Loading...
HomeMy WebLinkAbout2018-010-Contract for Goods & Services-Darren Campbell Contract for GOODS AND SERVICES Small Procurement Less than $5,000 1 C I T Y OF INDEPENDENT CONTRACTOR: Darren Campbell ASHLAND CONTACT: Darren Campbell 20 East Main Street ADDRESS: 210 Jessica Lane, Ashland, OR 97520 Ashland, Oregon 97520 Telephone: 541/488-6002 Fax: 541/488-5311 TELEPHONE: (541) 531.5641 EMAIL: darrencam@gmail.com BEGINNING DATE: 12/13/17 COMPLETION DATE: 5/1/2018 COMPENSATION: Not to exceed $3,940.00 GOODS AND SERVICES TO BE PROVIDED: See Exhibit C - (Description/Scope of Work) In the event of conflicts or discrepancies among Contract Documents, this form of the City of Ashland Contract 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 this form City 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 by 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 bonded. Contractor must also maintain a current City business license. 3. Ownership of Production: All documents, materials or items produced by Contractor pursuant to this contract shall be the property of City. 4. Statutory Requirements: ORS 279B.220, 2796.225, 279B.230, 27913.235, ORS Chapter 244 and ORS 670.600 are made part of this contract. 5. Indemnification: Contractor agrees to defend, indemnify and save City, its officers, employees and agents harmless from those losses, expenses, or other damages resulting from injury to any person or damage to property arising out of or incident to the negligent performance of this contract by Contractor its employees, or agents. Contractor shall not be held responsible for any losses, expenses, or other damages, directly, solely, and proximately caused by the negligence of City. 6. Termination: City's Convenience. This contract may be terminated at any time by the City. 7. 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. 8. 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 certifies that it shall not discriminate in the award of such subcontracts, if any. 9. Asbestos Abatement License: If required under ORS 468A.710, Contractor or Subcontractor shall possess an asbestos abatement license. 10. 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. 11. 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. 12. Insurance. Contractor shall at its own expense provide the following: a. Workers' Compensation insurance in compliance with ORS 656.017, if work is performed by employees or volunteers or certification of exemption from such coverage. (Exhibit B - Exemption from Workers' Compensation Insurance). BY INITIALING THIS SENTENCE, CONTRACTOR CERTIFIES UNDER PENALTY OF LAW THAT THE WORK REQUIRED BY THIS CONTRACT SHALL BE PERFORMED SOLELY BY THE UNDERSIGNED or by subcontractors who are covered by Workers' Compensation insurance or who certify they are exempt from such coverage by completing Exhibit B and delivering it to the undersigned City official.: < b. General Liability insurance with a combined single limit, or the equivalent, of not less than $1,000,000 for each occurrence for Bodily Injury and Property Damage. Not Applicable C. Automobile Liability insurance with a combined single limit, or the equivalent, of not less than $1,000,000 for each accident for Bodily Injury and Property Damage, including coverage for owned, hired or non-owned vehicles, as applicable. Not Applicable 13. Governing Law; Jurisdiction; Venue: This contract shall be governed and construed in accordance with the laws of the State of Oregon 14. 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. Certification. Contractor shall sign the certification attached hereto as Exhibit A and herein incorporated by reference. Contractor: City of Ashla d: "1 By By Signatur D pa_ctxnent. He id J 14, 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. APPR VED F©RM Ashland Asst. City Attomra 4}-Y EXHIBIT A CERTIFICATIONS/REPRESENTATIONS: 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) 1 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 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 pursuant to written contracts. (5) Labor or services are performed for two or more different persons within a period of one year. (6) 1 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. Contractor (Date) l i EXHIBIT B CERTIFICATION OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE REQUIREMENTS Contractor is exempt from the requirement to obtain workers compensation insurance under ORS Chapter 656 for the following reason. Contractor is to initial the appropriate box as follows: SOLE PROPRIETOR (Initials) ■ Contractor is a sole proprietor, and ■ Contractor has no employees, and ■ Contractor will not hire employees or subcontractors to perform this contract. CORPORATION - FOR PROFIT (Initials) ■ Contractor's business is incorporated; and ■ All employees of the corporation are officers and directors and have a substantial ownership interest* in the corporation, and ■ All work will be performed by the officers and directors; Contractor will not hire other employees or subcontractors to perform this contract. CORPORATION - NONPROFIT (Initials) ■ Contractor's business is incorporated as a nonprofit corporation, and ■ Contractor has no employees; all work is performed by volunteers, and ■ Contractor will not hire employees or subcontractors to perform this contract. PARTNERSHIP (Initials) ■ Contractor is a partnership, and ■ Contractor has no employees, and ■ All work will be performed by the partners; Contractor will not hire employees or subcontractors to perform this contract, and ■ Contractor is not engaged in work performed in direct connection with the construction, alteration, repair, improvement, moving or demolition of an improvement to real property or appurtenances thereto.** LIMITED LIABILITY COMPANY (Initials) ■ Contractor is a limited liability company, and ■ Contractor has no employees, and ■ All work will be performed by the members; Contractor will not hire employees or subcontractors to perform this contract, and ■ If Contractor has more than one member, Contract(;,; is not engaged in work performed in direct connection with the construction, alteration, repair, improvement, moving or demolition of an improvement to real property or appurtenances thereto.** (Signature of Au orized Signer) (Date) (Signer'sTitle *NOTE: Under OAR436-50-050 a shareholder has a "substantial ownership" interest if the shareholder owns 10% of the corporation, or if less than 10% is owned, the shareholder has ownership that is at least equal to or greater than the average percentage of ownership of all shareholders. **NOTE: Under certain circumstances partnerships and limited liability companies can claim an exemption even when performing construction work. The requirements for thig exemption are complicated. Consult with City Attorney's Office before an exemption roque.6t is accepted from a contractor who will perform construction work. & - AiA EXHIBIT C Proposal and Budget for Smoke and Firewise Videography Darren Campbell Deliverables • Work with Asante Ashland Community Hospital, Ashland Chamber of Commerce and Ashland Fire & Rescue to produce 2 video shorts: 30 Second video: How to properly fit and wear an N95 Mask • Interview: Medical Expert • 60-90 Second Video: General recommendations for smoke exposure for all levels of air quality • Interview: Pulmonologist, Chamber of Commerce, business owner • Both films: o Filming of local Pulmonologist o Start: Footage of Ashland, smoke, wildfire o Exit: FACLN, AFR, Chamber of Commerce, & Asante logos o Voice over as needed o Both videos need music for the beginning and ending transitions • Work with Ashland Fire & Rescue to produce 5 Firewise video shorts • 60 Second Video: Wildfire mitigation from the roof to the eaves o Short videos of cleaning leaves and needles from gutters and roof • Emphasize using metal gutters, class b or better roof o Short video of someone inspecting and replacing their attic vents o Interviews and voice over as needed to illustrate content 60 Second Video: Wildfire mitigation within 5 feet of your house o Short still of a home without adequate vegetation within 5 feet of the house o Walk around tutorial of an Ashland house showing low growing vegetation, rock mulch, and fire resistant plants. o Narrative as appropriate to communicate Firewise principles 60 Second Video: Wildfire mitigation from 5-30 feet o Emphasize the distances between tree branches and roof/house o Show adequate spacing between shrubs, Firewise plantings o Narrative as appropriate to communicate Firewise principles • 60 Second Video: Maintenance o All wildfiresmitigation needs annual maintenance • Trimming bushes away from house • Lean,'clean, green landscapes • Cleaning leaves and needles under shrubs • 60 Second Video: Other ways to be firewise o Leave wood piles at least 30 feet from the house o Hose reels and other attachments to the house o Have an evacuation plan o Patio furniture and other storage i ~ 5' Proposed budget for Ashland Fire / Firewise video rate quant total Project #1 Shoot 3 interviews 125 3 375 Shoot - broil 2 75 150 Edit 10 40 400 Logo outro - graphics 3 40 120 music 2 30 60 Coordination 3 40 120 Total 1225 Project #2 - 5 x 60 sec spots Shoot - 2 1 /2 days 350 2 700 Shoot - b-roll (pick-up shots) 75 3 225 Drone footage 100 2 200 Music 30 5 150 Edit 30 40 1200 Coordiantion 6 40 240 Total 2715 - I - - 11 ' Private Passenger Automobile PROGRESSIVE CLASSIC INS C(42994) Renewal Named Insured(s) DARREN CAMPBELL Policy Number: 70702815 1015 Clay St. Producer Sub-Code: 15069 Ashland, OR 97520 Premium: 1,816.00 M: (530)559-6868 NetChange: 1,816.00 Email: sierramoon@hotmail.com Term: 6Months Transaction Date: 10/20/2017 Effective Date: 10/20/2017 Expiration Date: 04/20/2018 Private Passenger Automobile Premium: 1,816.00 Net Change Amount: 1,816.00 Effective Date: 10/20/2017 'Policy Coverages I Fees I Taxes I Discount(s) Description Limit Deductible Premium Electronic Funds Transfer - Policy Level Discount Incl Multi Car Discount Incl New Business Length of Pop Discount 4 Incl Paperless Discount Incl Total Premium: 0.00 Coverages 2008 2007 TOYOTA VOLKSWAGEN Description Limit TACOMA TOUAREG Combined Single Limit Liability 100,000 381.00 346.00 Collision Coverage 500 ded 500 ded 347.00 280.00 Comprehensive Coverage 250 ded 250 ded 49.00 46.00 Basic -medical Expense (1stLimit) 25,000 118.00 88.00 Rental Reimbursement 30/900 26.00 27.00 Towing & Roadside Labor 6.00 7.00 Uninsured Motorists Combined Single Limit 100,000 39.00 28.00 Uninsured Motorist Property Damage 25,000 200 ded 200 ded 17.00 11.00 Total Vehicle Premium: 983.00 833.00 Vehicle(s) 1. 2008TOYOTATACOMA The insurance policy information contained herein is produced from data contained in the Client Management System and cannot be used to determine coverage provided by an insurance policy. Please referto the insurance policy issued byyourinsurance carrierforcoverage information. DARREN CAMPBELL 10/20/2017 Purchase Order Fiscal Year 2018 Page: 1 of: 1 T.;€SF'C7'~Ii9id1~[:€t-Piu:a A'507 ON ALL INVOICES. AND SHIPPING DOCUMENTS. ' B City of Ashland _ ATTN: Accounts Payable Purchase _ 20 E. L Ashland, Main OR 97520 Order # 20181143 T Phone: 541/552-2010 O Email: payable@ashland.or.us V H C/O Fire and Rescue Department N CAMPBELL, DARREN 1 455 Siskiyou Blvd D 975 EAST MAIN STREET P Ashland, OR 97520 ASHLAND, OR 97520 Phone: 5411482-2770 O O Fax: 541/488-5318 __eRtEEti_m_ $~_l1 ' n_ s{u~fion Ns - = e a€~Re = - 541 531-5641 Chris Chambers mate red s1= ~o+ _ Erb rn - ^e menf[L~ a t ry- 12/15/2017 919 FOB ASHLAND OR/NET30 Cit Accounts Pa able PrI ce= _ Kid& =ltem# Video Production 1 Video production for two smoke and health related videos and five 1 $3,940.0000 $3,940.00 Firewlse videos Contract for Goods and Services Small Procurement Less than $5,000 Beginning date: 12/13/2017 Completion date: 05/1/2018 Project Account: E-000518-999 Project Account: E-000592-999 GL SUMMARY 072900 606100 $3,940.00 I I By: Date: l~ Total - -3 940.00 uthorizd Signature FORM #3 CITY OF ASHLAND l I I . REQUISITION `ate of request: 12/12/2017 Required date for delivery: 12115/17 Vendor Name nprrpn C mphpll Address, City, State, Zip Ashland, OR 97520 Contact Name & Telephone Number Darren Campbell 541.531.5641 Email address darrencam@gmail.com SOURCING METHOD ❑ Exempt from Competitive Bidding ❑ Emergency ❑ Reason for exemption: ❑ Invitation to Bid (Copies on file) ❑ Form #13, Written findings and Authorization ❑ AMC 2.50 Date approved by Council: ❑ Written quote or proposal attached ❑ Written quote or proposal attached _(Attach co of council communication If council approval required, attach co of CC ® Small Procurement Cooperative Procurement Less than $5,000 ❑ Request for Proposal (Copies on file) ❑ State of Oregon Date approved by Council: ® Direct Award (Attach copy of council communication) Contract # F-1 Verbal/Written quote(s) or proposal(s) - ❑ 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 ❑ Agency ❑ Form #9, Request for Approval ® Less than $35,000, by direct appointment ❑ Written quote or proposal attached Date original contract approved by Council: ❑ (3) Written proposals/written solicitation i 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 $3,940 Video production for two smoke and health related videos and five Firewise videos. Item # Quantity Unit Description of MATERIALS Unit Price Total Cost TOTAL COST ❑ Per attached quotelproposal $3,940.00 Project Number 000592 -999 Account Number 072900 - 606100 ($1,225.00) Project Number 000518 -999 Account Number 072900 - 606100 ($2,715.00) Expenditure 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: IT Director Date Support -Yes/ No By signing this requisition form, I certify that the City's public contracting requirements have been satisfied. Employee: Department Head: (Equal or greater than $5,000) Department Manager/Supervisor pity Administrator: (Equa to or greater than $25,000) Funds appropriated for current fiscal year YES / NO Finance Director- (Equal to or greater than $5,000) Date Comments: Form #3 - Requisition