided by law or under this contract. e. ObligationlLiability of Parties. Termination or modification of this contract pursuant to subsections a, b, or c above shall be without prejudice to any obligations or liabilities of either party already accrued prior to such termination or modification. However, upon receiving a notice of termination (regardless whether such notice is given pursuant to subsections a, b, c or d of this section, Consultant shall immediately cease all activities under this contract, unless expressly directed otherwise by City in the notice of termination. Further, upon termination, Consultant shall deliver to City all contract documents, information, works-in-progress and other property that are or would be deliverables had the contract been completed. City shall pay Consultant for work performed prior to the termination date if such work was performed in accordance with the Contract. 11. Independent Contractor Status: Consultant is an independent contractor and not an employee of the City. Consultant shall have the complete responsibility for the performance of this contract. Consultant shall provide workers' compensation coverage as required in ORS Ch 656 for all persons employed to perform work pursuant to this contract. Consultant is a subject employer that will comply with ORS 656.017. 12. Assignment and Subcontracts: Consultant shall not assign this contract or subcontract any portion of the work without the written consent of City. Any attempted assignment or subcontract without written consent of City shall be void. Consultant shall be fully responsible for the acts or omissions of any assigns or Subcontractors and of all persons employed by them, and the approval by City of any assignment or subcontract shall not create any contractual relation between the assignee or subcontractor and City. 13. Default. The Consultant shall be in default of this agreement if Consultant: commits any material breach or default of any covenant, warranty, certification, or obligation it owes under the Contract; its QRF status pursuant to the QRF Rules or loses any license, certificate or certification that is required to perform the Services or to qualify as a QRF if consultant has qualified as a QRF for this agreement; institutes an action for relief in bankruptcy or has instituted against it an action for insolvency; makes a general assignment for the benefit of creditors; or ceases doing business on a regular basis of the type identified in its obligations under the Contract; or attempts to assign rights in, or delegate duties under, the Contract. 14. Insurance. Consultant shall at its own expense provide the following insurance: a. Worker's Compensation insurance in compliance with ORS 656.017, which requires subject employers to provide Oregon workers' compensation coverage for all their subject workers b. Professional Liability insurance with a combined single limit, or the equivalent, of not less than Enter one: $250,000, $500,000, 1000 000, $2,000,000 or Not Applicable for each claim, incident or occurrence. This is to cover damages caused by error, omission or negligent acts related to the professional services to be provided under this contract. c. General Liability insurance with a combined single limit, or the equivalent, of not less than Enter one: $200,000, $500,000, 1000 000, $2,000,000 or Not Applicable for each occurrence for Bodily Injury and Property Damage. d. Automobile Liability insurance with a combined single limit, or the equivalent, of not less than Enter one: $100,000, 500 000, $1,000,000, or Not Applicable for each accident for Bodily Injury and Property Damage, includin covers a for owned, hired or non-owned vehicles, as applicable. Contract for Personal Services less than $35,000.00, Page 2 of 5 e. Notice of cancellation or change. There shall be no cancellation, material change, reduction of limits or intent not to renew the insurance coverages) without 30 days' written notice from the Consultant or its insurer(s) to the City. f. Additional InsuredlCertificates of Insurance. Consultant shall name The City of Ashland, Oregon, and its elected officials, officers and employees as Additional Insureds on any insurance policies, excluding Professional Liability and Workers' Compensation, required herein, but only with respect to Consultant's services to be provided under this Contract. The consultant's insurance is primary and non-contributory. As evidence of the insurance coverages required by this Contract, the Consultant shall furnish acceptable insurance certificates prior to commencing work under this contract. The certificate will specify all of the parties who are Additional Insureds. Insuring companies or entities are subject to the City's acceptance. If requested, complete copies of insurance policies; trust agreements, etc. shall be provided to the City. The Consultant shall be financially responsible for all pertinent deductibles, self-insured retentions andlorself-insurance. 15. Governing Law; Jurisdiction; Venue: This contract shall be governed and construed in accordance with the laws of the State of Oregon without resort to any jurisdiction's conflict of laws, rules or doctrines. Any claim, action, suitor proceeding (collectively, "the claim") between the City (andlor any other or department of the State of Oregon) and the Consultant that arises from or relates to this contract shall be brought and conducted solely and exclusively within the Circuit Court of Jackson County for the State of Oregon. If, however, the claim must be brought in a federal forum, then it shall be brought and conducted solely and exclusively within the United States District Court for the District of Oregon filed in Jackson County, Oregon. Consultant, by the signature herein of its authorized representative, hereby consents to the in personam jurisdiction of said courts. In no event shall this section be construed as a waiver by City of any form of defense or immunity, based on the Eleventh Amendment to the United States Constitution, or otherwise, from any claim or from the jurisdiction. 16. THIS CONTRACT AND ATTACHED EXHIBITS CONSTITUTE THE ENTIRE AGREEMENT BETWEEN THE PARTIES. NO WAIVER, CONSENT, MODIFICATION OR CHANGE OF TERMS OF THIS CONTRACT SHALL BIND EITHER PARTY UNLESS IN WRITING AND SIGNED BY BOTH PARTIES. SUCH WAIVER, CONSENT, MODIFICATION OR CHANGE, IF MADE, SHALL BE EFFECTIVE ONLY IN THE SPECIFIC INSTANCE AND FOR THE SPECIFIC PURPOSE GIVEN. THERE ARE NO UNDERSTANDINGS, AGREEMENTS, OR REPRESENTATIONS, ORAL OR WRITTEN, NOT SPECIFIED HEREIN REGARDING THIS CONTRACT. CONSULTANT, BY SIGNATURE OF ITS AUTHORIZED REPRESENTATIVE, HEREBY ACKNOWLEDGES THAT HE/SHE HAS READ THIS CONTRACT, UNDERSTANDS IT, AND AGREES TO BE BOUND BY ITS TERMS AND CONDITIONS. 17. Nonappropriations Clause. Funds Available and Authorized: City has sufficient funds currently available and authorized for expenditure to finance the costs of this contract within the City's fiscal year budget. Consultant understands and agrees that City's payment of amounts under this contract attributable to work performed after the last day of the current fiscal year is contingent on City appropriations, or other expenditure authority sufficient to allow City in the exercise of its reasonable administrative discretion, to continue to make payments under this contract. In the event City has insufficient appropriations, limitations or other expenditure authority, City may terminate this contract without penalty or liability to City, effective upon the delivery of written notice to Consultant, with no further liability to Consultant. Certification. Consultant shall si n the certification attached hereto as Exhibit A and herein incorporated b referent onsultant: City of Ashland Y Signature Depa a a~ Print Name Print Name ~ ~ Title Date W-9 One copy of a W-9 is to be submitted with the signed contract. Purchase Order No. Contract for Personal Services less than $35,000.00, Page 3 of 5 EXHIBIT A CERTIFICATIONSIREPRESENTATIONS: Contractor, under penalty of perjury, certifies that (a) the number shown on the attached W-9 form is its correct taxpayer ID (or 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 longer subject to backup withholding. Contractor further represents 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 do 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) I carry out the labor or 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 =F purchased for the business. y` (3) Telephone listing is used for the business separate from the personal residence listing. r ~ (4) Labor or services are performed only pursuant to written contracts. f r. (5) Labor or services are performed for two or more different persons within a period of one year. F* 1 (6) I assume financial responsibility for defective workmanship 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. - ~ ~ x ~ r 9 Contractor (Date) Contract for Personal Services less than $35,000.00, Page 4 of 5 1 ~ ~ 1 1 1 EXHIBIT B i o s an ~ 1 , 1'1 , , ~ ~ - per hour effective June 30, 2016 (Increases annually every June 30 by the Consumer Price Index rr - ~ - ~ . ~ portion of business of their 401 K and IRS eligible employer, if the employer has cafeteria plans (including ten or more employees, and childcare) benefits to the has received financial amount of wages received by assistance for the projector the employee. ➢ For all hours worked under a business from the City of service contract between their Ashland in excess of ➢ Note: "Emplayee° does not employer and the City of $20,283.20, include temporary orpart-time Ashland if the contract employees hired fior less than exceeds $20,283.20 or more. ➢ If their employer is the City of 1040 hours inany tweive- Ashlandincluding the Parks month period. i=or more ➢ For all hours worked in a and Recreation Department. details an applicability of this month if the employee spends 50% or more of the policy, please see Ashland ➢ In calculating the living wage, Mun~c~pal Code 5ectror employee's time in that month employers may add the value 3.12.020. working on a project or of health care, retirement, ~ ~ ~ ~ ~ ~ Call the Ashland City Administrator's office at 541-488-6002 or write to the City Administrator, City Hall, 20 East Main Street, Ashland, OR 97520 or visit the city's website at www.ashland.~r.us. Notice to Employers: This notice must be posted predominantly in areas where it can be seen by all employees. CITY OF ~S H LA N D Contract for Personal Services less than $35,000.00, Page 5 of 5 EXHIBIT C STEVE ENNIS ARCHITECT CITY OF ASHLAND PIONEER HALL ARCHITECTURAL & ENGINEERING FEE WORKSHEET June 15, 2017 ARCHITECT DRAFTSMAN A PRELIMINARY ASSESSMENT SERVICES 1 Time to Date (519117 - 6114117) 5 2 Research Building Drawings & Remodeling History 6 3 Site Measurements 4 4 4 Draft Existing Floor Plan, Exterior Elevations & (2) Building Sections 4 16 5 Coordinate Asbestos Survey with Coleman Creek Consulting 6 6 Coordinate Structural Engineering with Marquess & Associates 8 7 Building Code & Accessibility Analysis 12 8 Prepare Report with Building Code & Accessibility Findings 4 9 Draft Proposed Floor Plan Showing Recommended Renovations to Meet Code 6 12 10 Meet with City to Present Findings 2 11 Coordination with Owner throughout Project 16 SUBTOTAL 73 32 HOURLY RATES $94 $70 SUBTOTAL $6,862 $2,240 Structural Engineering (per attached proposal from Marquess 8~ Associates) $4,800 Estimate of Reimbursable Expenses $200 ESTIMATE OF ARCHITECTURAL & ENGINEERING FEE $14,102 1108 EAST JACKSON STREET • MEDFORD, OR 97501 Phone: (541) 618-9155 • Fax: (541) 618-9156 .54i-771-7115 F 541-77}-~Of~} ` E.'.~' I , ir. ~ E~t.'`~, f: ~ ; ~,;;1 ~ i'E. FMAII: Ga~9~,'tn~i:ll~t;tlt'ti, •~t~r's~I WF$: t~, ~ ;~rr~;,i~ ; ~~t? 14 June, 2017 Steve Ennis, Architect 1108 E Jackson St Medford, OR 97504 (541) 618-9155 RE: City of Ashland Pioneer Hall Structural Seismic/Gravity Assessment (MAI Job # P 17-9098) Mr. Ennis, We are pleased to provide a proposal for structural assessment of Pioneer Hall, located in Ashland, Oregon. Our services would include a condition assessment of the structure, gravity assessment of the main structural members, and an assessment of the main lateral-resisting systems. The sections below provide a description and list of deliverables for the above-mentioned items. Condition Assessment: A structural engineer will inspect the main structural elements of the building, including accessible parts of the foundation, floor, roof, and walls. The deliverable for this phase of work will be a section within the assessment report to explain the current state of the main structural items and if any conditions exist that could pose a threat to the structural performance of the building. Gravity Assessment: Calculations will be completed based on the condition assessment to determine if the load carrying members of the roof and floor (rafters, beams, andjoists) can withstand the current code's dead, live, and snow loads. Deliverables for this phase include the following: ■ Structural analysis and calculations for capacity of the existing floor joists, roof rafters, and beams Pioneer Hall Proposal.doc Page 1 of 4 Pioneer Hall Structural Assessment Proposal P 17-9098 June 14, 2017 Page 2 ■ A section in the structural assessment report that lists any members that may fail under the code- prescribedloads, what might be causing the failure, and a written description of what could be done to remedy the failing members. Lateral Assessment Seismic assessment of structures is based on the American Society of Civil Engineers "Seismic Evaluation and Retrofit of Existing Structures". If the Tier 1 assessment reveals any potential weaknesses in the structure, then those portions will be fully evaluated per the Tier 2 assessment. If there are deficiencies, the assessment will enable the Owner to decide if they would like to proceed with strengthening the building. Wind loads on the main lateral-resisting system will also be considered. Deliverables for this phase of work include: ■ Structural analysis and calculations for capacity of the lateral-resisting systems of the building, including the roof diaphragm and walls in/out of plane. ■ A section in the structural assessment report that lists any systems that may fail under the code- prescribedseismic and wind loads. ■ A description of why these items may be failing and possible means of construction to fix the deficiencies. The structural report will be stamped by a professional engineer. The following items are not included in this proposal: ■ The assessments require that the structural engineer have access to the roof structures of both the original log building and the addition, as well as the crawl space. Before the inspection, the Owner must have one section (5 feet long) of dry wall and insulation removed full height of the wall in the log building portion so that the studs and logs are exposed on the interior. A ladder and access to the roof structure and crawlspace must also be provided. ■ Construction details are not included. If, based on the proposed report, the Owner decides to strengthen the building, then a proposal for that design work can be provided. ■ A construction estimate is not included. If the Owner decides to strengthen the building, they may request an estimate at that time. It is recommended that the estimate be based on at least preliminary construction detailing. ■ Seismic and wind assessment of architectural and mechanical items is not included. Pioneer Hall Structural Assessment Proposal P 17-9098 June 14, 2017 Page 3 FEES We propose a lump sum fee of $4,800 for the services listed above. This is based on the following rates: Senior Engineer $146.00 per hour Design Engineer $105.00 per hour TERMS AND CONDITIONS The above fee does not include reimbursable expenses for printing, mileage, telephone calls, fax, photographs, etc. All additional structural engineering work which is outside the scope of services as described shall be paid for at the hourly rate noted above, which is valid until December 31, 2017. If the Owner, architect, governing municipality or agency makes a change, which for its proper execution involves additional services and/or expenses, then the Engineer shall be equitably paid for such additional services and expenses. All changes shall be documented and approved in writing. Work will commence upon receipt of a signed contract and approved base drawings. In the event suit or action is instituted to enforce this agreement or any terms hereof, or in the event of any appeal from suit, action or proceeding, the prevailing party shall be entitled to such sums as the court may adjudge reasonable as attorney's fees in such suit, action or appeal. This letter is written as an Engineering Proposal and Agreement. An acceptance line is provided for your signature. Please return one signed copy for our files. Please call if you have any questions regarding this proposal. Sincerely, MARQUESS & ASSOCIATES, INC. Krishna Cooper, P.E. Encl: Exhibit A (Hourly Fee Schedule) Pioneer Hall Structural Assessment Proposal P17-9098 June 14, 2017 Page 4 AUTHORIZATION Approved By Date I'~-xI MFG /II~? ~ ~f-~~ li ..:}(~J~ Il:~~~~i~`3~ ~il~.~ti~~~'ti ~~I~~iti.){\E~,t~IE A ~ 5 C) C: I A "T' ~ I l~F C: . X111 i : ~~~,t,~i~ ~~~~~.~~~lrl °~.~,~rkrs~ i4~ F I? ~~~~~a~ti~~~,i~~Et~~~}~~~~ .~~G ~~x; EXHIBIT "A" January 1, 2017 ENGINEERING FEE SCHEDULE Principal Engineer .........................................................................$163.00 per hour Geotechnical Engineer ...................................................................$163.00 per hour Senior Engineer $146.00 per hour Project Manager .............................................................................$139.00 per hour Project Engineer .............................................................................$132.00 per hour Design Engineer $105.00 per hour Erosion Control Inspector 93.00 per hour Designer II $ 93.00 per hour Designer I $ 81.00 per hour Drafter II $ 72.00 per hour Drafter I 65.00 per hour Soils Technician 66.00 per hour Special Inspector 66.00 per hour Materials Tester $ 62.00 per hour Word Processor 59.00 per hour Mileage 0.65 per mile Out-of Pocket Expenses .................................................................Actual Cost Material Testing Services Schedule Provided On Request PAYMENT: Payment on the billings must be made on or before the 20th day of each month. A CHARGE OF 1.5% PER MONTH (18% ANNUAL PERCENTAGE RATE) WILL BE ADDED AFTER 30 DAYS UNLESS PRIOR ARRANGEMENTS ARE MADE, This Fee Schedule is subject to periodic changes. DATE {MMIDDIYYYY) AcoRa® CERTIFICATE OF LIABILITY INSURANCE 4/18/2017 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 REPRESENTATNE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: N 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 Julie Asher NAME: _ _ Ashland Insurance Inc PHONE (541) 482 0831 _ _ iNo~: (541}488-5851 AIC, No~Extl--- 585 AStreet Suite 1 E~~L 'asher@ashlandinsurance.com ADDRESS: ~ P . O . BOX 880 INSURER(SI AFFORDING COVERAGE _ _ _ NAIC # Ashland OR 97520 INSURERA:ContraCtorS Bondin & Ins Co. ! 37206 INSURED INSURER B Steve Ennis INSURER C 1108 East Jackson Street INSURERD: INSURER E _ __-t - - _ Medford OR 97504 INSURER F COVERAGES CERTIFICATE NUMBER:CL1732906946 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. _ ~ POLICY EFF - ..POLICY EXP LTR - TYPE OF INSURANCE ADDL~SUBR? -v^ "POLICY NUMBER ~ M!D 1 ! LIMITS MMERCIAL GENE X { CO _ , ~ ~ ~ EACH OCTURR NT E _ ' $ 1, 000, 000 RAL LIABILITY ' ;DAMAGE 0 RE ED - - ~ I 300 000 ~ A; _ CLAIMS-MADE X `OCCUR ~ ~ ~ PREMISES E_a_ occurre_nce 5,000 5/10/2018 - ' X I B21AP,G990 5/10/2017 ~ I _ _ - - _ - ME X one arson ~ { y- P--) - I ~ ~ ~ PERSONAL ~ ADV INJURY ! $ 1, 000 , 000 ~ _ ~ ~ ~ GENERAL AGGREGATE $ _ _..1, 000 , 000 S PER. GEN L AGGREGATE LIMIT APPLIE I _ _ - -1_ PRO- j ~ ~ ~ POLICY _ JECT LOC ii PRODUCTS- COMPIOP AGG ~I, $ 1, 000, 000 ' ' ~ i OTHER: ~ ~ ~ $ AUTOMOBILE LIABILITY i COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY (Per person) I~ $ ' ~ _ _ I, AUTOS SCHEDULED BODILY INJURY {Per accident)' $ ' AUTOS _ r-' ALL OWNED 'hII NON-OWNED II ;PROPERTY DAMAGE HIRED AUTOS I ' Per accident $ ~ AUTOS r-~ _ - ~I ,UMBRELLA LIAB ~ ;EACH OCCURRENCE $ OCCUR EXCESS LI AB ' CLAIMS•MADE ~ ~i~ ~ AGGREGATE_- _ ! $ _ _ - ' ' DED ' 'i RETENTION $ ~ ~ ! $ PER 0TH WORKERS COMPENSATION ;AND EMPLOYERS' LIABILITY Y 1 N r _~STATUTE ER II i E.L. EACH ACCIDENT _ $ ~ ANY PROPRIETORIPARTNERlEXECUTIVE N1A~ i ~ , OFFICERlMEMBER EXCLUDEDI i E.L. DISEASE - EA EMPLOYE ~ _ _ Mandato m NH ~ $ If yes, describe under ~I DESCRIPTION OF OPERATIONS below ~ ' ~I E.L. DISEASE -POLICY LIMIT $ ' ' ~I I i DESCRIPTION OF OPERATIONS f LOCATIONS !VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached H more space Is required) City of Ashland and its elected officials, officers and employees as additional insureds. CERTIFICATE HOLDER CANCELLATION (541)488-5320 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 Julie Asher/JAA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD INS025 {zalaol) STEVENN-01 NCHRISTIANSEN ACORQ DATE (MMlDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 411712017 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 rights to the certificate holder in lieu of such endorsements}. CONTACT PRODUCER NAME: Madras Office PHONE 541 475-2249 FAx 541 475-6842 Payynewest Insurance, Inc. (a►c, No, Ext): ( ) (ac, Nol:( ) P.O. Box 680 ADDRI~ s: Madras, OR 97741 INSURER S AFFORDING COVERAGE NAIL # INSURER A : RLI Insurance Com an 13056 INSURED INSURER B Steve Ennis, Architect INSURER C PO Box 4051 INSURER D Medford, OR 97501 INSURER E INSURER F ; COVERAGES CERTIFICATE NUMBER: 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 CONDITfONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL;SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE I p yyV POLICY NUMBER M pp LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE D OCCUR ~ DAMAGE TO RENTED PREMISES Ea occurrence _ $ ~ MED EXP An one arson $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: ' GENERAL AGGREGATE $ POLICY ~ JECT ~ LOC PRODUCTS - COMP(OP AGG $ OTHER: $ AUTOMOBILE LIABILITY I Ea aB tlED SINGLE LIMIT $ ANY AUTO ~ BODILY INJURY Per arson $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accdent $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLA LIAB OCCUR ! EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED I, RETENTION $ ' i $ WORKERS COMPENSATION I PER OTH- AND EMPLOYERS' LIABILITY Y 1 N ~ STATUTE ER ANY PROPRIETORIPARTNERIEXECUTIVE I - l ~ I E.L. EACH ACCIDENT $ OFFICERIMEMB~R EXCLUDED? u N ! A ' (Mandatory in N) E.L. DISEASE - EA EMPLOYEE $ ff yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ A Errors & Omissions , RDP0025180 0611112016 0611112018 Ea ClaimlAggregate 1,000,000 I DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space Is raqulred) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cit of Ashland THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Y ACCORDANCE WITH THE POLICY PROVISIONS. 20 E Main Street Ashland, OR 97520 AUTHORIZED REPRESENTATIVE ACORD 25 (2016103) ©1988.2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Purchase Order Fiscal Year 2018 Page: 1 of: 1 - B City of Ashland - I _ _ - ~ ATTN: Accounts Payable Purchase ~ 20 E. Main Order # V V O Ashland, OR 97520 T Phone: 5411552-2010 p Email: payable@ashland.or.us V H CIO Public Works Department E STEVE ENNIS ARCHITECT f 51 Winburn Way D 1108 E JACKSON ST P Ashland, OR 97520 p MEDFORD, OR 97504 Phone: 5411488-5347 R ~ Fax:5411488-6006 ~Len~~><Ph~ri~Numbe~- = ~ = ~ro~ _ - _ - 541 618-9155 ~ Ka lea Kathol Q~te~r+dEres~° ~ndd~J~b~ _ i - - - - - = m~= - ~a_~-_=_ _ _ 0613012017_ 2047 - FOB ASHLAND OR/NET30 Cit Accounts Pa able It~m# =~-t~-= - = -=_=~~Pr~c Pioneer Hall 1 Consultant to provide structural assessment of Pioneer Hall 1 $14,102.0000 $14,102.00 Contract for Personal Services less than $35,000 Beginning date: 0710112017 Completion date: 09101/2017 Project Account: GL SUMMARY 082400 - 602400 $14,102.00 g~ ~ ~etl 7 ~ ,r ,Pr A'~B6 sue" s" s"~ F ,~9` a By°~ ~ ~ ~m-~~, Date: ~ ~ ~ . Aa~iorize~gnature = - - $14102.00 ~~^.a a;d F~~M#3 CITY OF REQUISITION ~ Date of request: 6/23/17 Required date for delivery; 7 / 1 / 17 Vendor Name Steve Ennis Architect Address, city, State, Zlp 1108 East Jackson St, Medford, OR 97501 Contact Name & Telephone Number Steve Ennis, (541) 618-9155 Fax Number steve@ennisarchitect.net SOURCING METHOD ❑ Exempt from Competitive Bidding ❑ ❑ Reason for exem Lion; ❑ Invitation to Bid Co ies on file ❑ p ( P ) ~ ~ ~ i ~;.3~~ ion ❑ AMC 2,50 Date approved by Council: ❑ ~ ~ ❑ Written quote or proposal attached _ Attach cop of council communication _ ~ e CC ❑ Small Procurement Coo Less than $5,000 ❑ Request for Proposal (Copies on file) Date a roved b Council; ❑ ~ ~L ❑ Direct Award pp y ~ ~ VerballWritten uote s or ro osal s -(Attach copy of council communication) ❑ R ~ Intermediate Procurement ❑ Sole Source ~ 0. Form 5 6 7 r ❑ t A" GOODS & SERVICES ❑ Applicab e , , 0 8) ~ n.r ❑ Written quote or proposal attached ' $5,000 to $100,000 ~dJ% ❑ (3) Written quotes and solicitation attached ❑ Form #4, Personal Services $5K to $75K ~ PERSONAL SERVICES ❑ Special Procurement Inters $5,000 to $75,000 ❑ Form #9, Request for Approval ®A ® Less than $35,000, by direct appointment ❑ Written quote or proposal attached Date original contract approved by Council; ❑ (3) Written proposalslwritten solicitation 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 Consultant to provide structural assessment of Pioneer Hall $14,102 Item # Quantity Unit Description of MATERIALS Unit Price Total Cost XXX XXX XXX TOTAL COST ® Per attached quote/proposal Project Number Account Number oe24oo. 602400 Account Number Account Number ~Expendifure must be charged to the appropriate account numbers for the financials to accurately reflect the actual expenditures, IT Director in collaboration with department to approve all hardware and software purchases: !l Director Dafe Support-Yes / No By signing this requ~itia,~form, I certify ~e City's pu~~c;contracfing requirements have been satisfied, Employee: ~ ~ Department Head, ~~~c. - ~ 1 t ~ fi°`" ~ 4 ~ ~ (Eq er than $5,000) ~ Department ManageriSupervisor ' t ~t ~ City Administrator: {Equal to or greater than $25,000) ,f _ t F - Funds appropriated for current fiscal year S / NQ Finance Director- (Equalto orgreaterPhan $5,000) Dafe Comments: Form #3 -Requisition