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Home My WebLink About2017-173 Contract - American Leak Detection Contract for GQQDS AND SERVICES less than $25,000 CITY 4 F CONTRACTOR: American Leak Detection H SAN ~ CONTACT: Shari Botermans 20 East Main Street Ashland, Oregon 97520 ADDRESS: 2821. Bullock road, Medford, 0R Telephone: 5411488-6002 Fax: 541/488-5311 TELEPHONE: (541) 772-5352 DATE AGREEMENT PREPARED: 51.(0117 FAX: (541 ~ 772-3148 BEGINNING DATE: July 2a~7 COMPLETION DATE: rune 30, 2oi~ COMPENSATION: SODS AND SERVICES TO BE PROVIDED: Contractor to provide on-call LEAK DETECTION services, pursuant ro labor and equipment rates provided in Exhibit C (proposa]). Services shall not exceed $](},000 per call-out. ADDITIONAL TERMS: In the event of conflicts or discrepancies among the contract documents, the City of Ashland Contract for Goods and 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 rimar Cit of Ashland Contract. NOW THEREFORE, pursuant to AMC 2.50.090 and after consideration of the mutual covenants contained herein the CITY AND CONTRACTOR AGREE as follows: 1. All Costs ay Contractor: Contractor shall, provide all goods as specified above and shall at its own risk and expense, perform any work described above and, unless otherwise specified, furnish all labor, equipment and materials required for the proper performance of such work. 2. Qualified Work: Contractor has represented, and by entering into this contract now represents, that any personnel assigned to the work required under this contract are fully qualified to perform the work 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 banded. Contractor must also maintain a current City business license. 3. Completion Date: Contractor shall provide all goods in accordance with the standards and specifications, no later than the date indicated above and start performing the work under this contract by the beginning date indicated above and complete the work by the completion date indicated above. 4. Compensation: City shall pay Contractor for the specified goods and for any work performed, including costs 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. Compensation under this contract, including all casts and expenses of Contractor, is limited to $25,000.00, unless a separate written contract is entered into by the City. 5. Ownership of Documents: All documents prepared by Contractor pursuant to this contract shall be the property of City. 6. Statutory QEMuirements: ORS 2796.220, 2796.225, 2796.230, 2796.235, ORS Chapter 244 and ORS 670.600 are made part of this contract. 7. Living Wage Requirements: If contractor is providing services under this contract and the amount of this contract is $20,283.20 or more, Contractor 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 work under this contract. Contractor is also required to post the notice attached hereto as Exhibit B predominantly in areas where it will be seen by all employees. 8. Indemnification: Contractor agrees to defend, indemnify and save City, its officers, employees and agents harmless from any and all losses, claims, actions, casts, 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 Contractor (including but not limited to, Contractor's employees, agents, and others designated by Contractor to perform work or services attendant to this contract}. Contractor 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. 9. Termination: a. Mutual Consent. This contract may be 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 b certified mail or in erson. Contract for Goods and Services Less than $25,000, 0613012016, Page 1 of 5 c. For Cause. City may terminate or modify this contract, in whole or in part, effective upon delivery of written notice to Contractor, or at such later date as may be established by City under any of the following conditions: i. If City funding #rom 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. I# any license or certificate required by law or regulation to be held,by Contractor to provide the services required by this contract is for any reason denied, revoked, suspended, ar not renewed, d. For Default or Breach. i. Either City or Contractor 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 may be terminated at any time thereafter by a written notice of termination by the party giving notice. ii. Time is of the essence for Contractor's performance of each and every obligation and duty under this contract. City by written notice to Contractor of default or breach, may at any time terminate the whole or any part of this contract if Contractor 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 ~d7 are no# exclusive and are in addition to any other rights and remedies provided by law or under this contract. e. Obligation/Liability 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, Contractor shall immediately cease all activities under this contract, unless expressly directed otherwise by City in the notice of termination. Further, upon termination, Contractor 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 Contractor for work performed prior to the termination date if such work was performed in accordance with the Contract. 10. Independent Contractor Status: Contractor is an independent Contractor and not an employee of the City. Contractor shall have the complete responsibility for the performance of this contract. 11. Non-discrimination Certification: The undersigned certifies that the undersigned Contractor has not discriminated against minority, women or emerging small businesses enterprises in obtaining any required subcontracts. Contractor further certi#ies that it shall not discriminate in the award of such subcontracts, if any. The Contractor understands and acknowledges that it may be disqualified from bidding on this contract, including but not limited to City discovery of a misrepresentation or sham regarding a subcontract or that the Bidder has violated any requirement of ORS 279A.110 or the administrative rules implementing the Statute. 12. Asbestos Aba#ement License: If required under ORS 468A.710, Contractor or Subcontractor shall possess an asbestos abatement license. 13. Assignment and Subcontracts: Contractor 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. Contractor 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, 14. Use of Recyclable Products: Contractor shall use recyclable products to the maximum extent economically feasible in the performance of the contract work set forth in this document. 15. Default. The Contractor shall be in default of this agreement if Contractor: commits any material breach or default of any covenant, warranty, certification, or obligation it owes under the Contract; if it loses its QRF status pursuant to the QRF Rules or loses any license, certificate or certification that is required to perform the work or to qualify as a QRF i# Contractor 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. 16. Insurance. Contractor 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. General Liability insurance with a combined single limit, or the equivalent, of not less than Enter one: $200,000, $500,000, 10~~ X00, $2,000,000 or Not Applicable for each occurrence for Bodily injury and Property Damage. c. Automobile Liabilit insurance with a combined sin le limit, or the e uivalent, of not less than Enter one: Contract for Goods and Services Less than $25,000, 06/30/2016, Page 2 of 5 $200,000, $500,000, 100 ooD, or Not Applicable for each accident far Bodily Injury and Property Damage, including coverage for owned, hired ar non-owned vehicles, as applicable. d. Notice of cancellation or chanae. 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 Contractor or its insurer(s~ to the City. e. Additional InsuredlCertificates of Insurance. Contractor shall name The City of Ashland, Oregon, and its elected officials, officers and employees as Additional Insureds on any insurance policies, excluding Workers' Compensation, required herein but only with respect to Contractor's services to be provided under this Contract. As evidence of the insurance coverages required by this Contract, the Contractor shall furnish acceptable insurance certificates prior to commencing work under this contract. The contractor's insurance is primary and non-contributory. 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 Contractor shall be financially responsible for all pertinent deductibles, self-insured retentions and/orself-insurance. 17. 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 (and/or any other or department of the State of Oregon) and the Contractor 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. Contractor, 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 an the Eleventh Amendment to the United States Constitution, or otherwise, from any claim or from the jurisdiction. 18. 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. CONTRACTOR, 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. 19. Nonappropriations Clause. Funds Available and Authorized: City has sufficient funds currently available and authorized for expenditure to #inance the costs of this contract within the City's fiscal year budget. Contractor 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 Contractor, with no further liability to Contractor. 20. Prior Approval Required Provision. Approval by the City of Ashland Council or the Public Contracting Officer is required before any work may begin under this contract. 21. Certi#ication. Contractor shall sign the certification attached hereto as Exhibit A and herein incorporated by reference. Contract City of Ashland B By ~ ~ y Signat e ~ Departure t Head ~ ~ r~ ~ l ~'~or Print Name Print Name r7 ~d Title Date W-9 One copy of a W-9 is to be submitted with the signed contract. Purchase Order Na. Contract for Goods and Services Less than $25,000, 0613012016, Page 3 of 5 EXHIBiTA CERTIFICATIONSIREPRESENTATI4NS: 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 Uvith 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 car out the labor or services at a loc ti n O ry a o separate from my residence or ~s ~n a specific portion of my residence, set aside as the location of the business. V {2) Commercial advertising or business cards or a trade association membership are purchased for the business. (3} Telephone listing is used for the business separate from the personal residence listing. {4} Labor or services are performed only pursuanfi to written contracts. ✓ ~ Labor or services are erf r O p o med for two or more different persons within a period of one year. ~6) I assume financial responsibility for defective workmanship orfor 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. Contractor (Date) Contract for Goods and Services Less than $25,000, 0613012016, Page 4 of 5 ~ j ~ 1 ~ ~ EXHIBIT B ~ o s an ~ 1 1 1 1'1 1' 1 1 1 1 y 1 '1 1 1. 1 1 .1' - per hour effective June 30, 2016 (Increases annually every June 30 by the ~r Consumer Price Index) 1 - ~ - ~ , ~ portion of business of their 401 K and IRS eligible employer, if the employer has cafeteria plans (including ten ormore employees, and childcare) benefits to the has received financial amount of wages received by assistance for the projector the employee, ➢ Forall hoursworked undera business from the Cityof service contract between their Ashland in excess of ➢ Note: "Employee" does not employer and the City of $20,283.20. include temporary orpart-time Ashland if the contract employees hired for less than exceeds $20,283.20 or more, ➢ If their employer is the City of 1040 hours in any twelve- Ashlandincluding the Parks month period, For more ➢ For all hours worked in a and Recreation Department, details on applicability of this month if the employee spends policy, please see Ashland 50% or more of the ➢ In calculating the living wage, Municipal Code Section 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,or,us. Notice to Employers: This notice must be posted predominantly in areas where it can be seen by all employees, CITY OF ASHLAND Contract for Goods and Services Less than $25,000, 0613012016, Page 5 of 5 EXHIBIT C: PROPOSAL -AMERICAN LEAK DETECTION ~~hi~it A: Prflposal ~`orm ~11~ANDATaR~Y) The undersigned proposer submits this proposal in response to the City of Ashland's Request for Pzoposals (RFP) far ON-CALL CONTRACTING SERVICES (TRADE/TECII~INICA~,}dated Aprif ~ 207 .The proposez warrants that pzaposez has carefully reviewed the RFP and. that this proposal represents proposer's full response to the requirements described in the RFP. The proposer further warrants that if this proposal is accepted, tie proposer will contract with the City, agrees to the terms and conditions found in the Agreement for ON-CALL CONTRACTING SERVICES (TRADEITECHNZCAL}ottached Exhibit I and RFP or has submitted terms and conditions acceptable to the City, and will pro~ride all necessary labor, materials, equipment, and other means required to complete the work in accordance with the requirements of the RFP and contract documents. 1. Parent Company, if applicable: ~ O~e rr~l ~ n S, 11 C. . Company Name {R~~~~~~RED~: American beak De~ec~ion 3. Service Provided: 4. Business Address: Builook Road S. Telephone Number: ~ >j~~~-~~~~ 6. Fax Number: ~ r~~~~~ ~ 7. EmailAddress: sbotermans americanieak.cam S. Name of Authorized Signatory: ~ ~ ~ rl BQ~e rm ~ n S 9. Title: ~~a I~. Dare: ~ rl~ ~J, p Proposer is a resident bidder as defined by ORS 279A.X20~1){b} Yes No~ Proposal ~'onn Pa e A. l G:ipub-ti~~rks`~.en~115-19 Rotation List RFP's1A_Adn~inlTechnical Szn~ces R~Pt20I5-I9 RF'P On Call Technical Sen~ices~E Vers.docx Exhibit Experience and Abitity to Fuifili Service Regairenaents ~~AX~ 30 PORTS) Quati~catians: Describe the bidder's ~uali~cations and number of years providing LEAK DETECTION services to con~lrm bidder has the expertise to meet all contractual responsibilities. American Leak Detection of Oregon has been in operation for 16 years providing Leak detection service and utility line locating throughout the state of Oregon and SW Washington. We have performed leak detection for a multitude of cities and municipalities in Oregon including the City of Ashland and Ashland Parks & Rec. Pexi'ormance: Provide a description of the bidder's record of satisfactory contract integrity and perfonrnance. `the service we provide is specialized and takes years of experience and expertise to perform. We take on the most difficult jab of finding elusive leaks in large and small piping systems. We pride ourselves in maintaining a success rate of 98°/o and are known as the best leak detection company available nationwide. ExpcriEnce and Ability to Ft~ltill Service R~;gttir~cments page B 1 G:lpub-wrl~slengll5-19 Rotation List RFP's'~~Ad~uinlTEChnical Sen~ice~ R~P1201S-I9 RFP_g1 Cali Technical ~erv~fces_l:, Vers.docx Service Area. Describe geographic area serviced. Our main corporate office is in Medford, however, we provide service throughout the state of Oregon and SW Washington. We have technicians based in Medford, Grants Pass, Eugene, Send, Salem, Portland and Vancouver, WA. indicate the appropriate industry experience you have to provide the type and scope ai' services being requested beiorv: commercial new and existing (All trades: Leak detection on water, gas, sewer, irrigation and drain sines; under slab, asphalt, in the ground or within a building structure. Residential neu~ and existing QPLUMB~G and ELECTRIC only): Leak detection on water, gas, sewer, irrigation and drain fines; under slab, asphalt, in the ground or within a building structure, Expcrience and Ability to Fulfill Sen~ice R~qui~~ei~ents Page ~ z G:~,pub-wrksi,engll5-I9 Rotation List RFP's~.A Admin~.Tec}~nical SerG~ices RFP12415-19 RFl'~C}~~ Call Tec}u~ical Ser`rices_L Ver~.docx ~~1~ibit C: Iie£erences & Customer Service Standards ~1'IAX. 30 POINTS} Provide three references in the space below. ~e~erence Name Organization or ~etationship Phone Number Steve vvalker City of Ashland 541/4885353 Bret Marshall City of Talent 541f535-3828 Matias Mendez City of Phoenix 5411535-2225 describe the bidder's customer service standards Our vision sta#ement: American leak Detection of Oregon provides a unique service for f nding leaks non-invasively and saving our customers money and time by not having to replace piping or randomly dig to find the leak. Our fundamental goal is to save water that is needlessly lost to leaks. vve are also unique because we prevail where others fail, we provide a range of services that others do not and we excel to provide the highest level of customer service that "wows" our customers and provides a positive, memorable experience. References & Customer Sen~ice Standards gage G.1 G:'~pub~wrksleng115-I9 ROtat]on Llst Rl~P's~A ~ldminlTectut€cal Ser~~ices ~Pl?OIS-l9 R~P_Q]1 CaII Technical Ser~~~ces_~ Ve:rs,dnc;c Ex~~bit D; ~'aci~ities desc~rip~.on and in~armation (,A.~ ~'~ZNTS} Physical 2821 Bullock Road, Medford, QR 97504 Address . Mailing Address (if different} Description of a.m. ~ 5;0o p,m. Monday -Friday business houxs Emergency after hours service avaiEable upon request Description of pffice and warehouse facility Description of Uarehouse garage vehicle storage Descz~ption of material supply storage ~acili€ies description anci information Page D. l b G:Ipub-wrksl~ng115~19 Rotatiotz fist RfP's`.A Ad1~unlTechnical Services RFP12015-19 RFP on Gal] Tech~lical Services_E yers.docx Exhibit E: Equipment & Vehicle Eist (NtAtX. lO POINTS} Describe any vehicles that will be used undez this contract in the space below. Vehicle Description ~ License # State of Issue Year Condition Ford Transit 592HDT Oregon 205 Excellent Ford E2~0 ~9~G~R Oregon 2013 Good laquipnxe~~t & Vehicle List Pa e E.I G:lpub-wrksleng115-19 Rotation List RFP's1A Admin'~Tech~~ical Scn~ices RPP12015-19 RFP_C~1 Call 7echr~ical Ser~~ices~E Vers.dacx Exhibit F: Employee Security Check Form (Plum.bers aad Elect~iciar~s - NANDAT~RY} *To be completed following notification of decision to award contract* Secux~ty Checks fox Contractor's Employees City of Ashland is prepared to assign the Contractor to enter upon or in private property of residents of the City of Ashland to make necessary plumbing and electric repairs. Contractor shall provide to the City of Ashland, a list of employees ~vho will be performing wank under this contract. All employees will be required to satisfactorily pass a City of Ashland background check prior to being assigned work under this contract. The City of Ashland shall determine the type of criminal background activity that would prohibit working under this contract. This will be based on the nature of the business and level of security that is required. Work shall not be assigned to a new employee prior to satisfactorily passing a City of Ashland background check. The Contractor shall maintain and have available at all times, current listings attached as Exhibit F, of all employees performing work under this contract. Please copy and attach add~t~onal pages if necessary. (Current Employee Residence Address Must Be Listed - Do Not Use Business Address} Name- Last, First, Middle Driver's license License Crime State Conviction Y~ N Street Address City State Zip Date of Birth ~ Hire Date Name- Last, First, Middle Driver's License Crime license State Conviction Y~ N Street Address ~ City State Zip Date of Birth Hire Date Employee Sec~u-ity Ck~eck Fame (Plumbe~~s as~d Electricians) Fage F.l CT:lpub-wrks;en~1~S-19 Rotation Lisa RFP's'~. ~LdniinlTechnical Services RFF120]5-19 RFP_0~~ Call Technical Ser~~ices_E vers.docx Name- Last, First, Middle Driver's License Crime 11Cense State Conviction Y N~ Street Address City State Zip Date of Birth Hire Date Name- Last, First, Middle Driver's License Crime license State Conviction Y~ N Street Address City State Zip Date of Birth Hire Date Name- Last, First, Middle Driver's License Crime license State Conviction Y~ N Street Address City State Zip Date of Birth Hire Date Name- Last, First, Middle Driver's License Crime license State Conviction Y~ N Street Address City State Zip Date of Birth Hire Date Employee Security Cl~ecl: Fom~ (Pllunbers and Electricians} Pale ~ 2 G:lpub-wrkslengll 5-19 Rotation 1•~ist RFP'siA. Admin's~'eduaical Seri°ices RE)~12015-19 RF'1'_C}z~ Call ~ecl~aical Se~~ices_E vers.docx Acknowledgment of the terms and conditions of Exhibit F Employee Security Check ~'o~m ~PZurnbers and Elee~ricians Only}. I agree to provide the City of Ashland with employee information consistent with Exhibit F within seven working days of notif cation of intent to award contract. Initial to acknowledge f Employee Sectuity Check ~~II'i] (Plulnhers aid Electricians) pale, ~.3 G:Ip~b,wrksleng115-19 Rotativ~a ~.ist RfP's1A ~.dmin~,Teclu~ical Sen,~ices RFP12o15-19 RREP_4n Call -1'ecltnical sen~ices_E Vers.docx l~:~hibit G: P~rapased fee Schedule AMAX. ZO POINTS} Describe bidder's gates and fees, including as applicable, minimum call~out fee; hourly labor rates far specific job classifications; an~call rate; hourly equipment ~.tes, and any other applicable standardized rates or fees. general leak detection on service lines and irrigation systems: Two hour minimum $595 and $175 each additional hour, Beak detection on large municipal transmission lines; Two hour minimum $525 and $195 each additional hour. Additional fee for use of inert gas -nitrogen or helium: Minimum $~5 and $8 per 100 Ibs, of helium and $5 per 100 Ibs. of nitrogen After hours or emergency rates: Overtime rate at 1 1l2 times standard rates Proposed ~'ee Schedule Page G.l G:1pub-wrks~engll5-l9 Rotatioa~ Lisa RFP's~~A.~Admi~~`;fechnical SerW7ces RFP12015~14 RFP_On Galt Technical Ser~~ices_~ Vers,docx Exhibit H. Contract Terms & Condi~ians (NZANDATaRY} ~'he proposal should indicate acceptance of the City of Ashland's contract provisions attached as Exhibit Z, Contract for GOODS AND SEI~~ICES Less than $~S,OOQ, and/or suggest reasonable alternatives that da not substantially impair the City of Ashland's rights under the contract. The proposer may also propose contractual terms and conditions that relate to subject matter reasonably identified in the request for proposals. The City of, Ashland reserves the right to negotiate the contractual terms and conditions proposed as alternatives by the proposer. ~f inclusion of any of the City of Ashland's contract provisions will result in higher costs for the services, such casts must be specifcally identified in the proposal. Unconditional refusal to accept the contract provisions proposed by the City of Ashland without offering acceptable alternatives may result in the disqualification of the proposal. Initial to indicate acce Lance ~ ~ ) If applicable, provide recommended alternative contract provisions: MANDATARY SERV~C~ REQUIREMENTS Contractor shall comply with all federal, state, and local laws applicable to the work under this Contract, and all regulations and. administrative rules established pursuant to those laws. { p Initial to indicate acce Lance} Contractor shall provide awell-super~Tised, trained and fully staffed work farce at all times to perform the contracted services in a timely and eff dent manner. ~ p } Initial to indicate acce Lance Contract x~I1nS & Conditions Pagc H. l G:Ipub-wrkslen_115-19 Rotation List R~'p's1A Adn~in'~~Teclvzical Sen~iees RFP120I5-19 RFP_bn Call Technical Sen~ices_~ vers.doc~ Contractor shall be responsible for providing acceptable staffing levels and employee supervision to ensure all contracted services are satisfactorily performed in the safest, most cost effective manner possible. ( p } B Initial to indicate acre Lance Contractor shall not subcontract any of the work required by this contract without tl~e prior written consent of the City. Contractor ~wi1l provide in all subcontract agreements that the Subcontractor will be bound by the terms and conditions of this Contract to the extent that they relate to the Subcontractor's vaork. Contractor agrees that if subcontracts are employed in the performance of this contract, the Contractor and its subcontractors are subject to the requirements and. sections of ORS Chapter 65b, porkers' Compensation. initial to indicate acce Lance ( P ~ ACCESS T~ RECORDS Contractor shall maintain fiscal records and all other records pertinent to this Contract. rnitial to Indicate acce Lance ( la ~ Ail f seal records shall be maintained pursuant to generally accepted accounting standards, and other retards shall be maintained to the extent necessary to clearly reflect actions taken. ~ L B (Initial to indicate acceptance) All such retards sha11 be retained and kept accessible for a minimum of three years fallowing final payment. S ~ D Initial to indicate acce Lance t p ) The City of Ashland's authorized. representatives shall have the fight to access the Contractor's books, documents, papers and records related to this Contract for the. purpose of conducting audits to monitor compliance with the terms of the contract. ~ ~ Initial to indicate acce Lance ( P ) ELIGIBILITY TC3 PA~TIC~PATE IN PUBLIC PROCUREMENTS Provide a written. statement which identifies proposer's status regarding its eligibility to participate in public procurement activities. If the ~nxt, business or person submitting this proposal has been debarred, suspended, disqualified or otherwise lawfully precluded from participating in any public Contract Texans & Conditions Pave H.2 G:1pub-wrkslengll5-]9 Rotation Lisi RT`P's1ATAd~aain!Technical Sen~ces RFP12415-19 RLP_(}n Call Technical Scrti~ice~ E Vers.docx procurement activity, including being disapproved or disqualified as a subcontractor with any federal, state or local government, or if any such preclusion from participation from any public procurement activity is currently pending, proposer shall fully disclose and explain the circumstances relating to the preclusion ar pending preclusion as part of the required statement. The proposer shall identify tl3e name, address and contact information of the governmental unit that has the authority to issue the findings ar ruling, the effective date and duration of the current action ar proposed date and duration of any pending suspension ar debarment and the circumstances relating to the current ar pending suspension or debarment. Are you eligible to participate in public procurement activities? Yes ~o if "N~0" please provide the infannation requested above: ADDITIONAL D~CUNX~i~TATI~I~ Contractor currently retains ar is willing to obtain the licenses and insurance policies listed below, and will furnish the fallowing dacwnents to the City within seven (7}business days of notification of intent to award: Copy of current City of Ashland Business License (Per Exhibit line 2 and Exhibit section 5.1. l} Q Copies of applicable specialty licenses required by the ~regan Construction Contractors Board Copies of current lnnsurance Certificates, including without. limitation: workers' Compensation, General Liability', ConrmerciallBusiness Automobile" (Per Exhibit 1, line lb) "~'rior~ to entry Mato a eor~~roct, City of Ashland mz~st be ncrmecl on cet~ti~c~te crs adclitiorzal insured. initial to indicate acce ta~.ce ~ p ~ Contract Teems & Conditions pa~~ ~,3 G:lpub-wrks;en~ll S-i9 Rotation I.,ist ~.l~'P's~A Admin~,Technical sen~iccs RFP12015-19 RFPy~.i Call ~~echrtical Seri1ices_E Vers.docx CITY 4FASH~,AND TAX ~EG~STRATI~N {I=OR REVENUE PURPOSES ONLY} BUSINESS LOCATION 1NFQR~1ATlON REGIS7~ATION ND. srREEr,aaaR~ss: 2$21 BULLOCK RD BL-099437 ~Ha~vE ; ~54~) 772-5325 OWNER INFORMATION ~ s~ a ~AM~: MATTHEUU BGYERMANS ay.>. ~ ~ ~ ~ Parb~ra Chz~stensen f a ~ t. ~ r r aT ti~ ~ ~ I y ~'~5~~. ` ° f= Y, CirY R~~ORDERf~'REASURER REGISTRATIQN EXPIRES JUNE 313 AMER1CAf~ LEAK DETECT~aN F~~~F4{ ` ~~y,~~ 282 gULLGCK RD ~ ~~.>,r wy~;.>~,, r,a` ~ n ~4c MEDE~ORD, OR 97594 ` f~ TG BE PQST~D IN A CQNSPICUgUS PLAGE. .4 ~ ~ - i STATE fly' C}~~EG~N,, _ ; -~~3~NSTRUCTCO.~ ~.`0`~VT`~A~T.~~~R~ B4~ARD, ~ 1 ~~R .~FIG.,T~ L NSA. . . ~~~E~~~ ~NUMB~~: 6212 I! . fies that: ~ This documentcerti 1~, ~ ~I BOTER~lANS;I NC ~ ` , . ~~LLOCK l~oaD ~s li~r~s~d m ~ccardanc~ with Oregon Law as a Residential General Gontracto~ and a Camme~ciai General ~I 3 ~ CoritraEtor Leuel 2, I~' i~ Business Names: License Details: ; ~M~~ICAN ~~a~ ~~TECTtor~ ` EXPIRATION DATE: 051Q1~2U17 ` ' ENTITY TYPE: Corporation ; f INDEP. CONT. STATUS: NONEXEMPT } RESIDENTIAL BOND: $20,O~Q . . . GOMI~IE~GIAL'BONq ~20,a00:; - . INS~RAN~E. ~2;00~,~00 I $4,~O~,~U~ RMI;,,; MATTHEW, KAREL ~QTERMANS ~ al ~ HC~~E INSPECTOR ~~ERTI'l~lE~: NG i.., 1 i ,i~ . , BOTEINC-01 D15['(AMBUR0I=F AC(7R17" DATE {MMlDDlYYYY} ~ CERTIFICATE OF L~IABI~.ITY INSURANCE 613~121~16 THIS CERTIFICATI~ 15 ISSUED AS A MATTER OF INFORMATION ONLY Ai~D CaN1=ER5 NO RIGHTS UPON THE CERTIFICATE HOI.Df=R, THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMENI], EXTEND OR A#.TER THE COVERAGE AFFORDED BY THI~ Po~,iclEs BELOW. THIS CERTIFICATIw OF INSURANCE DdES NOT GQNSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND TH1= CERTfFICATI= 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 nat confer rights to the certificate holder in lieu of such endarsementl;s}. PRODUCER License # 954553 ~a~~ACr Dawson Franchise Insurance Division PHONE 860.009 FAx (440} 356-212fi 1340 Depot Street #300 Arc No Ext : ~ 3 A!G Na E.tdAiL ~ranciliseceres dawsancompanies.cam Rocky River, OH 44~ 16 AoDRCSS; INSURER{S) AFFORDING OVERAGE NAIC # INSURER A ;American Casualty Company of Reading, Pennsylvania ;20427 INSURED INSURER B : i Boterman's Inc. dba American Leak Detection INSUREa G ; _ i 2821 Buliack Road lrtsuREa p ; _ Medford, OR 9750 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY Tt-IAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEf} TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TD WHICH THIS CERTIFICATE MAY 8E ISSUED 0R MAY PERTAIN, THE INSURANCE AFFORDED 8Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE ~`ERMS, EXCLUSIONS ANq CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS IN5R ~ TYPE OF INSURANCE POLICY EFF POLICY EXP LIMITS LTR IN5D WVD POLICY NUMBER MMIDDIYYYY MMrDDlYYYY A X CaMMERCIAL GENERAL LIABILITY ~ I EACH OCCURRENCE S ~,4~4,444 ~ AMAGE 0 RENTED CLAIMS-MADE ~ OCCUR EPP0393352 ~ 07101/2016 07!0112017 I PREMISES Ea occurrence s 300,000 I ~ ! i MED EXP {Any one person) S 10,000 PERSONAL 8, ADV INJURY S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: ~ I I 'GENERAL AGGREGATE S 4,000,000 X POLICY PE a LOC I I r ~ ~ PRODUCTS ~ CON1PlOP AGG S 4,000,000 ❑ a OTHER: ~ ~ I S AUTOMOBILE LIABILITY I E COMBINED SINGLE LIMIT g 1 000 000 i I Ea accident ~ ~ A X ANY AurO ~EPP0393362 07x0112016 E 07/012017 80p1LY INJURY {Per person} S AL.I. DWNED SCHEDULED ~ ! f AUTOS ~ AUT05 80pi1.Y INJURY {Per accidenE) ~ S X X ~ NON•OWNED E i PROPERTY DAMAGE HIREDAUT05 I AUTOS ~ f Peraccident li S f IS E UMBRELLA LIAR # ~ EACH OCCURRENCE I S OCCUR EXCESS LIAR CLAIMS-MADE ~ AGGREGATE S i i DEO ! R>Al'ENTiON S 15 _ WORKERS COMPENSATION i STATUTE ERH AND EMPLOYERS' LIABILITY Y 1 N ANY PROPRIETORIPARTNER{EXECUTIVE E.L. EACH ACCiD;=NT S OFFICERIMEMBER EXCLUDED? ~ i N l A {Mandatory In NH} i E.L. DISEASE - EA EMPLOYEE,' S if yes, describe under 2 E.L. DISEASE -POLICY UNIT ! 5 DESCRIPTION OF OPERATIOhlS helow _ DESCRIPTION OF OPERATfONS! LOCATIONS l VEHICLES (AGORD 301, Additlonai Remarks Schedule, maybe aEtached iEmore space is required} CERTII`[CATE HOLDER CANCEi_LATIDN SHOULD ANY OF THE ABOVE t?ESCRIBEI7 POLICIES Q£ CANCELLED B>rl"4R>: City of Ashland ACCORDANCE W TH THE POLICY PROMS ONTS~E WIFE BE 1)EI.IVEREwD IN 20 East Main Street Ashland, OR 97524 AUTHORIZED REPRESENTATIVE I ©1988-2014 ACORD CORFORATIaN, A[[ rights reserved. ACORD 25 (2014101} The AG~RD name and logo are registered marks of ACORa www.saif.com ~ ~ ■ aregan'IE~orkers Compensa~~on Cer~~f~ca~e a~ Insurance ~corpararion Certificate holder: CITY OF ASHLAND 20 BAST MAIN STREET ASHLAND, OR 97520 The policy of insurance listed below has been issued to the insured named below for the palicy period indicated. The insurance afforded by this palicy is subject to all the terms, exclusions and conditions of such policy; this policy 'ts subject to change or cancellation a# any time. Insured Producerlcontact Botermans !nc SAIF Corporation American teak Detection Portland Service Center 2821 Bullock Rd 971.242.5001 servic@saif.com Medford, Or 97504-4132 Issued 04125/2017 Limits of liability Policy 938060 Dadily Injury by Accident $540,000 each accident Period 04/0112017 to 041011209$ Bodily Injury by Disease $500,000 each employee Body Injury by Disease $500,000 policy limit Description of opera#ionsllocatianslspecial items Important This certificate is issued as a matter of information only and confers no rights to the certificate holder. This certificate does not amend, extend ar alter the coverage afforded by the policies above. This certificate does not constitute a contract between the issuir3g insurer, authorized representative or producer and the certificate holder. . Authorized representative Kerry Barnett President and CEO d00 High Street S~ Salem, 4R X7312 P: 8fl0.285.8525 f: 503.584,9812 Policy_OE.CA_Cer~ificale0€Insura nrx exhibit I; Contract for ~~QDS ,AND SERV~CE~ Less than 55,000 ~.A.NDA~'~~RY} ~To be completed Following notification o~ decision to award contract ~ ~ ~ Y ~ £ CONTRACTOR: ~ L~ ~ CONTACT: 20 East Main Street Ashland, Oregon 97520 ADDRESS: Telephone: 5411488-6002 Fax: 5411488-5311 TELEPHONE: DATE AGREEMENT RREPARED: FAX: BEGINNING DATE: COMPLETION DATE: COMPENSATION: GOODS AND SERVICES TO BE PROVIDED: ADDITIONAL. TERMS: , In the event of conflicts or discrepancies among the contract documents, the City a# Ashland Contract for Goads and Services will be primary and take precedence, and any exhibits or ancillary contracts or agreements having redundant or contrary provisions will be s~borclinate to and interpreted in a manner that will not conflict with the said rims Ci of Ashland Gontract. NOUV THEREFORE, pursuant to AMC 2.50,090 and after consideration of the mutual covenants contained herein the CITY AND CONTRACTOR AGREE as follows: ~ . A[I Costs by Contractor: Contractor shall, provide all goads as specified above and shall at its own risk and expense, perform any work described above and, unless otherwise specified, furnish all labor, equipment and materials required for the proper performance of such work. 2. Qualified Wark: Contractor has represented, and by entering into this contract now represents, that any personnel assigned to the work required under this contract are fully qualified to perform the work 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 banded. Contractor must also maintain a current City business license. 3. Completion Date: Contractor shall provide all gaols in accordance with the standards and specifications, no later than the date indicated above and start performing the work under this contract by the beginning date indicated above and complete the work by the completion date indicated above. Compensation: City shall pay Contractor for the specified goads and far any work 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. Compensation under this contract, including all costs and expenses of Contractor, is limited to $25,000.00, unless a separate written contract is entered into by the City. 5. Ownership of Documents: A11 documents prepared by Contractor pursuant to this contract shall be the property of City. 6. Statutory Requirements; ORS 279B.220, 2T9B.225, 279B.230, 279B.235, ORS Chapter 244 and ORS 670.600 are made part of this contract. 7. Living Wage Requirements: If contractor is providing services under this contract and the amount of this contract is $20,283.20 ar mare, Contractor 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 work under this contract. Contractor is also required to past the notice attached hereto as Exhibit B predominantly in areas where it will be seen by all employees. 8. [ndemnification: Contractor agrees to defend, indemnify and save Gity, its ofl'lcers, employees and agents harmless from any and all losses, claims, actions, costs, expenses, judgments, subragafiions, ar other damages resulting from injury to any person lincluding injury resulting in death), or damage (including lass or destruction) to property, of whatsoever nature arising out of or incident to the performance of this contract by Contractor (including but not limited to, Contractor`s employees, agents, and others designated by Contractor to perform work or services attendant to this contract . Contractor shall not be held res ansible far an losses, ex eases, claims, subro ations, actions, costs, Contract for Cx4QDS A~ S;aR~rICES Less than X25,040 Wage I.1 G:Ipub-wrkslengll 5-19 Rotation List RFF's1.A_Adu~inlTechnical Sen~ices kFl~',2015-19 R)=P_Oik Call Technical Sen~iccs_J1 Vers.docx judgments, ar other damages, directly, solely, and proximately caused by the negligence of City. 9. Termina#ian: a. Mutual Consent. This contract may be terminated at any time by mutual consent of bath parties. b. City's Convenience. This contract maybe terminated at any time ty City upon 30 days' notice in writing and delivered by certifed mail ar in person. c. For Cause. City may terminate or modify this contract, in whole or in part, effective upon delivery of written notice to Contractar, ar at such later date as may be established by City under any of the fallowing conditions; i. if City funding from federal, state, county or other sources is not obtained and continued at levels sufficient to allow far 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 alkawable or appropriate for purchase under this contract ar are no longer eligible for the funding proposed far payments authorized by this Contract; ar iii. If any license or certificate required by law or regulation to to held by Contractar to provide the services required by this contract is for any reason denied, revoked, suspended, or hat renewed. d. For Default or Breach. i. Dither City or Contractar 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 ~5 days of the date of the notice, ar within such other period as the party giving the notice may authorize or require, then the Contract maybe terminated at any time thereafter ty a written notice of termination by the party giving notice. ii. Time is of the essence for Contractor's performance of each and every obligation and duty under this contract. City ty written notice to Gontractar of default ar breach, may at any time terminate the whole ar any part of this contract if Contractor 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. 4bli ationlLiabilit of Parties. Termination or modification of this Contract pursuant to subsections a, b, or C above shall to without prejudice to any obligations or liabilities of either party already accrued prior to such termination ar modification. However, upon receiving a notice of termination (regardless whether such notice is given pursuant to subsections a, b, c ar d of this section, Contractor shall immediately cease all activit'ses under this contract, unless expressly directed otherwise by City in the notice of termination. Further, upon termination, Contractor shall deliver to City all contract documents, inforrnatian, works-in-progress and other property that are or would be deliverables had the contract been completed. City shall pay Contractor far work performed prior to the termination date if such wank was performed in accordance with the Contract. 70. Independent Con#ractor Status: Contractor is an independent Contractor and not an employee of the City. Contractor shall have the complete responsibility for the performance of this contract. 11. ion-discrimination Certification: The undersigned certifies that the undersigned Contractor has not discriminated against minority, women or emerging small businesses enterprises in attaining any required subcontracts. Contractar further certifies that it shall not discriminate in the award of such subcontracts, if any. The Contractor understands and acknowledges that it may be disqualified from bidding an this contract, including but not limited to City discovery of a misrepresentation or sham regarding a subcontract or that the Bidder has violated any requirement of CRS 279A.11 Q or the administrative rules implementing the Statute. 12. Asbestos Abatement ~.icense: if required under ORS 468A.71D, Contractor or Subcontractor shall passers an asbestos abatement license, 13. Assignment and Subcontracts: Contractor shall not assign this contract or subcontract any portion of the worst without the wrifiten consent of City. Any attempted assignment or subcontract without written consent of City shall be void. Contractar shall be fully responsible for the acts ar omissions of any assigns or subcontractors and of all persons employed ty them, and the approval ty City of any assignment or subcontract shall not create any contractual relation between the assignee ar subcontractor and City, 14. Use of Recyclable Products: Contractor shall use recyclable products to the maximum extent economically feasible in the performance of the contract work set forth in this document. 15. Defauit~ The Contractor shall be in default of this agreement if Contractor: commits any material breach or default of any covenant, warranty, certification, or obligation it owes under the Contract; if it lases its QRF status pursuant to the QRF Rules ar loses any license, certificate or certification that is required to perform the work ar to qualify as a QRF if Contractar has qualified as a QRF for this agreement; institutes an action for relief in bankruptcy or has instituted a ainst it an action for insalvenc ; makes a eneral assi nment for the benefit of creditors; or ceases loin Contract for GQQDS AND S~R~~1CPaS )cress than S25,d00 Pane 1.Z G:lpub-~~~r~slengll 5-19 Rotation ~.ist R~1''s1A_Adrnii~lTeclmical Services RFP'~2015-19 RFP_On Call T~;hnical Ser`~ices_E VerS.docx business on a regular basis of the type identified in its obligations under the Contract; or attempts to assign rights in, ar delegate duties under, the Contract. 16. Insurance. Contractor shall at its own expense provide the following insurance: a. Worker's Compensation insurance in compliance with ORS 6~~.017, which requires subject employers to provide Oregon workers' compensation coverage for all their subject workers b. General Liability insurance with a combined single limit, or the equivalent, of not less than Enter one: $1,OOO,gOD, 2'OQQ OQ~ or Not Applicable for each occurrence for Bodily Injury and Property Damage. c. Automobile Liabilit insurance with a combined single limit, or the equivalent, of not less than Enter one: $500,000, ~OU`'~Q~, or Not Applicable for each accident for Bodily injury and Property Damage, inclu mg coverage for owned, hired ar non-owned vehicles, as applicable. d. Notice of cancellation or than e. 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 Contractor ar its insurers} to the city. e. Additional lnsuredlCertificates of Insurance. Contractor shall name The City of Ashland, Oregon, and its elected officials, officers and employees as Additional Insureds on any insurance policies, excluding UVorkers' Compensation, required herein but only with respect to Contractor's services to be provided under this Contract. As evidence of the insurance coverages required by this Contract, the Contractor shall furnish acceptable insurance certificates prior to commencing work under this contract. The contractor's insurance is primary and non- cantributary. 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 Contractor shall be financially responsible for alI pertinent deductibles, self- insured retentions and~or self~insurance. 1 Gavert~ing Law; Jurisdiction; Venue: This contract shall be governed and construed in accordance with the Paws of the State of Oregon without resor# 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 Contractor that arises from or relates to this contract shah 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, Contractor, by the signature herein of its authorized representative, hereby consents to the in person jurisdiction of said courts. In no event shall this section be construed as a waiver by City of any form of defense ar immunity, based an the Eleventh Amendment to the United States Constitution, ar otherwise, from any claim or from the jurisdiction. 18. THIS CONTRACT AND ATTACHED EXHIBITS CONSTITUTE THE ENTIRE AGREEMENT BETU~IEEN THE PARTIES, NO UVAIVER, CONSENT, MODIFICATION OR CHANGE OF TERMS OF THIS CONTRACT SHALL BIND EITHER PARTY UNLESS IN UVRITING AND SIGNED BY BOTH PARTIES. SUCH UVAIVER, 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 lNR1TTEN, NOT SPECIFIED HEREIN REGARDING THIS CONTRACT. CONTRACTOR, BY SIGNATURE OF 1TS AUTHORIZED REPRESENTATIVE, HEREBY ACKNOtNLEDGES THAT HEISHE HAS READ THIS CONTRACT, UNDERSTANDS IT, AND AGREES TO BE BOUND BY ITS TERMS AND CONDITIONS. 18. 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. Contractor 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 Contractor, with no further liability to Contractor. 20. Prior Approval Required Provision. Approval by the City of Ashland Council or the Public Contracting Officer is required before any work may begin under this contract. 21. Certification. Contractor shat! si n the certification attached hereto as Exhibit A and herein incor orated b reference. Contract I'or GGGDS AND SERVICES Less than S2s.444 Page I.3 G:Ipub-~~rkslengll5-19 Rotation List RFP's1A~Admi1~lTechnical ScR~iees I2PP12015-19 RPP_Gn Gall Tee;hnical Ser~~ices~E Vers.docx Cantractar: Ci~r a~ Ashland By By Signature Department Head Print Name Print Name Title Date V~1-9 One copy of a W-9 is to he submitted with the signed contract. Purchase Order No, Contract far GOODS Ai~D iERVICES Less than 525,000 Page I.4 G:'~,pub-ti~xksiengll S-l9 Ratatian List R~'P's1A ~dininlTechnical Sen~ices RFP12015-19 ~'P On Call Technical 5en~ices_~ Vers,docx C~JNTRAGT EXHIBIT A CERTIEICATIONSIREPRESENTATI~NS: Contractor, under penalty of perjury, certifies that (a} the number shown on the attached W-9 form is its correct taxpayer Id for 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 ail interest or dividends, or (iii} the lRS 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, tc} the warl< 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 certifes under penalty of perjury that its business is not in violation of any aregon tax laws, and it is a corporation authorized to act an behalf of the entity designated above and authorized to do business in Uregon 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 specifc 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 for the business. (3} Telephone listing is used far 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 ar more different persons within a period of one year. (6} l assume financial responsibility for defective workmanship ar far 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. ~ Contractor (Date) Contract far G4QDS AND S~RVIC~S Less than 525,00 Page I.S G:1P~~b-~~rksl~;n~tIS-19 Rotation List RFP's1A~Adtr~nlTeehnieai Sen~ic~s RFPl20t5-19 RFP C}n Cats Techi~ica~ Services_~ Vers.docx ~ ~ 1 ~ ~~~TR~~GT E~~18~T ~ ~ a ~ i . . , A' t R ~ i. i i A' • r h~u~r e~#e~rv~ .~un~ 3~ 2Q'~6 ~ . ~t~c~~~s~s ~nri~~i~~ ~v~~ ~#ur~~ 3Q ~b~ +~o~~>~~n~ ~'r~c~ ~~~~x~ , - , ~ ► . por~on ~ ~a~siness of tl'~ir ~~1 K and iRS eligible ► . t - et»player, If t~PE eTiplfl}'flr haS cdfe~eria plays ~;i~clu~ing ten or ~r~ empi~~yees, and childcat~j herte~ts to has received ~tnancial aunt of gages rec~i~ed~ b#t assistar~~; for the proje~ or thA el~p(eyee. ~ 1=~1• ~I h~purs ~odCed under a ~asir~ess frflm the City of sers~c~ ~ontra~t bet~~aen their %tshland in ex~ss of ~ Note: ~Emp~yee~ dog net sr~ployer and the 'y of $~~~~83,~4, ir~~rude ternpara~ flr pa~~til~e ~h~~ if the cca~tract e~rplaye~.,s hired for l~s than exceeds ~~~,2~3.~~ ar m~l~. If their ertl~oyer is ~,ity of 9~4~ hours ill arty t~~ Ashtan~ ir~,~uding the Parf~s monk periad. far truare r 1✓or atl f€oc~rs warkAd s>~ a aid Reareatio~ I~epa~ent. details on app~icat~ltty of his r~n~ if ~e employee spends ~~y. ple~e see ~shfand 5~~~ or more of tie ~ in catcu~atit~ the Ding ~~age: ~iurall C~cfe ~e~iaa~ er~playee`s Mme in that manf~ el~plfl~yers rr~y add the ~~alue ~.~2.g~0. ti~~rf~illg an a project or of heaith care, retirer~nt, { _ t S t ► ~1 Gall ~e 4s~~l~and Gity,~d~i~is~'ata~s afce at 5~~-~~~-~~Q~ or ~~r~te #a GstyA~m€nistr~tar; Git~~ 9~all, East #~ain ~tr~et; ,~sE~fand; OR ar ~~sit the ai~~'s ~~ebsrte at ~~r.a~hland.or.trs. N~fice to ~~~r[oye~: his r~ti~e must ~e pasted predo~nir~an~Jy i~ areas u►~h~r~ it ~ar~ ~ ~e~n ~y aI[ emp~a~~ees. C~rY Contract for Gfl01)S Ai~l7 SERVIC)~S Less than X25,000 l?a~e I.b G:ilaub-wrksleng115-19 Rotation List RFP's1A~AdminlTechnical Sen~iccs RFPt,2015-1~ RFP^On Call Technical Scn~ices_E Vcrs.doex Acknowledgment of the terms anc~ c4ndit~ons of E~hih~t Contract for G~~DS ACID SERVICES Less than X25,000. I ae.~nowledge that ~ have read and ale familiar with teens of the template contract and the contract's exhibits A and B, herein referred to as Exhibit I. nitiax to ac~owled e ~ g) Contract far GODS AND SE~tb~iCES Less than ~2S,OOQ Page I. l G.lpub-wrltsleng'~,IS-19 Rotation List RFI~'s`~A._~.dmin~,Technical Services R~PLOIS~I9 RFP_t~a1 CaII `T'echnical Se~~ices~I; V~~rs.docx Exhibit J: .Addendum to Cantract far Goods and Services Less than $ZS,o40 MANDATORY} AGREEMENT FOR ON-CALL LEAK DETECTIQN SERVICES (Specify type} THIS ADDENDUM to City of Ashland Goads & Services Cantract Less Than $25,000 between the CITY OF ,ASHLAND, as City, and ACI1~~'iCan Leak D~t~Ct[gn , as Contractor. WHEREAS, the City of Ashland regularly requests on-call trade and technical services for the maintenance and repair of City facilities (services}, and often when an emergency for such services may arise on bath private aztd City owned property; and WHEREAS, the City of Ashland would like to establish a speedy and efficient selection among qualified businesses that still fasters fair and equal competition among them to obtain the lowest price; and WHEREAS, Contractor responded to City's Request for Proposals for On-Call Contracting Services (TradelTechnical}ond was selected by the panel that reviewed the proposals. NOVV TD:EREFORE, CITY ANTD CONTRACTOR HEREBY FURTHER AGREE AS FOLLOWS: 1. DE~NITYONS. 1,1, AGREEMENT: This document, entitled Agreement for Qn-Call Maintenance and Repair Services (Trade/Technical}, and any exhibits incorporated herein. 1,2. BUSINESS HOUR. Hours during which business is normally conducted, specifically 8:00 AM to 5:00 PM, Monday through Friday, excluding holidays. I.3. CITY REPRESENTATIVE: Specif tally designated employees authorized by this Cantract to call Contractor, review bids, select, and dispatch Contractor to areas needing services. City Representative will include persons desibrzated froze the City of Ashland Public Works Department and the .Ashland Parks and Recreation Department assigning services to Contractors for their respective departzments. Addendu~i to Contract for Goods and Services Less than X25,4{}0 page J 1 G:lpub-wrks~~eng115-19 Rotation I,i~t RFP's1A~Adn~inlTechnical Services 1~P124iS-19 Rpp_C}~~ Gall Technical St;rvices_E Vers.ducx 1.4. CONTRACTOR: A company which is party to this Agreement, its employees, agents and associates, including all principal parties, such as its officers, directors and managers. 1.5. EMERGENCY: Any human caused or natural event or circumstances causing or thareatening loss of life, injury to person or property, [or similar] human suffering, and includes, but is not lzznited to, l:~re explosion, flood, severe weather, drought, earthquake, spills or releases of ail or hazardous material, contamination, disease, blight, infestation, civil disturbance or riot. 1.6. HOLIDAYS: The days of the year observed by tl~e City include: New Year's Day, Martin Luther Ding, Jr. Day, President's Day, Memorial Day, July 4t11, Labor Day, Veteran's Day, Thanksgiving Day, Day after Thanksgiving, and Christmas Day. 1.7.OwNER: The person in whose name a property is titled, or the person who has the right to possession of the property. 1,8.OwNER'S AGENT: A person authorized by an owner to have access to the property, 1.9. SERVICES}: Any trade or technical services performed by contractors defined in this Agreement for the purposes of maintaining City facilities, including such activities as troubleshooting, repair, minor installation, and materials removal. 2. SCOPE OF SERVICES. 2.1.1. Contractor agrees to provide sen~ices when requested to da so by City. Tl~e City Representative will forward such requests to Contractors under contract by the City. 3. COMPENSATION. Contractor will be paid for its services by City at the rates attached to this Agreement and hereby incorporated as Exhibit G_ 4, TERM. This A.greenaent is effective upon execution by both parties, and it shall continue for two complete fiscal years thereafter (July 1 through June 30). Upon expiration of this Agreement, Contractor may request a two year extension by contacting the City in writing more-than 45 days before the expiration Addendum to Contract Eor Goods and Services Less than 55,4{}0 Pale ~ ~ G:lpub,wrkslen~llS~l9 Rotation List li)=l''s`.~~AdminlTeclu~ical Services R);'P12015~1~ RFP_C1n Call ~'echtlical Sertiricea~E vers.d~cx of this Agreement. The extension shall be granted unless the City objects in writing more than 30 days before the expiration of this Agreel~.ent. 5, CONTRACTOR MINIMUM SERVICE REQUIREMENTS. E~CENSES, S.1.I. General Ope~atians. Contractor shall possess a City business license and all commercial vehicle and operator licenses requited under local, state and federal regulations. 5.1.2. Construction Contractors License. Contractors performing construction activities to real properties must be licensed with the Oregon Constructian Contractors Board shall meet all state requirements, possess and maintenance of licensing and bonding necessary for providing services per ORS ~Ol and OAR 81~. 5.2. PERSONNEL (PLUMING A.ND ELECTRICAL). All plumbers, electricIanS, and their assistants conducting any and all business related to this Agreement shall be identified on a personnel roster submitted prior to signing this Agreement. Any changes to personnel shall be reported to the City by the 1 oth day of the month following the change. 5,3, RESPONSE TIME non-emergency}, Contractor shall respond to all service requests to Contractor by the City Representative within eight (8} busil~ess hours ofreceiving the initial request. 5.4. PLACE OE BUSINESS AND OPERATIONS. 5.~.~. Business Olfee. 5.4.x.1. The Contractor has an established place of business within a 40 minute radius to the Ashland city limits. 5.4.x.,2, The business office is open for the purpose of inspection of business records and equipment from 8:0o A.M to S:OO PM excluding weekends and holidays. Addend~it~i to Contract far Goods and Ser~rices Less dlar~ S25,OOa Page J ~ G:1pnb-wrl:slet~gl~5-l~ Rotation List RFP's~.A Admin'~,Teclmical Sertiices RFpI?41~-13 R~'1'_Cn~ Call Technical Senrices_E Vers.docx 5,4,~..3.3'he business office shall rnaintain records that contain the following information for at least three years for each service: property description; reason for the service; time and date of service, identity of the employee(s) providing the service; and an itemized list of services and fees. 5.4.1.4. The Contractor has personnel available 24 hours a day, 3~5 days a year, who can be contacted to bid and perform services. G. BID ROTATION. b.1, Rotation Schedule 6.1.1. Tl~e City will assign a range of dates to each Contractor from the approved list which will confer priority status to the assigned Contractor (hereafter Priority Contractor} for receiving services requests from the City. Assignment periods extend for one calendar rnanth, and will rotate according to a fixed schedule for the two-year period of the Agreement. ~'he rotation schedule will be structured to provide equal distribution of priority status amongst all Contractors with respect to the seasonal trends in work opportunities. ~.2. Requests for services for non-emergency and emergency events will be made from City Representative to the Priority Contractor. If the Priority Contractor declines the request, the subsequent Contractor on the rotation list (Secondary Contractor) will be called. If work is declined by the Secondary Contractor, the City will call successive contractors according to the rotation until the request is accepted and a contractor is dispatched. Response to service calls by the Secondary Contractor or any successive contractor will not affect the order of the rotation list. 7, RESPONSE T~NI~. 7.1.. If communication pertains to an emergency event, Contractor shall inform City Representative whether it accepts an assignment within (30}thirty minutes of receiving a call. Contractor shall not accept an assignment unless it has the equipment available and is capable of responding and arriving within the ,A.dden~tun to Contract for Goods a~~d Services Less than X25,000 Page J.4 G:1pub-wrkslengl~5-19 Rotation ~.iat RPP's~,~_Admin.'~.Technical Services kFP12015-14 RPP do Ga11 ~'ccl~nical Sen~ices E Vers.dc~cx required timeframes outlined in this Agreement. Contractor shall not accept a call and then later decline it, except far circumstances beyond the control of the Contractor. Contractor shall respond to erergency service requests dispatched to Contractor by the City Representative within sixty minutes of receiving the dispatch. 7.3. Lack of a timely response may result in the Contractor being canceled from the call and placed at the botta~n of the rotation list. repeated lack of timely response nay result in termination a~this Agreement. 8. DECLINING SERVICE RE4UEST. 8.1. Contractor shall inform the City Representative, within thirty (30} minutes of receiving a dispatch, if Contractor is fox any reason unable to respond to an emergency service request, or unable to respond within the required time, and. mast decline the service request. Contractor shall inform the City Representative immediately if, upon arrival at the property, any condition prevents performance of the service. Declining a service request mare than thirty minutes after the Contractor receives the dispatch shall be considered failure to respond. 8.2. If a Contractor declines a request, the rotation is advanced and the next available Contractor on the rotational list shall be dispatched. 9. CONTRACTOR'S GBLIGATIQNS AND DUTIES. 9.1. Contractor or its insurer shall give 30 days written notice to the City prior to any cancellation, material change, reduction of limits, or intent not to renew the insurance coveragets~. 9.2. After arriving at the property Contractor shall perform the service, or determine the appropriate equipment necessary and summon it, as long as Contractor is authorized to perform the service. 9.3. Contractor shall perform all work in a safe, cauzteous, and respectful manner. 9.3,1, Contractor shall not be verbally ar physically offensive, abusive, disrespectful or discourteous to any owner or City employee related to the work performed. ~ddend~u~3 to Contract for Goods and Services mss than S25,a4Q Page J,S G:lpub-u~rkslengll5-1) RotationLiStRFP's~1_~ldminlTec~nica( Sen~ices RFP12a15-~9 RFP_Qn Gall Tectrnical Services_F vers.docx 9.3.2. Contractor shall not operate any vehicle ax other equipment in performance of this Agreement in a careless, reckless, or negligent manner. 9.4. Contractor shall be responsible for cleanup of the project assigned. Contractor shall carry, and use when necessary, absorbent material, brooms, shovels and waste containers to clean the usual debris anal waste associated with completing services. 9.5. Contractor shall make the business office available far inspection by the City at aay reasonable time during normal business hours. 9.6. Contractor shall not cause u~anecessary damage to the persons or property of others while performing under this Agreement. 9.7. Contractor shall not make any false state~.ents of material fact, or omit disclasure of material fact in performance of this Agreement. 10, NIISCELLANE~US. 10,x, NQN-E~CLUS~VE. This is not an exclusive contract for LEAK DETECTION Services. The City may from time to time utilize LEAK DETECTION services for special needs outside this Agreement at its discretion. The City will make all efforts to utilize the services of Contractors on the list consistent with the interests of public safety and timeliness. Addend~ual to Contract far Goods and Serv~ccs I.~ss than X25,000 Pave 3,6 G_;pub-wrkslen~115-1g Rotation fist RP'P's1A~Adn~inlTec}mical Sen~ices RFP12015-19 R~P~bn Call Technical Senrices~E ~%ers.docx Acknow~ed~ment of the terms and conditions of Exhibit J, Addendum Contract for ~OQDS A~ SE~ZV~CES Less than 525,000. ~ acknowledge ghat I have read and aan familiar with terms of the Addendum to Contract, herein referred to as E~hzbit Zr~itial to ac~no~vled~e ( A.dde~~dt€m to Contract for Goods and Services Less tk~an 5~5,~40 Page J ~ G:`}pub-~vrkslen~ll5-19 Rotation List R~~'s',A Ad~~~in~.Technical Ser<~ices R~~12015-19 ~~~'_Ch~ C'~1] ~'echnieal Ser~~ices~E Vers.doex BOTE~NC-01 DISKAMBUROFF ,g►co~vy CERTIFICATE OF LIABILITY INSURANCE DATE(MM1DDlYYYY) s,~30~~01 s 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 1rHE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT GONSTITUTE 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 cettii•icate does not confer rights to the certificate holder in lieu of such endorsements}. PRODUC>~R L[CBIiSe # 954553 CONTACT NAME; Dawson Franchise Insurance Division PHONE ($00) 860-0090 ~ N°~(440) 356-2126 1340 Depot Street #300 Arc N° Ext Rocky River, off 44116 n oR~ss; franchisecerts dawsoncOmpal~ies.com I ENSURER{S) AFFORDING COVERAGE NAEC # INSURER A ;American Casualty Company of Reading, Pennsylvania ~ 20427 INSUR>±D I • INSURER B Boterman's Inc. dba American Leak Detection INSURER c ; 2821 Bullock Road INSURER a Medford, OR 97504 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TQ CERTIFY T#iAT 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 8Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHAWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY EFF POLICY EXP LTR ~ TYPE QF INSURANCE: INSD POLICY NUMBER MMlDD1YYYY MM1DD ~lM~S A X COMMERCIAL GENERAL. EJABiL17Y ~ J EACH OCCURRENCE S 2,000,000 CLAIMS-MADE ~ OCCUR EPP0393352 j 071011201E 0710112017 ~ PREMISES Ea ocxurrena S 300,000 ~ ~ ~ i MED EXP {Any ene person) S 10,000 C ~ PERSONAL 6 ADV INJURY S 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: f ~ I 'GENERAL AGGREGATE S 4,000,00 ~a Loc I ; I I ` PRODUCrs • COF~PIOP AGG s 4,000,00 X POLICY ~ ~ ~ aTHER; I ~ ~ ` s AUTOMOBILE LIABILITY ~ ~ ~ i EOMBI~N~SINGLE LIMIT S 1,000,00 A X AI,IY AUTO 'EPP0393352 07!0112016 071©1!2017 SOI7ILY INJURY {Per person) S ALL OWNED ~ SCHEDULED i l $ODELY INJURY {Per acadent) j S AUTOS AUTOS 1 ` ~ PROPERTY DAMAGE 15 NON-0WNED ~ Per accident i X HIRED AUT05 X AUTOS i ' i IS UMBRELLA LIAR _ OCCUR ~ EACH OCCURRENCE 15 EXCESS LIAB CLAMS-MADE f ~ AGGREGATE i S DED RETENTIONS ~ I S WORKi`RS COMPENSATION i STATUTE ERH AND EMPLOYERS' LEABILITY ANY PROPRIETORIPARTNERIEXECUTIVE Y( i N l A E.l. EACH ACCIDENT ~ S OFFICERMIEMBER EXCLUDED? ~ I {Mlandatory In NH) i E.L. DISEASE - EA EA~PLOYEE S 0 es, desalbe under ~ DESCRIPTION OF OPERATIONS below ? E.L. DISEASE- POLICY LIMIT i S i { DESCRIPTION OF OPERATIONS! LOCATIONS t VEHICLES {ACORD 101, Additional Remarks Schedule, may be attached if mare space is required) CERTII`ICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBEQ POLICIES BE CANCEL.L.ED BEFORE City of Ashland THE EXPIRATION DATE THEREOF, NOTICE WILL 8E DELIVERED 1N 20 East Main Street ACCORDANCE WITH TIDE POLICY PROVISIONS. Ashland, OR 97520 AUTHORIZED REPRESENTATIVE I 01988-2014 ACORD CORPORATION, Ail rights reserved. ACORD 25 X2014101} ~ The ACORD name and logo are registered marks Of ACORD wmv.saif.com r Oregon UVorkers Compensation Certificate of Insurance lcorporation Certificate holder: CITY OP ASHLAND 20 EAST MAf N STREET ASHLAND, OR 91520 The policy of insurance listed below has been issued to the insured named below for the policy period indicated. The insurance afforded l,y this policy is subject to all the terms, exclusions and conditions of such policy; this policy is subject to change or cancellation at any time. Insured ProducerJcontact Botermans !nc SAIi= Corporation American Leah Detection Portland Service Center 2821 Bullock Rd 971.242.5001 servic@saif.com Medford, Or 97504-4132 Issued 04125/2017 Limits of liability Policy 938060 Bodily Injury by Accident $500,000 each accident Period 04101!2017 to 04101!2098 Bodily Injury by Disease $500,000 each employee Body Injury by Disease $500,000 policy limit Description of aperationsJlocatianslspecial items lmpor#ant This certificate is issued as a matter of information only and confers no rights to the certificate holder. This certificate does not amend, extend or alter the coverage afforded by the policies above. This certificate does not constitute a contract between the issuing insurer, authorized representative or producer and the certiftcate holder. ' Authorized representative Kerry Barnett President and CEO 400 nigh Street S~ 5alern, OR 97312 i': 800.285.8525 l=: 503.584.9812 Aolicy_OLGA GeRifcateC~lnsurance 6/2/2017 CCB Contractor Search onstruction Contractors , Board BUSINESS DETAIL Licensee :MATTHEW KAREL BOTERMANS Address :1209 TALENT AVE TALENT OR 97540-9621 License Status: Not Active - Voluntaril Surrendered License No.: 50831 Y Date First Licensed :511611986 Expiration Date: 713112006 Entity Type :Sole Proprietor Phone : (541) 535-5325 :Endorsement Type General ContractorlAll Workers' CompensationllntlepentlentContractor Status :Nonexempt ADDITIONAL BUSINESS LICENSES AND CERTIFICATIONS i CERTIFIED LEAD-BASED PAINT RENOVATION (LBPR) CONTRACTOR LICENSE: NO ;Required fo bid and work on pre-1978 residenfial structures. i OTHER BUSINESS INFORMATION I j WORKERS' COMPENSATION INSURANCE INFORMATION ~ Covera e Carrier Policy No. Employee SAIF 938060 Personal Election None None LIABILITY INSURANCE INFORMATION (History) Com an Amount Effective Through ~ No Active Insurance None None SURETY BOND INFORMATION (Histo ) Compan~r Amount Effective Through Residential None None None Commercial None None None j ASSOCIATED INDIVIDUALS i None Click here to see past associated individuals' names. ASSUMED BUSINESS NAMES(Sl AMERICAN LEAK DETECTION Click here to see past assumed business names. BACK BACK TO CCB HOME ~ BACK TO SEARCH ©2017 Oregon Construction Contractors Board https:llwww.ccb.state.or.uslsearchlbusiness details.aspx 111 order Purchase ~ Fiscal Year 2018 Page: 1 of: 1 - _~-~~--1~I~I~~~BP-_~~A~_Q~1=ALL_` - B City of Ashland - _ _ - - - ~ ATTN: Accounts Payable Purchase 20 E. Main S 1 9 L Ashland, OR 97520 Order # T Phane:5411552-2010 0 Email: payable@ashland.or.us H CIO Public Works Department E AMERICAN LEAK DETECTION 151 Winburn Way D 2821 BULLOCK RD P Ashland, OR 97520 0 MEDFORD, OR 97504 Phone: 5411488-5347 O Fax: 5411488-6006 R V~n~o~Phon~l~umt~Q~= ~d.l~l~~~~st : _ - _ - _ . er~rr~~ - _ _ _ 541 535 5325 Ka lea Kathol - - - - - - ~Q~= _Qate O~~er~~~= ~!~_n~s oFJ~_urn~~~ =`.q~ry~~ ~ : _ _ - _ - - = a~ _ _ - - 0612612017 328 FOB ASHLAND OR Cit Accounts Pa able - ~ct~n~ed~Rri~e-_ On-call Leak Detection Service 1 Consultant toprovide on-call leak detection services as needed 1 $4.0000 $4.00 Contract for Goods and Services less than $25,000 Beginning date: July 1, 2017 Completion date: June 30, 2019 Project Account: Project Account: - Project Account: Project Account: GL SUMMARY 082400 - 602400 $1.00 085700 - 704100 $1.00 121200 - 602118 $1.00 125500 - 602118 $1.00 ~ By~-,~~~° r'` Date: ~A~uthoriz Signature = - = - $4.00 FORM#3 i ~ CITY OF SHLAND _ ~ :f i_ :s REQUISITION Date of request, 6 ~ ~ ~ 17 Required date for delivery, 6.21.17 Vendor Name American Leak Detection Address, City, State, Zip 2821 Bullock Rd, Medford, OR Contact Name & Telephone Number Shari Botermans 541.772.5352 Fax Number 541.772.3148 SOURCING METHOD ❑ Exempt from Competitive Bidding ❑ Emer enc ❑ Reason for exemption; ❑ Invitation to Bid (Copies on file) ❑ Form #13, Written findings and Authorization ❑ AMC 2,50 Date approved by Council; ❑ Written quote or proposal attached ❑ Written quote or proposal attached _ Attach cop of council communication _ If council approval required, attach cop 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 # ❑ VerballUUrittenquote(s) orproposal(s) -(Attach copy of council communication) ❑ State of Washington Intermediate Procurement ❑ Sole Source Contract # GOODS & SERVICES ❑ Applicable Form (#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 proposalslwrittensnlicitation 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 on-call leak detection services as needed Item # Quantity Unit Description of MATERIALS Unit Price Total Cost xxx xxx xxx TOTAL COST ® Per attached quote/proposal Project Number ~ ` ~ ~ - ~ ~ ~ ccount Number ~ ~ a e~ Account Number . ~t Account Number ~ . ~ ~ ; ~Expendifure musf be charged fo the appropriate account num ers for the financials fo accurafely reflect the acfual expenditures. IT Direcfor in collaborafian with department to approve a!t hardware and software purchases: IT Direcfor Dafe Support-Yes / No By signing this req isi 'orrm, I certify that the Cify's ppc contracting requirements have been satisfied, 1` Em to ee'~~~ ~ - Department Head, ~ ' f ~ ' NY ~ (equal to or gr ater than $5,000) -,~-~V ~ ~ - ;sue a,. ~ Department~lanagerlSupervisor;~~ City Administrator; ~ ~ t (Equal to o grea#er than $25,000) _ ~ ~ Funds appropriated for current fiscal year, / NO ~ _ ~inanGe ~ Or- (Equal to or greater fhan $5, 000) Date 6r Comments: Form #3 -Requisition