HomeMy WebLinkAbout2023-025 PO 20230284- Squeeky Clean Windows & Ext. Cleaning Purchase Order
CITYPrARECORDER
,aii Fiscal Year 2023 3 Page: 1 of: 1
B City of Ashland ...
ATTN: Accounts Payable20 E. Main Purchase
Ashland, OR 97520 Order# 20230284
T Phone: 541/552-2010
O Email: payable@ashland.or.us
V SQUEEKY CLEAN WINDOW& EXTERIOR CLEANING, H C/O Facilities Maintenance Div
EINC 90 North Mountain Ave
N
PO BOX 256 P Ashland, OR 97520
OR TALENT, OR 97540 Phone: 541/488-5358
O
Fax: 541/552-2304
X:@> �Ig1QrJ7135r=�_ E7cJE�1�1�7tl " �[l F-i s Q aHr
_ _ _ David Arnold
Mar irc
e BES;a l`=RRIeI= °=T=��' �� ciS=
--- __ _---
04/04/2023 2426 FOB ASHLAND OR/NET30 Cibi Accounts Payable
MTV
Window Cleaning
1 Window cleaning perimeter windows of City buildings per attached 1.0 , $2,285.00 $2,285.00
Cost Estimate dated 03/16/2023
Project Account:
*************** GL SUMMARY***************
088400-602400 $2,285.00 I
r
j71By: Date:
Authorized ignature Lai- s .ate ;_ .2 285.00
FORM #3 CITY. :0 f
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.A reciklest for,..8'Puiechas0 ori / 7.-e 7-9 a 2-0 4 - - • — - .•
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REouisiTioN Date tifieii(lest:- :1121/g023•
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Required date for dliVery::
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Veljcitit WairiOExterirkCleatiiriWirid.
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Address,Citic.State,-zip - ......„ .. . _ ,„ .... . , ,,. .„.. .•,• .
1758 Howeil_Askiduoi_Merlford.:-OR.f-'97501 .
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Ciiiitita0t Narng,'8 Telephone Number l a:t ' li '8` i : a. . •.:,...., . ._'-• •-
Emaidtgpg Kiva 6hrebr541-646.6081.ietee4..C.,ea• nbCe•. §fa,i
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•Stiiiilltc ING.METHOO
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1:1 •Eiremtit from Competitive Bidding -0,•Invitation to Bid ' 0 ,Emergency,. .. .
0 Reason for exerep1166:' Date api#Oett by Council • 0 frofro Mk Written findings and AtithOctiation
.0 A1iC.2.50 . (Atta:th660.6f council gornfnunidatio4 0 'Wiliteil.girate or proposal atiaaii
.CI. Written quote or proposal attathed • tif council apProval.roguire'd,attach copy of-td) -
0. Small Procurement 0 'Bentreiffor PiOnOgal ' 'Cooperative Procurement
Not eirdeactligj$5.):100 'Date pfOri‘i3Ori.by:critincii:. D State atOf 91610:
gi Direct Award . ,. .(Attkch Oily Of&and communication) •Contract#
D. Verhai/Written•quote(s)or proposal(s) I:I ii equest for 4iralifiCiiiiimii(Pii$4 Works) 0. State Washington
Date approved by Council • ' • ' ' Contract It,
'fkilklyopyrif:COOnbil oommunteation) 0 OlitetgOyerrenord.ogencioOntract,
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intermediate Procurement' 0 Sole Source ' - " v Agency' - ' ' ' •
..GOODS&SERVICEB- 0 4006aikForrii,;(4,5:10,7:.or • Grintractil• _
Greater than$5,00a.and less than 510-1000 ,1:1 Imitter(Oole or proposal attached Inteiginernmental Agreement•
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I=1 :(3)WrittOp•oids• npl.OIlcitatIOn attached: 0 Form kiti-PergOtiol Berirli**0$mx 2.J.104,- - ... • .
PERSONAL SERVICES Date approved by Council • 0, 'Animal cost to City dogs not exceed$25,030;
'Idreatottitan:$5,000 and less than$15.000 .Veld:milk"' '' '— .-' (Dale) .kgmemeht approved by Legaland aPprOlieriOgnictby
D:less than by direct appointment -0 -Special Procurement • - gy.kinlinfOraigi.*4 2 500744).
D (3).Written,PrOPmti4 solicitation attached LI -Niiii#kpeopo-rof-Aipprigv01 DI Ailripop3stio City oxcce0$2B",006;COgricii
.ID 'Form#4,Personal ServicesOk 0.$76K D *titan0316pr proposal attached -approval required (Attach 60.0.vcouncil communication)
Date approved by Council;--
Valid until 'Mate)
, .
- --- -- •
Description.0f:SERVICES _ Total Cost-
......
vvihdow and.exteit e cleaning for FY23, 4:14-16i1A ,
. ._ .. . .
Item# Quantity . Unit: Description of MATERIALS-. :thiii Price Total Cost _.
----------- - —
-1 --- $o .0..90..
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$o . $0.00,
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$0 $0:00
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ID Per attached gitOtelproPtial - - ' 'firoirlii,kred.-64,- .
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Project Nuttib,or:,_ :, --.. . -, _ t)%GOIgithfrslirifiliei: 088400-602400
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'ExOndliiire nu4st 0 digrfieci 611)4.op propriet6 account huiti6Ois TO the Anoncivis to rdflect-thaectual expondifures.•
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IT Difietprin,collaboratibn.*0 Oeiikipri0(10:ap 'p, s'all hay art'and 1;ift‘vare purchases - ,... .. _._ • , .. . ... ... , .._ -
. • IT Director . Data Support-Y es 1,No
kly kinik Ois 0461* - •' ' Aatt.h0::city.5;fiubli,t Ont:,•:''..'g rOuiieti01011:106-000 004
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Dwattment,Mange#Syperviiqr: -City Manager
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(Greater than.$35,000)-
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Fininc4Likthtot,(goo to 947.0aie?tharisS5A7) '.Dat d• . . . ..
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Comments: • • .• . •
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'ForT01,13-R6qiiii0i1-
T i
GOODS AND SERVICES AGREEMENT (S35,000 OR LESS)
PROVIDER: 5quecky Clean Window&Exterior
Cleaning,Inc, .
CITY 0 F PROVIDER'S
ASH LA I) CONTACT: Kiva Schreibe
2,0 East Main Street
Ashland,Oregon 97520 ADDRESS: 1758 Howell Avenue
Telephone: 541/488-5589 Mod ford,OR 97501
Fax: 541/488-6006 .
PHO : M1-646-5081 •
This Goods and Services Agreement (hereinafter "Agreement")•is entered into by and between the City of
Ashland,an Oregon municipal corporation(hereinafter"City")and Scluccky Clean Window&Exterior Cleaning
Inc.,(a domestic/foreign business corporation)("hereinafter"Provider"), for window cleaning.
1. PROVIDER'S OBLIGATIONS
1.1 Provide window cleaning for FY23 as set forth in the"SUPPORTING DOCUMENT'S"attached hereto
and,by this reference,incorporated herein. Provider expressly aclanowledges 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 authorised except in the same manner as herein provided for authority to exceed
the maximum compensation. The services deed. and described in the "SUPPORTING •
DOCUMENTS"shall hereinafter be collectively referred to as"Work."
•
11 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 Tho 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.
rage I(E'6: (lands and Services Agreement t'etweeii the City of Ashland anti Squeeky Clean Window Baterior Cleaning Inc.
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 disorimination 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 ctirnpetitive bidding or negotiation made by Provider for work t€i 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 $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
performs 50%or more of the Work trader 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 Agreement or subcontract any portion of the Work to be
provided hereunder without tire 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
CITY'S
subcontractor3rtand the City.
2. CIL S'S OBLIGATIONS
2.1 City shall pay Provider the hourly rates effective 3/16/2023 as specified in the SUPPORTINie
DOCUMENTS.
2.2 In no event shall Providers total of all compensation and reimbursement under this Agreement exceed
the sum of$2,285 (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 110 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 farther 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 Agreerient. 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 o€6, Goods and Services.ftteement between the City of Ashland and Squeaky Clean Window&Exterior Cleaning he.
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3,2 Provider is an independent contractor and not an employee or agent of the City for any purpose.
•
3.3 PFovicler 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 279B.22),279B.230 and 27913.235,
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
expressty 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 harinle.ss and indonnify 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 arty 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 V.1111 destination. Provider shall pay all tratm.par4ation cud 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 C€tar may inspect and test the Goods. The City may reject non-conforming Goods and require
Provide'to correct them without charge or deliver than at a reduced price, as negotiated. If Provider
does not cure any defects within a reasonable time, the City may reject:th a 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 relmresents and warrants that the Goods are new, current, and fully warranted by the
manufacturer. Delivered Goods will comply with SUPPORTING .DOCUIVIEN'TS and be free from
defects in labor,material and manufacture.Provider shall transfer all warranties to the City.
Page 3 oI6: Goods and Sorvioeu Agreement betwezn rho City of Aslltand and Squeaky Clean Window&Exterior Mailing Inc.
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4- SUPPORT/NG DOCUMENTS
4.1 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 Estimate dated March 16,2023,
4.2 This Agreement and the SUPPORTING DOCUMEi TS shall be construed to be mutually
complimentary and supplementary wherever possible. In the event of a conflict which cannot be so
n✓solved, the provisions of this Agreement itself shall control over any conflicting provisions in any of
the SUPPORTING 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. REMEDIES
5.I 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 uies 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 Those 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 cm behalf of the City as set forth below
(the "I-ffective Date"), and shall continue in full force and effect until June 30, 2023, 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 ally time.
6.2.2 The City may,upas 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 he 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:
Page 4 of 6: Goods and Sap/ices Agreement between the City of Ashland and Rquecky Clean Window&Exterior Cleaning Inc.
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City of Ashland—Facilities Maintenance Department
Attn.: David.Arnold
2013.Main Street
Ashland,Oregon 97520
Phone: (541)5522292
With a copy to:
City of Ashland—Legal Department
20 E.Main Street
Ashland,OR 47520
Phone:(541)488-5350
If to Provider:
Squeaky Clean Window&Extcrior.Cicaning Inc.
Attn: Kiva Schreiber
541-646-5081
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 ofany subsequent breach,whether
or not of the sale 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 terra of this Agreement, including any extensions hereof, comply •
with:
(i) All tax laws of the State of Oregon, including bat not limited to ORS 305,620 and ORS
chapters 316, 317,and 318;
(ii) Any tax provisions impose€d 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.
9,1.2 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 305420 and OBS
chapters 316,317, and 318;
(ii) Any tax provisions imposed by a political subdivision all=a 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 terminale this
Agreement and to seek damages and any other relief available underthis Agreement,at law,or in equity,
Page 5 of G, Goons and Services Agreement between the City of Ashland and Squeaky Clean Window&Exterior Cleaning Inc.
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IN WITNESS WHEREOF the parties have caused this Agreement to be signed in their respective names
by their duly anthork d.representatives as of the dates set forth below.
CITY OF ASHLAND: Squ eky Clean Window&Exterior Claming Inc.
(PROVIDE :By. 41111111111&
N1164. __may{�
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a ellrl �.
gnaturc
KIVAPEE—
Printed
Printed dame
Name
aPu c.. S Ote6cf7 --
Titi
Title
3.21. 2623
Date 3/64/
Jute
( -9 is to be submitted with this signed Agreement)
D7B
Purchase Order No,
Page 6 of 6: Goods And Services Agreement between the City of Ashland and Squeaky Clean Window&&xteror Cleaning lee.
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Squeaky Clean Window&Exterior Cleaning ,,i.
Inc. Estimate ,14.0041,_444,1
4,r043 r°r
PO Box 256 A . `
Talent,OR 97540 *( (Sil.,~ �
sOUEEKY GLEAN
squeekycleanwc@gmail.com ;,vtKoour&ECEfil02cur ky."
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Mledfordwindowcleaning.com
A❑PRESS .r
City of Ashland-Public
Works/Engineering
51 Winburn Way
Ashland,OR 07520.
ESTIMATEW . DATE:;
03(16/2023 I
1SERVICE .
AMOUNT>,
Services 0.00
These buildings are located in the City of Ashland,and are for Window Cleaning of the building
perimeter windows.No skylight;screen,or window cleaning within the perimeter are included
unless specified.Thank you.
Window Cleaning Exterior 250.00
CITY HALL 20 East Main St.
Window Cleaning Exterior 35.00
SATELLITY POLICE STATION 40 N.Main St.
Window Cleaning Exterior 350.00
COMMUNITY DEVELOPMENT 51 Windburn Way
Window Cleaning Exterior 100.00
ASHLAND POLICE STATION 115 East Main St.NOTE: Does not include windows inside
clearance area.
Window Cleaning Exterior 50.00
COURTHOUSE 1175 East Main St.
Window Cleaning Exterior 250.00
N.MOUNTAIN SERVICE CENTER(3 buildings)90 N.Mountain Ave.
Deluxe Screen Cleaning 75.00
N.MOUNTAIN SERVICE CENTER(3 buildings)90 N. Mountain Ave:deep clean the exterior
screens
Window Cleaning Exterior 450.00
FIRE STATION 1 455 Siskiyou Blvd NOTE:This is for all the windows EXCEPT for the 8 bay doors
Window Cleaning Exterior 125.00
FIRE STATION 1 455 Siskiyou Blvd ONLY the 8 bay doors exterior
Window Cleaning Interior 150.00
FIRE STATION 1 455 Siskiyou Blvd 8 bay doors interior
Window Cleaning Exterior + 300.00
FIRE STATION 2;1860 Ashland St.This is for all the windows EXCEPT for the 3 bay doors
Window Cleaning Exterior, I 75.00
FIRE STATION 2 1860 Ashland St 3 bay doors Exterior
Window Cleaning Interior 75.001
Please Note:This estimate is for a ndintenarroe cleaning only and does not include the removal of construction debris such as paint or caulk,or Me
removal al of starring cataract by hard water or building runoff.After completion of the maintenance cleaning,we can tat you know if we found any of
these and discuss haw May might host be cared for.
FIRE STATION 21860 Ashland St 3 bay doors Interior
Terms and Conditions 0.00
This estimate is for maintenance window cleaning only,and does not include the removal of
.. oastr.action debris.st>.0 t..s..pigrA..441king, etc or the removal of hardwater staining.
We look forward to the opportunity to clean for you, TOTAL $2,285.00
Kiva Schreiber
Southern OregOn$Most Trusted Window&Exterior
Cleaner
Accepted By Accepted Date
Please Note:This eslirnate is fur:t maintenance rteariii rg only and duos not include the removal of construction debris such as paint or caulk,or the
removal of staining caused by bard water or building runoff.After completion of the maintenance cleaning,we can let you know it we found any of
hes and dismiss NM they might East toes cared for.
•
ereroi.ssiLeom
salWork.
Wife_
• Oregon_
Oregon Workers' Cornpensa#Eon
Certificate of insurance
Certificate holder:
CITY OF ASHLAND
PUBLIC WORKS DEPARTMENT
20 EAST MAIN ST
ASHLAND,OR 97520
The policy of insurance listed below has been,issued to the insured named below for the policy period
indicated.The insurance afforded by this policy is subject t4 all the terms,exclusions and conditions of
such policy;this policy is subject to change or cancellation at any time.
Insured Producer/contact
Squeaky Clean VVindow&Exterier Cleaning Inc Abel Insurance Agency
PO Box 203 Wendy Abel-Hatzel
North Fiend,Or974,59-0017541.207.124 Wendy(aisbelinsurenceagency_corn
Issued 11130121122 Limits of liability
Policy 783421 • Eiodily Injury by Accident $1,000,000 each accident
Period 01/01/2023 to 01/01/2024 Bodily injury by Disease $1,000,000 each employee
Body Injury by Disease $1,m0,000 policy limit
Description of operations/locations/special items
WINDOW CLEANING
Important
This certificate is issued as a matter of information only and confers no lights to the certificate holder.This certificate
does riot amend,extend or after the coverage afforded by the policies above.This
certificate dads notcunstitute a contract between the issuing insurer,authorized representative or producer and the
certificate fielder_
Authorized representative
Chip Too-lune
President and CEO
4[O0 High StrcctSE •
Salam,OH 47x11
P:S11(L28h.8h7Ii
Micky OIC. Fr 503.594.9812
r
SQUFCLE-49 CMANSFIELB
A ` !'2C� - CERTIFICATE OF LIABILITY INSURANCE DnTEftblld)61YYYYs
_....._— 212?(2423
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY-AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER-TRIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED f3Y THE pOLIC1ES
BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(Si,AUTHORIZER
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT; if the certificate holder Is an ADDITIONAL INSURED,the policy:lesj mist have ADDITIONAL INSURED provlsions or be endorsod.
If SUBROGATION IS WAIVED, subject to the terms anti conditions of the policy,certain pellets may require an endorsement, A statement on
this certificate does not confer rIjhts to the ceniflcaie holder In lieu of such dndorserner0(s),
PRODUCER License 072'E282 . CONTAt T
NA#iF:
Abet l Insure ace Agency PHONE FAX
P.O.Box 1780 ! ,Nu,E::el:(vd1�2S7-+11211 (Air:,N„}g(341)257-2402
F AH ahellnstiraltceagency.c0in
Coos say,OR 974aa 14E5S:ahol� ............. . .....
INSLfitaisi AFFORDING COVERAGE — NAM if
INSURER A:Employ eze Mutual Catialtr{EMC)Company 21415
INSURED 'INSURER R:
Suuee&cy Clean Window&Exterior Cleaning Inc. !N.RFRD.1._
PO Box 243 MAMBA;
Non Band,OR S7450 _.._. I
INSURER F: .. J
INSWtER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:••
IRIS ES TO CFF&IIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTRTI1SIANDING ANY RFOUIRF.MFNT, TERM OR CONDITION OF ANY CJONTRACTOROTHERDOCUMENTWITHRESPECTTOWHICHTHIS
CERTIFICATE MAY BE ISSUED ORMAY PL•IIIAN. I HE INSURANCE. AFFORDED BY THE POLIGICS I11:.SCF1IBF[s HFRFIN IS SURJET TO Alt.THE 1E.RMS.
LXCli SIONG AND CONDITIONS OF St1CH POLICIES_LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.............. . .. ..
INSR. AaCI SUARI POLICY EFF POLICY EV
1111,______• TYPE OF INSURANCE i`JSn W44 POLICY NUmuER ►I. *Ai iJ:l[Hl Yw� LIMITS t
A X GOMt,IERcIAL GENERAL LIABILITY EACH OMURRENG'- 5 1.404,Q081
1 CLATM3.MAEC n OCCUR X SD5Z5S0 211:512023 211512624 t FMrS•5hanfcrrrrr,f75 S 500.000
MED EXP(Any meosso S s 10.000
PERSONAL aADV INJURY S 1.000,000
UtNl.AGUREGAIFI.IJIlI A0P:`.F;}PFR• GENERAL AGGREGATE 3 2'000.000
X I POLICY j I;Bj`i 11 LOG _ PRODUCTS,r,CuaxsP AGs .5 2.080,080
-I OTHER: ---........... r .. .... -- ----- S
A AUTORt4FlLLL'LI aIUTY I ...... CC,U@IH aD5HGLE MET S 1,000,000
rr•IYAIITO] ,GI°625 i 211512023 21.1512024 nnr7�lvjN,uJ y.tF' L :-x:_..$.........._.
oYraEDsCli!:17L;I.I:ts '
AUTOS ONLY AUTOS flr)Iltl Y•lN,ll IFtY(PIs.crJdr.�l� •$ _
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A7JD EMPLOYERS'I.IABILLTy I 't•I IF :->z
ANY PROTSIIEP69,PhRTt1rR7FXF.GUTILP I I R lAI E L EACH ACCIDENT 5
ONIICrRERA.1y NSR EXCLUDED? I I .
1 EL DISEASE-CA EMPLOYEE'S
I;Yes,tl5srnba INplp: -.......................
DL ICRII'I ION OF ON,I.,r?.S•I'ONS baler C.L.DISCASC-POLICY LIMIT 5
DESCRIPTION OFtWERATTONSf LOCA TLONSfVVH[CLL.S(ACONDO I,AdditionalRemarksScEledtiFe,IrlayhealtachartLTmerespaceietequIredl
certificate}folder is AddifionRF Insured Cor General Liahility by Written Carrfratt Cr Apeerrient Per Attached CG 7174
CELtTIj_KATE HOLDER CJIsIi.C..gLLA7i_QN.....
t
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE I
Ci! Of Ashland THE EXPFRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Y : ACCORDANCE WITH THE POLICY PRWVISIONS,
20 East Main St
Ashland,OR 97620
AliT11GLtILEts$l£PHi:SHfl TAME
ACORD 25{2016143) P 1s88-2o5 ACOINLI CORPORATION. All rights reserved.
Tho AGORD name and logo are registered marks of AOORb
COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY,
ADDITIONAL INSURED- OWNERS, LESSEES OR CONTRACTORS -
AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION CONTRACT OR
AGREEMENT INCLUDING COMPLETED OPERATIONS - PRIMARY AND
NONCONTRI BUTORY
•
This endorsement modifies the insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE FORM
A. Section II — Who Is An Insured is amended to surveys, field orders, change orders or drawings
include as an additional insured: and specifications;or
1. Any person or organization for whom you are b. Supervisory, Inspection, architectural or
performing operations when you and such engineering activities,
person or organization have agreed in writing In This exclusion applies even if the claims against
a contract or agreement that such person or any insured allege negligence or other wrongdoing
organization be added as an additional insured in the supervision, hiring, employment, training or
on your policy;and monitoring of others by the insured, if the
2. Any other person or organization you are "occiirrexice" which caused the "bodily injury or
required to add as an additional insured under "property damage",or the offense which caused the
the contract or agreement described in "personal and advertising injury", involved the
Paragraph 1.above. rendering af, or the failure to render, any
Such person(s) or organization(s) is an additional professional architectural, engineering or surveying
insured only with respect to liability for "bodily services.
injury", "property damage' or "personal and C. With respect to the insurance afforded to these
advertising injury caused, in whole or in part, by: additional insureds, the following is added to
a. Your acts or omissions;or Section III—Limits Of Insurance:
b. The acts or omissions of those Wing on The most we will pay on behalf of the additional
your behalf; insured is the amount of insurance:
in the performance of: 1. Required by the contract or agreement
described in Paragraph A.1.; or
a. your ongoing operations for the additional
2. Available under the applicable Limits of
insured; or
b. "Your work" for the additional insured and Insurance shown in the Declarations;
included in the "products — completed whichever is less.
operations hazard"_ This endorsement shall not increase the applicable
However, the insurance afforded to such additional Limits of Insurance shown in the Declarations_
insured described above: D. The following is added to the Other Insurance
a. Only applies to the extent permitted by law; Condition and supersedes any provision to the
and contrary_
b. Will not be broader than that which you are Primary and Noncontributory Insurance
required by the contract or agreement to This insurance is primary to and will not seek
provide for such additional insured. contribution from any other insurance available to
B. With respect to the insurance afforded to these an additional insured under your policy provided
additional insureds, the following additional that:
exclusion applies: (1) The additional insured is a Named Insured
This insurance does not apply lo "bodily injury," under such other insurance;and
"property damage" and "personal and advertising (2) You have agreed in writing in a contract or
injury' arising out of the rendering of, or the failure agreement that this insurance would be primary
to render, arty professional architectural, and would not seem contribution from any other
engineering or surveying services including: insurance available to the additional insured.
a� The preparing, approving, or failing to prepare E. All other terms and conditions of this policy remain
or approve maps,shop drawings,opinions, reports, unchanged.
C(7174 i(lO-i3) Includes copyrighted material of 180 Prmpertles,Inc.with Its permission. Pada 1 ni
• COMMERCIAL AUTO
THIS ENDQRSPMENT CHANGES THE p.pLicy.PLEASE REAP IT CAREFOLLY.
.
COMMERCIAL AUMELITE EXTENSION
, .
This endorsement mortifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
The BUSINESS AUTO COVERAGE FORM,:is amended to include the;following clarifications and extensions•of
coVerage.With respect to coverage provided by this eriderSernent,the provisions of Coverage Form apply unless
MoCiified:by..the endOrterneht.
,
A. TEMPORARY SUBSTITUTE AUTO pHysIcAL (2) Available under the rapplicable Limit Of
• ,
DAMAGE InSuranCe for, Covered: Autos Liability
, ,., . . .
SeCtionA Covered Autos Paragraph c., artain, . Coverage shown In the Declarations
.
Trailers, Mobile Equipment; and Temporary whichever is!est.'
,
Substitute Autos is amended by adding the C. EMPLOYEES AS INSUREDS
folloWing The followingis added to theSection:11--Covered
If Physical Damage Coverage IS provided by this Autos Liability-Coverage, Paragraph A4.Who Is
coverage-form for an "auto"you own, the Physical An Insured provision
Damage Coverages provided for Any"employee"of yoursautoare any
you do not own 'a,covered "auto" you don't own, hire or borrow in
While used with the permission of its owner as:a :Your business Or your personal affairs:
temporary substitute for the OPyered,i'auto" you • ••-- ' - ,.. __:-. • . ,_. - -
ownthat is-(kit'of Service beCause'ef breekOovh, D. 'EMPLOYEE HIRED AUTOS
. .,_. .,
repair,Serviting,:gbsS"Or deStrUctiorr. 1. Changes In Covered AutoLiability
The ooyerage provided is 'the 'sante. as the cPverage , V.
coverage provided for the vehicle being replaced The following is added to the Who Is, An
B. .i BLANKET:ADDITIONAL INSUREDt: Insured ProVision:
,.. ____,...,,,........
- -
The Who Is An Insured,provision under Section II An "ernployee" of yours is an 'insured" while
,
—Covered Autos Liability Coverage is amended (*grating an "auto" hired or rented ander a
to include the following as an"insured" contract or agreement in an "employee's"
. ,
name, with your permission, while performing
I. .Any person or organization whom you have duties related to the conduct of your bushiest.;
, , . . ,
agreed in a written,contract or agreement to I Changes In General Conditions
naiad as an 'additional "insured 7 under,Our
"auto" - Policy to provide '!bodily injtity", or
Para,-graph..54 of the.Other Insurance,in the
"property damage" coverage, but only with Bi,iina0..kito,COverage'Formis amended by
..
respects to liability arising out of the use of a the dditibn of the following
covered."auto" you own, hire or borrow and For Hired Auto.Physieal Damage Coverage any
. : ,
resulting from the acts or omissions by you,anY, covered "auto" hired or ,rented by your
.of your i'OniployOat"•.,or agent* The insurance _"erriplOYee"'under a contract in an"employee's'
afforded tasach additional 'insured"will not be name, with your permission, while performing
broader than that which you are required to -,duties related to the d.Ondlidt of your business is
:provide for such additional "insured" and 'deemed to be•A covered!"agto!you own
applies only Ora Written contract eite0ted,prior However, any"auto.:that is leased,hired, rented or
:to„the ghodilir injury' or mproperty:den-lege and borrowed with a driver is not a covered"aiitO",
is still in force at the time Of the"accident".
theE. NEWLY' Forma). OR ACQUIRED
: With respect.th insuranceohiclegi hii. the - - - , . '•' .
. , . . ORGANIZATIONS
2
.additional insured" .described above, .the
following Is added.to Soetten. v: Limit:Of, Section it',- Covered Autos Liability Coverage,
Insurance Covered Autos- Liability A.1.Who Is Insured is amended by adding the
,
Coverage: following:
.
The most we will pay on behalf of the additional Any. organization which you acquire or form after
"insured"iS-thearnount of insurance: the effective: date of-this. Policy in which you
maintain ownerthip,dr..majOrity interest However(1) Required by the written .contract or
agreement described above,or • -
; . . . .
CA745142 ) Includes copyrighted material of igo Propedies,Inc.WM Its pormissimi, Page 1 of 5
C
('I) Coverage under this provision is afforded only a covered private passenger "auto". The
up to 780 days after you acquire or form the deductible is waived for these services.
organization, or to the end of the Policy period, K. TRANSPORTATION EXPENSES
whichever is earlier. Section III — Physical Damage Coverage, AA-
R. SUBSIDIARIES AS INSUREDS Coverage Extensions Subparagraph a.
Section Ii — Covered Autos Liability Coverage, Transportation Expenses is r'eplared by the
X4.1.Who is An Insured is amended by adding the following:
following: (1) We will pay up to$75 per day to a maximum of
•
Any legally incorporated subsidiary in which you $2,500 for temporary transportation expense
own more than 50% of the voting stock on the incurred by you because of the total theft of a
effective date of this Policy, However, "ensured" covered "auto" of the private passenger type_
does not include any subsidiary that is an "insured" We will pay only for those covered "autos" for
under any other automobile liability Policy or was which you carry either Comprehensive or
an"insured"under such a Policy but for termination Specified Cause of Loss Coverage, We will
of that Policy or the exhaustion of the Policy's limits pay for temporary transportation expenses
of liability, incurred during the period beginning 48 hours
G. SUPPLEMENTARY PAYMENTS after the theft and ending, regardless of the
Policy's expirations, when the covered`auto" is
Section fl — Covered Autos Liability Coverage, returned to use or we pay for its"loss",
A.2.a. Coverage Extensions, Supplementary {2) If the temporary transportation expenses you
Payments (2) and (4) are replaced by the incur arise from your rental of art "auto" of the
following: private passenger type, the most we will pay is
(2) Up to $5,000 for the cost of bail bonds the amount it oasts to rent an 'auto" of the
(including bonds for related traffic law private passenger type which is of the same
violations) required because of an "accident" like, kind and quality as the stolen covered
we.cover_ We do not have to furnish these "auto"_
bonds. L. ELECTRONIC EQUIPMENT COVERAGE ADDED
(4) Ali reasonable expenses incurred by the LIMITS
'insured"at our request, including actual loss of All electronic equipment that reproduces, receives
earnings up to $500 a day because of time off or transmits audio, visual, or data signals in any
from work, one loss" is $5,000, in addition to the sublimit in
H. FELLOW EMPLOYEE COVERAGE Paragraph C.1.b. of the Limits Of Insurance
In those Jurisdictions where, by law, fellow provision under Section III — Physical Damage
Coverage.
employees are not entitled to the protection
afforded to the employer by workers compensation M. HIRED AUTO PHYSICAL DAMAGE
exclusivity rule, or similar protection. The following Section III — Physical Damage Coverage, A.4.
provision is added: Coverage Extensions is amended by adding the
Subparagraph 5, of Paragraph H. Exclusions in following: if hired "autos" are covered 'autos" for
Section II — Covered Autos Liability Coverage Liability Coverage,and if Comprehensive, Specified
does not apply if the"bodily injury" results from the Causes of Loss, or Collision Coverage is provided
use of a covered"auto"you own or hire. for any"auto"you own, then the Physical Damage
L TOWiNf AND LABOR coverages provided are extended to "autos" you
lease, hire, rent or borrow is deemed to be a
Section III — Physical Damage Coverage, A.2. covered "auto" you own, subject to the following
Towing And Labor is replaced with the following: limit and deductible:
We will pay for Towing And Labor costs incurred, (1) The most we will pay for loss to any leased,
subject to the following: hired, rented or borrowed'auto" is the lesser of
a. Up to$100 each time a covered"auto'that is a up to a limit of$100,000, Actual Cash Value or
private passenger type is disabled; or Cost of Repair, minus the deductible.
b. Up to $500 each lime a covered "auto" other (2) The deductible will be equal to the largest
than the private passenger type is disabled, deductible applicable to any owned 'auto" for
However, the labor must be performed at the piece
that coverage.
of disablement_ (3) Subject to the above limit and deductible
J. LOCKSMITH SERVICES the
we will provide coverage equal to
the broadest coverage applicable to any
Section HI — Physical Damage Coverage, A.4. covered"auto"you own.
Coverage Extensions is amended by adding the We will pay up to$1,000, in addition to the limit
following: above, for Loss Of Use of a hired auto to a
We will pay up to $250 per occurrence for leasing or rental concern for a monetary loss
necessary locksmith services for keys locked inside
U7450(2-22) Includes copyrighted material of ISO Properties,Inc.with Its permission. Page 2 of 5
•
sustained, provided it results from an"accident" are an individual, the Personal Effects of a family
for which you are legally liab€e_ lT3ember, that is in the covered auto at the time of the
However, coverage does not apply to any "auto"
leased, hired, rented or borrowed in your Motor For the purposes of this extension Personal Effects
Carrier Operations and any "auto" that is leased, means tangible property that is worn or carried by an
hired, rented or borrowed with a driver is not a insured including portable audio, visual, or electronic
covered"auto". devices. Personal Effects does not include tools,
N. AUTO LOAN/LEASE GAP COVERAGE jewelry, guns, money and securities, or musical
instruments.
Section# In — Physical Damage Coverage Q. EXTRA EXPENSE FOR STOLEN AUTO
Paragraph A.4. Coverage Extensions is amended
by the addition of the following; Section III — Physical Damage Coverage, AA.
Autos of the private passenger, light or medium fallowing: Extensions is amended by adding the
trucks that are loaned or leased for a period of six fallowing:
months or longer and which have been provided We will pay up to $1,000 for the expense incurred
Physical Damage Coverage is a covered "auto" returning a stolen covered "auto" to you because of
under this Policy for which a premium charge Inas the total theft of such covered "auto". Coverage
been made for Comprehensive, Specified Cause of applies only to those covered "autos' for which you •
Loss, or Collision Coverage. We will pay any alt Comprehensive or Specified Causes Of Loss
unpaid amount due up to a limit of$'10,000 on the Coverage_
lease or loan for a covered"auto", including up to a R. RENTAL REIMBURSEMENT EXPENSES
maximum of $500 for early termination fees or Section III — Physical Damage Coverage, A.4.
penalties, on the lease or ban for a covered"auto", Coverage Extensions is amended by adding the
less: following:
1. The amount paid under the Policy's Physical 1. This coverage applies only to a covered"auto"for
Damage Coverage; and which Physical Damage Coverage is provided
2. Any: on this Policy.
a. Overdue or any deferred teaseAoarc 2. We will pay for Rental Reimbursement
payments at the time of the"loss'; Expenses incurred by you for the rental of an
"auto" because of "loss" to a covered 'auto"_
b. Financial penalties imposed under a lease Payment applies in addition to the otherwise
far excessive use, abnormal wear and tear applicable amount of each coverage you have on
or high mileage; a covered ''auto", No deductibles apply to this
c. Security deposits not returned by the coverage.
lessor; 3. We will pay only for those expenses incurred
d. Costs for extended warranties, Credit Life during the Policy period beginning 24 hours
Insurance, Health, Accident or Disability after the "loss" and ending, regardless of the
Insurance purchased with the loan or lease; Policy's expiration, with the lesser of the
and following number of days
e. Carry-over balances from previous loans or a. The number of days reasonably required to
leases, repair or replace the covered"auto". if"loss' is
The insurance provided by this Auto LoanfLease caused by theft, this number of days is added
Gap Coverage is excess over any oilier collectible to the number of days it takes to locate the
Insurance including but not Rrmlted to any coverage covered"auto'and return it to you;or
provided by or purchased from the lessor or any b. 30 days_
financial institution_ 4. Our payment is limited to the lesser of the
0. PERSONAL PROPERTY OF OTHERS following amounts:
Section III — Physical Damage Coverage, A.4. a. Necessary and actual expenses incurred;
Coverage Extensions is amended by adding the or
following: b. $75 per day,subject to a$2,250 limit.
We will pay up to $500 for loss to Personal 5. This coverage does not apply while there are
Property Of Others in or on your covered "auto" inspare OF reserve "autos" available to you for
the event of a covered"auto"loss.
Your operations.
No deductibles apply to this coverage.
P. PERSONAL EFFECTS COVERAGE $, If"lass"results from the total theft of a covered
"auto of the private passenger type, we will
Section III — Physical Damage Coverage, A.4. pay under This coverage only that amount of
Coverage Extensions is amended by adding the your Rental Reimbursement Expenses which
following: is not already provided for under the Physical
We will pay up to $500 for "loss" to your Personal Damage -- Transportation Expense
Effects not otherwise covered in the Policy or, if you
CA7450(2-22) includes copyrighted material of ISO Properties, with Its permission. Page 3 of 6
•
Coverage Extension included in this 2. Regardless of the number of covered 'autos"
endorsement. damaged or stolen the maximum deductible
7. Coverage provided by this extension is excess applicable for all"loss"in any one event caused by:
over any other collectible insurance andfor a. Theft or Mischief or Vandalism;or
endorsement to this Policy. b. All Perils
S. VEHICLE WRAPS COVERAGE c. Collision
Section Flt -- Physical Damage Coverage, A.4. Will be equal to two times the highest deductible
Coverage Extensions is amended by adding the applicable to any one covered"auto"on the Policy for
following: Comprehensive, Specified Causes of Loss or
't. This coverage applies only to a covered "auto" Collision Coverage. The application of the highest
for whioh Physical Damage Coverage is deductible used to calculate the maximum deductible
provided on this Policy, will be made regardless of which covered "autos"
2. Vehicle wraps that are damaged are covered at were damaged or stolen in the"lass".
the lessor of replacement cost or the original W. FULL GLASS COVERAGE
purchase cost of the vehicle wrap.whichever is Section III — Physical Damage Coverage, D.
less,up to$2,000, Deductible is amended by the addition of the
This coverage does not apply to wear and tear. faltawin9:
T. AIRBAG COVERAGE If the Comprehensive Coverage applies to the
SectionIll — Physical Damage Coverage, 13.3,a, covered "autos", no Comprehensive Coverage
Exclusions is amended by adding the following: Deductible applies to the cost of repairing or replacing
damaged glass on the covered auto(s) .
If you have purchased Comprehensive or Collision X. PHYSICAL DAMAGE DEDUCTIBLE -- VEHICLE
Coverage under this Policy, the exclusion relating to TRACKING SYSTEM
mechanical breakdown does riot apply to the
accidental discharge of an airbag. Section III — Physical Damage D. Deductible is
U. NEW VEHICLE REPLACEMENT COST amended by adding the following:
The following is added to Paragraph C, Limit Of Comprehensive Coverage Deductible shown in the
Insurance of Section FII -- Physical Damage Declaration will be reduced by 50% for any loss"
Coverage caused by theft of the vehicle when equipped with a
In the event of a total loss" to a covered "auto" you vehicle tracking device such as a radio tracking
own of the private passenger type or vehicle having a device a globalpositioningand that
device v
grass vehicle weight of 20,000 pounds or less, to device was the method ofirecovery
ry flf the vehicle.
which this coverage applies, we will pay to replace V. DUTIES IN THE EVENT OF ACCIDENT, CLAIM,
such covered°auto°, minus any applicable deductible SUIT,OR LOSS
shown in the Declarations,at your option: Section IV — Business Auto Conditions, A,2,
a, The verifiable new vehicle purchase price you Duties In The Event Of Accident, Claim, Suit Or
paid for your damaged vehicle, not including any Loss is amended by adding the fallowing:
insurance or warranties. Your obligation to notify us promptly of an "accident",
b. The purchase price, as negotiated by us, of a
claim, .suitor "loss" is satisfied if you send us the
new vehicle of the same make, model, and required notice as soon as practicable after your
Insurance Administrator
equipment, or most similar model available, not or anyone else designated by
you to be responsible
including any furnishings, parts,or equipment not nsible for insurance matters is notified,
installed by the manufacturer or their dealership. or in any manner made aware,of an"accident",claim,
suit' or"loss".
c. The market value of your damaged vehicle, not Z. WAIVER OF TRANSFER OF RIGHTS OF
Including any furnishings, parts,or equipment not RECOVERY
installed by the manufacturer or their dealership.
We will rat pay for iniliatlon or set up costs associated Subparagraph 6. of Paragraph A, Loss Conditions
wi€iia loans or leases. of Section IV — Business Auto Conditions is
deleted in its entirety and replaced with the following.
For the purposes of this coverage extension a new Transfer Of Rights Of Recovery Against Others
covered auto is defined as an"auto"of which you are To Us
the original owner that has not been previously titled
which you purchased less than 180 days prior to the If any person or organization to or for whom we
date of loss. make payment under this Coverage Form has
V. LOSS TO TWO OR MORE COVERED AUTOS rights to recover damages from another, those
FROM ONE ACCIDENT rights are transferred to us. That person or
organization must do everything necessary to
Section III — Physical Damage Coverage, D. secure our rights and must do nothing after
Deductible Subparagraph 2. is replaced by the "accident" or "loss" to impair them. However, we
following: waive any right of recovery we may have against
any person, or organization with whom you have a
{',A74y5[2-22) includes copyrighted material of ISO Preperlies,Ise.with its permission. Page 4 of 5
•
written contract, agreement or permit executed AB. UNINTEhITIONAL FAILURE TO DISCLOSE
prior to the"loss"that requires a waiver of recovery EXPOSURES
for payments made for damages arising out of your Section IV — Business Auto Conditions, Eta,
operations none under contract with such person or Concealment, Misrepresentation, Or Fraud is
organization. amended by adding the following:
AA, PRIMARY AND NONCONTRIBUTORY — OTHER if you unintentionally fail to disclose any exposures
INSURANCE CONDITION existing at the inception date of this Policy,we will not
Section IV — Business Auto Conditions, B. deny coverage under this Coverage Form solely
General Conditions, B. Other Insurance c, is because of such failure to disclose. However, this
replaced by the following: provision does not affect our right to collect additional
This Coverage Forms Coverall Autos Liability premium or exercise our right of cancellation or non-
Coverage is primary to and will not seek contribution renewal,
from any outer insurance available to an "Insured' AC. MENTAL ANGUISH
under your Policy provided that: Section V -- Definitions, C. is replaced by the
1. Such "insured" is a Named Insured under such following:
other insurance; and 'Bodily injury' means bodily injury, sickness or
You have ed In writing in a contract or disease sustained by a person, including mental
agreement that this insurance would be primary anguish or deathresulting from bodily injury, sickness
and would not seek contribution from any other ordisease.
insurance available to such"insured". AD. LIBERALlATIOhl
However, coverage does not apply to any "auto" If we revise this endorsement to provide greater
leased, hired, rented or borrowed in your Motor coverage without additional premium charge, we will
Carder Operations and any "auto's that is leased, automatically provide the additional coverage to all
hired, rented or borrowed with a driver is not a endorsement holders as of the day the revision is
covered"auto'. effective in your state.
•
CA7450p22} includes copyrighted materiel of ISI}Properties,Ino.Alii its permission. Page 5 sf