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Home My WebLink About2019-075 20190371 S & S Sheetmetal . I SERVICES AGREEMENT PROVIDER: S & S Sheetmetal Inc. C I T Y O F PROVIDER'S CONTACT: Paul Shipley ASHLAND 20 East Main Street ADDRESS: 912 Antelope Rd. Ashland, Oregon 97520 White City, OR 97503 Telephone: 541/488-5587 PHONE: 541-826-6661 Fax: 541/488-6006 This Services Agreement (hereinafter "Agreement") is entered into by and between the City of Ashland, an Oregon municipal corporation (hereinafter "City") and S & S Sheetmetal Inc., a domestic business corporation ("hereinafter"Provider"), for the re-working of ducting to accommodate plumbing as well as fabricate and install drain pan and remove and reinstall insulated supply duct from elbows to wall. 1. PROVIDER'S OBLIGATIONS 1"1 Provide the re-working of ducting to.accoinniodate plumbing aswelfas fabricate and install drain pan and remove and reinstall insulated supply duct from elbowsto wall as.setforth in the "SUPPORTING DOCUMENTS"`attached hereto and, by,this .reference,'incorporated herein provider expressly• acknowledges that i time is of the essence of any completion date, set forth•in the;,SUPPORTING DOCUMENTS, and that'n6 Waiver or extension of such'deadline may be authorized except in the same manner as herein provided for authority to exceed the maximum compensation. The services,defined and described in the "SUPPORTING DOCUMENTS"`shall hereinafter be collectively referred to as "Work." 1.2 Provider shall obtain and maintain during the term of this Agreement and until City's final acceptance of all Work received hereunder, a policy or policies of liability insurance including commercial 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 and Property Damage; 1.2.1 The insurance required in this Article shall include the following coverages: • Comprehensive•General or Commercial General Liability, including personal injury, contractual liability, and products/completed operations coverage; and • Automobile Liability. 1.2.2 Each policy of such insurance shall be on an "occurrence" and not a "claims made" form, and shall: • Name as additional insured "the City of Ashland, Oregon, its officers, agents and employees" with respect to claims arising out of the provision of Work under this Agreement; •.• , • Apply to each named and'additional named insured as,though a separatepolicy had been issued to each,provided that the policy Limits'shall not be increased,thereby;:., c • Apply as primary"coverage for each additional,named insured except to the extent that two, • or more such policies are'intended to "layer".coverage and, taken together,,they provide total coverage from the first dollar of liability; '' • Provider shall immediately notify the City of any change in insurance coverage Page 1 of 5: Agreement between the City of Ashland and S&S Sheetmetal Inc. • S&SSHEE-01 CBETTIN ACC PREY CERTIFICATE OF LIABILITY INSURANCE DATE 2/1/2019 ) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Carol Bettin NAME: Anchor Insurance&Surety,Inc. PHONE FAX 1201 SW 12th Ave.Suite 500 (ac,No,Ext):(503)224-2500 (ac,Na):(503)224-9830 Portland,OR 97205 E-MAIL AESS:cbettin @anchorias.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:SAIF Corporation 36196 INSURED INSURER B: S&S Sheetmetal Inc. INSURER C: 912 Antelope Road INSURER 0: White City,OR 97503 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. INSR TYPE OF ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INS VNO IMM/DD/YYYYI IMM/DDIYYYYI COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY jar LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE COMBINED SINGLE LIMIT UTOMOBILE LIABILITY (Ea accident) $ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS ONLD ppReOPERTVDAMAGE (Per PERT np $ $ UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ EXCESS DAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION X STATUTE FOR AND EMPLOYERS'LIABILITY Y/N 811929 10/1/2018 10/1/2019 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L EACH ACCIDENT $ QJFICER/MEMBEq EXCLUDED? N/A 1,000,000 O antlatory m Nfl) E.L DISEASE-EA EMPLOYEE $ If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) Ashland Fire Station#1-455 Siskiyou Blvd.,Ashland,OR CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE City of Ashland-Public Works Dept. ACCORDANCE WITH THE POLICY PROVISIONS. CE WILL BE DELIVERED IN 20 E.Main Street Ashland,OR 97520 AUTHORIZED REPRESENTATIVE ////L4. a G� ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AC O® DATE mwor m'Y) CERTIFICATE OF LIABILITY INSURANCE 022192019 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 WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: CLIENT CONTACT CENTER FEDERATED MUTUAL INSURANCE COMPANY PHONE I FAX HOME OFFICE: P.O.BOX 328 (A/C,No,Ext):888-333-4949 (A/C,No):507-446-4664 OWATONNA, MN 55060 ADDRESS:CLIENTCONTACTCENTER(GlFEDINS.COM INSURER(S)AFFORDING COVERAGE NAICN INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED 343-547-6 INSURER B: S &S SHEETMETAL INC INSURER C: 912 ANTELOPE RD WHITE CITY,OR 97503-1607 INSURER o: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:275 REVISION NUMBER:0 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 OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSR WVD IMMIDD/YVYYI IMM/DD/WYYI X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED $100,000 CLAIMS-MADE H OCCUR PREMISES(Ea occurrence) MED EXP(Any one person) EXCLUDED A N N 9910853 04/24/2018 04/24/2019 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 X JEC POLICY I 1 PRO-T n LOC PRODUCTS-COMP/OP AGO $2,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000 (Ea aMdent) X ANY AUTO BODILY INJURY(Per person) —A OWNED AUTOS ONLY _AUTOSULED N N 9910853 04/24/2018 04/24/2019 BODILY INJURY(Per acddent) HIRED AUTOS ONLY NON-OWNED PROPERTY DAMAGE AUTOS ONLY (Per accident) — X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $2,000,000 A EXCESS LIAB CLAIMS-MADE N N 9910854 04/24/2018 04/24/2019 AGGREGATE $2,000,000 LIED IRETENTION WORKERS COMPENSATION PER STATUTE I ER AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETORIPARTNERIEXECUTIVE ^I E.L EACH ACCIDENT OFFICERIMEMBER EXCLUDED? I I N IA (Mandatory in NH) E.L DISEASE-EA EMPLOYEE II yes,describe under E.L DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Addldonal Remarks Schedule,may be attached it more space Is required) PROJECT LOCATION ASHLAND FIRE STATION Pi 455 SISKIYOU BLVD ASHLAND OR, 97520 CERTIFICATE HOLDER CANCELLATION 343-547-6 275 0 CITY OF ASHLAND-PUBLIC WORKS DEPT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 20 E MAIN ST THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ASHLAND,OR 97520-1814 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE /1G 4/24441/61 O 1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD FEDERATED INSURANCEI® Dear Policyholder, Thank you for choosing Federated Insurance to handle your insurance and risk management needs. The attached certificate document(s) have been issued or updated. Please feel free to contact us with any additional changes, additions or deletions that may be needed by contacting the Federated Client Contact Center at Phone: 1-888-333-4949 Fax: 507-446=4664 E-mail: clientcontactcenter @fedins.com Thank you for your business! Client Contact Center Enclosed: Certificate Document(s) MISC-0829 (04-13) • Crete Co. LLC Po Box 160 Eagle Point OR 97524 (541)621-8332 Number E310 creteco18 @outlook.com License#219140 Date 11/5/2018 Bill To Chance Metcalf City of Ashland,Public Works 20 East Main Street Ashland,OR,97520 Project Fire Department Description Amount Remove&replace approximately 75 square feet of concrete $3,695.00 surface area with 5 steps. Removal&replace of landing at bottom of stairs $1,200.00 approximately 80 square feet Price includes all concrete,rebar,labor,sawcutting hauling of material off site. Total $4,895.00 prim Purchase Order , � v� ��i I � Fiscal Year 2019 Page: 1 of: 1 B City of Ashland ---z FicL_:s__,��E101i- ai-aje[=0 61 E'0-.;_--=—__= I ATTN: Accounts Payable Purchase L. L 20 E. Main 20190371 Ashland, OR 97520 Order# T Phone: 541/552-2010 O Email: payable @ashland.or.us V H 0/0 Facilities Maintenance Div E S & S SHEETMETAL, INC I 90 North Mountain Ave N 912 ANTELOP ROAD p Ashland, OR 97520 O WHITE CITY, OR 97503 Phone: 541/488-5358 R T Fax: 541/552-2304 O ,:ter. =A§ta! ;-91®e§eI=1 -vv_17[s oloo_ ?21 a1c1==E=I.'s` .1ra.B 13 a]_1 -- _Paula Brown diifiee 8 =viii .FraEIiIz:isi=1 =4J t; _a's IV.aD a'e=1la Fr=I;1°teig.°-19€'s F- = 1 1 Qg 02/14/2019 390 FOB ASHLAND OR City Accounts Payable Plumbing Fire Station #1 1 Rework ducting to accommodate plumbing and fabricate and 1 $1,795.0000 $1,795.00 install drain pan and remove and reinstall insulated supply duct from elbows to wall. Services Agreement Completion date: 06/30/2019 Project Account: ............... GL SUMMARY ............... 082400 -602400 $1,795.00 - • • . - By:'--' Date: ZiC - t 11..1 - A orized Signature ---- ----- I a—i $1,795.00 ' i f FORM #3 7 f CITY OF A request ®i a Purchase Or de ASHLAND � �`/ r` � O � 7 / REQUISITION Date of request: 02/04/2019 Vendor Name S&S Sheetmetal Inc. Address,City,State,Zip 912 Antelope Rd.White City,OR 97503 Contact Name Paul Shipley Telephone Number 541-826-6661 Email address SOURCING METHOD ❑ Exempt from Competitive Bidding ❑ Invitation to Bid ❑ Emergency ❑ 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 approval required,attach copy 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 It • GOODS&SERVICES (Attach copy of council communication) ❑ •Other govemthent 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 . D Annual cost to City does not exceed$25,000. ❑ Special Procurement 0(3)Written proposals/wrtten solicitation Agreement a pp roved by Legal and a pproved/si g ned by m#9,Request for Approval Form#4,Personal Services>$5K&<$75K 0 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 Rework ducting to accommodate plumbing and fabricate and install drain pan and remove and reinstall insulated supply duct from elbows to wall. $ 1,795:00' Item# Quantity Unit Description of MATERIALS Unit Price Total Cost • Per attached quotelproposal ,'TOTAL COST Expenditure must be charged to the appropriate account numbers for the financials to reflect the actual expenditures accurately. I - • - Project Number _ _ _ Account Number 082400 _ 602400 $ 1795.00 Project Number _ _ _ Account Number - $ , ,_ _ _ Project Number - _ _ Account Number - $ ,_ _ _,- - -•_ IT Director in collaboration with department to approve all hardware and software purchases: By signing this requisition form,I certify that the City's public contracting requirements have been satisfied. IT Director Date Support-Yes/No Employee: ti Li, lit Aak 1 t - ?L A&% Department Head: (Equal to rgr5I Ise Z9t9 Department Manager/Supervisor: City Administrator: (Equal to or greater than$25,000) Funds appropriated for current fiscal year YES / NO Finance Director-(Equal to or greater than$5,000) Date Comments: