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2019-014 20190281 OBEC Consulting Engineers, Inc.
I PERSONAL SERVICES AGREEMENT ($25,000.00 or less) CONSULTANT: OBEC Consulting Engineers Inc. CITY OF CONSULTANT'S CONTACT: Jaime Jordan -ASHLAND 20 East Main Street ADDRESS: 920 Country Club Road Suite 10013 Ashland, Oregon 97520 Eugene, OR 97401 Telephone: 541-488-6002 Fax: 541-488-5311 TELEPHONE: 541-683-6576 EMAIL: jjordan@obec.com This Personal Services Agreement (hereinafter "Agreement") is entered into by and between the City of Ashland, an Oregon municipal corporation (hereinafter "City") and OBEC Consulting Engineers Inc, a domestic business corporation, ("hereinafter "Consultant"), for 1291 Oak Street - No Rise Certificate. NOW THEREFORE, in consideration of the mutual covenants contained herein, the City and Consultant hereby agree as follows: 1. Effective Date and Term: This Agreement shall become effective on the date of execution on behalf of the City, as set forth below (the "Effective Date"), and unless sooner terminated as specifically provided in Section 11, shall terminate upon the City's affirmative acceptance of Consultant's Work as complete and Consultant's acceptance of the City's final payment therefore, but not later than June 30, 2019. 2. Scope of Work: Consultant shall provide 1291 Oak Street - No Rise Certificate as more fully set forth in Consultant's Scope of Services dated October 31, 2018 which is attached hereto as "Exhibit A" and incorporated herein by this reference. Consultant's services are collectively referred to herein as the "Work." 3. Compensation: City shall pay Consultant the sum of fourteen thousand seven hundred ninety five dollars and forty four cents ($14,795.44) as full compensation for Consultant's performance of all Work under this Agreement. In no event shall Consultant's total of all compensation and reimbursement under this Agreement exceed the sum of fourteen thousand seven hundred ninety five dollars and forty four cents ($14,795.44) without the express, written approval from the City official whose signature appears below, or such official's successor in office. Payments shall be made within thirty (30) days of the date of receipt by the City of Consultant's invoice. Should this Agreement be terminated prior to completion of all Work, payments will be made for any phase of the Work completed and accepted as of the date of termination. 4. Supporting Documents/Conflicting Provisions: This Agreement and any exhibits or other supporting documents shall be construed to be mutually complementary and supplementary wherever possible. In the event of a conflict between this Agreement and the supporting documents which cannot be resolved, the provisions of this Agreement shall control over any conflicting provisions in any of the exhibits or other supporting documents. Page 1 of 6: Personal Services Agreement with OBEC Consulting Engineers, Inc. 5. All Costs Borne By Consultant: Consultant shall, at its own risk and expense, perform the Work described above and, unless otherwise specified in this Agreement, furnish all labor, equipment, and materials required for the proper performance of such Work. 6. Qualifications: Consultant has represented, and by entering into this Agreement now represents, that all personnel assigned to the Work to be performed under this Agreement 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. 7. Ownership of Work/Documents: All Work product or documents produced in furtherance of this Agreement belong to the City, and any copyright, patent, trademark proprietary or any other protected intellectual property right shall vest in and is hereby assigned to the City. 8. Statutory Requirements: The following laws of the State of Oregon are hereby incorporated by reference into this Agreement: ORS 27913.220, 27913.230 and 27913.235. 9. Living Wage Requirements: If the amount of this Agreement is $21,127.46 or more, Consultant is required to comply with Chapter 3.12 of the Ashland Municipal Code by paying a living wage, as defined in that chapter, to all employees performing Work under this Agreement and to any Subcontractor who performs 50% or more of the Work under this Agreement. Consultant is also required to post the notice attached hereto as "Exhibit 13'' predominantly in areas where it will be seen by all employees. 10. Indemnification: Consultant shall defend, save, hold harmless and indemnify the City and its officers, employees, and agents from and against any and all claims, suits, actions, losses, dam es,liabi-lities, costs, and expenses of any nature resulting from or arising out of, or relating to tht~nan~e o any Work pursuant to this Agreement by Consultant (including but not limited to, Consultant's employees, agents, and others designated by Consultant to perform Work or services under this Agreement). However, Consultant shall not be held responsible for any losses, expenses, claims, subrogations, actions, costs, judgments, or other damages, caused solely by the negligence of City. 11. Termination: a. Mutual Consent. This Agreement may be terminated at any time by the mutual consent of both parties. b. City's Convenience. This Agreement may be terminated by City at any time upon not less than 30 days' prior written notice delivered by certified mail or in person. C. For Cause. The City may terminate this Agreement, 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 Agreement or are no longer eligible for the funding proposed for payments authorized by this Agreement; or Page 2 of 6: Personal Services Agreement with OBEC Consulting Engineers, Inc. If any license or certificate required by law or regulation to be held by Consultant to provide the services required by this Agreement is for any reason denied, revoked, suspended, or not renewed. d. For Default or Breach. i. Either City or Consultant may terminate this Agreement in the event of a breach of the Agreement by the other. Prior to such termination the party seeking termination shall give to the other party written notice of the breach and its intent to terminate. If the party committing the breach has not entirely cured the breach within fifteen (15) days of the date of the notice, or within such other period as the party giving the notice may authorize in writing, then the Agreement 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 Agreement. City by written notice to Consultant of default or breach may at any time terminate the whole or any part of this Agreement if Consultant fails to provide services called for by this Agreement within the time specified herein or within 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 Agreement. e. Obligation/Liability of Parties. Termination or modification of this Agreement 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 Subsection a, b, c, or d of this section, Consultant shall immediately cease all activities under this Agreement, unless expressly directed otherwise by City in the notice of termination. Further, upon termination, Consultant shall deliver to City all Agreement documents, information, works-in-progress and other property that are or would be deliverables had the Agreement been completed. City shall pay Consultant for Work performed prior to the termination date if such Work was performed in accordance with this Agreement. 12. Independent Contractor Status: Consultant is an independent contractor and not an employee of the City for any purpose. Consultant shall have the complete responsibility for the performance of this Agreement. Consultant shall provide workers' compensation coverage as required in ORS Chapter 656 for all persons employed to perform Work pursuant to this Agreement. 13. Assignment: Consultant shall not assign this Agreement 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 of the Work shall not create any contractual relation between the assignee or subcontractor and City. 14. 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 under the 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 Agreement; or attempts to assign rights in, or delegate duties under, this Agreement. Page 3 of 6: Personal Services Agreement with OBEC Consulting Engineers, Inc. 15. Insurance. Consultant shall, at its own expense, maintain the following insurance: a. Worker's Compensation insurance in compliance with ORS 656.017, which requires subject employers to provide Oregon workers' compensation coverage for all their subject workers b. Professional Liability insurance with a combined single limit, or the equivalent, of not less than $2,000,000 (two million dollars) per occurrence. This is to cover any damages caused by error, omission or negligent acts related to the professional services to be provided under this Agreement. c. General Liability insurance with a combined single limit, or the equivalent, of not less than $2,000,000 (two million dollars) per occurrence for Bodily Injury, Death, and Property Damage. d. Automobile Liability insurance with a combined single limit, or the equivalent, of not less than $1,000,000 (one million dollars) for each accident for Bodily Injury and Property Damage, including 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 intent not to renew the insurance coverage(s) without 30 days' prior written notice from the Consultant or its insurer(s) to the 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 Agreement. The consultant's insurance is primary and non-contributory. As evidence of the insurance coverages required by this Agreement, the Consultant shall furnish acceptable insurance certificates prior to commencing the Work under this Agreement. 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. 16. Nondiscrimination: Consultant agrees that no person shall, on the grounds of race, color, religion, creed, sex, marital status, familial status or domestic partnership, national origin, age, mental or physical disability, sexual orientation, gender identity or source of income, suffer discrimination in the performance of any Work under this Agreement when employed by Consultant. Consultant agrees to comply with all applicable requirements of federal and state civil rights and rehabilitation statutes, rules and regulations. Further, Consultant agrees not to discriminate against a disadvantaged business enterprise, minority-owned business, woman-owned business, a business that a service-disabled veteran owns or an emerging small business enterprise certified under ORS 200.055, in awarding subcontracts as required by ORS 279A.I 10. 17. Consultant's Compliance With Tax Laws: 17.1 Consultant represents and warrants to the City that: 17.1.1 Consultant shall, throughout the term of this Agreement, including any extensions hereof, comply with: (i) All tax laws of the State of Oregon, including but not limited to ORS 305.620 and ORS Chapters 316, 317, and 318; (ii) Any tax provisions imposed by a political subdivision of the State of Oregon applicable to Consultant; and (iii) Any rules, regulations, charter provisions, or ordinances that implement or enforce any of the foregoing tax laws or provisions. Page 4 of 6: Personal Services Agreement with OBEC Consulting Engineers, Inc. 17.1.2 Consultant, for a period of no fewer than six (6) calendar years preceding the Effective Date of this Agreement, has faithfully complied with: (i) All tax laws of the State of Oregon, including but not limited to ORS 305.620 and ORS Chapters 316, 317, and 318; (ii) Any tax provisions imposed by a political subdivision of the State of Oregon applicable to Consultant; and (iii) Any rules, regulations, charter provisions, or ordinances that implement or enforce any of the foregoing tax laws or provisions. 18. Governing Law; Jurisdiction; Venue: This Agreement 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 the Consultant that arises from or relates to this Agreement 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 its signature hereon of its authorized representative, hereby consents to the in personam jurisdiction of said courts. 19. THIS AGREEMENT AND THE ATTACHED EXHIBITS CONSTITUTE THE ENTIRE UNDERSTANDING AND AGREEMENT BETWEEN THE PARTIES. NO WAIVER, CONSENT, MODIFICATION OR CHANGE OF TERMS OF THIS AGREEMENT 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 AGREEMENT. CONSULTANT, BY SIGNATURE OF ITS AUTHORIZED REPRESENTATIVE, HEREBY ACKNOWLEDGES THAT HE/SHE HAS READ THIS AGREEMENT, UNDERSTANDS IT, AND AGREES TO BE BOUND BY ITS TERMS AND CONDITIONS. 20. Force Majeure. Neither party to this Agreement shall hold the other responsible for damages or delay in performance caused by acts of God, strikes, lockouts, accidents, or other events beyond the control of the other or the other's officers, employees or agents. 21. Amendments. This Agreement may be amended only by written instrument executed by both parties with the same formalities as this Agreement. 22. Nonappropriations Clause. Funds Available and Authorized: City has sufficient funds currently available and authorized for expenditure to finance the costs of this Agreement within the City's fiscal year budget. Consultant understands and agrees that City's payment of amounts under this Agreement 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 Agreement. In the event City has insufficient appropriations, limitations or other expenditure authority, City may terminate this Agreement without penalty or liability to City, effective upon the delivery of written notice to Consultant, with no further liability to Consultant. Page 5 of 6: Personal Services Agreement with OBEC Consulting Engineers, Inc. 23. Certification. Consultant shall execute the certification attached hereto as "Exhibit C" and incorporated herein by this reference. IN WITNESS WHEREOF the parties have caused this Agreement to be signed in their respective names by their duly authorized representatives as of the dates set forth below. THE CITY OF ASHLAND, OREGON: CONSULTANT: ignature Signa e,4-u~ . G N6k0vV%S0uv\ Printed Name Printed Name 19141 2 ECT~ /L PV'pvt-~GQ LGG4 Title Title -7 A.6-1 7-o/00 Date Date W-9 is to be submitted with this signed Agreement) shland Asst. City Attomey e /y- l /8 Page 6 of 6: Personal Services Agreement with OBEC Consulting Engineers, Inc. OBEC Consulting Engineers October 31, 2018 City of Ashland ESTIMATED COST 1291 Oak Street - No Rise Certificate EXHIBIT A OBEC Job No. P649-0030.00 Project TASK Project Engineer 5 Engineer 2 Accountant / TOTAL TASK Manager 1 Project HOURS BUDGET Controller 1LJ BPW ACB KMLO TASK 1 Project Management and Coordination; 1.1 Project Management and Coordination 8 2 10 $1,574.00 TASK 2 'Hydraulic Analyses i - 2.1 Site Reconnaissance 8 8 $1,144.00 2.2 Hydraulic Analysis, Memo and No-Rise Certification 2 42 4 4 52 $7,198.00 2.3 Hydraulic Mitigation Analysis 34 34 $4,86100 TOTAL HOURS 10 84 4 6 0 104 AVERAGE HOURLY RATES $168.00 $143.00 _$99.00 $115.00 TOTAL LABOR ESTIMATE $1,680.00 $12,012.00 $396.00 $690.00 ~T - $14,778.00 MISCELLANEOUS EXPENSES = $17.44 TOTAL OBEC PROJECT ESTIMATE = $14,795.44 Total Estimated Costs = $14,795.44 Mileage for Site Visit (32 miles RT @ .545) 17.44 17.44 OBEC Basis of Cost Last Printed: 10/31/2018 - 9:15 AM Page 2 of 2 BOC.xlsm Rridge/Sfructures . Roadway/Civil . Specifications, Permitting 8 Utilities Survey/Geomatics . Construction Engineering Management ft Cl+h~U(118G I........... qb~ 2018 Salary Grade & Hourly Rates Personnel Classification Personnel Classification Principal/President $253 Principal/Vice President $243 Design Construction Division Manager 3 $230 Division Manager 3 $230 Division Manager 2 $219 Division Manager 2 $219 Project Manager 3 $219 Construction Project Manager 3 $219 Engineer 8 $219 Division Manager 1 $188 Division Manager 1 $188 Construction Project Manager 2 $188 Project Manager 2 $188 Construction Project Manager 1 $168 Engineer 7 $188 Assistant Project Manager 1 $143 Project Manager 1 $168 Construction Engineer 5 $143 Engineer 6 $168 Construction Engineer 4 $127 Utility Coordinator 3 $143 Construction Engineer 3 $115 Transportation Planner $143 Construction Engineer 2 $99 Engineer 5 $143 Engineering Tech 4 $127 Designer 4 $127 Engineering Tech 3 $99 Engineer 4 $127 Engineering Tech 2 $84 Senior Environmental Specialist $127 Engineering Tech 1 $73 Utility Coordinator 2 $127 CECOP $62 Utility Coordinator 1 $115 Designer 3 $115 Administration Engineer 3 $115 IT Manager / HR Manager / Marketing Manager $188 Environmental Specialist 3 $115 Proposal Manager $129 Designer 2 $99 Contract Administrator $127 Engineer 2 $99 Database Controller $115 Environmental Specialist 2 $99 Sr. Proposal Coordinator $115 Designer 1 $87 Project Accountant / Project Controller $115 Engineer 1 $87 Proposal Coordinator / Sr. Graphic Artist $99 Environmental Specialist 1 $87 Network Administrator 1 $99 Drafting Supervisor $143 Administrative Assistant 4 / Sr. Billing Clerk $87 Sr. CAD Drafter $115 Marketing Coordinator 1 / Graphic Artist $87 CAD Drafter 4 $99 Administrative Assistant 3 / Sr. Accounting Clerk $84 CAD Drafter 3 $87 Administrative Assistant 2 / Accounting Clerk 2 $73 CAD Drafter 2 $84 HS Interns / File Clerks $47 CAD Drafter 1 $61 Surveying Division Manager 1 $188 Project Surveyor - Team Lead $143 Project Surveyor $127 Survey Tech 3 $99 Survey Tech 2 $84 Survey Tech 1 $61 Travel/Reimbursable Expenses: Mileage: ODOT Current Rate Equipment Charges: Reimbursable job costs will be invoiced at cost. Special equipment @ direct rental cost EXHIBIT A t CONSULTING ENGINEERS EUGENE, OR October 31, 2018 ~arpo~ate Gffic5C t .6E3.609'~ Paula Brown LAKE OSWEGO, OR City of Ashland Public Works Director 503.620.61 C3 20 East Main Street SALEM, OR Ashland, OR 97520 503.584.410: MEDFORD,OR RE: 1291 Oak Street - No Rise Certificate 541.774.5590 VANCOUVER, WA Dear Paula: 360.314.2391 www.obac.ccm Thank you for considering OBEC Consulting Engineers for your no-rise certificate for the old Hardesty property at the bottom of Oak Street. Based upon our understanding of the project, we have prepared the following scope of services along with the attached breakdown of costs. Project Understanding We understand the City plans to improve facilities at their maintenance yard that is located between Bear Creek and Ashland Creek but outside the City's UGB and in Jackson County. The work planned on the project site is: the removal of the fire damaged garage parking structures; replacement building for equipment storage; evaluation of metal buildings; installing barriers to contain highway material storage; and a fire service training area that will utilize restroom facility existing in the NW corner of the area designated in the separate service facility. OBEC understands that by removing or replacing facilities within a floodway, a no-rise certificate will be required. We will work with the City for mitigation measures to offset impacts to the floodway. It is OBEC's assumption that the City will be responsible for providing the following: ➢ Survey cross sections at: existing FEMA sections; where removal and fill will take place; upstream at Oak Street bridge and downstream one bridge length down from Oak Street Bridge ➢ FEMA data ➢ Jackson County Floodplain Permit Application Our proposed detailed scope of services for the design phase is as follows: TASK 1 PROJECT MANAGEMENT AND COORDINATION Task 1.1 Project Management and Coordination The major objectives of this task are to schedule, coordinate, and supervise project work and to establish lines of communications between OBEC and City staff. OBEC shall keep the City project October 31, 2018 Page 2 ~ coNSUErrNNc J ENGINEERS manager informed of the project work progress and aware of changes that may affect the project design, schedule, and related costs. OBEC will be responsible for the following project management tasks: • Schedule, coordinate, and supervise project work • Maintain communications and coordination with City staff • Monitor scope, schedule & budget for the project • Produce monthly invoices and progress memos (assumed to be no more than three) TASK 2 HYDRAULIC ANALYSES The major objectives of this task are to gather information about the project area, review the City's provided topo and perform the hydraulic analysis. OBEC will visit the project site to observe existing conditions and features, taking photos and measurements as needed. OBEC shall evaluate the extent of the improvements needed, identify associated impacts, and present recommendations for solutions in a memo format. Task 2.1 Site Reconnaissance Consultant's hydraulic expert shall visit the Project site to inspect existing site conditions. The inspection must assess channel and floodplain conditions. A photographic log shall be developed. Deliverable(s)/Schedule: Consultant shall include: • Summary of site conditions into Hydraulic memo under Task 2.2. Task 2.2 Hydraulic Analysis, Memo and No-Rise Certification Consultant shall develop one (1 ) site-specific hydraulic model for proposed City maintenance yard improvements within the floodway and floodplain. The site-specific hydraulic model must contain three (3) conveyance alternatives: (1) Duplicate HEC 2 from FEMA's data, (2) the existing conditions, and (3) the proposed improvement conditions. Consultant's model analyses must determine water surface profiles, velocities, channel characteristics, and changes in backwater elevations. These models will include a floodway encroachment analysis. Consultant shall prepare a no-rise analysis for the proposed improvements to the maintenance yard that fall within the regulated floodway of Bear Creek and Ashland Creek. Consultant shall verify a no-rise in the 100-year base flood elevation in Bear Creek and Ashland Creek. Consultant shall summarize findings and recommendations from task 2.2 in a Hydraulic Memo. Consultant's Hydraulic Memo must describe the impacts of the proposed improvements on hydrology and hydraulics including design recommendations for grading and surfacing. Consultant's Hydraulic Memo must include the following: site hydrology; flood flows; velocities and October 31, 2018 Page 3 ' + water surface elevations; and summary output from the HEC-RAS hydraulic analysis. The memo must include a certificate stamped by the engineer stating that Project improvements will result in a no-rise condition to the 100-year base flood elevation in Bear Creek and Ashland Creek. Consultant shall respond to review comments with a letter of response, and a revised or amended Hydraulic Memo as required. Deliverable(s)/Schedule: • Consultant shall prepare and submit Hydraulics Memo and No-Rise Certificate to the City within four (4) weeks from receiving topographic data from the City. Task 2.3 Hydraulic Mitigation Analysis Consultant shall provide no more than three (3) alternatives for mitigating impacts in the floodway and provide mitigation recommendations in the Hydraulic Memo. Deliverable(s)/Schedule: • Consultant shall include results of mitigation analysis in deliverables for Task 2.2 - Hydraulic Memo. Estimated Fee OBEC proposes to perform this scope of services on a time-and-materials basis for a cost not to exceed $14,795 as shown in the attached spreadsheet of estimated labor costs and expenses. These costs are in accordance with and based upon OBEC's 2018 Standard Billing Rates, also attached. We hope that this proposal provides you with the information you require at this time. We look forward to working with you on this project. Sincerely AA, Ja a Jord , PE Project Manager EXHIBIT B CITY OF ASHLAND, OREGON City of Ashland LIVING ALL employers described , Ashland WAGE below must .comply with City payment of a living wage. per hour, effective June 30, 2018. 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 assistance for the project or the employee. r For all hours worked under a business from the City of service contract between their Ashland in excess of ➢ Note: For temporary and employer and the City of $21,127.46. part-time employees, the Ashland if the contract Living Wage does not apply exceeds $21,127.46 or more. 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 y and Recreation Department. more details, lease see month if the employee spends p Ashland Municipal Code 50% or more of the ➢ In calculating the living wage, Section 3.12.020. employee's time in that month employers may add the value working on a project or 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 -AS H LA N D Page 1 of l: Exhibit B EXHIBIT C CERTIFICATIONS/REPRESENTATIONS: Consultant, by and through its authorized representative, 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) Consultant 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. Consultant further represents and warrants to City that: (a) it has the power and authority to enter into this Agreement and perform the Work, (b) the Agreement, when executed and delivered, shall be a valid and binding obligation of Consultant enforceable in accordance with its terms, (c) the work under the Agreement shall be performed in accordance with the highest professional standards, and (d) Consultant is qualified, professionally competent, and duly licensed (if applicable) to perform the Work. Consultant also certifies under penalty of perjury that its business is not in violation of any Oregon tax laws, it is an independent contractor as defined in the Agreement, it is authorized to do business in the State of Oregon, and Consultant has checked four or more of the following criteria that apply to its business. (1) Consultant carries out the work or services at a location separate from a private residence or is in a specific portion of a private 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) Consultant assumes financial responsibility for defective workmanship or for service not provided as evidenced by the ownership of performance bonds, warranties, errors and omission (professional liability) insurance or liability insurance relating to the Work or services to be provided. Consulta signature 12-~ to Date Business Registry Business Name Search Page 1 of 2 Business Registry Business Name Search New Search Business Entity Data 10-311--22018 01 Entity Entity Registry Next Renewal Registry Nbr Type Status Jurisdiction Date Renewal Due? Date 1463302-95 DBC ACT OREGON 07-30-2018 07-30-2019 Entity Name OBEC CONSULTING ENGINEERS, INC. Foreign Name New Search Associated Names INCIPAL PLACE OF Type PPB PSINESS Addr 1 701 FIFTH AVE S STE 4120 Addr 2 CSZ SEATTLE WA 98104 Country UNITED STATES OF AMERICA Please click here for general information about registered agents and service of process. Type G REGISTERED AGENT Start Date 0180 Resign Date Of 911399- WW SERVICES INC. Record 99 Addr 1 121 SW MORRISON ST STE 600 Addr 2 CSZ PORTLAND OR 97204 Country UNITED STATES OF AMERICA Type MA MAILING ADDRESS Addr 1 PAUL MIGCHELBRINK Addr 2 121 SW MORRISON ST STE 600 CSZ PORTLAND OR 97204 Country UNITED STATES OF AMERICA Type PRE PRESIDENT Resign Date Name STEWART G SGOOD Addr 1 701 FIFTH AVE STE 4120 Addr 2 CSZ SEATTLE WA 98104 Countr UNITED STATES OF AMERICA Type SEC SECRETARY Resign Date Name KRISTINA UNTLEY Addr 1 701 FIFTH AVE STE 4120 Addr 2 http://egov.sos.state.or.us/br/pkg_web_name_srchinq.show detl?p_be_rsn1996472&p... 10/31/2018 Business Registry Business Name Search Pave 2 of 2 CSZ SEATTLE WA 98104 Country UNITED STATES OF AMERICA New Search Name History Business Entity Name Nam Name Start Date End Date Type Status 1B01ERBEC, EC CONSULTING ENGINEERS, INC. EN CUR 10-29-2018 INC. EN PRE 07-30-2018 10-29-2018 Please read before ordering Copies. New Search Summary History Image Transaction Effective Name/Agent Available Action Date Date Status Chan a Dissolved By ARTICLES OF 10-29-2018 FI Name AMENDMENT RTICLES OF 10-26-2018 10-27 FI L ERGER 2018 RTICLES OF 07-30-2018 FI Agent NCORPORATION © 2018 Oregon Secretary of State. All Rights Reserved. http://egov.sos.state.or.us/br/pkg_web_name_srch_inq.show de0p be rsn 1996472&p... 10/31/2018 AGORO® CERTIFICATE OF LIABILITY INSURANCE 0`11/05/2018 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 polley(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 endorsemen s . CT PRODUCER NTA A E• Parker, Smith & Feek, Inc. PHDNE ErV425-709-3600 VAX 425-7119-7460 2233112th Avenue NE aw EDDRE Bellevue, WA 98004 ADDRE INSURE a AFFORDING COVERAGE NAICR NSURERA: Continental Casualty Company INSURED OBEG tr INSURERS: Sentinel Insurance Company 920 Country y Club Club Engineers, Inc. 920 Road, Suite 100B INSUaEac: Hanford Ins. Co. of the Midwest Eugene, OR 97401 1NSURERD: 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 CR 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 BYPAID CLAIMS. MR TYPE OF INSURANCE D POLICY NUMBER POLIC C YEFF PMlIlCYEJ(' LIMITS LTR A GENERAL LIABILITY 6024757366 0312012018 0312012019 EACHOCCURRENCE S 2,000,000 X COMMERCIAL GENERAL LIABILITY X PREMIERS a rte ce $ 300,000 CLAIMSMADE OCCUR MED EXP(Any mm remI $ 10,000 PERSONALaADV INJURY $ 2,000,000 GENERALAGGREGATE S 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOPAGG S 4,000,000 POLICY IC PRO- X LOC $ JECT B AUTOMOBILE LIABILITY 52UECPT7813 0312012018 0312012019 CO,'W.1 HOLE LIMIT 2,000,000 X ANY AUTO X BODILY IWURY(Per person) S ALL OWNED SCHEDULED BODILY INJURY (Per amlden0 $ AUTOS AUTOS X HIREDAUTOS X AUT~OOANTiED PROPERTY G $ UMBRELLAUAB OCCUR EACHOCCURRENCE $ EXCESSU[AB CUJMSMAOE AGGREGATE S DEC RETENTIONS b C WORKERS COMPENSATION 52WBCRT5496 X YJCSTATII- OTH- ANDEMPLOYERS'LIABBJTY YIN 03/20/2018 03/2012019 ANY PROPRIETOR/PARTNERIF]IECUTIVE❑ NIA "WA Stop Gap EL. EACHACCIDENr § 1,000,000 OFFICENMEMBEREXCLUDIM 1,000,000 (V=debryln NH) E.L. DISEASE-EA EMPLOYE $ Ryee.d..dt,eunder 1,ODO,OOD OE EIMPnONOFOFERAl1ONSILe7m E.L. DSEASE-POLICY LIMIT $ OESCRd'TIONOFOPERATIONBILOUTIONSIVEHICLES(AMChACCRD101,AddldmalNar Schodule,Hmorecpoaoarequired) Personal Services Agreement 1291 Oak Street - No Rise Cartcats City of Ashland and The City of Ashland, Oregon, and its elected officials, officers, and employees. are additional Insureds on the general liability and automobile policies per the attached (See Attached Description) I CERTIFICATE HOLDER CANCELLATION L t SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ~ THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN d ACCORDANCE WITH THE POLICY PROVISIONS. City of Ashland Iftl 20 East Main 17Street 520 AUTHORIZED REPRESENTATIVE I Ashland, OR 97520 Zir ®1988.2010 ACORD CORPORATION. All rights reserved, ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD 1018 (TGBOO) DESC,RIPTIONS'(G.onfinued from-,Page 1); endorsemenlsifogp@i Coverage Is pdmary and non-contdbutary on the general liability policy per the attached endoraemanttfo". Notice of cancellation forthe general liability policy per the attached form. 2 of 8 (TG800) SB146968B 0616 Page 1 of2 IMPORTANT: THIS ENDORSEMENT CONTAINS DUTIES THAT APPLY TO THE ADDITIONAL INSURED IN THE EVENT OF OCCURRENCE, OFFENSE, CLAIM OR SUIT. SEE PARAGRAPH C., OF THIS ENDORSEMENT FOR THESE DUTIES. BLANKET ADDITIONAL INSURED ENDORSEMENT WITH PRODUCTS-COMPLETED OPERATIONS COVERAGE BLANKET WAIVER OF SUBROGATION Architects, Engineers and Surveyors This endorsement modifies insurance provided under the following: BUSINESSOWNERS LIABILITY COVERAGE FORM BUSINESSOWNERS COMMON POLICY CONDITIONS A. Who Is An Insured is amended to Include as an Insured any person or organization whom you am required to add as an additional Insured on this policy under a written contract or written agreement; but the written contract or written agreement must be: 1. Currently in effect or becoming effective during the tern of this policy; and 2. Executed prior to the: a. "Bodily injury" or "property damage"; or b. Offense that caused the "personal and advertising injury"; for which the additional insured seeks coverage B. The Insurance provided to the additional Insured Is limited as follows: 1. The person or organization is an additional insured only with respect to liability for "bodily injury', "property damage" or "personal and advertising injury" caused in whole or in part by: a. Your acts or omissions; or b. The acts or omissions of those acting on your behalf, In the performance of your ongoing operations specified In the written contract or written agreement; or c. "Your work" that Is specified In the written contractor written agreement, but only for "bodlly Injury" or "property damage" included in the "products-completed operations hazard", and only if: (1) The written contract or written agreement requires you to provide the additional insured such coverage; and (2) This Coverage Part provides such coverage. 2. The Limits of Insurance applicable to the additional Insured are those specified in the written contract or written agreement or In the Declarations of this policy, whichever Is less. These Limits of Insurance are Inclusive of, and not In additlon to, the Limits of Insurance shown In the Declarations. 3. The insurance provided to the additional insured does not apply to "bodily injury", "property damage" or "personal and advertising injury" arising out of an architects, engineer's, or surveyor's rendering of or failure to render any professional services including: a. The preparing, approving, or faiiing,to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications by any architect, engineer or surveyor performing services on a project of which you serve as construction manager, or b. Inspection, supervision, quality control, engineering or architectural services done by you on a project of which you serve as construction manager. 4. The insurance provided to the additional insured does not apply to "bodily Injury", "properly damage' or "personal and advertising injury" arising out of construction or demolition work while you are acting as a construction or demolition contractor. C. Under Businessowners Liability Conditions, the condition entitled Duties In The Event of Occurrence, Offense, Claim or Suit is amended to add the following: An additional Insured under this endorsement will as soon as practicable: 1. Give written notice of an occurrence or an offense to us which may result Ina claim or "suit" under this Insurance; http://formnet-ci.cna.com/npohtm/scnl4680.htm 3/19/2018 SB 146968B 0616 Page 2 of 2 2. Tender the defense and indemnity of any claim or "suit" to us for a loss we cover under this Coverage Part; 3. Except as provided for in paragraph D.2. below. a. Tender the defense and indemnity of any claim or "suit" to any other insurer which also has insurance for a loss we cover under this Coverage Part; and b. Agree to make available any other insurance which the additional Insured has for a loss we cover under this Coverage Part. We have no duty to defend or indemnify an additional insured under this endorsement until we receive written notice of a claim or "suit" from the additional insured. D. With respect only to the insurance provided by this endorsement, the condition entitled Other Insurance of the BUSINESSOWNERS COMMON POLICY CONDITIONS is amended to delete paragraphs 2, and 3. and replace them with the following: 2. This Insurance Is excess over any other insurance available to the additional insured, whether primary, excess, contingent or an any other basis, But if required by the written contract or-written agreement, this insurance will be primary and noncontributory relative to.insurance on which the additional insured is a Named Insured. 3. When this insurance is excess, we will have no duty under Business Liability insurance to defend the additional insured against any "suit" if any other insurer has a duty to defend the additional insured against that "suit" If no other insurer defends, we will undertake to do so, but we will be entitled to the additional insured's rights against all those other insurers. When this insurance is excess over other insurance, we will pay only our share of the amount of the loss, if any, that exceeds the sum of., (a) The total amount that all such other Insurance would pay for the loss in the absence of this insurance; and (b) The total of all deductible and self-insured amounts under all that other insurance. We will share the remaining loss, if any, with any other insurance that is not described in this Excess Insurance provision and was not bought specifically to apply in excess of the Limits of Insurance shown in the Declarations of this Coverage Part. E. The condition entitled Transfer of Rights of Recovery Against Others to Us of the BUSINESSOWNERS COMMON POLICY CONDITIONS is amended to deleted paragraph 2. and replace It with the following: 2. We waive any right of recovery we may have against any person or organization with whom you have agreed to waive such right of recovery in a written contract or agreement because of payments we make for Injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included within the "products-completed operations hazard." All other terms and conditions of the Policy remain unchanged. http://fominct-ei.ena.com/npohtm/scnl4680.htm 3/19/2018 THIS PAGE IS INTENTIONALLY LEFT BLANK 5 of 8 (rG600) COMMERCIAL AUTOMOBILE HA 99160312 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL AUTOMOBILE BROAD FORM ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM To the extent that the provisions of this endorsement provide broader benefits to the "insured" than other provisions of the Coverage Form, the provisions of this endorsement apply. 1. BROAD FORM INSURED d. Any "employee" of yours while using a A. Subsidiaries and Newly Acquired or covered "auto" you don't own, hire or Formed Organizations borrow in your business or your The Named Insured shown in the personal affairs. Declarations is amended to include: C. Lessors as Insureds (1) Any legal business entity other than a Paragraph A.1. - WHO IS AN INSURED - of partnership or joint venture, formed as a Section II - Liability Coverage is amended to subsidiary in which you have an add: ownership interest of more than 50% on e. The lessor of a covered "auto" while the the effective date of the Coverage Form. "auto" is leased to you under a written However, the Named Insured does not agreement If: include any subsidiary that is an "Insured" under any other automobile (1) The agreement requires you to "insured" under provide direct primary insurance for policy or would be an the such a policy but for its termination or lessor and the exhaustion of its Limit of Insurance. (2) The "auto" is leased without a driver. (2) Any organization that Is acquired or Such a leased "auto" will be considered a formed by you and over which you covered "auto" you own and not a covered maintain majority ownership. However, "auto" you hire. the Named Insured does not include any D. Additional Insured if Required by Contract newly formed or acquired organization: (1) Paragraph A.1. - WHO IS AN INSURED (a) That is a partnership or joint - of Section II - Liability Coverage is venture, amended to add: (b) That is an "insured" under any other f. When you have agreed, in a written policy, contract or written agreement, that a (c) That has exhausted its Limit of person or organization be added as Insurance under any other policy, or an additional insured on your (d) 180 days or more after its business auto policy, such person or acquisition or formation by you, organization is an "insured", but only unless you have given us notice of to the extent such person or the acquisition or formation. organization is liable for "bodily Coverage does not apply to "bodily injury" or "property damage" caused injury" or "property damage" that results by the conduct of an "insured" under from an "accident" that occurred before paragraphs a. or b. of Who Is An you formed or acquired the organization. Insured with regard to the B. Employees as Insureds ownership, maintenance or use of a covered "auto." Paragraph A.1. - WHO IS AN INSURED - of SECTION II - LIABILITY COVERAGE is amended to add: © 2011, The Hartford (Includes copyrighted material Form HA 99 16 0312 of ISO Properties, Inc., with its permission.) Page 1 of 5 6 of 8 (TGB00) The insurance afforded to any such E. Primary and Non-Contributory if additional insured applies only if the Required by Contract "bodily injury" or "property damage" Only with respect to insurance provided to occurs: an additional insured in 1.D. - Additional (1) During the policy period, and Insured If Required by Contract, the (2) Subsequent to the execution of such following provisions apply: written contract, and (3) Primary Insurance When Required By (3) Prior to the expiration of the period Contract of time that the written contract This insurance is primary if you have requires such insurance be provided agreed in a written contract or written to the additional insured. agreement that this insurance be (2) How Limits Apply primary. If other insurance is also If you have agreed in a written contract primary, we will share with all that other or written agreement that another insurance by the method described in person or organization be added as an Other Insurance 5.d. additional insured on your policy, the (4) Primary And Non-Contributory To Other most we will pay on behalf of such Insurance When Required By Contract ' additional insured is the lesser of: If you have agreed in a written contract (a) The limits of insurance specified in or written agreement that this insurance the written contract or written is primary and non-contributory with the agreement; or additional insured's own insurance, this (b) The Limits of Insurance shown in insurance is primary and we will not the Declarations. seek contribution from that other insurance. Such amount shall be a part of and not Paragraphs (3) and (4) do not apply to other in addition to Limits of Insurance shown insurance to which the additional insured in the Declarations and described in this has been added as an additional insured. Section. (3) Additional Insureds Other Insurance When this insurance is excess, we will have no duty to defend the insured against any "suit if If we cover a claim or "suit" under this any other insurer has a duty to defend the Coverage Part that may also be covered insured against that "suit". If no other insurer by other insurance available to an defends, we will undertake to do so, but we will additional insured, such additional be entitled to the insured's rights against all insured must submit such claim or "suit" those other insurers. to the other insurer for defense and When this insurance is excess over other indemnity. insurance, we will pay only our share of the However, this provision does not apply amount of the loss, if any, that exceeds the sum to the extent that you have agreed in a of: written contract or written agreement (1) The total amount that all such other that this insurance is primary and non- insurance would pay for the loss in the contributory with the additional insured's absence of this insurance; and own insurance. (4) Duties in The Event Of Accident, Claim, (2) The total of all deductible and self-insured Suit or Loss amounts under all that other insurance. If you have agreed in a written contract We will share the remaining loss, if any, by the or written agreement that another method described in Other Insurance 5.d. person or organization be added as an 2. AUTOS RENTED BY EMPLOYEES additional insured on your policy, the Any "auto' hired or rented by your "employee" additional insured shall be required to on your behalf and at your direction will be i comply with the provisions in LOSS considered an "auto" you hire. CONDITIONS 2. - DUTIES IN THE The OTHER INSURANCE Condition is amended EVENT OF ACCIDENT, CLAIM , SUIT by adding the following: OR LOSS - OF SECTION IV - BUSINESS AUTO CONDITIONS, in the same manner as the Named Insured. ® 2011, The Hartford (Includes copyrighted material Form HA 9916 0312 of ISO Properties, Inc., with its permission.) Page 2 of 5 7 of 8 (TGB00) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NOTICE OF CANCELLATION TO CERTIFICATE HOLDER(S) This policy is subject to the following additional Conditions: A. If this policy is cancelled by the Company, other If notice is mailed, proof of ma)Iing to the last known than for non-payment of premium, notice of such mailing address of the certificate holder(s) on file with cancellation will be provided at least thirty (30) days the agent of record or the Company will be sufficient in advance of the cancellation effective date to the proof of notice. certificate holder(s) with mailing addresses on file Any notification rights provided by this endorsement with the agent of record or the Company. apply only to active certificate holder(s) who were issued B. If this policy is cancelled by the company for non- a certificate of insurance applicable to this policy's tern. payment of premium, or by the Insured, notice of Failure to provide such notice to the certificate holder(s) such cancellation will be provided within ten (10) will not amend or extend the date the cancellation days of the cancellation effective date to the becomes effective, nor will it negate cancellation of the certificate holder(s) with mailing addresses on file policy. Failure to send notice shall impose no liability of with the agent of record or the Company. any kind upon the Company or Its agents or representatives. Form 55 12 23 00 11 Page 1 of 1 © 2011, The Hartford a of 8 (AGN00) Terra Insurance Company TERRA (A Risk Retention Group) FF Two Fifer Avenue, Suite 100 INSURANCE COMPANY Corte Madera, CA 94925 DATE CERTIFICATE OF INSURANCE 11/05/18 CERTIFICATE HOLDER City of Ashland 20 East Main Street Ashland, OR 97520 This certifies that the "claims made" insurance policy (described below by policy number) written on forms in use by the Company has been issued. This certificate is not a policy or a binder of insurance and is issued as a matter of information only, and confers no rights upon the certificate holder. This certificate does not alter, amend or extend the coverage afforded by this policy. The policy of insurance listed below has 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 policy described herein is subject to all the terms, exclusions and conditions of such policy. Aggregate limits shown may have been reduced by paid claims. TYPE OF INSURANCE Professional Liability POLICY NUMBER EFFECTIVE DATE EXPIRATION DATE 218089 01/01/18 12/31/18 LIMITS OF LIABILITY $2,000,000 EACH CLAIM $2,000,000 ANNUAL AGGREGATE PROJECT DESCRIPTION City of Ashland Personal Services Agreement 1291 Oak Street - No Rise Certification CANCELLATION: If the described policy is cancelled by the Company before its expiration date, the Company will mail written notice to the certificate holder thirty (30) days in advance, or ten (10) days in advance for non-payment of premium. If the described policy is cancelled by the insured before its expiration date, the Company will mail written notice to the certificate holder within thirty (30) days of the notice to the Company from the insured. ISSUING COMPANY: NAME AND ADDRESS OF INSURED TERRA INSURANCE COMPANY (A Risk Retention Group) OBEC Consulting Engineers, Inc. 920 Country Club Road, Suite 10013 Eugene, OR 97401 President Legal Department Review DOCUMENT TRANSMITTAL AND CONTROL This form will accompany the document through the drafting, review, and signature processes, and will be kept with the City's final executed copy of the document. Required fields are indicated in gray scale. Document: OBEC Consulting Engineers, Inc. Personal Services agreement (Include names of parties to the document) Type of Document: Contract ® Lease ❑ Easement ❑ Deed ❑ IGA ❑ Other (Specify) Dept Contact: Tami De Mille-Campos ACTION REQUESTED: Dept: Public Works Phone: Ext 2420 ❑ Review Draft Date submitted to Legal: 11i5p8 Approve final and forward to: Draft due by: ASAP Tami De Mille-Campos (Unless indicated, Legal will return document to you) Return Requested by: Tami De Mille-Campos Complete this section ONLY the first time this form is filled out: Has this document been previously worked on by the Legal Dept Staff? ❑ No ❑ Yes If yes, by whom? LEGAL DEPT First Date Received by Legal Date: By: USE ONLY Returned to Dept. for Revision Date: By: Received for additional review by Legal Date: By: Returned to Dept. for Revision Date: By: Received for additional review by Legal Date: By: Returned to Dept. for Revision Date: By: Received for Additional Review by Legal Date: _ By: Returned to Dept for Revision Date: By: Final Logged out by Legal Date: By: Comments from LEGAL to DEPARTMENT: Comments from DEPARTMENT to LEGAL: ❑ See Attached. Please review/approve change to page 2. V40 11n A G, Return original executed document to Ci Does this document need to be recorded? Recorder for safekeeping? ❑ No Yes X No ❑ Yes CITY ADMINISTRATOR / DEPARTMENT HEAD Please do not sign the attached document until this fo bee oved by the Legal Dept below: FINAL LEGAL DEPARTMENT APPROVAL: Date: 8 G:\legaEDEPART MENTS\Contracting\FORMS\Legal Doc Transmittal - KLB.doex Purchase Order Fiscal Year 2019 Page: 1 of: 1 CH-S P Nl7MB,EP h✓,UST AF'PE kFv C7N ALL ~JNVOICESt AND SHIPPING_D-OCUMENTS. B City of Ashland ATT. Accounts Payable 20190281 ~ 20 E. Main Purchase Ashland, OR 97520 Order # T Phone: 541/552-2010 O Email: payable@ashland.or.us V H C/O Public Works Department E OBEC CONSULTING ENGINEERS, INC I 51 Winburn Way 920 COUNTRY CLUB ROAD D SUITE 100B P Ashland, OR 97520 Phone: 541/488-5347 O EUGENE, OR 97401-6089 T Fax: 541/488-6006 R O n -rrm - - - ive_e- - 541 683-6576 Paula Brown - - = - - =ova 11/13/_2018 679 FOB ASHLAND OR/NET30 City Accounts Payable - - _ _ -=r ffig No rise certificate 1 1291 Oak Street - No rise certificate 1 EACH $14,795.4400 $14,795.44 Personal Services Agreement Completion date: 06/30/2019 Project Account: Project Account: Project Account: GL SUMMARY 081200 - 604100 $3,698.86 081800 - 604100 $3,698.86 086100 - 604100 $7,397.72 By:` Date: 1 Aut}horize50'gnature - $14,795.44 FF ORM #3 CITY OF lBASHLAND Sri ~ REQUISITION Date of request: 11/07/2018 Vendor Name OBEC Consulting Engineers, Inc. Address, City, State, Zip 920 Country Club Road Suite 10013 Eugene, OR 97401 Contact Name Jamie Jordan Telephone Number 541-683-6576 Email address SOURCING METHOD ❑ Exempt from Competitive Bidding ❑ Emergency ❑ Invitation to Bid ❑ Reason for exemption: Date approved by Council: ❑ Form #13, Written findings and Authorization ❑ AMC 2.50 _(Attach copy of council communication) ❑ Written quote or proposal attached ❑ Written quote or proposal attached If council a roval required, attach co of CC ❑ Small Procurement ❑ Request for Proposal Cooperative Procurement Not exceeding $5,000 Date approved by Council: ❑ State of Oregon ❑ Direct Award (Attach copy of council communication Contract # ❑ Verbal/Written quote(s) or proposal(s) 0 Request for Qualifications (Public Works) ❑ State of Washington Intermediate Procurement Date approved by Council: Contract # GOODS & SERVICES (Attach copy of council communication) ❑ Other government agency contract Greater than $5,000 and less than $100,000 ❑ Sole Source Agency ❑ (3) Written quotes and solicitation attached ❑ Applicable Form (#5,6, 7 or 8) Contract # PERSONAL SERVICES ❑ Written quote or proposal attached Form Intergovernmental Agreement Greater than $5,000 and less than $75,000 ❑ Form #4, Personal Services >$5K & <$75K Agency Direct appointment not to exceed $35,000 F1 Special Procurement El Annual cost to City does not exceed $25,000. ❑(3) Written proposals/written solicitation Agreement approved by Legal and approved/signed by ❑ Form #4, Personal Services >$5K & <$75K ❑ Form #9, Request for Approval El Written quote or proposal attached City Administrator. AMC 2.50.070(4) Date approved by Council: ❑ Annual cost to City exceeds $25,000, Council Valid until: (Date) approval required. (Attach copy of council communication) Description of SERVICES Total Cost 1291 Oak Street - No rise certificate $ 14,795.44 Item # Quantity Unit Description of MATERIALS Unit Price Total Cost 0 Per attached quote/proposal TOTAL COST Expenditure must be charged to the appropriate account numbers for the financials to reflect the actual expenditures accurately. Project Number _ _ _ _ _ _ _ Account Number 081800 - 604100 _ - 3)698.861 Project Number _ _ _ _ _ _ _ Account Number 086100 _ - 604100 _ _ s 77,397.72 Project Number _ _ _ _ _ _ Account Number 081200 _ _ - 604100 _ _ $ 3,698.86 IT Director in collaboration with department to approve all hardware and software purchases: By signing this requisition form, l certify that the City's public contracting requirements have been satisfied. IT Director Date Support -Yes / No a Employee: CAMI)AC).1 Department Head: ;IAA-'V 2ot (Equal to or greater than $5,000) Department Manager/Supervisor: City Administrato . (I to or greater than $25,0 0) Funds appropriated for current fiscal year: r 4-S NO ! t t FinanceDirector-( "toorgreater than $5,000) Date Comments: „ Form #3 - Requisition