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2018-048-Contract for Personal Services -Mark Baird
Contract for Personal Services less than $35,000.00 CITY OF CONSULTANT: Mark Baird Apprasial -AS H LAND CONTACT: Mark Baird 20 East Main Street Ashland, Oregon 97520 ADDRESS: P.O. BOX 1068 Gold Hill, OR 97525 Telephone: 541/488-6002 Fax: 541/488-5311 -TELEPHONE: (541) 770-2769 DATE AGREEMENT PREPARED: 2/14/18 EMAIL: Mark Baird <markjbaird@charter.net> BEGINNING DATE: 2/20/18 COMPLETION DATE: 4/1/18 COMPENSATION: Not to Exceed $8,500 SERVICES TO BE PROVIDED: A rasial for 200 Tolman Creek lot 100 ADDITIONAL TERMS: In the event of conflicts or discrepancies among the contract documents, the City of Ashland Contract for Personal Services will be primary and take precedence, and any exhibits or ancillary contracts or agreements having redundant or contrary provisions will be subordinate to and interpreted in a manner that will not conflict with the said primary City of Ashland Contract. FINDINGS: Pursuant to AMC 2.50.120, after reasonable inquiry and evaluation, the undersigned Department Head finds and determines that: (1) the services to be acquired are personal services; (2) the City does not have adequate personnel nor resources to perform the services; (3) the statement of work represents the department's plan for utilization of such personal services; (4) the undersigned consultant has specialized experience, education, training and capability sufficient to perform the quality, quantity and type of work requested in the scope of work within the time and financial constraints provided; (5) the consultant's proposal will best serve the needs of the City; and (6) the compensation negotiated herein is fair and reasonable. NOW THEREFORE, in consideration of the mutual covenants contained herein the CITY AND CONSULTANT AGREE as follows: 1. Findings / Recitations. The findings and recitations set forth above are true and correct and are incorporated herein by this reference. 2. All Costs by Consultant: Consultant shall, at its own risk and expense, perform the personal services described above and, unless otherwise specified, furnish all labor, equipment and materials required for the proper performance of such service. 3. Qualified Work: Consultant has represented, and by entering into this contract now represents, that all personnel assigned to the work required under this contract are fully qualified to perform the service to which they will be assigned in a skilled and worker-like manner and, if required to be registered, licensed or bonded by the State of Oregon, are so registered, licensed and bonded. 4. Completion Date: Consultant shall start performing the service under this contract by the beginning date indicated above and complete the service by the completion date indicated above. 5. Compensation: City shall pay Consultant for service performed, including 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. 6. Ownership of Documents: All documents prepared by Consultant pursuant to this contract shall be the property of City. 7. Statutory Requirements: ORS 279C.505, 279C.515, 279C.520 and 279C.530 are made part of this contract. 8. Living Wage Requirements: If the amount of this contract is $20,283.20 or more, Consultant is required to comply with chapter 3.12 of the Ashland Municipal Code by paying a living wage, as defined in this chapter, to all employees performing work under this contract and to any Subcontractor who performs 50% or more of the service work under this contract. Consultant is also required to post the notice attached hereto as Exhibit B predominantly in areas where it will be seen by all employees. 9. Indemnification: Consultant agrees to defend, indemnify and save City, its officers, employees and agents harmless from any and all losses, claims, actions, costs, expenses, judgments, subrogations, or other damages resulting from injury to any person (including injury resulting in death), or damage (including loss or destruction) to property, of whatsoever nature arising out of or incident to the performance of this contract by Consultant (including but not limited to, Consultant's employees, agents, and others designated by Consultant to perform work or services attendant to this contract). Consultant shall not be held responsible for any losses, expenses, claims, subrogations, actions, costs, judgments, or other damages, directly, solely, and proximately caused by the negligence of City. 10. Termination: a. Mutual Consent. This contract may be terminated at an time b mutual consent of both parties. Contract for Personal Services less than $35,000.00, Page 1 of 5 b. City's Convenience. This contract may be terminated at any time by City upon 30 days' notice in writing and delivered by certified mail or in person. C. For Cause. City may terminate or modify this contract, in whole or in part, effective upon delivery of written notice to Consultant, or at such later date as may be established by City under any of the following conditions: i. If City funding from federal, state, county or other sources is not obtained and continued at levels sufficient to allow for the purchase of the indicated quantity of services; ii. If federal or state regulations or guidelines are modified, changed, or interpreted in such a way that the services are no longer allowable or appropriate for purchase under this contract or are no longer eligible for the funding proposed for payments authorized by this contract; or iii. If any license or certificate required by law or regulation to be held by Consultant to provide the services required by this contract is for any reason denied, revoked, suspended, or not renewed. d. For Default or Breach. i. Either City or Consultant may terminate this contract in the event of a breach of the contract by the other. Prior to such termination the party seeking termination shall give to the other party written notice of the breach and intent to terminate. If the party committing the breach has not entirely cured the breach within 15 days of the date of the notice, or within such other period as the party giving the notice may authorize or require, then the contract 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 Consultant's performance of each and every obligation and duty under this contract. City by written notice to Consultant of default or breach may at any time terminate the whole or any part of this contract if Consultant fails to provide services called for by this contract within the time specified herein or in any extension thereof. iii. The rights and remedies of City provided in this subsection (d) are not exclusive and are in addition to any other rights and remedies provided by law or under this contract. e. 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, Consultant shall immediately cease all activities under this contract, unless expressly directed otherwise by City in the notice of termination. Further, upon termination, Consultant shall deliver to City all contract documents, information, works-in-progress and other property that are or would be deliverables had the contract been completed. City shall pay Consultant for work performed prior to the termination date if such work was performed in accordance with the Contract. 11. Independent Contractor Status: Consultant is an independent contractor and not an employee of the City. Consultant shall have the complete responsibility for the performance of this contract. Consultant shall provide workers' compensation coverage as required in ORS Ch 656 for all persons employed to perform work pursuant to this contract. Consultant is a subject employer that will comply with ORS 656.017. 12. Assignment and Subcontracts: Consultant shall not assign this contract or subcontract any portion of the work without the written consent of City. Any attempted assignment or subcontract without written consent of City shall be void. Consultant shall be fully responsible for the acts or omissions of any assigns or Subcontractors and of all persons employed by them, and the approval by City of any assignment or subcontract shall not create any contractual relation between the assignee or subcontractor and City. 13. Default. The Consultant shall be in default of this agreement if Consultant: commits any material breach or default of any covenant, warranty, certification, or obligation it owes under the Contract; its QRF status pursuant to the QRF Rules or loses any license, certificate or certification that is required to perform the Services or to qualify as a QRF if consultant has qualified as a QRF for this agreement; institutes an action for relief in bankruptcy or has instituted against it an action for insolvency; makes a general assignment for the benefit of creditors; or ceases doing business on a regular basis of the type identified in its obligations under the Contract; or attempts to assign rights in, or delegate duties under, the Contract. 14. Insurance. Consultant shall at its own expense provide the following insurance: a. Worker's Compensation insurance in compliance with ORS 656.017, which requires subject employers to provide Oregon workers' compensation coverage for all their subject workers b. n Professional Liability insurance with a combined single limit, or the equivalent, of not less than Enter one: $25 0, $500,000, $1,000,000, $2,000,000 or Not Applicable for each claim, incident or occurrence. This is to cover damages caused by error, omission or negligent acts related to the professional services to be provided under this contract. 4\,~ General Liability insurance with a combined single limit, or the equivalent, of not less than Enter one: $2 0, $500,000, $1,000,000, $2,000,000 or Not Applicable for each occurrence for Bodily Injury and Property Damage. d. Automobile Liability insurance with a combined single limit, or the equivalent, of not less than Enter one: $100,000, $500,000, $1,000,000, or Not Applicable for each accident for Bodily Injury and Property Damage, inc u~irg coverage for owned, hired or non-owned vehicles, as applicable. e. Notice of cancellation or change. There shall be no cancellation, material change, reduction of limits or Contract for Personal Services less than $35,000.00, Page 2 of 5 intent not to renew the insurance coverage(s) without 30 days' written notice from the Consultant or its insurer(s) to ttie City. f. Additional Insured/Certificates of Insurance. Consultant shall name The City of Ashland, Oregon, and its elected officials, officers and employees as Additional Insureds on any insurance policies, excluding Professional Liability and Workers' Compensation, required herein, but only with respect to Consultant's services to be provided under this Contract. The consultant's insurance is primary and non-contributory. As evidence of the insurance coverages required by this Contract, the Consultant shall furnish acceptable insurance certificates prior to commencing work under this contract. The certificate will specify all of the parties who are Additional Insureds. Insuring companies or entities are subject to the City's acceptance. If requested, complete copies of insurance policies; trust agreements, etc. shall be provided to the City. The Consultant shall be financially responsible for all pertinent deductibles, self-insured retentions and/or self-insurance. 15. Governing Law; Jurisdiction; Venue: This contract shall be governed and construed in accordance with the laws of the State of Oregon without resort to any jurisdiction's conflict of laws, rules or doctrines. Any claim, action, suit or proceeding (collectively, "the claim") between the City (and/or any other or department of the State of Oregon) and the Consultant that arises from or relates to this contract shall be brought and conducted solely and exclusively within the Circuit Court of Jackson County for the State of Oregon. If, however, the claim must be brought in a federal forum, then it shall be brought and conducted solely and exclusively within the United States District Court for the District of Oregon filed in Jackson County, Oregon. Consultant, by the signature herein of its authorized representative, hereby consents to the in personam jurisdiction of said courts. In no event shall this section be construed as a waiver by City of any form of defense or immunity, based on the Eleventh Amendment to the United States Constitution, or otherwise, from any claim or from the jurisdiction. 16. THIS CONTRACT AND ATTACHED EXHIBITS CONSTITUTE THE ENTIRE AGREEMENT BETWEEN THE PARTIES. NO WAIVER, CONSENT, MODIFICATION OR CHANGE OF TERMS OF THIS CONTRACT SHALL BIND EITHER PARTY UNLESS IN WRITING AND SIGNED BY BOTH PARTIES. SUCH WAIVER, CONSENT, MODIFICATION OR CHANGE, IF MADE, SHALL BE EFFECTIVE ONLY IN THE SPECIFIC INSTANCE AND FOR THE SPECIFIC PURPOSE GIVEN. THERE ARE NO UNDERSTANDINGS, AGREEMENTS, OR REPRESENTATIONS, ORAL OR WRITTEN, NOT SPECIFIED HEREIN REGARDING THIS CONTRACT. CONSULTANT, BY SIGNATURE OF ITS AUTHORIZED REPRESENTATIVE, HEREBY ACKNOWLEDGES THAT HE/SHE HAS READ THIS CONTRACT, UNDERSTANDS IT, AND AGREES TO BE BOUND BY ITS TERMS AND CONDITIONS. 17. Nona ppropriations Clause. Funds Available and Authorized: City has sufficient funds currently available and authorized for expenditure to finance the costs of this contract within the City's fiscal year budget. Consultant understands and agrees that City's payment of amounts under this contract attributable to work performed after the last day of the current fiscal year is contingent on City appropriations, or other expenditure authority sufficient to allow City in the exercise of its reasonable administrative discretion, to continue to make payments under this contract. In the event City has insufficient appropriations, limitations or other expenditure authority, City may terminate this contract without penalty or liability to City, effective upon the delivery of written notice to Consultant, with no further liability to Consultant. Certification. Consultant shall si n the a ification attached hereto as Exhibit A and herein incorporated b reference. onsultant: City hland By By ` C Signature Department Hea PIAMd G~i~el I~raIS Print Name Print Name 041a k , APP9615(-j 2 C_-D 1 Title Date / W-9 One copy of a W-9 is to be submitted with the signed contract. Purchase Order No. Contract for Personal Services less than $35,000.00, Page 3 of 5 EXHIBIT A 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. S (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. ly? tS t Contractor (Date) Contract for Personal Services less than $35,000.00, Page 4 of 5 CITY OF ASHLAND, OREGON EXHIBIT B City of Ashland LIVING WAGE • per hour effective June 30, 2016 (Increases 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 assistance for the project or the employee. For all hours worked under a business from the City of service contract between their Ashland in excess of ➢ Note: "Employee" does not employer and the City of $20,283.20. include temporary or part-time Ashland if the contract employees hired for less than exceeds $20,283.20 or more. y If their employer is the City of 1040 hours in any twelve- Ashland including 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, additional For Call the Ashland City Administrators 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 O F -ASHLAND Contract for Personal Services less than $35,000.00, Page 5 of 5 t MARK BAIRD/APPRAISER • COUNSELING • REALTOR REAL PROPERTY APPRAISER P.O. BOX 1068 • GOLD HILL, OREGON 97525 Phone (541) 770-2769 • Cell (541) 890.5825 February 13, 2018 Mr. Jason Minica , Open Space & Outer Parks Supervisor k! Ashland Parks and Recreation Dept. 1195 E Main St. Ashland, OR 97520 ENGAGEMENT LETTER/FEE AGREEMENT Mark Baird, CREA, Oregon State Certified General Appraiser shall be engaged to make a "Current" appraisal of the property described following, which is in the name of The Connie L Terwilliger Family Living Trust. The appraisal will be reported in an "Appraisal Report", using a narrative summary style format. It will be "USPAP 2018/2019" compliant. The anticipated delivery date is 6 to 8 weeks from signed engagement letter and partial advance payment retainer. The assignment is as follows; Appraise the "Current" Market Value of the subject property at its Highest and Best Usage. The Fee Simple Interest of the subject property, will be appraised at the request of the client for potential purchase purposes. 1 200 Tolman Creek Road, Ashland, OR 97520 (Improved) 39-1E-11CD/100, 9,37 Acres, RR-5 zoned, In Ashland UGB, MFR GLUP Designation, Assessors Acct. # 1-011478-2. The subject property Fee Simple Interest will be appraised for "potential purchase purposes" to establish the Market Value as of the Winter 2018 inspection date, in a clear and concise report considered an Appraisal Report per "USPAP 2018/2019". The client is Mr. Jason Minica, Representing Ashland Parks and Recreation Department. The client is the only intended user. The total fee for the assignment is uncertain as the scope of work required is not yet known. The fee quote is estimated in a range of $3,500 to $7,000 by this appraiser, but in no case shall it exceed $8,500. A time log will be maintained at Baird's professional fee of $125/hour. A 50% advance fee (of the minimum fee quote which is 500/0 of $3,500 or $1,750) to get the appraisal process started. This will be collected from the client upon inspection or prior to such. The balance of the fee will be collected from the client upon completion. The appraisal will be delivered in electronic format with up to 3 three hard copies available if requested. Please Sign, Date, and Return if agreeable. Mark Baird, CREA Oregon State Certified General Appraiser 0000125 Expiring 08/31/2019 to 2 3 Mr. Jason Minica, Client Representing Ashland Parks and Rec. Dept. Date CITY OF -ASHLAND FORM #4 DETERMINATIONS TO PROCURE PERSONAL SERVICES $5,000 to $75,000 To: John Karns, Public Contracting Officer From: Michael Black Date: 2/12/18 Re: DETERMINATIONS TO PROCURE PERSONAL SERVICES In accordance with AMC 2.50.120(A), for personal services contracts greater than $5,000, but less than $75,000, the Department Head shall make findings that City personnel are not available to perform the services, and that the City does not have the personnel or resources to perform the services required under the proposed contract. However, the City Attorney, the Public Contracting Officer, or Local Contract Review Board, can require a formal solicitation for bids to ensure that the purposes of this chapter are upheld. Background The Commissions intent is to obtain a professional appraisal of Terwilliger Property 200 Tolman Creek Road tax lot 100. The estimated cost is $8500 as per contract The timeline is as per the contract, February 12, 2018 to April 1, 2018 Pursuant to AMC 2.50.120(A), has a reasonable inquiry been conducted as to the availability of City personnel to perform the services, and that the City does not have the personnel and resources to perform the services required under the proposed contract? Ashland Parks and Recreation Commission does not have personnel to perform the duties as outlined above. I Form #4 - Department Head Determinations to Procure Personal Services, Page 1 of 1, 2112/2018 ACC) CERTIFICATE OF. LIABILITY INSURANCE DAo r2~Oa 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(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WANED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements). PRODUCER CONT CT KRiSTINE LUBA N, E~ JOSH ELBERT PHONE 541-772-3291 Fac No: 541-779-2485 ADDRESS: KRISTINE.LUBA.Dl9M@STATEFARM.COM 820 S RIVERSIDE AVE E-MAIL MEDFORD, OR 97501 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : State Farm Fire and Casualty Company 25143 INSURED INSURER B : MARK BAIRD INSURER C : PO BOX 1068, GOLD HILL,OR 97525-1068 INSURER D : 32 5TH ST, GOLD HILL, OR 97525 INSURER E : INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE ADDLSUER POLICYNUMBER PMI1Df EFF MIDD EXP UMW LTR COMMERCIALGENERALLIABILITY EACH OCCURRENCE $ 1,000,000 A GE~~tF ELATED CLAIMS-MADE ® OCCUR PREMISES a occurrence) $ MED EXP (An one person $ 5,000 Y 97-CE-2954-8 0810612017 08/06/2018 PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY F-] j RECT LOC PRODUCTS -COMP/OP AGG $ 2,000,000 OTHER: s 500,000 AUTOMOBILE LIABILITY Y 330 3451-E12-37 11112/2017 05/1212018 COMBINED SINGLE LIMIT $ Ea accident) ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS $ WIRED NON-OWNED peOr arEentDAMAGE AUTOS ONLY AUTOS ONLY $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION STATUTE ERH AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE ❑ NIA ELEACHACCIDENT $ OFFICERIMEMBER EXCLUDED? (Mandatory In NH) E.L. DISEASE -EA EMPLOYE $ If yes. describe under E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space la,required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN CITY OF ASHLAND ACCORDANCE WITH THE POLICY PROVISIONS. 20 N MAIN ST a1m1o1tlzEO EPRE TATAIE ASHLAND, OR 97520 ©1988-2015 ACO CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD 1001486 132849.12 03-16-2016 L LEXINGTON INSURANCE COMPANY WILMINGTON, DELAWARE Administrative Offices - 99 High Street, Floe' 23, Boston, Massachusetts 02110-231 10 Certificate Number: 018393644-04 This Certificate forms a part of Master Policy Number: 018389876-04 Renewal of Master Policy Number 018389876-03 YOUR RISK PURCHASING GROUP MASTER POLICY IS A CLAIMS MADE POLICY. READ THE ATTACHED MASTER POLICY CAREFULLY THE AMERICAN ACADEMY OF STATE CERTIFIED APPRAISERS CERTIFICATE DECLARATIONS 1. Name and Address of Certificate Holder: Mark J. Baird d/b/a Mark J. Baird, Appraiser PO Box 1068 Gold Hill OR 97525 2. Certificate Period: Effective Date: 06108117 to Expiration Date: 06108118 12:01 a.m. Local Time at the Address of the Insured. 2a. Retroactive Date: Full 12:01 a.m. Local Time at the Address of the Insured. 3. Limit of Liability: $ 1,000,000 each claim $ 1,000,000 aggregate limit 4. Deductible: $0 each claim 5. Professional Covered Services insured by this policy are: REAL ESTATE APPRAISAL SERVICES 6. Advance Certificate Holder Premium: $ 1,022 7. Minimum Earned Premium: 25% or $ 256 Forms and Endorsements: PRG 3512 (12115) Real Estate Appraisers Professional Liability Coverage Form, PRG 2078 (01/17) Addendum to the Declarations, PRG 3935 (2/16) Premises Liability Coverage Amendatory Endorsement, 89644 (6/13) Economic Sanctions Endorsement, 91222 (09/16) Policyholder Notice, 118477 (03/15) Policyholder Notice, PRG 3150 (10/05) Real Estate Appraisers Professional Liability Insurance Declarations Additional Endorsements applicable to this Certificate only: None Agency Name and Address: INTERCORP, INC. 1438-F West Main.Street Ephrata, PA 17522-1345 IT IS HEREBY UNDERSTOOD AND AGREED THAT THE CERTIFICATE HOLDER AGREES TO ALL TERMS AND CONDITIONS AS SET FORTH IN THE ATTACHED MASTER POLICY. THIS POLICY IS ISSUED BY YOUR RISK PURCHASING GROUP INSURER WHICH MAY NOT BE SUBJECT TO ALL OF THE INSURANCE LAWS AND REGULATIONS OF YOUR STATE. STATEINSURANCE INSOLVENCY GUARANTY FUNDS ARE NOT AVAILABLE FOR YOUR RISK PURCHASING GROUP INSURER. l C,l1u^~~ &4110 County: Jackson Authorized Representative OR Countersignature (in states where applicable) Date: June 7, 2017 PRO 3152 (10/05) AC ® DATE (MMIDDNYYY) CERTIFICATE OF LIABILITY INSURANCE 01/1512018 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 pollcy(ies) must have ADDITIONAL INSURED provisions or be endorsed. It SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsemenL A statement on this certificate does not confer rights to the certificate holder in Ileu of such endorsements . PRODUCER CONTACT Autumn Gustafson NAME: StateFarm Josh Elbert PH 541-772-3040 _ J 1n/c N~: 541-779-2485 820 S Riverside Ave E-MAIL APDR~SSt__ INSURERS AFFORDING COVERAGE NAIC N Medford OR 97501 INSURER A : State Farm Fire and Casualty Company 25143 INSURED INSURER 8: Baird, Mark INSURER C: 1 PO BOX 1068 INSURER 0: INSURER E : Gold Hill OR 97525 INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE DF INSURANCE AOD SVBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S r1- CLAIMS-MADE i ` 1 OCCUR PREMISES A E o urrece b Deductible: $500 MED EXP (An one person) S 5,000 A 97-CE-2954-8 08/0612017 08!0612018 PERSONAL 6 ADV INJURY a GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 5 2.000,000 POLICY Ej P O LOC PRODUCTS-COMPIOPAGG i 2,000,000 OTHER. , I BUSN LIAB s 1,000,000 AUTOMOBRE LIABILITY COMBINED SINGLE LIMIT S acdde t ANY AUTO I I BODILY INJURY (Per person) S OW4ED SCHEDULED BODILY INJURY (Per ecrJdent) S AUTOS ONLY AUTOS AUTOS ONLY AUTOS ONLY ident 1 HIRED NON-ONMED LAGGREGATE RTY DAMAGE $ 3 UMBRELLA LIAB HOCCUR CCURRFNCF. $ EXCESS LIAB CLAIMS-MADE S DED RETENTIONS S WORKERS COMPENSATION R STATUTE ERH AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNEWEXECUTIVE -1 NIA E.L. EACH ACCIDENT $ T OFFICERIMEMB_R EXCLUDED? (Mandatory In KH) E.L. DISEASE • EA EMPLOYE $ If yyea, deecrlDe Under DF SCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ i i SCRIPTION OF OPERATIONS I LOCATIOR3.1 rL EHICLES (ACORD 101, Addttlonal Remarks Schedule, may ba attached R more space Is required) 32 5th ST Gold Hill OR 97525 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE .G THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City Of Medford L ACCORDANCE WITH THE POLICY PROVISIONS. 411 W8TH St J / l- 674 Gf AUTHORI D REP NTATIVE Medford OR 97501 1988-20 COR PORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are r istered marks of ACORD 1001466 132849.12 03.16-2010 .44 -TIT r4n ' y Appraiser Certification and Licensure Board ~~I•`~' State Certified General Appraiser c:~3 HI' . JJO,' t N fa ` ~tr = : ! l 28 hours of continuing education required t - - License No.: 0000125 Issue Date: September 01, 2017 Expiration Date: August 31, 2019 MARK J BAIRD ~ PO BOX 1068 GOLD HILL, OR 97525 G 4e Lynne Cooper, Administrator ••JJZ `i!/I{' r `ii%~ •Sd I,~,•Y ~i f \ '7, p, \ is i $ j, `;v i• ff~ 5'~i~~ ~..t'}i ~~ye..+ ``~~t I I i State(OroFann State Farm Fire and Casualty Company RENEWAL CERTIFICATE PO Box 5000 POLICY NUMBER 37-EB-0976-8 Dupont, WA 98327-5000 Personal Liability Umbrella Policy MAR 04 2018 to MAR 04 2019 A-15- 2251-FAE6 L F BILLED THROUGH SFPP BAIRD, MARK J PO BOX 1068 COVERAGES AND LIMITS GOLD HILL OR 97525-1068 L Personal Liability $1,000,000 Self-Insured Retention None U Uninsured and Underinsured 1,000,000 Motor Vehicle UNDERLYING EXPOSURES Our records show the following underlying information. This information was used in determining the rate of the policy. AUTOMOBILE EXPOSURES Automobile(s) 2 Automobile Operator(s) 1 SFPP No:0075907415 OTHER LIABILITY EXPOSURES Personal Residential Forms and Endorsements Rental Unit(s) 1 Personal Liability Umbrella FP-7950.2 Uninsured/Underinsured Cov FE-5888 Fuel Oil Exclusion FE-5837 Amendatory Endorsement FE-5840 Registered Domestic Partnrship FE-6858 w Annual Premium $194.00 w Coverage L 122.00 Coverage U 72.00 'Notify your agent immediately if the above listed Coverages and/or Underlying Exposures are incorrect. Your Coverages and/or bill can be affected if this information is not correct. s The Class 50 Discount has reduced the premium on your policy by $16.00 Required Underlying Insurance on reverse side 12 /tl~~S'CeL1it~c~S~I~oEt~fXt... Moving? See your State Farm agent. 12334 4011 1 Agent JOSH ELBERT See reverse for important information. 009 J9 Telephone (541) 772-3291 REP Prepared JAN 12 2018 CONTINUED FROM FRONT Required Underlying Insurance (Terms in Bold in this section are defined in the policy) Minimum Underlying Limits Combined Limits Type of Policy (Bodily Injury and Property Damage) or Split Limits Automobile Liability $500,000 Bodily Injury- $250,000 Per Person Uninsured and Underinsured $500 , 000 Per Accident Motor Vehicle Coverage Property Damage- $100 , 000 Per Accident Recreational Motor Vehicle Liability 5 5 0 0, 0 0 0 Bodily Injury- $250,000 Per Person Including Passenger Bodily Injury $500 , 000 Per Accident Property Damage- $100 , 000 Per Accident Personal Residential Liability S 10 0, 0 0 0 Watercraft Liability $100 1000 Residential Rental Liability $300,000 I NOTICE TO POLICYHOLDER: Policy changes requested before the "Date Prepared", which appear on this notice, are effective on the Effective Date of this policy unless otherwise indicated by a separate endorsement, binder, or amended declarations. Any coverage forms attached to this notice are also effective on the Effective Date of this policy. Policy changes requested after the "Date Prepared" will be sent to you as an amended declarations or as an endorsement to your policy. Billing for any additional premium for such changes will be mailed at a later date. Please keep this with your policy. 303 Rev. 08-01-2006 (olr8092a) o110021b StateFannr State Farm Fire and Casualty Company 12335 3 7 - E B - 0 9 7 6 - 8 553-4175 OR Important Notice Regarding Your Policy This policy does not provide coverage for Marijuana Activities as defined under ORS Chapter 4758, such as production, sale, use, distribution, warehousing, processing, transportation, and delivery of medical and recreational marijuana items. Liability arising from the use of a controlled substance or negligence in storing or maintaining marijuana or derivative products is also excluded. This exclusion does not apply to the legitimate use of prescription drugs by a person following the orders of a licensed physician. If you have any questions about your policy coverages, please contact your State Farm", agent. 5534175 OR 0 a a 0 Agent: JOSH ELBERT Telephone: (541) 772-3291 70 12335 State Farm Mutual Automobile Insurance Company PO Box 853922 Richardson, TX 75085-3922 ^State Farm • AT1 A-2251 A BAIRD, MARK J PO BOX 1068 AUTO RENEWAL GOLD HILL OR 97525-1068 PREMIUM PAID: $464.72 DO NOT PAY. Your premium is billed through the State Farm Payment Plan State Farm Payment Plan Number: 0075907415 Your State Farm Agent JOSH ELBERT Policy Number: 330 3451-E12.37 Office: 541-772-3291 Policy Period: November 12, 2017 to May 12, 2018 Address: 820 S RIVERSIDE AVE Vehicle: MEDFORD, OR 97501-7840 2015 TOYOTA RAV4 It you have a new or different car, have added any drivers, or have moved, Principal Driver: please contact your agent. MARK BAIRD I Location used to determine rate charged-32 process the payment as a check transaction. When we use ESTREMADO ST, GOLD HILL OR 97525-5541. information from your check to make an electronic fund Based on your driving record, you have our Accident-Free transfer, funds may be withdrawn from your account as soon Discount for preferred customers. as the same day we receive your payment, and you will not When you provide a check as payment, you authorize us receive your check back from your financial institution. either to use information from your check to make a one-time electronic fund transfer from your account or to Policy Number: 330 3451-E12-37 Page number 1 of 4 Prepared October 6, 2017 1004583 143562 201 11-12-2014 Ink It's What You Know. ,•e;~, i Your auto insurance premium is $464.72. Did you know you may qualify for a discount. Call State Farm' Agent JOSH ELBERT at 541-772-3291 t to see how much you can save! 'Not all discounts are available m every state, and discount s r'?, amounts m,iv vary by slate. r AState Farm VEHICLE INFORMATION Review your policy information carefully. If anything is incorrect, or if there are any changes, please let us know right away. i How is this vehicle normally used? Vehicle Identification National average: 12,000 miles driven Vehicle Description Number (VIN) Who principally drives this vehicle? annually per vehicle 2015 TOYOTA RAV4 2T3DFREV5FW302672 MARK BAIRD, a divorced male, who will be Business. Driven over 12,000 miles age 59 as of November 12, 2017. annually. Other Household Vehicle(s) Your premium may be influenced by other State Farm policies that currently insure the following vehicle(s) in your household: 2002 CHEVROLET TAHOE Premium Adjustment annually to determine which makes and models have Each year, we review our medical payments and personal earned decreases or increases from State Farm's standard injury protection coverages claim experience to determine rates. If any changes result from our reviews, adjustments the vehicle safety discount that is applied to each make and are reflected in the rates shown on this renewal notice. model. In addition, we review the comprehensive, collision, bodily injury and property damage claim experience DRIVER INFORMATION Assigned Driver(s) The following driver(s) are assigned to the vehicle(s) on this policy. Age as of Marital Name November 12, 2017 Gender Status MARK BAIRD 59 Male Divorced Principal Driver & Assigned Drivers Your premium may be influenced by the information shown For each automobile, the Principal Driver is the individual for these drivers. who most frequently drives it. Each driver is designated as an Assigned Driver on the household automobile that he or she most frequently drives. COVERAGE AND LIMITS See yourpolicy foran explanation of these coverages. A Liability Bodily Injury 500,000/500,000 Property Damage 500,000 P4 Personal Injury Protection Includes Medical 100,000 Income Loss 3000/mo/yr $244.62 D Comprehensive $44.63 G 250 Deductible Collision $106.25 H Emergency Road Service $5.30 (continued on next page) Policy Number: 330 3451-E12-37 Page number 2 of 4 Prepared October 6, 2017 • StateFarm ..OVERAGE AND LIMITS continued U1 Uninsured Motor Vehicle Bodily Injury 500.000/500,000 Property Damage 20,000 S63.92 Total Premium $464.72 If any coverage you carry is changed to give broader you the broader protection without issuing a new policy, protection with no additional premium charge, we will give starting on the date we adopt the broader protection. DISCOUNTS These adjustments have already been applied to your premium. Multiple Line Multicar Vehicle Safety Accident-Free Total Discounts $347.94 SUfKGE~=,.iiC CGUt:;.. AUTOMOBILE RATING PLAN - Applies to private property damage liability and collision coverages for an passenger cars only. at-fault accident. Accident-Free Discount - Once your policy has been in Surcharges - If there are chargeable accidents, you may force for at least three years with no chargeable accidents, lose your Good Driving Discount or Accident-Free Discount you may qualify for our Accident-Free Discount. Once you and receive accident surcharges. But if the accident is the qualify, this discount applies as long as there are no first to become chargeable in nine years and this policy has chargeable accidents, and may even increase over time. been in force for at least that long, the Accident-Free Good Driving Discount - Newer policyholders who do not Discount will continue and no surcharge will apply. The yet qualify for our Accident-Free Discount (available after surcharge for each accident depends upon the number and three years with no chargeable accidents) may already be timing of the accidents, and each accident surcharge will receiving a Good Driving Discount. This discount continues remain in effect up to three years. to apply until your policy qualifies for the Accident-Free Surcharges will be removed if the company is given Discount as long as there are no chargeable accidents and satisfactory evidence that the driver involved is no longer a no new drivers. If you add new drivers, they must also member of the household or will not be driving the car in the qualify in order for your Good Driving Discount to continue. future. If that driver is insured on another State Farm policy, Chargeable Accidents - For new business rating, an his or her driving record will be considered in the rating of accident is chargeable if it results in $750 or more of the other policy. damage to any property. For renewal business, an accident These discounts and surcharges do not apply to all is chargeable as of the date State Farm pays at least $750 coverages. For complete details, see your State Farm agent. (for accidents occurring on or after April 1, 1999) under ADDiTIONAL IN r_,R.fv1:,TirJ~ If the above information is incomplete or inaccurate, or if you want to confirm the information we have in our records please contact your agent. Policy Number: 330 3451-E12-37 Page number 3 of 4 Prepared October 6, 2017 A StateFarm Important Notice Regarding Your Premium State Farm works hard to offer you the best combination of price, service, and protection. The amount you pay for automobile insurance is determined by many factors including: • The coverage you have • Where you live • The kind of car you drive • How the car is used • Who drives the car Any premium adjustment is reflected on this Auto Renewal. If you have any questions, please contact your agent. Buying a new car? Remember to contact your agent! When you buy an additional car or one that replaces a car already on your policy, you need to report the change to your agent promptly. Even though the dealership you purchased the car from may offer to notify your agent or insurance company, you, as the named insured, are responsible for reporting all changes to your auto policy. By contacting your agent, you can help: • avoid any complications or lack of coverage in the event of an accident or loss, • avoid insurance verification problems with a lienholder, the police, or the department of motor vehicles, and • ensure that you receive any new discounts you may be entitled to. Your current State Farm policy automatically provides certain coverages for a new or replacement car for up to a specified, limited number of days after you take possession of the car. Please refer to your policy for the number of days that applies in your state. If you have any questions about coverage for a newly acquired car, please contact your State Farm agent. Disclaimer: This message is provided for informational purposes only and does not grant any insurance coverage. The terms and conditions of coverage are set forth in your State Farm Car Policy booklet, the most recently issued Declarations Page, and any applicable endorsements. i Policy Number: 330 3451-E12-37 Page number 4 of 4 Prepared October 6, 2017 ASti`q Purchase Order ° 0 REGHE o Fiscal Year 2018 Page: 1 of: 1 .r s ~'"^o= THIS PO NUMBER MUST APPEAR ON ALL B Ashland Parks Commission INVOICES, AND SHIPPING D-OCUMENTS. I ATTN: Accounts Payable L 20 E. Main Purchase 2018121 L Ashland, OR 97520 Order # y T Phone: 541/552-2010 p Email: payable@ashland.or.us V S C/O Parks Department E MARK BAIRD, APPRASIER H Admin Office N PO BOX 1068 1 340 South Pioneer D GOLD HILL, OR 97525 P Ashland, OR 97520 O T Phone: 541/488-5340 R p Fax: 541/488-5314 Vendor Phone Numtier : Jason Minica Date Ordered= ena~Cumtre mrs ~ightJVlet. eFartment/Locatron 03/06/2018 1649 FOB ASHLAND OR/NET30 Parks Accounts Pa able Item# = Qesctl Ig1l - - - - _ - - = -CJnlt Price -Ektended_ Tr- - - - --a - Property Appraisal 1 Appraisal of 200 Tolman Creek Tax Lot 100 1 $8,500.0000 $8,500.00 Contract for Personal Services less than $35,000 " Beginning date: 02/20/2018 Completion date: 04/01/2018 Project Account: $8,500.00 GL SUMMARY 123000 - 604100 $8,500.00 By: Date: ` ~Authorized Signature -F?OSnta1 - ~ $8.500.00 FORM C I T Y OF t ASHLAND REQUISITION 0 Date of request: 2/12/18 `Z Required date for delivery: 4/1/18 Vendor Name Mark Raird Apf)nracial Address, City, State, Zip P.0 Box 1068 Gold Hill 97525 Contact Name & Telephone Number Mark Baird 541-770-2769 Email address markjbaird@charter.net 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 Contract # ❑ Verbal/Written quote(s) or proposal(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 El Special Procurement Intergovernmental Agreement $5,000 to $75,000 ❑ Form #9, Request for Approval ❑ Agency ® Less than $35,000, b Date original contract approved by Council: Y direct appointment ❑ Written quote or proposal attached ❑ (3) Written proposals/written solicitation Date approved by Council: (Date) ❑ Form #4, Personal Services $5K to $75K Valid until: Date - (Attach copy of council communication) Description of SERVICES Total Cost A rasial of 200 Tolman Creek tax lot 100 $ 8,500 Item # Quantity Unit Description of MATERIALS Unit Price Total Cost TOTAL COST ® Per attached quote/proposal - $ 8,500 Project Number Account Number _ _ _ _ _ _ t JLi i C.-.,? Account Nu ber 23 Account Number - - - - - - - - - - - - - - - - - *Expendituri 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 rm, 1 certify Zet", City'scontracting requirements have been satisfied. Employee: Dep artment Head: (Equal to or greater than $5,000) Department Ma agerlSupervisor City Administrator: - (Equal to or greater an $25,000) Funds appropriated for current fiscal year (:YW NO -Financeoqual to or greater than $5,000) Dater Comments: Form #3 - Requisition