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HomeMy WebLinkAbout2019-092 20190211 Bugs Northwest GOODS & SERVICES AGREEMENT PROVIDER: Bugs Northwest CITY O F PROVIDER'S AS H LAN D CONTACT: Dave Mays' • 20 East Main Street Ashland,Oregon 97520 ADDRESS: 551 SW G Street Telephone: -541/488-5587 Grants Pass, OR 97526 Fax: 541/488-6006 PHONE: (541)472-5003 This Goods and Services Agreement (hereinafter "Agreement") is entered into by and between the City of Ashland, an Oregon municipal corporation (hereinafter "City") and Bugs Northwest, a domestic business corporation("hereinafter"Provider"), for pest control. 1. PROVIDER'S OBLIGATIONS 1.1 Provide pest control for FY19 as set forth in the "SUPPORTING DOCUMENTS" attached hereto and, by this reference, incorporated herein. Provider expressly acknowledges that time is of the essence of any completion date set forth in the SUPPORTING DOCUMENTS, and that no 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 goods and 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 separate policy had been issued to each,provided that the policy limits shall not be increased thereby; • 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 • Provider shall supply an endorsement naming the City,its officers, employees and agents as additional insureds by the Effective Date of this Agreement:, and , • Be evidenced by a certificate or certificates of such insurance approved by the City. Page 1 of 5: Agreement between the City of Ashland and Bugs Northwest l �o CERTIFICATE OF LIABILITY INSURANCE DATE 8/3/2018vYY1 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER LIPCA Inc. CONTACT LIPCA, Inc. PO Box 80663 PHONE FAX Baton Rouge,LA 70898 EA/ICc,ILO,Ext):(225)927-3283 (A/C,No):(225)927-3295 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC U INSURER A: Gemini Insurance Company 10833 INSURED Green Line Corporation INSURER B: Bugs Northwest 551 SW G St INSURER C: _ , Grants Pass,OR 97526 INSURERD: _ — INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 67337 REVISION NUMBER: 20170910 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 SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR I INSR WVD (MMIDD/YYYY) (MMIDD/YYYY) GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 DAMAGE TO RENTED 1 ✓ COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) $ 1 000 LGL0000759 04 9/10/2017 9/10/2018 CLAIMS-MADE ✓ OCCUR MED EXP(Any one person) $ 5,000 A Deductible 1,000 PERSONAL&ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 4,000,000 ✓ POLICY PRO JECT LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ — EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $OTH- WORKERS COMPENSATION PER STATUTE ER AND EMPLOYERS'LABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N I A (Mandatory In NH) E.L DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION City of Ashland 20 E. Main St SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Ashland,OR 97520 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE (fl ACORD 25(2014/01) ©1988-2014 ACORD C RPORA410N.All rights reserved. The ACORD name and logo are registered marks of ACORD 3 i • AA g BugiNorthweit June 22, 2018 Schedule of Labor Rates Depending on scope of work, prices may range from $100.00-$150.00/per hour, as a base rate, including materials used There is a minimum charge rate of$85.00 service fee w w w . b u g s n w . c o m 541.472.5003 541.770.2920 551 SW "G" Street • Grants Pass, OR 97526 CCB#200990 AG-L# 1028809 ,98/20/2018 MON 11: 28 FAX 5414746632 Siskiyou Ins. 0001/001 AC RO? CERTIFICATE OF LIABILITY INSURANCE DATE(MMADNYYY) \—/ 08/20/2018 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). PROWLER NAME CT House Account Siskiyou Insurance Marketplace, Inc. (me ear (541)479-6672 I(r.:LNoT (541)474-6632 704 Sw 4th Street E4 ADDRESS' INSURER(S)AFFORDING COVERAGE _. _ NAICS Grants Pass OR 97526 INSURER A: Salf Corporation 203 INSURED INSURER 8: • Green Line Corporation INSIIRERC: DBA;Bugs North West INSURER 0: 551 Sw G Street INSURER E: Grants Pass OR 97526 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 MOVE 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 AUDI_SUBR POLICY LFF Dun CY EXP LIMITS INSR MnA POLICY NUMBER JMMIDDNYYYI (MMICCTYYYY) COMMERCIAL GENERAL L LAB LITY EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMSMADE OCCUR PREMISES(Ea eminence) S • MED EXP(Any one person) $ PERSONAL 8ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY n JEQ LOC PRODUCTS-COMPAP AGG_$ _ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S _ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED AUTOS N D OPE dent) AGE S _AUTOS ONLY _ALTOS ONLY ( er ecvtleH) $ • UMBRELLA LIAB —OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE AGGREGATE $ GPO I I RETENTIONS $ WORKERS COMPENSATION AND EMPLOYERS LIABILITY PER ATUTE ERH A OFFICERE4EMBERExCLUDED? CunvE Yn N(A N 747737 04/01/2018 04/01/2019 E.L.EACH ACCIDENT $ 500,000 (Mandatory in NH) E.L.DIEASE-EAEMPLOYEE $ 500,000 RESCRIPTIONOFOPERATIONS below _ E.L.DISEASE-POLICY LIMIT S 500,000 DESCRIPTION OF OPERATIONS!LOCATIONS VEHICLES(A CORD 101,Addition el Remarks Schedule,may be attached it more space is required) i 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 E.MAIN ST. AUTHORIZED REPRESENTATIVE , • I Ashland OR97520 ': r' "- . Fax: Email: 01988-2015ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD • `CONRY FINANCIAL. AUTO INSURANCE DECLARATIONS COUNTRY Mutual Insurance Companye P.O.Box 14151,Salem,Oregon 97309-5069 Preferred Plan POLICY NUMBER I POLICY TERM I PAYMENT PLAN I INS.OFFICE/AGENT A36A4937883 6 MONTHS SEMI-ANNUAL 36003 SOREG/05571 To report a claim or for roadside assistance any ACCOUNT NUMBER 9988087-001-00001 time day or night,call 1-866-COUNTRY(1-866-268-6879) Policy period beginning Apr 11,2018 INSURED 12:01 a.m.standard time at your address ending Oct 11,2018 12:00 a.m. MAYS DAVID ADAM &KRISTINA MA 225 LINCOLN RD Declarations reason: GRANTS PASS OR 97526-5534 POLICY RENEWAL Effective Apr 11,2018 12:01 a.m.standard time at your address. Your policy consists of the policy booklet, applications,declarations pages and any endorsements.Please keep them together. 0000 0000 TOTAL PREMIUM $1,577.52 DO NOT PAY THIS AMOUNT. ANY BALANCE DUE WILL BE LISTED ON A SEPARATE INVOICE. VEHICLE VEHICLE.USE AND DRIVER INFORMATION 2004 FORD A84765 TRUCK 1 TON AND UNDER, BUSINESS,30-64 2009 FORD B71843 TRUCK 1 TON AND UNDER, PLEASURE, 30-64 2009 FORD A51076 TRUCK 1 TON AND UNDER, PLEASURE, 30-64 2009 FORD A54631 TRUCK 1 TON AND UNDER, PLEASURE, 30-64 POLICY COVERAGE LIMITS EACH PERSON EACH OCCURRENCE LIABILITY-BODILY INJURY 250,000 500,000 PROPERTY DAMAGE - 100,000 UNINSURED MOTORISTS 250,000 500,000 UNDERINSURED MOTORISTS 250,000 500,000 2004 FORD 2009 FORD 2009 FORD 2009 FORD Tarr 005 Terz 005 Terr 005 Tarr 005 VEHICLE COVERAGE LIMITS PERSONAL INJURY PROTECT EACH PERSON 100,000 100,000 100,000 100,000 COLLISION-ACTUAL CASH VALUELESS DED • 500 500 500 500 COMPREHENSIVE-ACTUAL CASH VALUE LESS DED 250 250 250 250 ROAD SERVICE • YES * * J ENDORSEMENTS u, UNINSURED MOTORISTS PROPERTY DAMAGE COV YES YES YES YES AMENDATORY END-OR YES YES YES YES SAFETY GLASS FULL COV YES YES YES YES PREMIUMS 0. LIABILITY-BODILY INJURY 191.75 147.03 147.03 147.03 5 PROPERTY DAMAGE included included included included UNINSURED MOTORISTS 39.70 39.70 39.70 39.70 a FOR SERVICE CALL YOUR FINANCIAL REPRESENTATIVE DEBBRA DERENSKI AT(541)479-0362. 11302OR(01-06/16) INSURED'S COPY Page 1 2004 FORD 2009 FORD Ten-005 Tarr 005 2009 FORD . 2009 FORD PREMIUMS Tarr oos Tarr 005 UNOERlN8URE0,4 0-70F0SLTS rrc\udad ° ASONhL INJURY PROTECT included n�lr.and 66.65 44.99 47.02 .47.02 '\,OLUSION 78.06 92.32 85.03 85.03 COMPREHENSIVE 53.74 55.54 49.94 49.94 ROAD SERVICE * 5.00 * UNINSURED MOTORISTS PROPERTY DAMAGE COV 6.00 6.00 6.00 6.00 AMENDATORY END-OR included included included included SF.-E`l GLASS FULL CON \nc\`+comp \t\c\w�comp \C\c\wccom \ \nc\`tcIMI VEHICLE PREMIUM $435.90 $390.58 $375.52 $375.52 The VEHICLE PREMIUM has already been changed by the following: DISCOUNTS GOOD DRIVER included included included included MULTICAR included included included included MULTI-POLICY DISCOUNT included included \ included TOTAL DISCOUNT -433.74 l -373.77 -364.92 -364.92 *Not applicable to this vehicle. -Not applicable to this policy. The 2018 annual meeting for COUNTRY Mutual Insurance Company is April 18 at 1:00 pm,1701 Towanda Ave.,Bloomington,Illinois. OTHER INTERESTS-CERTIFICATE HOLDER 2009 FORD RLC INDUSTRIES 2009 FORD RLC INDUSTRIES 2009 FORD RLC INDUSTRIES 344(16 Mar 07,2018 ALThOFgC FEPFESO%TATIVE CATE COLMEFSIOhEC FOR SERVICE CALL YOUR FINANCIAL REPRESENTATIVE DEBBRA DERENSKI AT(541)479-0362. 1 13020R(01-06/16) INSURED'S COPY Page 2 Purchase Order • ,� CITY VOf ti.i� Fiscal Year 2019 Page: 1 of: 1 B City of Ashland iT%P7[K= 21 °1111 ' 11i,L=iQZLINI k7-_ I ATTN: Accounts Payable Purchase L Man 97520 Order# 20190211 T Phone: 541/552-2010 O Email: payable @ashland.or.us V H CIO Facilities Maintenance Div E BUGS NORTHWEST I 90 North Mountain Ave N 551 SW G STREET p Ashland, OR 97520 O GRANTS PASS, OR 97526 Phone: 541/488-5358 R T Fax: 541/552-2304 O 1_[E[E!=Je th[E[bl-E-=Dm e[-7 1_v1-j 0=vJ=--'r_z fill??_10-=ci-['v!@li-ililE[_Wc[__-.__ °2-!.eL =_e_ 1=�•--sue David Arnold 09/10/2018 1287 FOB ASHLAND OR/NET30 _ Cit Accounts Pa able �_—_�� � LI §!! =bra _ On-call Pest Control 1 On-call Pest Control 1 $3,500.0000 $3,500.00 Goods &Services Agreement Completion date: 06/30/2019 Project Account: *************** GL SUMMARY ******* ****** 1 082400-602400 $3,500.00 By� c Date: 5(lt lig A orize nature = - - $3,500.00 ' � 1� Y OF FORM #3 u � CIT ASHLAND . CREQUISITION .Z' 6 y�� � Dite of request: 8/28/2018 Required date for delivery: Vendor Name Bugs Northwest Address,City,State,Zip 551 SW G Street,Grants Pass,OR 97526 Contact Name&Telephone Number Dave Mays 541-472-5003 Email address SOURCING METHOD ❑ Exempt from Competitive Bidding ❑ Emergency ❑ Reason for exemption:_ ❑ Invitation to Bid ❑ Form#13,Written findings and Authorization El 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 ❑ 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) ❑ Request for Qualifications(Public Works) ❑ State of Washington Date approved by Council: Contract# _(Attach copy of council communication) ❑ Other government agency contract Intermediate Procurement ❑ Sole Source Agency GOODS&SERVICES ❑ Applicable Form(#5,6,7 or 8) Contract# Greater than$5,000 and less than$100,000 ❑ Written quote or proposal attached Intergovernmental Agreement ❑ (3)Written quotes and solicitation attached ❑ Form#4,Personal Services>$5K&<$75K Agency PERSONAL SERVICES ❑ Special Procurement ❑ Annual cost to City does not exceed$25,000. Greater than$5,000 and less than$75,000 ❑ Form#9,Request for Approval Agreement approved by Legal and approved/signed by ❑ Direct appointment not to exceed$35,000 ❑ Written quote or proposal attached City Administrator.AMC 2.50.070(4) Cl (3)Written proposals/written solicitation Date approved by Council: ❑ Annual cost to City exceeds$25,000,Council ❑ Form#4,Personal Services>$5K&<$75K Valid until: (Date) approval required.(Attach copy of council communication) Description of SERVICES Total Cost Provide pest control for FY19(July 1,2018—June 30,2019) $3,500.00 Item # Quantity Unit Description of MATERIALS Unit Price Total Cost ❑ Per attached quotelproposal TOTAL COST $ Project Number _ _ _ Account Number 082400-602400 Account Number - Account Number - *Expenditure must be charged to the appropriate account numbers for the financials to accurately reflect the actual expenditures. IT Director in collaboration with department to ap frill hardware and software purchases: IT Director Date Support-Yes/No By signing this requisition_ rm,J ertify s- the City' public contracting requirements have been satisfied. Employee: h, Department Head: 4700,kwk ref 47 (Equal to or greater than$5,000) 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: Form#3-Requisition