Loading...
HomeMy WebLinkAbout2019-216 20200045 Bill's Glass & Windshields GOODS AND SERVICES AGREEMENT (LESS THAN$25,000) PROVIDER: Butler's Glass Service dba Bills' Glass Service CITY OF PROVIDER'S CONTACT: Monica Butler ASHLAND 20 East Main Street ADDRESS: 319 E McAndrews Rd. Ashland, Oregon 97520 Medford, OR 97501 Telephone: 541/488-5587 PHONE: 541-488-2500 Fax: 541/488-6006 This Services Agreement (hereinafter "Agreement") is entered into by and between the City of Ashland, an Oregon municipal corporation (hereinafter "City") and Butler's Glass Service, (a domestic business corporation) ("hereinafter"Provider"), for replacement of broken glass in front door of Fire Station 2. 1. PROVIDER'S OBLIGATIONS 1.1 Provide replacement of broken glass in front door of Fire Station 2 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 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 6: Agreement between the City of Ashland and Butler's Glass Service � I 1.3 Provider shall,at its own expense,maintain Worker's Compensation insurance in compliance with ORS 656.017, which requires subject employers to provide workers' compensation coverage for all of its subject workers. 1.4 Provider 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 this Agreement when employed by Provider. Provider agrees to comply with all applicable requirements of federal and state civil rights and rehabilitation statutes, rules and regulations. Further, Provider 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. 1.5 In all solicitations either by competitive bidding or negotiation made by Provider for work to be performed under a subcontract, including procurements of materials or leases of equipment, each potential subcontractor or supplier shall be notified by the Providers of the Provider's obligations under this Agreement and Title VI of the Civil Rights Act of 1964 and other federal nondiscrimination laws. 1.6 Living Wage Requirements: If the amount of this Agreement is $21,127.46 or more, Provider 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. Provider is also required to post the notice attached hereto as"Exhibit A"predominantly in areas where it will be seen by all employees. 2. CITY'S OBLIGATIONS 2.1 City shall pay Provider the sum of$485.00 as provided herein as full compensation for the Work as specified in the SUPPORTING DOCUMENTS. 2.2 In no event shall Provider's total of all compensation and reimbursement under this Agreement exceed the sum of$485.00 without express, written approval from the City official whose signature appears below, or such official's successor in office. Provider expressly acknowledges that no other person has authority to order or authorize additional Work which would cause this maximum sum to be exceeded and that any authorization from the responsible official must be in writing. Provider further acknowledges that any Work delivered or expenses incurred without authorization as provided herein is done at Provider's own risk and as a volunteer without expectation of compensation or reimbursement. 3. GENERAL PROVISIONS 3.1 This is a non-exclusive Agreement. City is not obligated to procure any specific amount of Work from Provider and is free to procure similar types of goods and services from other providers in its sole discretion. 3.2 Provider is an independent contractor and not an employee or agent of the City for any purpose. 3.3 Provider is not entitled to, and expressly waives all claims to City benefits such as health and disability insurance, paid leave, and retirement. 3.4 This Agreement embodies the full and complete understanding of the parties respecting the subject matter hereof. It supersedes all prior agreements, negotiations, and representations between the parties, whether written or oral. Page 2 of 6: Agreement between the City of Ashland and Butler's Glass Service 3.5 This Agreement may be amended only by written instrument executed with the same formalities as this Agreement. 3.6 The following laws of the State of Oregon are hereby incorporated by reference into this Agreement: ORS 279B.220, 279B.230 and 279B.235. 3.7 This Agreement shall be governed by the laws of the State of Oregon without regard to conflict of laws principles. Exclusive venue for litigation of any action arising under this Agreement shall be in the Circuit Court of the State of Oregon for Jackson County unless exclusive jurisdiction is in federal court, federal district court for the district of Oregon. Each party which case exclusive venue shall be in the fede d g P Y expressly waives any and all rights to maintain an action under this Agreement in any other venue, and expressly consents that, upon motion of the other party, any case may be dismissed or its venue transferred, as appropriate, so as to effectuate this choice of venue. 3.8 Provider 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, arising out of, or relating to the activities of Provider or its officers, employees, contractors, or agents under this Agreement. 3.9 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. 3.10 If any provision of this Agreement is found by a court of competent jurisdiction to be unenforceable, such provision shall not affect the other provisions, but such unenforceable provision shall be deemed modified to the extent necessary to render it enforceable, preserving to the fullest extent permitted the intent of Provider and the City set forth in this Agreement. 3.11 Deliveries will be F.O.B destination. Provider shall pay all transportation and handling charges for the Goods.Provider is responsible and liable for loss or damage until final inspection and acceptance of the Goods by the City. Provider remains liable for latent defects, fraud, and warranties. 3.12 The City may inspect and test the Goods. The City may reject non-conforming Goods and require Provider to correct them without charge or deliver them at a reduced price, as negotiated. If Provider does not cure any defects within a reasonable time, the City may reject the Goods and cancel this Agreement in whole or in part. This paragraph does not affect or limit the City's rights, including its rights under the Uniform Commercial Code, ORS Chapter 72 (UCC). 3.13 Provider represents and warrants that the Goods are new, current, and fully warranted by the manufacturer. Delivered Goods will comply with SUPPORTING DOCUMENTS and be free from defects in labor, material and manufacture. Provider shall transfer all warranties to the City. 4. SUPPORTING DOCUMENTS The following documents are,by this reference,expressly incorporated in this Agreement,and are collectively referred to in this Agreement as the "SUPPORTING DOCUMENTS:" • The Provider's complete written Quote dated 07/10/2019. Page 3 of 6: Agreement between the City of Ashland and Butler's Glass Service 5. REMEDIES 5.1 In the event Provider is in default of this Agreement, City may, at its option, pursue any o?all of the remedies available to it under this Agreement and at law or in equity, including, but not limited to: 5.1.1 Termination of this Agreement; 5.1.2 Withholding all monies due for the Work that Provider has failed to deliver within any scheduled completion dates or any Work that have been delivered inadequately or defectively; 5.1.3 Initiation of an action or proceeding for damages, specific performance, or declaratory or injunctive relief; 5.1.4 These remedies are cumulative to the extent the remedies are not inconsistent,and City may pursue any remedy or remedies singly, collectively, successively or in any order whatsoever. 5.2 In no event shall City be liable to Provider for any expenses related to termination of this Agreement or for anticipated profits. If previous amounts paid to Provider exceed the amount due, Provider shall pay immediately any excess to City upon written demand provided. 6. TERM AND TERMINATION 6.1 Term This Agreement shall be effective from the date of execution on behalf of the City as set forth below (the "Effective Date"), and shall continue in full force and effect until August 9, 2019, unless sooner terminated as provided in Subsection 6.2. 6.2 Termination 6.2.1 The City and Provider may terminate this Agreement by mutual agreement at any time. 6.2.2 The City may, upon not less than thirty (30) days' prior written notice, terminate this Agreement for any reason deemed appropriate in its sole discretion. 6.2.3 Either party may terminate this Agreement, with cause, by not less than fourteen (14) days' prior written notice if the cause is not cured within that fourteen (14) day period after written notice. Such termination is in addition to and not in lieu of any other remedy at law or equity. 7. NOTICE Whenever notice is required or permitted to be given under this Agreement, such notice shall be given in writing to the other party by personal delivery, by sending via a reputable commercial overnight courier, or by mailing using registered or certified United States mail, return receipt requested, postage prepaid, to the address set forth below: If to the City: City of Ashland—Facilities Department Attn: Chance Metcalf 20 E. Main Street Ashland, Oregon 97520 Phone: (541) 488-5587 With a copy to: City of Ashland—Legal Department 20 E. Main Street Ashland, OR 97520 Phone: (541) 488-5350 Page 4 of 6: Agreement between the City of Ashland and Butler's Glass Service If to Provider: Butler's Glass Service Attn: Monica Butler 319 E McAndrews Rd. Medford, OR 97501 8. WAIVER OF BREACH One or more waivers or failures to object by either party to the other's breach of any provision,term,condition, or covenant contained in this Agreement shall not be construed as a waiver of any subsequent breach,whether or not of the same nature. 9. PROVIDER'S COMPLIANCE WITH TAX LAWS 9.1 Provider represents and warrants to the City that: 9.1.1 Provider 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 Provider; and (iii) Any rules, regulations, charter provisions, or ordinances that implement or enforce any of the foregoing tax laws or provisions. 9.1.2 Provider, 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 Provider; and (iii) Any rules, regulations, charter provisions, or ordinances that implement or enforce any of the foregoing tax laws or provisions. 9.2 Provider's failure to comply with the tax laws of the State of Oregon and all applicable tax laws of any political subdivision of the State of Oregon shall constitute a material breach of this Agreement. Further, any violation of Provider's warranty, as set forth in this Article 9, shall constitute a material breach of this Agreement. Any material breach of this Agreement shall entitle the City to terminate this Agreement and to seek damages and any other relief available under this Agreement,at law,or in equity. 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. Page 5 of6: Agreement between the City of Ashland and Butler's Glass Service CITY OF ASHLAND: BUTLER'S GL SS SERVICE (PROVIDER): By: d, By: 442-- Signature Signature 19,914-44- c_ areaw,J (YlOni CA- CtiIe.C- Printed Name Printed Name ' Pa P( r 10 In c QX Title ^^ Title ,Z ✓ccv4Zoly /40 '41 Date Date (W-9 is to be submitted with this signed Agreement) Purchase Order No. vO ' t,to, Page 6 of6: Agreement between the City of Ashland and Butler's Glass Service BILL'S GLASS &WINDSHIELDS ASHLAND 2407 SISKIYOU BLVD. ASHLAND, OR 97520 Contractor License: 78708 PH:541-488-2500 FAX:541-488-3270 Quote 0335 7/10/2019 Q2013516 01:39 PM 200 95 93-084-9768 CITY OF ASHLAND Ship To: 0335 20 E. MAIN FIRE STATION #2 ASHLAND, OR 97520 JOB SITE: 1860 ASHLAND ST 541-552-2292 MAINTENANCE 552-2010 FAX: 552-2059 ASHLAND, OR 97520 • Qty Part Number Description List Sell Total 1 TINCL1/8-1"O.A. (28 1/8"x 72 1/8") 1"O.A. 1/8"TEMPERED $402.46 $315.00 $315.00 UNIT CL/LOW-E 2 GENPART BREAK METAL(12 X 3 3/8) $25.00 $25.00 $50.00 1 OUT OUT SIDE LABOR $120.00 $120.00 $120.00 • Sub Total: $485.00 Tax: $0.00 Total: $485.00 r " , ® • Ali DATE IMM/DDIVYYYI CERTIFICATE OF LIABILITY INSURANCE 02/25/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Tom Kaldunski Hart Insurance Agency PHONE FAX PO Box 1240 INC No Exti: (541) 779-4232 (A/C,No):(541) 772-3963 ADDRESS: kdolmage @hartinsurance.com Grants Pass OR 97528 INSURER(S)AFFORDING COVERAGE NAICM INSURER A:Cincinnati Specialty Underwriter 13037 INSURED (541) 773-5881 INSURERS:Cincinnati Insurance Company 10677 Butlers Glass Service Inc. dba Bill's Glass Service INSURER C: _ 319 B McAndrews Road INSURER D: Medford OR 97501 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER:Cert ID 11416 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 ADOL SUER POLICY EFF POLICY EXP LIMITS LTR IN5D W YY VD POLICY (MM/DD/ YY) IMM/ODWYVYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 AMAGE TO RENTED CLAIMS-MADE X OCCUR Y Y CSU0079916 02/19/201902/19/2020 PREMSES(Ea occurrence) $ MED EXP(My one person) _$ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 5 PRO- POLICV X JECT LOC PRODUCTS-COMP/OP AGG S 2,000,000 OTHER: S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) B I ANY AUTO 5E10374731 02/19/2019 02/19/2020 BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) S AUTOS ONLY AUTOS HIRED NON NED PROPERTY DAMAGE AUTOS ONLY AUTOS S ONLY (Per acddenn 5 A UMBRELLA LIAR X OCCUR CS00086650 02/19/2019 02/19/2020 EACH OCCURRENCE $ 1,000,000 X EXCESS LIAR CLAIMS-MADE AGGREGATE 5 1,000,000 DED RETENTION$ 5 WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y/N PER E STATUTE ERH ANYPROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT /M $ OFFICER EMBER 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/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Certificate holder is listed as additional insured per attached forms CSIA405 08/09 and waiver CSGA4087 12/12 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 51 Winburn Way AUTHORIZED REPRESENTATIVE Ashland OR 97520 CeenVia ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD Page 1 of 1 . Business Registry Business Name Search New Search Business Entity Data 07-105:069 Entity Entity Registry Next Renewal Registry Nbr Type Status Jurisdiction Date Renewal Due? Date 172873-19 DBC ACT OREGON 11-25-1983 11-25-2019 Entity Name BUTLER'S GLASS SERVICE, INC. Foreign Name New Search Ass_ociated Names Type PPB PRINCIPAL PLACE OF BUSINESS Addr 1 319 E MCANDREWS RD Addr 2 CSZ MEDFORD IOR 197501 I 1CountrylUNITED STATES OF AMERICA Please click here for general information about registered agents and service of process. Type AGT REGISTERED AGENT Start Date 06-19- Resign Date 2001 Name (JAMES IALANIBUTLER I I Addr 1 319EMCANDREWSRD Addr 2 CSZ MEDFORD IOR 197501 I ICountrylUNITED STATES OF AMERICA Type PREIPRESIDENT I I Resign Date I Name RICHARD IL (BUTLER I I Addr 1 2393 TERRI DR Addr 2 CSZ MEDFORD IOR 197504 I ICountrylUNITED STATES OF AMERICA Type SECISECRETARY I I Resign Date I Name JAMES 1 (REEVES I I Addr 1 1404 ANTIOCH RD Addr 2 CSZ WHITE CITY IOR 197503 I ICountrylUNITED STATES OF AMERICA New Search • Name History Business Entity Name Name Name Start End Date Type,Status Date BUTLER'S GLASS SERVICE, INC. EN CUR 11-25-1983 Please read before ordering Copies. New Search Summary History Image Transaction Effective Name/Agent Available Action Date Date Status Change Dissolved By AMENDED ANNUAL 10-29-2018 FI REPORT AMENDED ANNUAL 11-19-2017 FI REPORT /ANNUAL REPORT 11-22-2016 FI ANNUAL REPORT 11-25-2015 FI ANNUAL REPORT 11-18-2014 FI AMENDED ANNUAL 11-05-2013 FI REPORT ANNUAL REPORT 11-14-2012 SYS PAYMENT ANNUAL REPORT 10-27-2011 SYS PAYMENT ANNUAL REPORT 11-15-2010 SYS PAYMENT ANNUAL REPORT 11-13-2009 SYS PAYMENT ANNUAL REPORT 11-12-2008 SYS PAYMENT ANNUAL REPORT 10-16- 10-17-2007 SYS PAYMENT 2007 AMNDMT TO ANNUAL RPT/INFO 10-27-2006 FI STATEMENT ANNUAL REPORT 10-25- 10-27-2006 SYS PAYMENT 2006 ANNUAL REPORT 11-17-2005 SYS PAYMENT ANNUAL REPORT 11-16-2004 SYS PAYMENT ANNUAL REPORT 11-18-2003 SYS PAYMENT ANNUAL REPORT 11-15-2002 SYS PAYMENT 10-19-2001 SYS ANNUAL REPORT PAYMENT CHANGE OF REGISTERED 06-19-2001 VI Agent AGENT/ADDRESS STRAIGHT 11-21-2000 F I RENEWAL AMENDED 01-11-2000 FI RENEWAL STRAIGHT 10-26-1998 I I RENEWAL STRAIGHT 10-20-1997 1 I RENEWAL STRAIGHT 12-12-1996 I I RENEWAL AMENDED 10-27-1995 FI RENEWAL STRAIGHT 11-17-1994 I 1 RENEWAL STRAIGHT 11-02-1993 FI RENEWAL - AMENDED 10-28-1992 I 1 RENEWAL NB AMENDMENT 03-04-1992 FI STRAIGHT 10-21-1991 I I RENEWAL STRAIGHT 10-19-1990 l I RENEWAL STRAIGHT 10-17-1989 FI RENEWAL STRAIGHT 10-17-1988 FI RENEWAL STRAIGHT 10-15-1987 FI RENEWAL AMENDED 10-21-1986 FI RENEWAL STRAIGHT 10-28-1985 FI RENEWAL STRAIGHT 12-03-1984 1 I RENEWAL NEW FILING 11-25-1983 IT NEW FILING 11-25-1983 FI © 2019 Oregon Secretary of State. All Rights Reserved. GOODS AND SERVICES AGREEMENT(LESS THAN$25,000) PROVIDER: Butler's Glass Service dba Bills' Glass Service CITY OF PROVIDER'S CONTACT:Monica Butler ASHLAND 20 East Main Street ADDRESS: 319 E McAndrews Rd. Ashland,Oregon 97520 Medford, OR 97501 Telephone: 541/488-5587 PHONE: 541-488-2500 Fax: 541/488-6006 This Services Agreement (hereinafter "Agreement") is entered into by and between the City of Ashland, an Oregon municipal corporation (hereinafter"City")and Butler's Glass Service, (a domestic business corporation) ("hereinafter"Provider"), for replacement of broken glass in front door of Fire Station 2. 1. PROVIDER'S OBLIGATIONS 1.1 Provide replacement of broken glass in front door of Fire Station 2 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 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 6: Agreement between the City of Ashland and Butler's Glass Service CITY OF ASHLAND: BUTLER'S GLL SS SERVICE (PROVIDER): By: By: C� "" _ Signature Signature • Mani c- Printed Name Printed Name Title 1\40-n uQ it Date Date (W-9 is to be submitted with this signed Agreement) Purchase Order No. Page 6 of 6: Agreement between the City of Ashland and Butler's Glass Service • Purchase Order m,a a- . ' Fiscal Year 2020 I Page: 1 of: 1 B City of Ashland ATTN: Accounts Payable Purchase 20200045 L 20 E. Main L Ashland, OR 97520 Order# T Phone: 541/552-2010 O Email: payable @ashland.or.us ✓ H C/O Public Works Department EBILL'S GLASS &WINDSHIELDS I 51 Winburn Way 2407 SISKIYOU BLVD p Ashland, OR 97520 N ASHLAND, OR 97520 Phone: 541/488-5347 R T Fax: 541/488-6006 541 488-2500 - Paula Brown 07/16/2019 114 FOB ASHLAND OR/NET30 Cit Accounts Pa able Replace broken window FS#2 1 Replace broken window in front door at Fire Station#2 1 $485.0000 $485.00 Goods and Services Agreement(Less than $25,000) Completion date: 08/09/2019 Project Account: *************** GL SUMMARY*************.k* I 082400-704100 $485.00 pp 1 • b 11 l L a.,i ,p:.�' Date: I i t f L 4 - Authorized Signature `I§!!Y1E $485.00 7 FGa 7.0. � . FORM #3 CITY OF K -g e ��SH LAN D A request for a Purchase order REQUISITION Date of request: 07/10/2019 Required date for delivery: ASAP Vendor Name Bill's(;lase R Winrichielric Ashland Address,City,State,Zip 2407 Siskiyou BLVD Contact Name&Telephone Number Monica Butler,541-488-2500 Email address monica@billsglass.com _ SOURCING METHOD ❑ Exempt from Competitive Bidding ❑ Emergency ❑ Reason for exemption: ❑ Invitation to Bid ❑ 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 ❑ Request for Proposal Cooperative Procurement Not exceeding$5,000 Date approved by Council: ❑ State of Oregon ® Direct Award _(Attach copy of council communication) Contract# O 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) ❑ (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 Replace Broken window in front door $485.00 Item # Quantity Unit Description of MATERIALS Unit Price Total Cost ® Per attached quotelproposal TOTAL COST $485.00 Project Number _ _ _ Account Number 082400 -704100 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 approve all hardware and software purchases: IT Director Date Support-Yes/No By signing this requisiti form,I certify th. f Ci a ,is contracting requirements have been satisfied. Employee: /' Department Head: i / // /Alu G ZO ti (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 Deputy Finance Director-(Equal to or greater than$5,000) Date Comments: