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HomeMy WebLinkAbout2019-238 20200134 HVAC Services GOODS & SERVICES AGREEMENT PROVIDER: S&S Sheetmetal, Inc. C I T Y OF PROVIDER'S Mike Shipley -AS H LAND CONTACT: 20 East Main Street Ashland, Oregon 97520 ADDRESS: 912 Antelope Road Telephone: 541/488-5587 White City, OR 97503 Fax: 541/488-6006 PHONE: 541-210-2946 This Goods and Services Agreement (hereinafter "Agreement") is entered into by and between the City of Ashland, an Oregon municipal corporation (hereinafter "City") and S&S Sheetmetal, Inc., a domestic business corporation ("hereinafter "Provider"), for HVAC services. 1. PROVIDER'S OBLIGATIONS 1.1 Provide HVAC on call services as needed for FY20 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 S&S Sheetmetal, Inc. 1.3 All subject employers working under this Agreement are either employers that will comply with ORS 656.017 or employers that are exempt under ORS 656.126. 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. 2. CITY'S OBLIGATIONS 2.1 City shall pay Provider the sum of $15,000 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 $15,000 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. 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 27913.220, 27913.230 and 27913.235. Page 2 of 5: Agreement between the City of Ashland and S&S Sheetmetal, Inc. 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, in which case exclusive venue shall be in the federal district court for the district of Oregon. Each party 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. 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 Rate Sheet dated April 12, 2019. 5. REMEDIES 5.1 In the event Provider is in default of this Agreement, City may, at its option, pursue any or 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 June 30, 2020, unless sooner terminated as provided in Subsection 6.2. Page 3 of 5: Agreement between the City of Ashland and S&S Sheetmetal, Inc. 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 Maintenance Department Attn: David Arnold 90 North Mountain Avenue Ashland, Oregon 97520 Phone: (541) 552-2292 With a copy to: City of Ashland - Legal Department 20 E. Main Street Ashland, OR 97520 Phone: (541) 488-5350 If to Provider: S&S Sheetmetal, Inc. Attn: Mike Shipley 912 Antelope Road White City, OR 97503 541-210-2946 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. Page 4 of 5: Agreement between the City of Ashland and S&S Sheetmetal, Inc. 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. CITY OF ASHLAND: S&S Sheetmetal, Inc. ((PROVIDER): By: By: yt,&Za r Signature Signature 'O,e"w.J C)Ixske Sa'lR 2a r Printed Name Printed Name Die Ua~r~ 9 er Title Title Za/ 00/2 3 fi Date Date (W-9 is to be submitted with this signed Agreement) Purchase Order No. Page 5 of 5: Agreement between the City of Ashland and S&S Sheetmetal, Inc. o~QQ~W,1 S E I p E~.c(! HEATING & 2 AIR-COND S&S E SHEETMETAL, INC. April 12, 2019 LABOR RATES 2019-2020 Monday 8:00 a.m. through Friday 2:00 p.m. $85.00 After 2:00 p.m., it will be charged at our ON-CALL rate of $127.50 Saturday and Sunday (Morning and Evening hours) $127.50 Weekday Evenings $127.50 Weekday Day Hours $85.00, cut off time 2:00 p.m. qP - DATE(MNVDD/YYYY) ,4`~ ° CERTIFICATE OF LIABILITY INSURANCE 0312112019 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: It the certificate holder Is an ADDITIONAL INSURED, the polley(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rl hts to the certificate holder In lieu of such endorsements . PRODUCER CONTACT CLIENT CONTACT CENTER FEDERATED MUTUAL INSURANCE COMPANY PRONE FAX IN; B HOME OFFICE: P.O. BOX 328 A/c Ne Eat : 888-333-4949 A/c No u 507-446-4664 OWATONNA, MN 55060 noonsss• CLI ENTCONTACTCE FEDINS.COM INSURERS AFFORDING COVERAGE NAIC H INSURER A: FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED 343-547-6 INSURER B: S & S SHEETMETAL INC INSURER C: 912 ANTELOPE RD INSURER D: WHITE CITY, OR 97503-1607 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 24S REVISION NUMBER: 0 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS j 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 SL SUER POLICY NUMBER MMIDDNYYY POV D E%P LIMITS L X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 ,REM 6 $100,000 narl CLAIMS-MADE ❑ OCCUR DAMAGE TO RENTED S MED EXP(My one Pelson) EXCLUDED A N N 9910853 04/24/2019 04124/2020 PERSONAL& ADV INJURY $1,000,000 091,11 AGGREGATE UMIT APPLIES PER: GENERAL AGGREGATE $2,00D,000 I OTHER; JECT LOC PRODUCTS - COMPIOP AGO $2,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,OOD attide X ANY AUTO BODILY INJURY (Per person) OWNED AUTOS ONLY SCHEDULED A AUTOS N N 9910853 04/2412019 04/24/2020 BODILY INJURY (Per ecdden0 TY DPMAGE HIRED AUTOS ONLY H NONAUTOS-OWNED ROPE., ONLY or de X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $2,900,000 A EXCESS LIAR CLAIMS-MADE N N 9910854 04/24/2019 04/2412020 AGGREGATE $2,000,000 OED RETENTION WORKERS COMPENSATION PER 6TAME ER AND EMPLOYERS' LIABILITY / ANY PROPRIETORIPARTNERMXECUTIVE E.L. EACH ACCIDENT OFFICERIMEMBER EXCLUDED? N I A (Mandatory In NN) E.L. DISEASE - EA EMPLOYEE ' If yes, describe under EA. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may he attached If mom spaw Is mqulmd) i I, CERTIFICATE HOLDER CANCELLATION 343-547-6 i 2450 CITY OF F ASHLAND SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 90 N MOUNTAIN AVE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ASHLAND, OR 97520-2014 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE O 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 26 (2016103) The ACORD name and logo are registered marks of ACORD - ACORO® r DATE (MMRJDNYY11 CERTIFICATE OF LIABILITY INSURANCE 03/2112019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS i CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: if the certificate holder Is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In Ileu of such endorsements . PRODUCER ' CONTACT FEDERATED MUTUAL INSURANCE COMPANY PHONE CLIENT CONTACT CENTER FAx HOME OFFICE: P.O. BOX 328 RIC No EXl : 888.333AS49 A/c xo :507-446-0664 OWATONNA, MN 55060 Aoonless• CLIENTCO ACTCENTER FED S CO INSURER(S) AFFORDING COVERAGE NAIC M i INSURER A: FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED 343-$47.6 INSURER B: S &S SHEETMETAL INC - INSURER C: 912 ANTELOPE RD WHITE CITY, OR 97503-1607 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 188 REVISION NUMBER: 0 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS ' AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DL SUBR OLICY EFF POUCY EXP L TYPE OF INSURANCE INS WVD POLICY NUMBER PIDD LIC YEX LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 CLAIMS-MADE El OCCUR DAE AGE50 RENTEGmea, $100,000 OM, Ho.,rr MED EX? [Any one Foment EXCWDED A N N 9910853 0412412019 04/2412020 PERSONAL 6 ADV INJURY $1,000,000 GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 PRO- P POLICY OJECT 0LOC PRODUCTS - COMP/OP AGO $2,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000 X ANY AUTO a eIL e BODILY INJURY (Par pcrsar) SCE A OWNED AUTOS ONLY A UTOOSUlEO N N 9910853 04/2412019 04/24/2020 BODILY INJURY (Par ...Idano HIRED AUTOS ONLY NON-OWNED R AUTOS ONLY OPERTY DAMAGE X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $2,000,000 A EXCESS LIAB CLAIMS-MADE N N 9910854 04/24/2019 04124/2020 AGGREGATE $2,000,000 OED RETENTION ' WORKERS COMPENSATION PER STATUTE OER AND EMPLOYERS' LIABILITY I ry ANY PROPRIETORIPARTNERIEXECUTIVE E.L. EACH ACCIDENT OFFICEMMEMBER EXCLUDED? N I A IMandalory In NH) E.L. DISEASE • EA EMPLOYEE DESCRIPTION OFF OPERATIONS below E.L DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addidanai Remarks SOmdula, may be attached If mom spew la mqulmd) RE: 1097 B STREET, ASHLAND OR 97520 CERTIFICATE HOLDER CANCELLATION 343.547-6 1880 CITY OF ASHLAND SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 90 N MOUNTAIN AVE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ASHLAND, OR 97520.2014 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ® 1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD S&SSHEE-01 CBETTIN ACORO F DATE (MMIDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 7/3/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Carol Bettin NAME: Anchor Insurance & Surety, Inc. PHONE FAX 503 224-9830 1201 SW 12th Ave. Suite 500 (A/C, No, Ext): (503) 224-2500 (A/C, No):( ) Portland, OR 97205 ADDRIESS: cbettin@anchorias.com INSURERS AFFORDING COVERAGE NAIC # INSURERA:SAIF Corporation 36196 INSURED INSURER B : S & S Sheetmetal Inc, INSURER C : 912 Antelope Road INSURER D : White City, OR 97503 INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE A D D L SUBR'! POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR IN SD WVD MM/DD/YYYY MM/DD/YYYY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE ❑ OCCUR DAMAGE TO RENTED PREMISES E, occurrence $ MED EXPAnyone person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO ❑ LOC PRODUCTS - COMP/OP AGG $ JECT OTHER: $ AUTOMOBILE LIABILITY (Ea acccideDiSINGLE LIMIT $ ANY AUTO BODILY INJURY Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLA LIAB H OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION X PER OTH- AND EMPLOYERS' LIABILITY YIN STATUTE ER 811929 101112018 10/1/2019 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A 1,000 000 (Mandatory in NH) F L_ DISEASE - EA EMPLOYE $ If yes, describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ I DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Goods & Services Agreement - Provide HVAC as needed for FY20 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Ashland - Facilities Maintenance Department THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN y ACCORDANCE WITH THE POLICY PROVISIONS. Attn: David Arnold 90 North Mountain Avenue Ashland, OR 97520 AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Request Rate Company Rate Request II Request III Sheet Sheet Received Jahnke 12-Apr 21-May No National 12-Apr 21-May 21-May 22-May S and S Sheet Metal (HVAC) 12-Apr 12-Apr NATIONAL HEATING & AIR CONDITIONING, INC 1006 S. Pacific Hwy. PO Box 379 "sTalent, OR 97540 (541) 535-4687 Fax: (541) 535-5248 www.NationalHeatandA!r.com ccb # 135158 May 22, 2019 Service Call Pricing Diagnostic Service Calls - $99 per unit [regular hours] - $149 per unit [overtime/after hours) After diagnostic, repair costs are quoted. General Servicing of Equipment - $159 per system [1 heating unit & 1 air conditioning unit] Duct Inspections & Repair - Time & Material cost [$139 1st hour, $109 per hour thereafter] [Plus cost of materials] " We've been here for 40 years, we'll be here when you need us" Purchase Order Fiscal Year 2020 Page: 1 of: 1 THIS E'0 NUMBER MUST APPEAR ON ALL B City of Ashland INVOICE,',;, AND SH',PPING"DOCUr>1ENTS ATTN: Accounts Payable rt< Purchase L 20 E. Main L Ashland, OR 97520 Order # 20200134] T Phone: 541/552-2010 O Email: payable@ashland.or.us V H C/O Facilities Maintenance Div E S & S SHEETMETAL, INC 1 90 North Mountain Ave j N 912 ANTELOP ROAD P Ashland, OR 97520 D WHITE CITY, OR 97503 Phone: 541/488-5358 O O Fax: 541/552-2304 R David Arnold n--M- long= 09/05/2019 390 FOB ASHLAND OR Cit Accounts Pa able HVAC Services On-call HVAC services for FY 20 1 $15,000.0000 $15,000.00 71Goods & Services Agreement Completion date: 06/30/2020 Project Account: GL SUMMARY 082400 - 602400 $15,000.00 i By:Date: Authorized Signature $15,000.00 FORM#3 CITY OF ASHLAND REQUISITION CV D eofrequest: 8i23/2019 Required date for delivery: Vendor Name S&S Sheetmetal Inc Address, City, State, Zip 912 Antelope Road White City OR 97503 Contact Name & Telephone Number Mike Shipley / Christie Salazar 541-210-2946 Email address 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 co of council communication If council approval required, attach co 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 j Date approved by Council: Contract # Attach co 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 HVAC on-call services as needed for FY20 $ 15,000.00 Item # Quantity Unit Description of MATERIALS Unit Price Total Cost Per attached quote/proposal TOTAL COST Project Number _ _ _ _ _ _ _ Account Number 082400-602400 `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 approy 11-t r ► are and software purchases: IT Director Date Support -Yes/ No By signing this requisition form, I certify that the Ci 's cc acting requirements have been satisfied. tT~zc.~-J Z9J4~~ Lv~ Employee: Department Head: (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 i - Deputy Finance Director- (Equal to or greater than $5,000) Date Comments: