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2019-084 20190184 Studio Fuwafuwa
• PERSONAL SERVICES AGREEMENT ($25,000.00 or less) w44'L CONSULTANT: Studio FuwaFuwa 0 CONSULTANT'S CONTACT: Jeremy Holmes S a'REGR,, City of Ashland ADDRESS: 27 Summit Avenue, Medford, OR 97501 Ashland Parks and Recreation 340 S Pioneer Street TELEPHONE: 541-301-5685 Ashland, Oregon 97520 Telephone: 541-488-5340 EMAIL: jeremy@studiofuwafuwa.com Fax: 541-488-5314 This Personal Services Agreement (hereinafter "Agreement") is entered into by and between the City of Ashland,an Oregon municipal corporation(hereinafter"City")and Studio FuwaFuwa,a domestic limited liability company("hereinafter"Consultant"),for graphic arts&production of three seasonal PlayGuides in calendar year 2019. 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 October 31, 2019. 2. Scope of Work: Consultant shall provide graphic arts and production of three annual APRC PlayGuides (21 to 32 pages each) for APRC: Winter/Spring 2019, Summer 2019 and Fall 2019, as more fully set forth in Consultant's Scope of Work dated August 2, 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$100 per page 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$9,600 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 complimentary 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 Studio FuwaFuwa 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 279B.220, 279B.230 and 279B.235. 9. Living Wage Requirements: If the amount of this Agreement is $20,688.86 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 C"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, damages, liabilities, costs, and expenses of any nature resulting from or arising out of, or relating to the performance of any Work pursuant t o this Agreement Consultant by (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. City may terminate or modify 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 iii. 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. Page 2 of 6: Personal Services Agreement with Studio FuwaFuwa 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. 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 Page 3 of 6: Personal Services Agreement with Studio FuwaFuwa • b. Professional Liability insurance with a combined single limit, or the equivalent, of not less than $1,000,000 (one 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. 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. e. 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.110. 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. 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 Page 4 of 6: Personal Services Agreement with Studio FuwaFuwa 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. 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. 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 Studio FuwaFuwa • 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: CO ULT• 1T: cit acjo 1C- 1�1 Signature ID1P(LS 3E12.6 M 11ousA 65 Printed Name Printed Name NerAfel/t[1Y CS4471/1 kAPAT011C) °woo. Title Title 3/24 k sovis Date Date (W-9 is to be submitted with this signed Agreement) APPRO F ED AS TO RM h nd Asst.City Attorney Dat& 6P' `� S Page 6 of 6: Personal Services Agreement with Studio FuwaFuwa l�uciio FuwaPuwa - Web • Design • Illustration • Marketing c I,,,La,)— Aug 2, 2018 This document certifies that we (Studio Fuwafuwa, LLC) have agreed to continue to produce three yearly parks guidebooks (21 to 32 pages each) for the Ashland Parks & Recreation Commission Winter/Spring 2019, Summer 2019 & Fall 2019 Recreation Guides, at a rate of $100 per page, for a total cost of $6300 to $9600. We will import the in-house pages into the guide as well as provide a web-res PDF in full color at no additional cost. We will adhere to the production schedules as decribed by Dorinda. We are also extending our Non-Profit Rate of $70/hr for any additional projects on an as-needed basis. (This is discounted from our standard rate of$85/hr). We bill in .25hr increments with a 1hr minimum charge. We bill monthly after the completion of a project. Payment is due within 45 days of completion/ billing statement. We provide status updates on in-process projects as necessary. Thank you for the opportunity to work with your organiztion. We look forward to it! Contact: Jeremy Holmes I 541-301-5685 I jeremy @studiofuwafuwa.com WWW.STUDIOFUWAFUWA.COM FACEBOOK.COM/STUDIOFUWAFUWA EXHIBIT B PRODUCTION SCHEDULE for Layout Assistance of the three annual guides (calendar year), "Community PlayGuide: What to Do!" WinterSpring 2019 PlayGuide Summer 2019 PlayGuide Fall 2019 PlayGuide • Production of the WinterSpring 2019 PlayGuide will begin in September/October, 2018 and conclude in December, 2018 • Production of the Summer 2019 PlayGuide will begin in February, 2019 and conclude in April/May 2019 • Production of the Fall 2019 PlayGuide will begin in June, 2019 and conclude in August, 2019 CITY OF ASHLAND, OREGON 'sly<<o City of Ashland LIVING ALL employers described WAG E below must comply with City of Ashland laws regulating •a ment of a livin• wa.e. MEper hour, effective June 30, 2018. iv The Living Wage is adjusted annually every W■131 June 30 by the Consumer Price Index. Employees must be paid a portion of business of their 401 K and IRS eligible living wage: 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: 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 Ashland, including the Parks in any calendar year. For ➢ For all hours worked in a and Recreation Department. more details, please see month if the employee spends 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. EXHIBIT D 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 cri 1ria that apply to its business. (1) Consultant carries out the work or services at a location separate from a private 'I� residence or is in a specific portion of a private residence, set aside as the location of the business. l'.� (2) Commercial advertising or business cards or a trade association membership are Ill purchased for the business. !I� (3) Telephone listing is used for the business separate from the personal residence �I1 listing. (4) Labor or services are performed only pursuant to written contracts. D i 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. Con is signature SI III Date CERTIFICATION OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE REQUIREMENTS Contractor is exempt from the requirement to obtain workers compensation insurance under ORS Chapter 656 for the following reason. Contractor is to initial the appropriate box as follows: SOLE PROPRIETOR (Initials) • Contractor is a sole proprietor,and • Contractor has no employees,and • Contractor will not hire employees or subcontractors to perform this contract. CORPORATION—FOR PROFIT (Initials) • Contractor's business is incorporated;and • All employees of the corporation are officers and directors and have a substantial ownership interest* in the corporation,and • All work will be performed by the officers and directors;Contractor will not hire other employees or subcontractors to perform this contract. CORPORATION-NONPROFIT (Initials) • Contractor's business is incorporated as a nonprofit corporation,and • Contractor has no employees;all work is performed by volunteers,and • Contractor will not hire employees ees or subcontractors to perform this contract. PARTNERSHIP (Initials) • Contractor is a partnership,and • Contractor has no employees,and • All work will be performed by the partners;Contractor will not hire employees or subcontractors to perform this contract,and • ontractor is not engaged in work performed in direct connection with the construction,alteration,repair, improvement,moving or demolition of an improvement to real property or appurtenances thereto.** LIMITED LIABILITY COMPANY (In%s) • Contractor is a limited liability company,and • Contractor has no employees,and • All work will be performed by the members;Contractor will not hire employees or subcontractors to perform this contract,and • If Contractor has more than one member,Contractor is not engaged in work performed in direct connection with the construction,alteration,repair,improvement,moving or demolition of an improvement to real property or appurtenances thereto.** 5/q"/IC (Si:A.M.I of Authorized Signer) (Date) p w0E12- (Signer'sTitle *NOTE: Under OAR436-50-050 a shareholder has a"substantial ownership"interest if the shareholder owns 10%of the corporation,or if less than 10%is owned,the shareholder has ownership that is at least equal to or greater than the average percentage of ownership of all shareholders. **NOTE: Under certain circumstances partnerships and limited liability companies can claim an exemption even when performing construction work. The requirements for this exemption are complicated. Consult with City Attorney's Office before an exemption request is accepted from a contractor who will perform construction work. 1 A(`- ----- DATE(MMIDD/YYYY) l CERTIFICATE OF LIABILITY INSURANCE 07/13/2018 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 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 Cindy Barnes StateFarm MANNY SAENZ IA/C No.Ext( 541-770-2878 FAX Nol: 541-282-5560 O STATE FARM INSURANCE E-MAIL cindy©mannysaenz.com OO,, ADDRESS: y�mann y 535 STEVENS ST STE D INSURER(S)AFFORDING COVERAGE NAIC# MEDFORD OR 97504 INSURER A: State Farm Fire and Casualty Company 25143 INSURED INSURER B: Jeremy Holmes INSURER C: DBA STUDIO FUSWFUWA,LLC INSURER D: P 0 BOX 103, 27 SUMMIT AVE INSURER E: MEDFORD OR 97501 INSURERF: 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 INSURANCE INSO WVD POLICY NUMBER (MM DDY/YYYY) IMM/DDIIYYYY) LIMITS LTR INSD WVD COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE CLAIMS-MADE OCCUR PREMISES(Ea occurrence) $ 300,000 PROFESSIONAL LIABILTIY MED EXP(Any one person) $ 5,000 X 97-BV-U037-5 02/14/2018 02/14/2019 PERSONAL 8 ADV INJURY $ 1,000,000 GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 XPOLICY PEA LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ AUTOMOBILE UABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) THE CITY OF ASHLAND OREGON AND ITS ELECTED OFFICIALS,OFFICERS AND EMPLOYEES AS ADDITIONAL INSUREDS ON ANY INSURANCE POLICIES REQUIRED HEREIN BUT ONLY WITH RESPECT TO CONSULTANT'S SERVICES TO BE PROVIDED UNDER THIS CONTRACT. 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 EAST MAIN STREET AUTHORIZED REPRESENTATIVE ASHLAND OR 97520 1 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 1001486 132849.12 03-16-2016 State Farm OREGON INSURANCE CARD INSURED HOLMES,JEREMY MUTL POLICY NUMBER 1528700-F29-37H VOL YR 2015 MAKE SUBARU JUN 29 2018 VOL EFFECTIVE DEC 29 2018 MODEL OUTBACK VIN 4S4BSACC8F3334813 AGENT MANN?SAENZ PHONE (541)770.2878 NAIC 25178 2245-AE6 A BODILY INJURY/PROPERTY DAMAGE LIABILITY P4 PERSONAL INJURY PROTECTION D 5000 DEDUCT COLLISION._ H,U1 SEE REVERSE SI9E FOR ADM TIOND',COVERAGE INFORMATION F1411 City of Ashland BUSINESS REGISTRATION 20 E Main St. ran 06/30/2019 OR 97520 Expiration Date 06/30/2019 Business Account ID This is a registration only.It is the sole responsibility of the applicant to ensure compliance 024442 with all applicable federal,state,and local laws,ordinances,or regulations.Renewal fees will automatically apply each year on July 1 unless the City is notified that you are no longer doing Business Location business in Ashland. 25 SUMMIT AV STUDIO FUWAFUWA,LLC MEDFORD, OR 97501 STUDIO FUWAFUWA,LLC PO BOX 103 MEDFORD, OR 97501 2019 POST IN A CONSPICUOUS PLACE NON-TRANSFERABLE J Brur:e 'Dickerri ..... CR_TriNALTY,MPAP5WP•£-.314 `•10l.IFFMTWIMPIROTICISIMIITIPPKWMPIIV37171,77,1',7".,tti,7,11PErtlIPSIRS,AVITVYMITSV751VIMMI rA.-1,,,r7.47£1,1,1,.,Fr3:"!7 From: Dave Kani!cr Sent: Monday, June 06, 2016 1:38 PM • To: Bruce Dickens Subject: RE: Contract for Recreation Guide Bruce- Yes, I can do that. Dave From: Bruce Dickens Sent:Monday,June 06, 2016 12:29 PM Tot,.c.) pnfar,:s requesting your signature(apprda)fry-an exeMption of the auto insurance on this contract.The contractor will not be using a vellicio oi ;raveling in any way to perform the work for our Recreation Guide.All work will be completed electronically or through the postal service. Thanks for your consideration, Bruce Dickens Parks and Recreation - Parks Superintendent City of Ashland 01-0, i:P:ioneg -,Fst, Ashland, OR 97520 Qi 541.- 27.2252. S41.7488;531.4 fax * $.• • , •• , . This eMail -transmisSiOn uli)cial business of the City of Ashland, and it is subject to Oregon public records law for disclosure and retention. If yOu have received this mesGame in error, please contact me at 541-552-2252. Thank You. • • • • •• . : • - C • ' .)•• ti• • • • ;:52 t • . • . • - . , • •• : • • • • 1 OREGON SECRETARY OF STATE 1 HOME ► Corporation Division business information center business name search Oregon business guide referral list business registry/renewal forms/fees notary public uniform commercial code uniform commercial code search documents&data services Business Name Search New Search inter Filretkily Business Entity Data 08-07-2018 16:51 er Entity Type ntity Status ]urisicti don Registry Dat< W Date Renewal Due? 676075-99 l DLLC ACT OREGON 03-29-2010 03-29-2019 itv Nam, STUDIO FUW UWA, LLC New Search Printer Friendly_ Associated Names Type PPB 'PRINCIPAL PLACE OF BUSINESS I I Addr 1 25 SUMMIT AVE Addr 2 CSZ MEDFORD IOR 197501 I I Country 'UNITED STATES OF AMERICA 'lease click here for general information about registered agents and service of process. Type GT 'REGISTERED AGENT ' Start Date 102-18-2013 I Resign Date ' iv-,me GAN IHOLLYIANGELE I I ._m r 1 5 SUMMIT AVE Addr 2 CSZ EDFORD 'OR 197501 I I Country 'UNITED STALES OF AMERICA Type MAL IIVIAILING ADDRESS I Addr 1 PO BOX 103 Addr 2 CSZ MEDFORD 'OR 197501 I I L.,..--- r UNITED STATES OF AMERICA Type M 'MEMBER Resign Date ' ° 'me JEREMY LOGANIIIOLMES I r 1 25 SUMMIT AVE r2 Type IMEM 'MEMBER Name MEGAN IHOLLYIANGELE A d.cir I 25 SUMMIT AVE Addr 2 CSZ MEDFORD IOR 197501 I C.ountry 'UNITED STATES OF AMERICA New Search Printer Friendly. Name History Name Name Type Status ;TUDIO FUWAFUWA, LLC EN CUR 03-29-2010 'lease read before ordering Copies. New Search Printer Friendly. Summary History Actwo Status Narne/Agent Change ANNUAL REPORT PAYMENT 02-22-2018 SYS ANNUAL REPORT PAYMENT 02-17-2017 SYS ANNUAL REPORT PAYMENT 02-23-2016 SYS ANNUAL REPORT PAYMENT 02-19-2015 SYS ANNUAL REPORT PAYMENT 03-04-2014 SYS 0 AMENDED ANNUAL REPORT 02-18-2013 FI Agent ANNUAL REPORT PAYMENT 03-12-2012 SYS 0 CHANGE OF REGISTERED 03-18-2011 Fl AGENT/ADDRESS AMENDED ANNUAL REPORT 03-18-2011 FI ARTICLES OF ORGANIZATION 03-29-2010 Fl Agent About Us I Announcements I Laws& Rules I Feedback Policy.I SOS Home I Oregon Blue Book I Oregon.gov For comments or suggestions regarding the operation of this site, please contact : corporation.division@state.or.us 2018 Oregon Secretary of State. All Rights Reserved. -.0 - Purchase Order �y , 2` 7� 02 Fiscal Year 2019 Page: 1 of: 1 ''S 0 REGREa.v 1j=°_=iL �g.e{?-°d g__ ° ObitjAe L -ee__-- B Ashland Parks Commission ---I ATTN: Accounts Payable Purchase L L 20 E. Main 20190184 Ashland, OR 97520 Order# T Phone: 541/552-2010 0 Email: payable @ashland.or.us V H C/O Recreation Division (Grove E STUDIO FUWAFUWA, LLC I 1195 East Main Street N PO BOX 103 p Ashland, OR 97520 D MEDFORD, OR 97501 Phone: 541/488-5340 R R O Fax: 541/488-5314 ai.=g elelejg1=1;[=a g gg eI=1— =lgla a a=_=-7.77 ;sjefcl=—EE=I=gli'lii=le'g`igigg'i --PI-1 1,1c100e:"s=1=12=1g W= — Susan D ssegard _ el=010aaI=I=1€°--ifn .Llir=Ie= J3s=1ai3111Migt.1=4_=1ege6 --_ --•— hMEM7...I = ele 08/28/2018 _ 2366 FOB ASHLAND OR/NET30 Parks Accounts Payable Community PlayGuides 1 Graphic arts and production of three seasonal PlayGuides in 1 $9,600.0000 $9,600.00 calendar year 2019 Personal Services Agreement ($25,000.00 or less) Completion date: October 31, 2019 Project Account: $4,800.00 Project Account: $4,800.00 .k*********.k**** GL SUMMARY*************** 120900-604100 $4,800.00 125301 -606100 $4,800.00 By: Date: ` ' A orized ignature _-- 1 i $9,600.00 am" ITY F FORM G#3 o CITY ASHLAND REQUISITION i 7-10 ( 61 a c g 6feof request: 08/22/2018 Vendor Name Studio FuwaFuwa Address,City,State,Zip 27 Summit Avenue,Medford,OR 97501 Contact Name Jeremy Holmes Telephone Number 541-301-5685 Email address ieremystu d iofuwafuwa.com SOURCING METHOD ❑ Exempt from Competitive Bidding ❑ Emergency ❑ Reason for exemption: ❑ Invitation to Bid (Copies on file) ❑ Form#13,Written findings and Authorization ❑ AMC 2.50 Date approved by Council: ❑ Written quote or proposal attached ❑ Written quote or proposal attached (Attach copy of council communication) _(If council approval required,attach copy of CC) ❑ Small Procurement Cooperative Procurement Less than$5,000 ❑ Request for Proposal (Copies on file) ❑ State of Oregon 1=1 Direct Award Date approved by Council: Contract# El 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 ❑ Special Procurement Intergovernmental Agreement $5,000 to$75,000 ❑ Form#9, Request for Approval ❑ Agency 12 Less than$35,000,by direct appointment ❑ Written quote or proposal attached Date original contract approved by Council: ❑ (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 Graphic arts and production of three seasonal PlayGuides in calendar year 2019. $ 9,600.00 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. 93 600 0 0 Project Number Account Number 1 2 0 9 0 0.6 0 4 1 0 0 $_,_ _ 4 ,8 0 0 .0 0 Project Number Account Number 1 2 5 3 0 1 .6 0 6 1 0 0 $_,_ _ 4 ,8 0 0 .0 0 Project Number -_ _ _ Account Number - $_,_ _ _,_ _ _•_ _ IT Director in collaboration with department to approve all hardware and software purchases: IT Direct r Date Support-Yes/No By signing this regd..itron form,1 cert. hat the City's public contracting requirements have been is ie . his( f Q, Employee: �-- �Cv -2 Department Head: C1( his (l. b (I t ltT C�(, (Equal to or reater than$5,000) Department Manager/Supervisor: City Administrator: (Equal to or greater than$25,000) Funds appropriated for current fiscal year: NO - cl - - _ g/ZS I le? inane '-ctor-(Equal to or greater than$5,000) Date Comments: Form#3-Requisition f 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: PPP' —f Sei-v'Ce.c.- ,---re ovi Zip yi- i7LC/a wa /czA (Include names ofparties to the document) Type of Document: Contract Lease ❑ Easement ❑ Deed ❑ IGA ❑ Other(Specify) Dept Contact: ?QC 1 -2) y Ss c 5.c:.e-c/ ACTION REQUESTED: Dept: , -/C c Phone: Ext Date submitted to Legal: 1— 7—/8 T Review Draft ❑ Approve final and forward to: Draft due by: i—/ 7 —/if . ,, (Unless indicate4 Legal will return document to you) Return Requested by: Complete this section ONLY the first time this form is filled out: Has this document been previously worked on by the Legal Dept Staff? )4 No ❑ Yes If yes,by whom? LEGAL DEPT First Date Received by Legal Date: A7-'7-1 8 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: S- /S/? By: `U Comments from LEGAL to DEPARTMENT: Co rents om DEPARTMENT to LEGAL: ❑ See Attached. -- ,az-'1,,I GcJa,',/to�' � � � 7 ZOl� v _Ado f .....i_et,-/--s eq s ed/5 e-a--f-4-2--J. b,a /eZe 5'491'7f ‘i 15ft7kg-:-: i/ „ .: --1, , , / f Mit- Return original e.!• I = R men to City / Does this document need to be recorded? Recorder for safekeeping? ❑ No ►: Yes 04 No ❑ Yes CITY AD I I TRATOR I DEPARTMENT HEAD Please do not sign the attached document until this fo aibeep2Mved by the Legal Dept below: FINAL LEGAL DEPARTMENT APPROVAL: ` / �_ Date: /-/1/-/1-"V Fs 8/2 7A6 • Susan Dyssegard From: Katrina Brown Sent: Wednesday, August 15, 2018 11:09 AM To: Susan Dyssegard Cc: Kris Bechtold Subject: Contracts from this morning Susan, One last thought on the two Personal Services Agreements that we discussed this morning. Since there are changes to the form of agreement re: insurance, Kari will likely want an actual stamp and signature on the last page of the contract showing approval by legal. So after you get them signed, send over and I will stamp, sign, and send on to Kari for ,X' processing. �'1/ Let me know if you have any questions. 7 Katrina \'t" Katrina L. Brown Assistant City Attorney City of Ashland � 20 E. Main Street Ashland, Oregon 97520 Cit•-5 (5n 1)488-5350 This electronic transmission contains PRIVILEGED AND CONFIDENTIAL information and is intended only for the use of the addressee(s)named above. If the reader of this message is not the intended recipient or the employee or agent responsible for delivering the message to the intended recipient(s), please note that any dissemination, use, distribution or copying of this communication is strictly prohibited. 1