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HomeMy WebLinkAbout2018-029-Contract for Goods and Services - Greenway Spray Contract for GOODS AND SERVICES less than $25,000 CITY OF CONTRACTOR: Greenway Spray LLC ASHLAND CONTACT: Greg Stewart 20 East Main Street Ashland, Oregon 97520 ADDRESS: 3155 Old Stage Rd, Central Point, OR 97502 Telephone: 541/488-6002 Fax: 541/488-5311 TELEPHONE: (541) 622-9949 DATE AGREEMENT PREPARED: 1.4.18 FAX: Greg@GreenWaySpray.com BEGINNING DATE: 2.4.18 COMPLETION DATE: 3.30.18 COMPENSATION: Not to exceed $4950.00 GOODS AND SERVICES TO BE PROVIDED: Herbicide application at Ashland Airport, per Exhibit C (proposal) 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 primary 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. 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 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: All documents prepared by Contractor pursuant to this contract shall be the property of City. 6. Statutory Requirements: ORS 2798.220, 279B.225, 2796.230, 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 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, costs, expenses, judgments, subrogations, or other damages resulting from injury to any person (including injury resulting in death), or damage (including loss or destruction) to property, of whatsoever nature arising out of or incident to the performance of this contract by 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. Citv's Convenience. This contract may be terminated at any time by City upon 30 days' notice in writing and delivered by certified mail or in person. C. For Cause. City may terminate or modify this contract, in whole or in part, effective upon delivery of written notice to Contractor, or at such later date as may be established b City under an of the following Contract for Goods and Services Less than $25,000, 06/30/2016, Page 1 of 5 conditions: i. If City funding from federal, state, county or other sources is not obtained and continued at levels sufficient to allow for the purchase of the indicated quantity of services; ii. If federal or state regulations or guidelines are modified, changed, or interpreted in such a way that the services are no longer allowable or appropriate for purchase under this contract or are no longer eligible for the funding proposed for payments authorized by this contract; or iii. If any license or certificate required by law or regulation to be held by Contractor to provide the services required by this contract is for any reason denied, revoked, suspended, or not renewed. d. For Default or Breach. i. Either City or 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 (d) are not 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 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 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 Abatement 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 if 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: P $200,000, $500,000, $1,000,000, $2,000,000 or Not Applicable for each occurrence for Bodily Injury and Property Damage. C. Automobile Liability insurance with a combined single limit, or the equivalent, of not less than Enter one: $200,000, $500,000, $1,000,000, or Not Applicable for each accident for Bodily Injury and Property Damage, including coverage for owned, hired or non-owned vehicles, as applicable. Contract for Goods and Services Less than $25,000, 06/30/2016, Page 2 of 5 d. Notice of cancellation or change. There shall be no cancellation, material change, reduction of limits or intent not to renew the insurance coverage(s) without 30 days' written notice from the Contractor or its insurer(s) to the City. e. Additional Insured/Certificates 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/or self-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, suit or 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 on 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 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 shall sign the certification attached hereto as Exhibit A and herein incorporated by refere ce. Contra or: City of Ashland By By Signature Department Head 0, aELL' fgaL4 G e120eVA) Print Name Print Name OA- ~f41~~ J4^1 7ato Title Date W-9 One copy of a W-9 is to be submitted with the signed contract. Purchase Order No. Contract for Goods and Services Less than $25,000, 06/30/2016, Page 3 of 5 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. C (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. Contr ct (Date) Contract for Goods and Services Less than $25,000, 06/30/2016, Page 4 of 5 CITY OF ASHLAND, OREGON City of Ashland LIVING WAGE per hour, effective June 30, 2017. The Living Wage is adjusted annually every June 30 by the Consumer Price Index. • - portion of business of their 401 K and IRS eligible employer, if the employer has cafeteria plans (including ten or more employees, and childcare) benefits to the has received financial amount of wages received by For all hours worked under a assistance for the project or the employee. service contract between their business from the City of employer and the City of Ashland in excess of Note: For temporary and Ashland if the contract $20,688.86. part-time employees, the exceeds $20,688.86 or more. Living Wage does not apply If their employer is the City of to the first 1040 hours worked For all hours worked in a Ashland, including the Parks in any calendar year. For / month if the employee spends and Recreation Department. more details, please see 50% or more of the Ashland Municipal Code employee's time in that month In calculating the living wage, Section 3.12.020. working on a project or employers may add the value of health care, retirement, For additional information: 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, 06/30/2016, Page 5 of 5 / Greenway Spray LLC Estimate 05i 3155 Old Stage Road Central Point, OR 97502 Date Estimate # 000 12/20/2017 192 Name / Address City of Ashland Public Works/Engineering 51 Winburn Way Ashland. OR 97520 Project Description Qty Rate Total Custom spray 18 acres of weeds at the Ashland Airport with pre and 18 275.00 4,950.00 post emergent herbicide . Areas include: All taxiway asphalt cracks and edges. Unpaved areas between the hanger doors. A 12' swath that follows the vegetative Swale on the taxiway and runway shoulders. (approximately 2' inside lights/reflectors) Signs and lights inside the 12' Swale border. West side of runway to back side of lights. Thank you for your business. Total $4.950.00 RECEIVED MAR 2- 91117 1 DATE (MMIDDIYYYY) A~oRO CERTIFICATE OF LIABILITY INSURANCE 2/2812017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME:_ PHONE - - 'FAX Towne Centre Ins Service, LLC 315 SE 7th St E-MAIL t.Xtl - - -1Alc No): Grants Pass, OR 97526 ADDRESS: _ INSURER(S) AFFORDING COVERAGE _ NAIL p INSURERA: Scottsdale Insurance Company INSURED INSURER B : Greenway Spray LLC INSURER C: 208 Glenwood Dr Eagle Point, OR 97524 INSURER D: INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH TFCS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. - -r - - - - - - - - - INSR TYPE OF INSURANCE AODLSUBR` POLICY NUMBER MM/DD/YYYY M M/DDYIY ) LIMITS POLIC LTR GENERAL LIABILITY X CPS-2600850 2/155/2017 2/15/2018 EACH OCCURRENCE $ 1,000,000 MERCIAL GENERAL LIABILITY H-CLAIMS-MADE DAMAGE TO RENTED PREMISES(Ea occurrence$ 100,000 A OCCUR MED EXP (Any one person) 5 5,000 - PERSONAL 8 ADV INJURY $ 1,000,000 ILA _ _ GENERAL AGGREGATE 5 2,000,000 MP/OPAGG _ $ 2A00A00 GENT AGGREGATE LIMIT APPLIES PER PRODUCTS-CO POLICY PRO- LOC $ JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT _(Ea accident) I ANY AUTO BODILY INJURY (Per person) p S BODILY INJURY (Per accident) $ AUTOS AUTOS r_ - - _ NON-OWNED PROPERTY DAMAGE $ - HIRED AUTOS AUTOS Per accidentJ___- UMBRELLA LIAB I OCCUR j EACH OCCURRENCE $ EXCESS LIAB i 'I CLAIMS-MADE, AGGREGATE T--_ DED RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH AND EMPLOYERS' LIABILITY EACH ACCIDENT ANY PROPRIETOR/PARTNER/EXECUTIVE L1 ! E.L. EACH $ _ ER YIN OFFI CER/MEMBER EXCLUDED? N/A r-- _ - II - (Mandatory In NH) E.L. DISEASE _ EMPLOY-Ed, $ - EA If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ ; DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Certificate holder is listed as an additional insured. CERTIFICATE HOLDER CANCELLATION CITY OF ASHLAND SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 20 EAST MAIN ST THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ASHLAND, OR 97520 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD PAOGREWYE' TOWNE CENTRE INS COMMERC/AL 315 SE 7TH STREET GRANTS PASS, OR 97526 1-541-476-3311 Policy number: 03967552-1 Underwritten by: ARTISAN AND TRUCKERS CASLALTY CO January 4, 2018 Page 1 of 2 Certificate of Insurance Certificate Holder Additional Insured CITY OF ASHLAND 20 EAST MAIN ST ASHLAND, OR 97520 Insured Agent GREENWAY SPRAY LLC TOWNE CENTRE INS 3155 OLD STAGE RD 315 SE 7TH STREET CENTRAL POINT, OR 97502 GRANTS PASS, OR 97526 This document certifies that insurance policies identified below have been issued by the designated insurer to the insured named above for the period(s) indicated. This Certificate is issued for information purposes only. It confers no rights upon the certificate holder and does not change, alter, modify, or extend the coverages afforded by the policies listed below. The coverages afforded by the policies listed below are subject to all the terms, exclusions, limitations, endorsements, and conditions of these policies. Policy Effective Date: Dec 8, 2017 Policy Expiration Date: Dec 8, 2018 Insurance coverage(s) Limits BODILY INJURY/PROPERTY DAMAGE $1,000,000 COMBINED SINGLE LIMIT UNINSURED MOTORIST BODILY INJURY $1,000,000 COMBINED SINGLE LIMIT EMPLOYER'S NON-OWNED AUTO BIPD $1,000,000 COMBINED SINGLE LIMIT HIRED AUTO BODILY INJURY/PROPERTY DAMAGE $1,000,000 COMBINED SINGLE LIMIT Description of LocationNehicles/Special Items Scheduled autos only 2005 DODGE RAM 2500 3D6WS26D05G832400 UNINSURED MOTORIST PROPERTY DAMAGE $20,000 W/$200 DED ($300 IF HIT & RUN) PERSONAL INJURY PROTECTION $15,000 COMPREHENSIVE $500 DED COLLISION $500 DED RENTAL REIMBURSEMENT $30 PER DAY ($900 MAX) ROADSIDE ASSISTANCE SELECTED 1992 FORD F250 1 FTHX26G6NKB46378 UNINSURED MOTORIST PROPERTY DAMAGE $20,000 W/$200 DED ($300 IF HIT & RUN) PERSONAL INJURY PROTECTION $15,000 ROADSIDE ASSISTANCE SELECTED Co,ntniec Policy number: 03967552-1 Page 2 of 2 2017 DNS TRLR BLDRS TRAILER 1 D9D1 VC2XHM731023 Stated Amount $2,600 COMPREHENSIVE $250 DED 2017 FORD F350 1 FTRF3B63HEE26630 UNINSURED MOTORIST PROPERTY DAMAGE $20,000 W/$200 DED ($300 IF HIT & RUN) PERSONAL INJURY PROTECTION $15,000 COMPREHENSIVE $500 DED COLLISION $500 DED RENTAL REIMBURSEMENT $30 PER DAY ($900 MAX) ROADSIDE ASSISTANCE SELECTED 2015 HOMEMADE TRAILER 99999999999999999 Certificate number 00418NET552 Please be advised that additional insureds and loss payees will be notified in the event of a mid-term cancellation. Form 5241 (10102) ..saif.com Oregon Workers' Compensation Work. Certificate of Insurance saifOregon. Life. Mail to: Certificate holder: GREENWAY SPRAY LLC CITY OF ASHLAND 3155 OLD STAGE RD 20 EAST MAIN STREET CENTRAL POINT, OR 97502 ASHLAND, OR 97520 The policy of insurance listed below has been issued to the insured named below for the policy period indicated. The insurance afforded by 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 Producer/contact Greenway Spray LLC SAIF Corporation 3155 Old Stage Rd Portland Service Center Central Point, Or 97502 971.242.5001 servic@saif.com Issued 01/04/2018 Limits of liability Policy 857891 Bodily Injury by Accident $500,000 each accident Period 02/01/2018 to 02/01/2019 Bodily Injury by Disease $500,000 each employee Body Injury by Disease $500,000 policy limit Description of operations/locations/special 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 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 certificate holder. Authorized representative ) 6', ✓4~- Kerry Barnett President and CEO 400 High Street SE Salem, OR 97312 P: 800.285.8525 F: 503.584.9812 Pol icy_OLCA_Certificate0flnsurance Purchase Order Fiscal Year 2018 Page: 1 of: 1 THIS PO NUMBER MUST APPEAR ON ALL B City of Ashland INVOICES, AND SHIPPING DOCUMENTS. I ATTN: Accounts Payable -J L 20 E. Main Purchase 20181174 L Ashland, OR 97520 Order # T Phone: 541/552-2010 O Email: payable@ashland.or.us V H C/O Public Works Department E GREENWAY SPRAY LLC 1 51 Winburn Way N 208 GLENWOOD DRIVE P Ashland, OR 97520 D EAGLE POINT, OR 97524 Phone: 541/488-5347 O T Fax: 541/488-6006 R O Vendomehone Number vendor=Fax Number Requisition Number = Delivery Ka lea Kathol ate 0rder~= Vendor Number =Date Required= --Freight Method/Terms = = Department/Locatlon - 01/12/2018 3093 FOB ASHLAND OR/NET30 Cit Accounts Pa able teer{ OMPartN QTY Unit Price Extended Pric--e= Application to apply herbicide at Ashland Municipal Airport 1 $4,950.0000 $4,950.00 Contract for Goods and Services less than $25,000 Beginning date: 02/04/2018 Completion date: 03/30/2018 Project Account: GL SUMMARY*********** 085700 - 704100 $4,950.00 By: Authorize gnature PO Total 950.00 $4 FORM#3~CCITY OF ASHLAND REQUISITION Date of request: 1/10/18 Required date for delivery: 1/19/18 Vendor Name Greenway Spray LLC Address, City, State, Zip 3155 Old Stage Rd, Central Point, OR 97502 Contact Name & Telephone Number Greg Stewart (541) 662-9949 Fax Number greg@greenwayspray.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 cop of council communication -(If council approval required, attach cop of CC ® Small Procurement ❑ Request for Proposal (Copies on file) Cooperative Procurement Less than $5,000 ❑ State of Oregon Date approved by Council: ® Direct Award -(Attach copy of council communication) Contract # ® 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 El 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: El (3) Written proposals/written solicitation Date approved by Council: (Date) _ (Attach copy of council communication) ❑ Form #4, Personal Services $5K to $75K Valid until: Date Description of SERVICES Total Cost Contractor to apply herbicide at Ashland Municipal Airport $4950 Item # Quantity Unit Description of MATERIALS Unit Price Total Cost XXX XXX XXX TOTAL COST ® Per attached quote/proposal Project Number Account Number 085700.704100 Account Number Account Number 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: I T Director Date Support-Yes / No By signing this requisiti . form, 1 certify th the ity's pub/ic-c-o~ritracting requirements have been satisfied. Employee: Department Head: (Equal to or greater than $5,000) Department Manager/Supervisor: City Administrator: fi-al to or greater than $25,000) -77 Funds appropriated for current fiscal year ~NO-~' l r Finance Director (Equal to or greater than $5,000) Date Comments: Form #3 - Requisition