HomeMy WebLinkAbout2023-020 PO 20230268- Superior Fencing LLC r,
Purchase Order.
,MO CITY RR Fiscal Year 2023 Page: 1 of: 1
B City of Ashland __l _f£ i � � ° �I
ATTN: Accounts Payable P- �as _
20 E. Main Purchase 20230268
Ashland, OR 97520 Order#
T Phone: 541/552-2010
p Email: payable@ashland.or.us
V H C/O Facilities Maintenance Div
E SUPERIOR FENCING LLC I 90 North Mountain Ave
N 2232 RIDGE WAY p Ashland, OR 97520
O MEDFORD, OR 97504 OT Faxn541/552-2304541/488-5358
41552230458
R
(541) 890-6266 David Arnold
03/17/2023 1228 FOB ASHLAND OR __ City Accounts Payable
DT: -WOW:Mrr-�s-a-= U
----- -- _. _._.. est- f
Fencing Repair Police Station
1 Fencing repair at Police Station 1.0 , $2,874.00 $2,874.00
Goods and Services Agreement
Completion date: 06/30/2023
Project Account:
***************GL SUMMARY***************
088400.-602400 $2,874.00 I I >
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By: Date: _=== - -
Aut orized ignature _ _ ',2 874.00
FORM#3 . -4 T..V '0.f
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I.X. chase Or ASHLAND
A request. 1 ar•aPurcit -ies -- D / -. e
.REOU1SITION o DaleibiteqUeslq '.2-.Zirl 412023%
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.81_,Ipsficgin LLC' _
Required date for delivery:
, . . .
'Vendor Name
-,Address,City,State,.4p • •, :4843.Table.Rodli•Road.-Central Point OR :.97502 • •
Contact Narne&'Telephone Number . .......•• •. ,, •.-,.., • .•,-, , _ . ., „_. ,,.. .. .
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Entail addreas ..: - . --.• . . — .. , , ,_ ,, _ . . ,. „..
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SOURCING'METHOD
:I :.Exempt from Competitive Biddinn 'El Invitation to Ski . ID:ErnettianCy.
1: Reason for exemOiee• . Date a0:0(0ed by Council . ID :Faf0t1X.Arritten'fintling .and Atitheniz4911
El AMC-2kt ' . .
(Attachokitiiif council comthunicatiptt) .
1D1 Writtep:quelp or,proposal ' . •
El Written quote Or proposal attached (If COlincd.approval reolie4,...altaiii copy of CC)
igl :Small Procurement fl ,Rettuett for Pro OOP! ,CoppergiviPrcictiranuint
Not exceeding iq,pcm• . Date approved by 0..Stale:Cfore4en
El.Direct Award ' _(Attach Cop4eltouncil.cdtrounipotiori) Contract
-1:1 VerbalMfrillenquble(s)or propusal(i). El RequOt fortlualifiCatiods.tPublic Works) ID•,.StatO-of Washington
Date approved by Council:' . . . •Coiltra-ct it .
, • •(rAaCh'ecikOt council communitaiion) 0•'Other Overieriont agencycontract
Interinedlate Procurement .1:1 Sole Source' • 40043r
poobs.&S,ERVICES: . . D ApplicableFOrin(#5i6,-7•pi-.8). . 0Orillait If
'Greater than'S•5„0 00:and less than.S10,b0D• 'El Writteri4Ote•Orprepoial ailed* . Intergovernmental Agreement
.0-:.(3)Written bids and solicitation attached 0 Form#4;Personal Sormic04$5K to$75K •Agency.
•
PERSONAL SERVICES' Dab ik ip0000Ciliridt. '0,.Ariiiii,11 cost lii City,does,net exceed$25000 ' •
' Greater than S5,000'and less than$75.000 'Valid until (iCiale) Agrooniont approved by Legal and.OlijirciirOsygtiO.by
'0 Less than'p .,000;.t4-directappointment 0'-Sada!Procurement a4/AclinitAlt0;:$40.?:50P70(4)
El '(3)Written proposals&solicitation attached LI Form#9:i. oesit.for Approval LI AnP60*Ija City exceeds RPM Council
'0 Form#4,Personal S6ric,-e's',55K to 575K El Written4iote or proposal attached •-approval required.(Attach copy of council"communication)
-pate qiiircivetiljyttlairit..
Valid Until: ' (Dale
•
Description of.SERVICES, . . Total cost.
. _.._ . .._.
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Fencing repair at Police Station Evidence Compound-
.:: 487400' : •
. .
item# Quantity ;init. :Description of MATERIALS' Unit.Price .'1'xital.Cost
_
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_ $.0
$fj,00. .
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$'.0 $9:09
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. .1 ,... „-,-,..... ....,D Per attached citotelpreposal -I.OtAL-tt.OST.
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... , • - 1.$0.13G- .
Project Nurither:, - ',Account,Number: 688400-602400 , ',,,:‘.: .-.- • . „
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•Spopdituee MOO be Pfror90(1 to the eppteprlale 4004u f.ii iwrnbei fathe,fiftmcia4 to accurately Wiwi the.Eictuet*Pe.1.41arcs.
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IT-Director.incollaberatipt?with department io'approveAll hirdwate4pd software purchases:
. . , . .. ,. .. ,,. . . ,, ,: . . . .. , : .,... ..• IT Ditecter Date• Sup*-Yers/No'
13 iy sijinifg thi,§.regilisitiodformd certi61 the! City's public co cling requ iements'have beensalisfied,
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.Emjileyee: • -• 1.--"‘ ef."--------: - :,- ;-.7: -__.--/- Department Head: ,..2"ir 3.15.20 la
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at .;ooreaterihan$5,000) •
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Department Managorl§uperviscr:- City Manager:
(9KPRfeEthOrq$4090)• ,
Funds appropriated for&tree-Offsal year YES i NO
FloaFinanceDiregle`r.7 CEO!t o.org*te,Ohoh g000) pate
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Forth 4(0,1**-
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GOODS AND SERVICES AGREEMENT (S35,000 OR LESS)
PROVIDER: Superior Fencing LLC
c) TV OF PROVIDER'S
ASH LAN D CONTACT: Kevin Bernhardt
20 East Main Street
Ashland,Oregon 97520 ADDRESS: 4843 Table Rock Road
Telephone: 5411488-5587 Central Point, OR 97502
Fax: 541/488-6006
PHONE: 541-890-6266 •
. ""
This Goods and Services Agreement (hereinafter "Agreement") is entered into by and between the City of
Ashland,an Oregon municipal corporation(hereinafter "City") and Superior Fencing TIC, (a domestic/lbreign
business corporation)oration)("hereinafter"Provider'),for fence repairs.
1. PROVIDER'S OBLIGATIONS
1.1 Provide fencing repairs at the Police Station Evidence Compound 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
I)OCUME:NTS,and that no waiver or extension of such deadline may be authorized except in the same
manner as herein provided ftrr authority to exceed the maximum compensation. The services defined •
and described in the "SUPPORTING DOCUMENTS" shall hereinafter be collectively referred to as
"Wolk."
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,I The insurance required in this Article shall include the Eollowing coverages:
• Comprehensive General or Commercial General Liability, including personal injury,
contractual liability, and products/completed operations coverage; and
• Automobile Liability.
1.1.2 Each policy of such insurance shall he 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
Page 1 of 6: Goods and Services Agreement between the City of Ashland end Superior Fencing I.I C
• Be evidenced by a certificate or certificates or such insurance approved by the City.
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 slate civil rights and ivhahilitation 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 fhe Provider's obligations under
this Agreement and Title V1 of the Civil Rights Act of 1)G4 and other federal nondiscrimination laws.
1.6 Living Wage Retiu.iromenis: If the amount of this Agreement is $22,310.46 or more, Provider is
required to comply with Chapter 3.12 of the Ashland Municipal Code by paying a living wage,as defined
in that chapter, to all employees performing Work under this Agreement and to any Subcontractor who
peribrrrms 50% or more of the Work under this Agreement. Provider is also required to post the notice
attached hereto as"Exhibit A"predominantly in areas where it will be seen by all employees.
1.7 Assignment: Provider shall not assign this Ag3eement or subcontract any portion of the Work to be
provided hereunder without the prior written consent of the City. Any attempted assignment or
subcontract without written consent of the City shall be void. Provider shall be fully responsible for the
acts or omissions of any assigns or subcontractors and of all persons employed by them,and the approval
by the City of any assignment or subcontract shall not create any contractual relation between the assignee
or subcontractor and the City.
.2. CITY'S OBLIGATIONS •
2.1 City shall pay Provider the hourly• rates effective 3/2/2023 as speci lied in the SUPPORTING
DOCUMENTS.
- 2.2 In no event shall Provider's total of all compensation and reimbursement under this Agreement exceed
the sum of$.-4874 (this is Maximum, not to exceed amount of ENTIRE Agreement) 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.
.Page 2 of 6: Goods and St 'ices Agreement between the City of Ashland and Superior Fencing LLC
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,
4 l:'his 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,
wlsetlter written or oral.
3.5 This Agreement may he amended only by written instrument executed with the sane lbrrnalities as this
Agreement.
3.6 The lbllowing 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,
in which case exclusive venue shall he 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 ease may he 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.0.13 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 wairanties.
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 hi part. This paragraph does not affect or limit the City's rights, including its
rights under the Uniform Commercial Code, ORS Chapter 72 (U CC).
Page 3 of b= Coeds and Services Agreement bei ween the Ci[y of Ashland and Superior Fencing L.LC
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3.13 Provider represents and warrants that the Goods are new, current, and fully warranted by the
manufacturer. Delivered Goods will comply with SUPPDRI`ING DOCUMENTS and be free from
detects in labor,material and manufacture.Provider shall transfer all warranties to the City.
4. SUPPORTING DOCUMENTS
4,1 The following documents arc, 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 Estimate dated March 2, 2023.
4,2 This Agreement and the SUPPORTING DOCUMENTS shall be construed to be mutually
complimentary and supplementary wherever possible. In the event of a conflict which cannot be so •
resolved, the provisions of this Agreement itself shall control over any conflicting provisions in any of
the SLJPPOW1ING DOCUMENTS. In the event of conflict between provisions of two of the
SUPPORTING DOCUMENTS,the several supporting documents shall be given precedence in the order
listed in Article 4.1,
5. .f EMEDIES
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, sped tic performance, or declaratory or
injunctive relief;
5.1.4 'These remedies are cumulative to the extent the remedies arc 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 dale 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, 2023, unless sooner
terminated inated as provided in Subsection 6.2.
6,2 'I'erinination
6.2.I The City and Provider may terminale this Agreement by mutual agreement at any time.
6.2.2 The City may,upon not less than thirty (30)days' prior,written Felice, 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 he 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
P:cge 4 of6: Goods 2111d Services Ag,! etnenE between the City of Ashland and Superior Ft ucirrg Li X:
by mailing using registered or certified United States mail, return receipt requested, postage prepaid, to the
address set forth below:
If to liw City:
City of'Ashland—Facilities Malntenauice Department
Mtn: David Arnold
20 E. Main Street
Ashland, Oregon 97520
Phone: (541) 552-2292
With a copy to:
City of Ashland...-Legal Department •
20 F. Mainz Street
Ashland,OR 97520
Phone:(541)458-5:350
If Provider:
Superior Fencing LLC
Attn: Kevin Bernhardt
541-890-6266 •
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 fax 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 tea
Provider;and
(iii) Any rules,regulations,charter provisions,or ordinances that implement or enforce any of •
the foregoing tax laws or provisions.
9.12 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 3l 6, 317,and 318;
(ii) Any tax provisions imposed by a political subdivision of the Slate 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 iaws of the State of Oregon and all applicable tax laws of any
political subdivision()like 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.
Poge 5 of(: Goods and Services Agreement hcEweeit fhe Ciiy of Ashland and Superior Fencing!J
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 fo ih below,
CITY OF ASHLAND: Superior Fencing LL.,C(PROVIDER):
By: ........ (
.:5 - — By: Jta th `........
' na tr Signature
•
teTC" - - 14 4i/fiel y
'r . cti,eX.a{—
Pa anted Name Printed Name •
Title Title
S.11%.202 3 3 ---/6—,23
Date Date
{VIS-9 is to be submitted with this signed Agreement�
Purcl lase Order No.
Page 6 of& Goods aqui Services Agiecoucnt bcttivecii Mc City of Asidand and Superior Fencing LLC
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AC9 II CERTIFICATE OF LIABILITY INSURANCE E3Alit1F.1,1foL„YY,<Y,
43/13/2823
THES CERTIFICATE IS ISSUED AS AMATTER OF INFORMATION ONLY ANI)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 CONTRACT BETWEEN THE ISSUING INSURER{S,AUTHOi3IZEt
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT; if the certificate herder is an AI5t3ITUON AI-IN8UREt),the Poi€cy{fps}must have ADDITIONAL INSURED prow€siotns or he endorsed,
if SUBROGATION IS WAIVED,subject in the terms id conditions or the{roEcy,Cer(ahi p0Iiaie5 may req vire an end ors erneni. A statement on
this cerliltcaie does not confer rig/de to Lha Cerliftcala border in lieu of Silch e11doTSemerlt(4
PRODUCER�R
CDt•irMY Kirntlarly EcStYOrt}"
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i NAME:
Ashland Insurance Inc •PHONE (541)857=0670 I t Ir (Si11)a57-gaaa
801 O'Haia Parkway,Ste 101 "Alt kedwardsi asci andinsularrre.c:orn
AOL]NHSS:
,U 1RF.litSl AFFORDING C:tWFRA{F• NAIC N
Medford OR 975061rE5URF.RA 7 SAIF Corporation
lNSIJR1:L7 INSURER R I -----•-
Superior Fencing 11C INSURER C: ••
.9V1.? Ridge Way INSURER 6:
- INSURER E:
Medferd OR i•17SI]�I IIiSURERr:
COVERAGES CERTIFICATE NUMBER; 22.23 WO REVISION NUMBER:
3441$IS To CERTTFYTHAT TI Er.aoL.IMES OF iNtahHANCe LISTED FIrLOW I IAVf ilEIYN ISSUED TO TUE INSiJRtn NAMeanr;OVE rORTtIE POLICY PERIOD
INDICATED. NOTI MTHSTANDINGANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENrTtAITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE.POLICES DESCRIBED HEREIN IS SUBJECT TO ALL YHE 1 FRMS,
E X.E.1.1./SIONti AND COMMONS OF SUCH POLICIES.LIMIis;'SHUYFS MAY HAVE BEEN REDUCED BY PAID CLAIMS.
1NSfi .Ar][11'SUSR -.._.._...................__..............._..
TYPE OF INSURANCE FO&D YF.FF POI 131YY ' 7.IAEs
LFR INSn 'won POLICYNUEhUER p1h11pLYYYYY rddtdc76,M1^�YY T-4.
COMMERCIAL GENLRAL LiA£E:LI'TY •......................-----•--
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Hn£6 —`NON-OWNED t'R4r'F.siTY£104A0F. S
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This form is subject to policy terms,conditions and exclusions.
l
CERTIFICATE HOLDER CANCELLATION
Oily of Ashland
20 East Main Street
SEiOU1_DIi W OF THE ABOVE DESCRIBED POLICIES 6E CANCELLED BEFORE
THE EXPIRATION DATE THEREON,NOTICE WILE Bit DELIVERED IN
ACCORoA.NC£WITH THE POLICY FRO1<ISI0N$_
ALETHE]H17F.O RFPRFSFNTATN2
Astllana OR 970?.0emg,ki ‘+G+1 .�
0 19Sa-201SACORtICORPORATION. All rig Ids reserved.
ACORO 2${7416403} The AC ORD nouns and Io{je aro registered marks of ACCERD
Amparec For
City Of Ashfand
(S43) 552-2292
Superior Fencing LEC I CCB # 1E6012 Estimate# 2052
Nevin Bernhardt&Craig Robinson Date 03JO212O23
4843 T4 ble Rock Rd
central Pointy OR 97502
Phone: (541)890-6266
Email: sLiperk orfencIngIIc> gmaiI,corn
Description Total
We herby subrnIt.specifications and estimate fir: $2,874.00
88'ar 6'tail galvanized cbaintinkferidng with!-strands of br'bed wire,We will replace
SS'of{i'tali 241 galvanized chain link fabric and Iijstal€new vertical barb arms with
new3-Strands of 4 poinE barbed wire.Remova€and disposal of old chainllnkfabrlc.We will
reuse posts and top rail. •
Wewil€install new bottom Wilre.
Subtotal $2,874.00
Tota I $2,874.00
•
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Page I.of 2
a
OW30/2022
..----- CERTIFICATE OF LIABILITY INSURANCE r
MIS CERTIFICATE IS ISSUED AS A MATTER OF 3HFORMATIDN ONLY AND CONFERS HO RIGHTS UPON THE CERTIFICATE HOLDER. TI-IFS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OH ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW_THES
CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING EIESHRE&{S), AUTHORIZED REPRESENTATIVE OR
PRODUCER,AND THE CERTIFICATE HOWER.
IMPORTANT: -If the certificate hewer Is an ADDITIONAL INSURED,the pvlicy(ies) must have ADDITIONAL INSURED provisions or be endorsed. It
SUBROGATION IS WAIVED, subject to to terms and conditions of The po1ECy, certain polities rosy require an endorseteent, A statement DTI this
cm-Mote dues not confer IIEIIIs to the cerlifFcate holder in Heti of such endorsement(s). ...
PRODUCER CONTACT
FEDERATED MUTUAL INSURANCE COMPANY NAME? CLIENT CONTACT CENTER !PRONE
HOME OFFICE:P-O-SOX 32a .tAEClib Bag 888.323-9949 L ,TN:5S7.448.4664
OWATONNA,MN 55050 E-MAIL
ADDRF.SStCLIENTCONTACE"CENTERTR EDINB,CAM__.........__ '
IHSURERISF AFFORDING COVERAGE .NAM,/
. INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 139035
'INSURED 378966-7 FESURER13:FEDERATED SERVICE INSURANCE COMPANY 28304 '
SUPERIOR FENCING LLC INSURER c:
4843 TABLE ROCK RD ,
CENTRAL.POINT,OR 57502.3155 ,INSURER ik •
INSURER 51
INSURER F
COVERAGES CERTIFICATE NUMBER:12 REVISION NUMBER:B
THIS ES TO CERTIFY THAT THE POLIC,II OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE ENSURED NAMED ABOVE FUR THE POLICY PERIOD
INDICATED. NWWI TI#STANDINO AtiY F1EOUEREMENT, TERM OR CONDITION OF ANY COSTBACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED 13Y THE POLICIES DESCRIBED HEREFN FS SUBJECT TO ALL THE TERMS.E1SCLUSIONE
AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN AEDUCEN BY PAID CLAI P.#5.
INBR .BOOL SUDIL POLICY EFT POLICY EU
t TYPE OF INSURANCE , , ,,,, P4I-rcY whims „•,r w , A t .t.►a2 t LIMITS
CDMMERC{i,GENERAL IEABIEXTf EACH OCCURRENCE $-1,000.000
DAMAGE TO RENTED $100,0
■UI ma.MADE 1 Xt I OCCUR PREn7i5E6 tea oecuercncel
IZ RUSINESS OMER'S LIARRITY MED EJP lAny me personl
A . V N 52133550 UEENB/2022 - 084116/9023 PER&OHAL a reivntuuT g1,DO,OOO
QEN'L A GR OA E LIMIT APPLIES PER: GENERAL AaoRtoAT£ $2,DOD,DOD
Pk
�POLiCY JECYd-
....., k� PRaPrJCTN.aOMPrOpAfl4 $2,000,000
r--
F
.ALL'FeMONILE UABILYTY COM IN DS SINGLE LIMIT 51 ,000
,itiaaX ANY AUTO BODILY INJURY(Per venon] •.......................... ...
•
SCHED
9 gysfEo-arros ONLY AE1TORULE° y N , 8283961 06/06/2022 , esinS12023 ISCIIILY INJURY(Per'occident)
FLARED AUTOS ONLY AUTOS ORLy TN.aRTY DAMAGE�perEadenQ
UMBRELLA UAE I OCCUR TEAM OCCURRENCE
EXCESS LIAR G.ASMS-IVAbE AGGREGATE
DFO RETENTION
WORKERS COMPENSATEUNI I OTft•„ •
AND EMPLOYERS'LIAeIl-lTY v 1 Ni PER STATUTE F ER -
ANY PRO PRI£TORIPARTNERIEX£CUIVE If } :EL EACH ACCIDENT
OFTUDERIMEMRER EXCWDE{f± 'N I A
IMendatory IR TIM 'El,DISEASE•£A EMPLOYEE
If yet,a L*1be Maar E t MEM•POLICY uA11C
bESCRIPTICN OT 4F£RATLONS below ,
DESCRIPTFON OFOPERATTONs I LUCAUONN f VEIIIOLES fAb0RD NI.Addi6onaL Remits Schedule.IRay be attached if morn space It regbatbdl
THE CERTIFICATE HOLT}ER IS AN ATIDIrIONAL INSURED SUSJEGT TO THE CONDITiOMS OF THE ADDITIONAL INSURED-BY CONTRACT
k7•DDRSEHENT FOR BUSIHESSU9INERS LIABILITY.
THE CERTIFICATE HOLDER IS AN ADDITIONAL IFsURED SUBJECT TO THE CONDITIONS DF THE ADDITIONAL INSURED BY DONTRACT
E1JISRSEHENT FOR BUSINESS AUTO LIABILITY. .
CERTIFICATE HOLDER CANCELLATION
379-45-7 12 O:
CITY OF ASHLAND t SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
20 E MAIN ST THE EXPIRATION DATE THEREOF, HOnCE WILL BE I}i;IJVERE) IN
ASHLAND,OR 97525-1614 ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED RCFEESCNT'A71VE
/7144-01,,,f,/ ‘ gt,„,.
51 10804015 ACO RD CORPORATION.All rights reserved.
ACt3RD 2E{*010103) The ACORN name and Loge are registered marks of ACORO
FEDERATED INSURANCE COMPANIES
THIS ENDORSEMENT MODIFIES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED BY CONTRACT ENDORSEMENT
This endorsement modifies insuraticc provided under the following:
BUSINESSOWNERS LIABILITY COVERAGE FORM
A. Paragraph C. Who Is An Insured is amended to include as an additional insured any person or organization,
other than a joint venture, for whom you are performing operations when you and such person or organization
have agreed in writing in a contract or agreement that such person or organization be added as an additional
insured on your policy. Such person or organization is an additional insured only with respect to liability for
"bodily injury", "properly damage"or"personal and advertising injury"caused by your ongoing operations for
ttae addil-tonal insured arrd only to the extent that such "bodily injury. "property damage" or "personal and
advertising injury" is caused by your negligence or the negligence of those performing operations on your
behalf:
A psrson's or or9arsi2ation's status as an additional insured under this endorsement ends when your
operations for that additional insured are completed.
This additional insurance does nut apply to:
1. An employee, association of employees or labor union, except with respect to worts performed by or for
you for such employee, association of employees or labor union under direct contract between you as
contractor and such employee,association of employees or labor union as owners;
2. Any railroad company except with respect to work performed by or for you for such railroad company
under direct contract or agreement between you and such railroad company;
3. Any person or organIzatiori whose profession, business or OCcupatton is that of an architect, surveyor or
eragiueer with respect to liability arising out of the preparation or approval of or the failure in preparation
or approval of reaps, shop drawings, opinions, reports, surveys, field orders, change orders. designs,
drawings, specifications or the performance of any other professional services by such parson or
organization;or
4. Any of your Subcontractors, or any partner, officer, agent or employee of such Subcontractor.
B, The Coverage extended to any additional insured by this endorsement is limited to, and subject to, all terms,
conditions,and exclusions of the coverage form to which this endorsement is attached.
In addition, Coverage shall not exceed the terms and conditions that are required by the terms of the written
agreement In add any insured, or to procure insurance,
C, In the event that the Limits of Insurance shown in the Declarations exceeds the limits of liability required in a
written contract or written aclree3nent for an additional insured, the insurance provided to the additional
insured shall be Iirnited to the limits of liability required by that written contract or written agreement.
17, Additional Exclusions
Thr:insurance afforded to any person or organization as an insured under this endorsement does not apply;
1, Ta "bodily injury", "property damage" or"personal and advertising injury"which occurs prior to the date
of your contract with such person or organization;
2. To"bodily injury"or'property damage" 'included within the "products-completed operations hazard";or-
3, To "bodily injury", "property damage" or "personal and advertising injury" arising out of the sole
negligence of any person or organization that would not be an insured except for this endorsement.
Includes copyrighted material of Insurance Services Office, Inc.with its permission.
BP-F-195 (OR)(07-09) Policy Number:9283960 Transaction Effective Date: 06-O6-2022
P
°sx
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED BY CONTRACT ENDORSEMENT
This unrf❑racment inodi€icrs insurance provided under the following;
BUSINESS AUTO COVERAGE PART •
With respect to coverage provided by this endorsement, the provisions of the Coverage Forth apply unless
modified by the endorsement_
A. WHO.IS AN INSURED for"bodily injury"and "property damage"liability is amended to include:
Any person or organization other than a joint venture, for which you have agreed by written contract to
procure bodily injury or property damage "auto" liability insurance arising out of operation of a covered
"auto"with your permission_However, this additional insurance does not apply to:
(1) The owner or anyone else from whom you hire or borrow a covered "auto". This exception does
not apply if the covered"auto"is a"trailer"connected to a covered "auto"you own,
(2) Your "employee" if the covered "auto" is owned by that "employee" or a member of his or her
household.
(3) S❑rne❑nne Using a covered "auto" while he or she is working in a business of selling, seryicing,
repairing, parking or storing 'autos"unless that business is yours.
(4) Anyone other than your "employees", partners (if you are a partnership), members (if you are a
limited liability company), or a lessee or borrower or any of their "employees", while moving
property to or from a covered "auto".
(a) A partner {if you are a partnership), or a member (if you are a limited liability company) for a
covered "auto"owned by him or her ar a member of his or her household.
8. The coverage extended to any additional insured by this endorsement is limited to, and subject to all terms,
conditions,and exclusions of the Coverage Part to which this endorsement is attached.
In addition, coverage shall not exceed the terms and conditions that are required by the terms of the written
agreement to add any insured,or to procure insurance,
C. The limits of insurance applicable to such iFSSuranoo shall be the lesser of the limits required by the
agreement between the parties, or the limits provided by this policy.
D. Additional exclusions. The insurance afforded to arty person or organization as an insured under this
endorsement does not apply:
'1. To "loss'which occurs prior to the date of your contract with such person or organtfation:
2. To loss" arising out of the solo negligence of any person or organization that would not be an insured
except for this endorsement.
3. To loss" for any leased or rented "auto" when the lessor or his or her agent takes possession of the
leased or rented"auto"or the policy period ends, whichever occurs first.
includes copyrighted material of Insurance Services Office, Inc_with its permission.
CA-F-127(03-03) Policy Number; 82839411 Transactieii Effective Date:001449/2022