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2019-106 20190379 Marquess & Associates Inc.
PERSONAL SERVICES AGREEMENT ($25,000.00 or less) CONSULTANT: Marquess&Associates Inc. CITY OF CONSULTANT'S CONTACT: Cindy Rogan ASHLAND 20 East Main Street ADDRESS: 1120 East Jackson St. Ashland, Oregon 97520 P.O. Box 490 Telephone: 541-488-6002 Medford, OR 97501 Fax: 541-488-5311 TELEPHONE: 541-772-7115 EMAIL: crogan@marquess.com This Personal Services Agreement (hereinafter"Agreement") is entered into by and between the City of Ashland, an Oregon municipal corporation (hereinafter "City") and Marquess & Associates Inc., a domestic business corporation, ("hereinafter"Consultant"), for Community Center Rehabilitation Phase I: Investigate and determine cause of damage in Community Center and evaluate previous improvements. 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 05/18/2019. 2. Scope of Work: Consultant shall provide Community Center Rehabilitation Phase I: Investigate and determine cause of damage in Community Center and evaluate previous improvements as more fully set forth in Consultant's Proposal dated 02/06/2019 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$4,700.00 (Four thousand seven hundred dollars and zero cents) 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$4,700.00 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 Marquess&Associates 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 279B.220, 279B.230 and 279B.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 B"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 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. Citv'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 Marquess&Associates Inc. . 1 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. 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. H. 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 Marquess&Associates 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 and endorsements prior to commencing the Work under this Agreement. Insuring companies or entities are subject to the City's acceptance. If requested, complete copies of such insurance policies 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. Page 4 of 6: Personal Services Agreement with Marquess&Associates 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 Marquess&Associates 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: Sign ture Signatu P41.41-4 . P✓2aw Osct+R. J. ZuuICvv) wiz. Printed Name Printed Name eW 2Erafr,c_ PREstvetJT Title Title 19 Pa; 29f1 —it—11 Date Date (W-9 is to be submitted with this signed Agreement) • Page 6 of 6: Personal Services Agreement with Marquess&Associates Inc. Exhibit A MAR_ YOU,R PROFESSIONAL ENGINEERING TEAM SINCE`1957 • ' & ASSOCIATES I N C I'541-772-7115 F 541-779-4079 1120 EAST JACKSON PO BOX 490 MEDFORD, OR 97501 EMAIL:info@marquess.com WEB:www.marquess.com 6 February 2019 Steve Ennis, Architect • 1108 E Jackson St Medford, OR 97504 (541) 618-9155 RE: City of Ashland Community Center Gravity Assessment(MAI Job#P19-9013) Mr. Ennis, We are pleased to provide a proposal for the structural investigation of the Ashland Community Center, located at 59 Winburn Way in Ashland, Oregon. Our services would include a site visit to determine the likely cause of ceiling damage,unlevel floor, and out-of-plumb north wall in the Main Hall. We will also confirm that the existing completed strengthening works from 1985 were completed per the Joyce Ward drawings from 1985. A report will be provided summarizing the likely cause of damage to the ceiling, unlevel floor, and out-of-plumb wall, as well as the results of the as-built structural strengthening . verification. The sections below provide a description and list of deliverables for the above-mentioned items. A GIS file type floor plan is available for converting to AutoCAD. City of Ashland Project Manager, Kaylea Kathol,will work to find any existing drawings of the light-framed wood building, constructed in 1922. Rehabilitation drawings are available from 1985, as well as engineer field notes. This proposal assumes there are no original drawings available. Investigations: An engineer will investigate the damage in the Main Hall ceiling and leaning of the north wall in the Main Hall. It needs to be determined if the damage is environmental or a structural deficiency. Environmental causes include wood rot and settling. Structural deficiencies could be insufficient connector strength,member strength, or footing bearing area. If it is revealed that the damage has been caused by environmental factors,then the next phase will involve repairing the structure and eliminating the cause of failure. If the damage has been caused by structural deficiency,we will recommend having the entire building assessed for gravity loads. The deliverable for this phase of work will be a section within the investigation report to explain the likely cause of the ceiling, floor,and wall damage, and whether the damage is environmental or a Ashland Community Center Proposal(Investigations).docPage 1 of 3 • Ashland Community Center Structural Gravity Assessment Proposal P19-9013 6 February 2019 Page 2 structural deficiency. The section will recommend whether a full gravity of the building should be undertaken. Due to the complexity of the structure and previous strengthening works,we recommend completing the investigation work first to determine if the full building assessment is necessary. This investigation work will be required in any case in order to define repairs, and will be utilized should a full assessment be necessary. If any other damage is observed, a description will also be included in the report, as well as a conceptual description of possible repairs. Verification: An engineer will verify several of the as-built conditions of the strengthening works from 1985,to confirm if the work was done per the rehabilitation drawings and is sound and of good quality. If the work was not completed per the drawings or is not of good quality,then we will recommend that the deficient areas be assessed and/or repaired with new construction details. The work already completed by the verification will be utilized in the assessment,if one is required. The deliverable for this phase of work will be a section within the investigation report to describe any areas that are not in conformance with the 1985 strengthening drawings. Verification of the architectural systems and features is not included; only investigation of the main structural systems is included. A description of any observed damage to the structure will also be included in the report,as well as a conceptual description of possible repairs. The investigation report will be stamped by a professional engineer. MAI will begin investigations within two weeks of receiving the approved proposal. We anticipate completion of the report before the end of April of this year. The following items are not included in this proposal: • The investigations require that the structural engineer have access to the roof structure and the crawl space. Access to all areas must be provided. • A full assessment with calculations and/or construction details is not included. If, based on the proposed report,the Owner decides to have the building assessed and/or repaired,then a proposal for that assessment work can be provided. • A construction estimate is not included. If the Owner decides to repair the building, they may request a preliminary estimate from an estimator or contractor based on the investigation report or future assessment report. A more accurate construction estimate may be obtained if more detailed drawings are done. .Ashland Community Center Structural Gravity Assessment Proposal P19-9013 6 February 2019 Page 3 FEES We propose a lump sum fee of$4,700 for the services listed above. This is based on the following rates: Design Engineer $111.00 per hour Senior Engineer $153.00 per hour Project Manager $128.00 per hour TERMS AND CONDITIONS The above fee does not include reimbursable expenses for printing, mileage, telephone calls, fax, photographs, etc. All additional structural engineering work which is outside the scope of services as described shall be paid for at the hourly rate noted above,which is valid until December 31,2019. If the Owner, architect, governing municipality or agency makes a change, which for its proper execution involves additional services and/or expenses, then the Engineer shall be equitably paid for such additional services and expenses. All changes shall be documented and approved in writing. Work will commence upon receipt of a signed contract. In the event suit or action is instituted to enforce this agreement or any terms hereof, or in the event of any appeal from suit, action or proceeding, the prevailing party shall be entitled to such sums as the court may adjudge reasonable as attorney's fees in such suit,action or appeal. This letter is written as an Engineering Proposal and Agreement. An acceptance line is provided for your signature. Please return one signed copy for our files. Please call if you have any questions regarding this proposal. Sincerely, MARQUESS ASSOCIATES,INC. Kristina •.oper,P.E AUTHORIZATION Approved By Date EXHIBIT B CITY OF ASHLAND, OREGON City of Ashland LIVING ALL employers described WAG E below must comply with City of Ashland laws regulating a ment of a livin' wale. $15.12 per hour, effective June 30, 2018 , IS ,'-The Living Wage is adjusted annually.every - -June 30 by the Consumer Price Index. Employees must be paid a portior of business of their 401K 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. CITY OF . ASHLAND Page 1 of 1: 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. i " • (2) Commercial advertising or business cards or a trade association membership are purchased for the business. ire 3 . (3)Telephone listing is used for the business separate from the personal residence listing. 1(L (4)Labor or services are performed only pursuant to written contracts. i'J (5)Labor or services are performed for two or more different persons within a period of one Y ear. /I • (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. Consult sign ure • a- /5 -/9 Date Business Registry Business Name Search Page 1 of 4 Business Registry Business Name Search 02-11-2019 New Search Business Entity Data 1438 Enti Entity Registry Next Renewal Registry Nbr Tvoe Status Jurisdiction Date Renewal Due? Date 088368-19 DBC ACT OREGON 12-30-1969 12-30-2019 Entity Name MARQUESS &ASSOCIATES, INC. Foreign Name New Search Associated Names Type PPB RINCIPAL PLACE OF USINESS Addr 1 1120E JACKSON ST Addr 2 CSZ MEDFORD 'OR 197504 I ICountry'UNITED STATES OF AMERICA Please click here for general information about registered agents and service of process. Type AGTREGISTERED AGENT Start Date 12-19- Resign Date 2018 Name OSCAR IJ IZUNIGA I I Addr 1 1120E JACKSON ST Addr 2 CSZ MEDFORD (OR 197501- I ICountryIUNITED STATES OF AMERICA Type MAL'MAILING ADDRESS I I Addr 1 PO BOX 490 Addr 2 CSZ MEDFORD IOR 197501 I I CountrylUNITED STATES OF AMERICA Type Resign Date e PRE RESIDENT I R es'ig YP PREIPRESIDENT OSCAR IJ 'ZUNIGA I I Addr 1 1120E JACKSON ST Addr 2 PO BOX 490 CSZ MEDFORD IOR 197501 I ICountrylUNITED STATES OF AMERICA Type SECISECRETARY I I Resign Date Name ERIC IA ISWANSON I I Addr 1 1120E JACKSON ST Addr 2 PO BOX 490 CSZ I I I !Country' http://egov.sos.state.or.us/br/pkg_web name_srch_inq.show_detl?p be rsn=70443&p_src... 2/11/2019 Business Registry Business Name Search - Page 2tof 4 !MEDFORD IOR 197501 I 1 1UNITED STATES OF AMERICA New Search Name History Business Entity Name Name Name Type Status Start Date End Date MARQUESS &ASSOCIATES,INC. EN CUR 03-12-1975 MARQUESS, WESTWOOD, RONER&HORTON, INC. EN PRE 12-30-1969 03-12-1975 Please read before ordering Copies. New Search Summary History Image Action Transaction Effective Status Name/Agent Dissolved By Available Date Date Change 1 AMENDED ANNUAL 12-19-2018 FI Agent REPORT tIM AMENDED ANNUAL 11-21-2017 FI — REPORT AMENDED ANNUAL 11-16-2016 FI REPORT AMENDED ANNUAL 11-19-2015 FI REPORT AMENDED ANNUAL O1-15-2015 FI REPORT AMENDED ANNUAL O1-30-2014 FI REPORT ANNUAL REPORT 11-26-2012 SYS PAYMENT ANNUAL REPORT 12-13-2011 SYS PAYMENT. ANNUAL REPORT 11-23-2010 SYS PAYMENT ANNUAL REPORT 11-30-2009 SYS PAYMENT ANNUAL REPORT 12-02-2008 SYS PAYMENT ANNUAL REPORT 12-05-2007 SYS PAYMENT AMNDMT TO ANNUAL RPT/INFO 05-30-2007 FI STATEMENT ARTICLES OF 05-18-2007 FI AMENDMENT ANNUAL REPORT 12-01-2006 SYS PAYMENT http://egov.sos.state.or.us/br/pkg_web_name_srchinq.showdefl?p_be rsn=70443&p_src... 2/11/2019 Business Registry Business Name Search Page 3 of 4 • ANNUAL REPORT 11-22-2005 SYS PAYMENT ANNUAL REPORT 11-23-2004 SYS PAYMENT ANNUAL REPORT 12-17-2003 SYS PAYMENT ANNUAL REPORT 12-02-2002 SYS PAYMENT ANNUAL REPORT PAYMENT 12-07-2001 SYS STRAIGHT 12-06-2000 FI RENEWAL CHANGED 02-04-2000 FI RENEWAL STRAIGHT 12-15-1999 FI RENEWAL STRAIGHT 11-27-1998 FI RENEWAL STRAIGHT 11-25-1997 FI RENEWAL STRAIGHT 12-16-1996 FI RENEWAL STRAIGHT 02-12-1996 FI RENEWAL AMENDED 12-16-1994 FI RENEWAL AGENT/AUTH REP 12-16-1994 FI CHNG STRAIGHT 1130=1993 FI RENEWAL STRAIGHT 11-25-1992 FI RENEWAL AMENDED 12-11-1991 FI RENEWAL STRAIGHT 12-12-1990 FI RENEWAL STRAIGHT 12-12-1989 FI RENEWAL STRAIGHT 12-12-1988 FI RENEWAL STRAIGHT 12-11-1987 FI RENEWAL STRAIGHT 12-15-1986 FI RENEWAL AMENDED 12-31-1985 FI RENEWAL STRAIGHT 11-13-1984 FI RENEWAL http://egov.sos.state.or.us/br/pkg_web_name_srch_inq.show_detl?p_be_rsn=70443&p_src... 2/11/2019 Business Registry Business Name Search Page 4•of 4 STOCK CHANGE 09-13-1984 FI STOCK CHANGE 09-13-1984 FI ENTITY NAME 03-12-1975 FI CHANGE © 2019 Oregon Secretary of State. All Rights Reserved. http://egov.sos.state.or.us/br/pkg_web_name_srch inq.show detl?p_be_rsn=70443&p_src... 2/11/2019 • ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDNYYY) 2/12/2019 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 NAMEACT Allison Barga Hall&Company PHONE FAX 19660 10th Ave NE (No No E:().360-626-2007 (A/C.No):360-626-2007 Poulsbo WA 98370 E-MAIL abarga @hallandcompany.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:The Travelers Indemnity Company 25658 INSURED 2738 INSURER e:The Travelers Indemnity Company of America 25666 Marquess&Associates Inc P.O. Box 490 INSURER C:Lexington Insurance Company 19437 Medford OR 97504 INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:924174432 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 ADDLSUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER (MM/DDNYYY) (MM/DD/YYYY) B X COMMERCIAL GENERAL LIABILITY • 6801.1311318 5/29/2018 5/29/2019 EACH OCCURRENCE $2,000,000 DAMAGE TO RENTED CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $1,000,000 _ MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $2,000,000 GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 POLICY X JECaT LOC PRODUCTS-COMP/OP AGG $4,000,000 OTHER: $ A AUTOMOBILE LIABILITY BA6148N401 5/29/2018 5/29/2019 COMBINEOSINGLE LIMIT $1,000,000 (Ee accident) X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) A X UMBRELLALIAB X OCCUR CUP3196T698 5/29/2018 5/29/2019 EACH OCCURRENCE $5,000,000 EXCESS LIAR CLAIMS-MADE - AGGREGATE - $5,000,000 DED X RETENTION$In non $ 8 WORKERS COMPENSATION UB5K318956 5/29/2018 5/29/2019 X MUTE EMPLOYERS'LIABILITY STATIIfE ER ANYPROPR1ETOR/PARTNER/EXECUTIVE Y/N N/A E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBEREXCLUOED'! (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If Yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 C Prof Liability.Claims Made Form 061853750 7/26/2018 7/26/2019 $2,000,000 Per Claim $4,000,000 Aggregate DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) The certificate holder is an additional insured per the attached. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Ashland Public Works 51 Winburn Way AUTHORIZED REPRESENTATIVE Ashland OR 97520 z ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD • • TRAVELERS, WORKERS COMPENSATION AND ONE TOWER SQUARE EMPLOYERS LIABILITY POLICY HARTFORD CT 06183 ENDORSEMENT WC 00 03 13 (00)- 001 POLICY NUMBER: UB-5x318956-18-47-G • WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit any one not named in the Schedule. SCHEDULE DESIGNATED PERSON: ' DESIGNATED ORGANIZATION: ANY PERSON OR ORGANIZATION FOR WHICH THE INSURED HAS AGREED BY WRITTEN CONTRACT EXECUTED PRIOR TO LOSS TO FURNISH THIS WAIVER. I' DATE OF ISSUE: 05-22-18 ST ASSIGN: PAGE 1 OF 3. Policy#: 6801J311318 • COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED (ARCHITECTS, ENGINEERS AND SURVEYORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART 1. The following is added to SECTION II —WHO IS h. This insurance does not apply to "bodily AN INSURED: injury" or "property damage" caused by "your Any person or organization that you agree in a work" and included in the "products- "written contract requiring insurance"to include as completed operations hazard" unless the an additional insured on this Coverage Part, but: "written contract requiring insurance" specifically requires you to provide such a. Only with respect to liability for"bodily injury", coverage for that additional insured, and then "property damage"or"personal injury"; and the insurance provided to the additional b. If, and only to the extent that, the injury or insured applies only to such "bodily injury" or damage is caused by acts or omissions of "property damage" that occurs before the end you or your subcontractor in the performance of the period of time for which the "written of "your work" to which the "written contract contract requiring insurance" requires you to requiring insurance" applies, or in connection provide such coverage or the end of the with premises owned by or rented to you. policy period, whichever is earlier. The person or organization does not qualify as an 2. The following is added to Paragraph 4.a. of additional insured: SECTION IV — COMMERCIAL GENERAL c. With respect to the independent acts or LIABILITY CONDITIONS: omissions of such person or organization; or The insurance provided to the additional insured d. For "bodily injury", "property damage" or is excess over any valid and collectible other "personal injury" for which such person or insurance, whether primary, excess, contingent or organization has assumed liability in a on any other basis, that is available to the additional insured for a loss we cover. However, if contract or agreement. you specifically agree in the "written contract The insurance provided to such additional insured requiring insurance" that this insurance provided is limited as follows: to the additional insured under this Coverage Part must apply on a primary basis or a primary and e. This insurance does not apply on any basis to non-contributory basis, this insurance is primary any person or organization for which to other insurance available to the additional coverage as an additional insured specifically insured which covers that person or organizations is added by another endorsement to this as a named insured for such loss, and we will not Coverage Part. share with the other insurance, provided that: f. This insurance does not apply to the (1) The "bodily injury" or "property damage" for rendering of or failure to render any which coverage is sought occurs; and "professional services". In the event that the Limits of Insurance of the (2) The "personal injury" for which coverage is g• sought arises out of an offense committed;' Coverage Part shown in the Declarations exceed the limits of liability required by the after you have signed that "written contract "written contract requiring insurance", the requiring insurance". But this insurance provided insurance provided to the additional insured to the additional insured still is excess over valid shall be limited to the limits of liability required and collectible other insurance, whether primary, by that "written contract requiring insurance". excess, contingent or on any other basis, that is This endorsement does not increase the available to the additional insured when that limits of insurance described in Section III — person or organization is an additional insured Limits Of Insurance. under any other insurance. • CG D3 81 09 15 ©2015 The Travelers Indemnity Company.All rights reserved. Page 1 of 2 Includes the copyrighted material of Insurance Services Office,Inc.,with its permission COMMERCIAL GENERAL LIABILITY 3. The following is added to Paragraph 8., Transfer 4. The following definition is added to the Of Rights Of Recovery Against Others To Us, DEFINITIONS Section: of SECTION IV — COMMERCIAL GENERAL "Written contract requiring insurance" means that LIABILITY CONDITIONS: part of any written contract under which you are We waive any right of recovery we may have required to include a person or organization as an against any person or organization because of additional insured on this Coverage Part, payments we make for "bodily injury", "property provided that the "bodily injury" and "property damage" or "personal injury" arising out of "your Y J er injury" i work" performed by you, or on your behalf, done damage" occurs and me "personal injury" is under a "written contract requiring insurance"with caused by an offense committed: that person or organization. We waive this right a. After you have signed that written contract; only where you have agreed to do so as part of . b. While that part of the written contract is in the "written contract requiring insurance" with effect; and such person or organization signed by you before, and in effect when, the "bodily injury" or c. Before the end of the policy period. "property damage" occurs, or the"personal injury" offense is committed. • • Page 2 of 2 ©2015 The Travelers Indemnity Company.All rights reserved. CG D3 81 09 15 Includes the copyrighted material of Insurance Services Office,Inc.,with its.permission UMBRELLA • THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS This endorsement modifies insurance provided under the following: COMMERCIAL EXCESS LIABILITY(UMBRELLA) INSURANCE The following is added to Paragraph 17., OUR RIGHT a. "Bodily injury"or"property damage" caused by an TO RECOVER FROM OTHERS., of SECTION IV — "occurrence"that takes place; or CONDITIONS.: b. "Personal injury" or "advertising injury" caused by If the insured has agreed in a contract or agreement an "offense"that is committed; to waive that insured's right of recovery against any subsequent to the execution of the contract or agree- person or organization,we waive our right of recovery ment. against such person or organization, but only for payments we make because of: • • • • UM 04 88 07 08 ©.2008 The Travelers Companies,Inc. Page 1 of 1 Includes the copyrighted material of Insurance Services Office,Inc.with its permission. • • COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AUTO COVERAGE PLUS ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GENERAL DESCRIPTION OF COVERAGE—This endorsement broadens coverage. However, coverage for any injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited by another endorsement to the Coverage Part, and these coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement. The following listing is a general cover- age description only. Limitations and exclusions may apply to these coverages. Read all the provisions of this en- dorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered. A. BLANKET ADDITIONAL INSURED H. AUDIO, VISUAL AND DATA ELECTRONIC B. EMPLOYEE HIRED AUTO EQUIPMENT—INCREASED LIMIT C. EMPLOYEES AS INSURED I. WAIVER OF DEDUCTIBLE—GLASS D. SUPPLEMENTARY PAYMENTS —INCREASED J. PERSONAL PROPERTY LIMITS K. AIRBAGS E. TRAILERS—INCREASED LOAD CAPACITY L. AUTO LOAN LEASE GAP F. HIRED AUTO PHYSICAL DAMAGE M. BLANKET WAIVER OF SUBROGATION G. PHYSICAL DAMAGE — TRANSPORTATION • EXPENSES—INCREASED LIMIT A. BLANKET ADDITIONAL INSURED performing duties related to the conduct of The following is added to Paragraph A.1., Who Is your business. An Insured, of SECTION II—COVERED AUTOS 2. The following replaces Paragraph b. in B.S., LIABILITY COVERAGE: Other Insurance, of SECTION IV — BUSI- Any person or organization who is required under NESS AUTO CONDITIONS: a written contract or agreement between you and b. For Hired Auto Physical Damage Cover- that person or organization, that is signed and age, the following are deemed to be cov- executed by you before the "bodily injury" or ered"autos"you own: "property damage" occurs and that is in effect during the policy period, to be named as an addi- (1) Any covered "auto" you lease, hire, Venal insured is an "insured" for Covered Autos rent or borrow; and Liability Coverage, but only for damages to which (2) Any covered "auto" hired or rented by this insurance applies and only to the extent that your "employee" under a contract in " person or organization qualifies as an "insured" an "employee's" name, with your under the Who Is An Insured provision contained permission, while performing duties in Section II. related to the conduct of your busi- B. EMPLOYEE HIRED AUTO ness. 1. The following is added to Paragraph A.1., However, any"auto"that is leased, hired, Who Is An Insured, of SECTION II —COV- rented or borrowed with a driver is not a ERED AUTOS.LIABILITY COVERAGE: covered"auto". An "employee" of yours is an "insured" while C. EMPLOYEES AS INSURED operating a covered "auto" hired or rented The following is added to Paragraph A.1., Who Is under a contract or agreement in an "em- An Insured, of SECTION II—COVERED AUTOS ployee's" name, with your permission, while LIABILITY COVERAGE: CA T4 20 02 15 ©2015 The Travelers Indemnity Company.All rights reserved. Page 1 of 3 Includes copyrighted material of Insurance Services Office,Inc.with its permission. COMMERCIAL AUTO • Any"employee" of yours is an "insured"while us- (2) An adjustment for depreciation and physical ing a covered "auto"you don't own, hire or borrow condition will be made in determining actual in your business or your personal affairs. cash value in the event of a total"loss". D. SUPPLEMENTARY PAYMENTS — INCREASED (3) If a repair or replacement results in better LIMITS than like kind or quality,we will not pay for the 1. The following replaces Paragraph A.2.a.(2) of amount of betterment. SECTION II—COVERED AUTOS LIABILITY (4) A deductible equal to the highest Physical COVERAGE: Damage deductible applicable to any owned (2) Up to $3,000 for cost of bail bonds (in- covered "auto". cluding bonds for related traffic law viola- (5) This Coverage Extension does not apply to: tions) required because of an "accident" (a) Any "auto" that is hired, rented or bor- we cover. We do not have to furnish rowed with a driver; or these bonds. (b) Any "auto" that is hired, rented or bor- 2. The following replaces Paragraph A.2.a.(4) of rowed from your"employee". SECTION II—COVERED AUTOS LIABILITY COVERAGE: G. PHYSICAL DAMAGE — TRANSPORTATION EXPENSES—INCREASED LIMIT (4) All reasonable expenses incurred by the "insured" at our request, including actual The following replaces the first sentence in Para- loss of earnings up to $500 a day be- graph A.4.a., Transportation Expenses, of cause of time off from work. SECTION III — PHYSICAL DAMAGE COVER- E. TRAILERS—INCREASED LOAD CAPACITY AGE: The following replaces Paragraph C.1. of SEC- We will pay up to $50 per day to a maximum of $1,500 I—COVERED AUTOS: $1,500 for temporary transportation expense in- curred by you because of the total theft of a coy- 'I. "Trailers" with a load capacity of 3,000 ered"auto" of the private passenger type. pounds or less designed primarily for travel H. AUDIO, VISUAL AND DATA ELECTRONIC on public roads. EQUIPMENT—INCREASED LIMIT F. HIRED AUTO PHYSICAL DAMAGE Paragraph C.1.b. of SECTION III — PHYSICAL The following is added to Paragraph A.4., Cover- DAMAGE COVERAGE is deleted. age Extensions, of SECTION III — PHYSICAL I. WAIVER OF DEDUCTIBLE—GLASS DAMAGE COVERAGE: The following is added to Paragraph D., Deducti- Hired Auto Physical Damage Coverage ble, of SECTION III — PHYSICAL DAMAGE If hired "autos" are covered "autos" for Covered COVERAGE: Autos Liability Coverage but not covered "autos" No deductible for a covered "auto" will apply to for Physical Damage Coverage, and this policy glass damage if the glass is repaired rather than also provides Physical Damage Coverage for an replaced. owned"auto", then the Physical Damage Cover- J. PERSONAL PROPERTY age is extended to "autos" that you hire, rent or The following is added to Paragraph A.4., Cover- borrow subject to the following: age Extensions, of SECTION III — PHYSICAL (1) The most we will pay for "loss" to any one DAMAGE COVERAGE: "auto" that you hire, rent or borrow is the Personal Property Coverage lesser of: We will pay up to $400 for "loss" to wearing ap- (a) $50,000; pare) and other personal property which is: (b) The actual cash value of the damaged or (1) Owned by an "insured"; and stolen property as of the time of the (2) In or on your covered "auto". "loss"; or This coverage only applies in the event of a total (c) The cost of repairing or replacing the theft of your covered "auto". • damaged or stolen property with other No deductibles apply to Personal Property cover- property of like kind and quality. age. Page 2 of 3 ©2015 The Travelers Indemnity Company.All rights reserved. CA T4 20 02 15 Includes copyrighted material of Insurance Services Office,Inc.with its permission. COMMERCIAL AUTO K. AIRBAGS (2) Any: The following is added to Paragraph B.3., Exclu- (a) Overdue lease or loan payments at the sions, of SECTION III — PHYSICAL DAMAGE time of the"loss"; COVERAGE: (b) Financial penalties imposed under a Exclusion 3.a. does not apply to "loss" to one or lease for excessive use, abnormal wear more airbags in a covered "auto"you own that in- and tear or high mileage; flate due to a cause other than a cause of "loss" set forth in Paragraphs A.1.b. and A.1.c., but (c) Security deposits not returned by the les- only: sor; a. If that "auto" is a covered "auto"for Compre- (d) Costs for extended warranties, Credit Life hensive Coverage under this policy; Insurance, Health, Accident or Disability b. The airbags are not covered under any war- Insurance purchased with the loan or ranty; and lease; and c. The airbags were not intentionally inflated. (e) Carry-over balances from previous loans or leases. We will pay up to a maximum of $1,000 for any M. BLANKET WAIVER OF SUBROGATION one"loss". L. AUTO LOAN LEASE GAP The following replaces Paragraph A.5., Transfer Of Rights Of Recovery Against Others To Us, The following is added to Paragraph A.4., Cover- of SECTION IV — BUSINESS AUTO CONDI- age Extensions, of SECTION III — PHYSICAL TIONS: DAMAGE COVERAGE: Auto Loan Lease Gap Coverage for Private 5. Transfer Of Rights Of Recovery Against Others To Us Passenger Type Vehicles • In the event of a total "loss"to a covered "auto" of We waive any right of recovery we may have the private passenger type shown in the Schedule against any person or organization to the ex- or Declarations for which Physical Damage Coy- tent required of you by a written contract exe- erage is provided, we will pay any unpaid amount cuted prior to any "accident" or "loss", pro- due on the lease or loan for such covered "auto" vided that the"accident"or'loss"arises out of less the following: the operations contemplated by such con- (1) The amount paid under.the Physical Damage tract.The waiver applies only to the person or Coverage Section of the policy for that"auto"; organization designated in such contract. and CA T4 20 02 15 ©2015 The Travelers Indemnity Company.All rights reserved. Page 3 of 3 Includes copyrighted material of Insurance Services Office,Inc.with its permission. `' CERTIFICATE OF LIABILITY INSURANCE DATE 08/03/D/YYY1 aero3rzDla 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 1NSURER(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 FEDERATED MUTUAL INSURANCE COMPANY NAME: CLIENT CONTACT CENTER HOME OFFICE: P.O.BOX 328 (A/c,No, Ext):888-333-4949 FAX No):507446-0664 OWATONNA, MN 55060 E-MAIL DRES:CLI ENTCONTACTCENTER(WEDINS.COM _ INSURER(S)AFFORDING COVERAGE NAIL# _ INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED 358-611-2 INSURER B: ASHLAND MEDFORD PLUMBING INC INSURER C: PO BOX 8494 • MEDFORD,OR 97501-0894 - INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:124 REVISION NUMBER:2 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 ADDL S EFF POLICY EXP IMM/DD/YYYYI LTR TYPE OF INSURANCE POLICY NUMBER LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 CLAIMS-MADE X OCCUR DAMAGE TO RENTED $100,000 PREMISES(Ea occurrence) MED EXP(My one person) EXCLUDED A N N • 9337481 03/20/2018 03/20/2019 PERSONAL ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY LOC C PRODUCTS-COMP/OP ACC $2,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000 (Ea ac X ANY AUTaccident_ BODILY INJURY(Per person) A OWNED AUTOS ONLY _SCHEDULED N N' 9337481 03/20/2018 03/20/2019 BODILY INJURY(Per accident AUTOS HIRED AUTOS ONLY NON-OWNED • PROPERTY DAMAGE _AUTOS ONLY (Per accident • X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $2,000,000 A EXCESS LIAB CLAIMS-MADE N N 9337482 03/20/2018 03/20/2019 AGGREGATE $2,000,000 DED RETENTION WORKERS COMPENSATION OTH- AND EMPLOYERS'LIABILITY Y/N PER STATUTE ER MY PROPRIETOR/PARTNER/EXECUTIVE E.L EACH ACCIDENT OFFICER/MEMBER EXCLUDED? N I A (Mandatary In NH) E.L.DISEASE-EA EMPLOYEE oyes,describe under E.L DISEASE-POLICY OMIT DESCRIPTION OF OPERATIONS below I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) • CERTIFICATE HOLDER CANCELLATION 358-611-2 124 2 CITY OF ASHLAND SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE I 20 E MAIN ST THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ASHLAND,OR 97520-1814 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 14 � G O 1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD FEDERATED INSURANCE'® 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) II Purchase Order /Ma Fiscal Year 2019 Page: 1 of: 1 __- B City of Ashland I Accounts Payable 20 E. Main Purchase 20190379 L 20 E. Ashland, OR 97520 Order# T Phone: 541/552-2010 O Email: payable @ashland.or.us V H C/O Public Works Department E MARQUESS &ASSOCIATES, INC. I 51 Winburn Way N 1120 E JACKSON p Ashland, OR 97520 D MEDFORD, OR 97501 Phone: 541/488-5347 O T Fax: 541/488-6006 0 =-VL7met_i €i€3=1=1 Paula Brown _ = -91 Ff3 ?- O F "1FF € _ =i Tim ai=t='=3-;ae `1=i =4,s[=aS : �i==-te s 02/22/2019 162 FOB ASHLAND OR City Accounts Payable c'V@ r5 aiQ 9a- e9i:. Community Cntr Rehabilitatio 1 Community Center Rehabilitation Phase 1: Investigate and 1 $4,700.0000 $4,700.00 Y 9 determine cause of damage in Community Center and evaluate previous improvements. Personal Services Agreement Completion date: 05/18/2019 Project Account: Ship To: C/O Public Works Department 51 Winburn Way Ashland, OR 97520 Phone: 541/488-5347 Fax: 541/488-6006 *************** GL SUMMARY *************** 082400 -604100 $4,700.00 • � I By: Date: -3 I .'s\1 w i Au orized '-nature • -- 1 � $4,700.00 r PORN #3 � G. z,f/ r CITY OF 7 7:7 c� ASHLAND A request for a Purchase Order REQUISITION Date of request: , 02/11/2019 Vendor Name Marquess&Associates Inc. Address,City,State,Zip PO Box 490 Medford,OR 97501 Contact Name Cindy Rogan Telephone Number 541-772-7115 Email address crop an(o)marqu ess.com 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 Of 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# GOODS&SERVICES (Attach copy of council communication) ❑ Other govemment agency contract 1 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 0 Annual cast to City does not exceed$25,000. ❑ Special Procurement Agreement approved by Legal and approved/signed b 0(3)Written proposals/written solicitation pP Y 9 9 by ❑ Form#9,Request for Approval ❑Form#4,Personal Services>$5K&<$75K City Administrator.AMC 2.50.070(4) ❑ Written quote or proposal attached Annual cost to City exceeds$25,000,Council Date approved by Council: ❑Ab Valid until: (Date) approval required.(Attach copy of council communication) Description of SERVICES Total Cost Community Center Rehabilitation Phase I: Investigate and determine cause of damage in Community Center and evaluate previous improvements. 4 700 OQ. ' $ . , Item # Quantity Unit Description of MATERIALS Unit Price Total Cost 0 Per attached quote/proposal TOTALCOST Expenditure must be charged to the appropriate account numbers for the financials to reflect the actual expenditures accurately. Project Number _ _ _ Account Number 082400 - 604100 $ 4700.00 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:1) Der Department Head: 4 7f, r IT re4.7f!/y (Equal to or greaterthan$5,000) Department Manager/Supervisor: City Administrator• (Equal to or grea ertha $25,000) Funds appropriated for current fiscal year NO F' ce Direc - qual to or greater than$5,000) Date Comments: