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2022-011 PO 20220256- Engineered Monitoring Solution LLC
, _,..A Purchase Order Oral ., .--- , _ . , Fiscal Year 2022 Page: 1 of: 1 `Qy..` . g v: � �'i`. Wit... •t 1 ''I �sg,'�a _-_1_LEs�i �'._ - ' i d '•-' , 12=_i 0 Beal ei,',1_4 E-- B City of.Ashland --r — — I ATTN:'Accounts Payable Purchase 20220256 L 20 E. Main Order# L Ashland, OR 97520 T Phone: 541/552-2010 O Email: payable@ashland.or.us ✓ H C/O.Public Works Department E ENGINEERED MONITORING SOLUTION, LLC i 51 Winburn Way N 617 N MAIN STP Ashland, OR 97520 D• NEWBERG, R OR 97132 Phone: 541/488-5347 T Fax: 541/488-6006 R O • -' altum — -01 a=_=Requisitio umb =_____ _,<___ e: : e.- _-__ _ (503) 537-0900 ! Scott Fleury __ — d=7t=�°f'!JM BIeIs9 s_'Eaa� --__�---- --- "IF---- --7:-.1.g.____ ;-4-3.--T---_le1Ci��..--)14::-.2...____11 - - . =�_:�=lam't' eS�o1:1���t_t =dela '_� — - - 02/04/2022 651 FOB ASHLAND OR/NET30 Cit Accounts Payable _ - --- — -. _'rT el r4-7,,--1_`4!t.11,J _=- niL- tom---- 9iE-±1 . le`zm • :� far;`€' va.[ — Hosier Dam Technical Support 1 Hosier Dam monitoring system technical support assistance 1.0 $30,855.00 $30,855.00 Personal Services Agreement(Less than $35,000) Completion date: June 30, 2022 Project Account: ' Project Account: ***************GL SUMMARY*************** I081500-604100 $15,427.50 111800-602400 $15,427.50 I i • B e` Date: {�� oD✓� _ � = $30,855.01 / . k 1 )fe FORM #3 l CITY OF A request fora Purchase Order ASHLAND REQUISITION _,„,,,, Date of request: ' , Required date for delivery: Vendor Name Engineered Monitoring Solutions,LLC Address,City,State,Zip 16650 NE Hillside Dr Newberg,OR 97132 • Contact Name&Telephone Number Barry Myers Email address SOURCING METHOD ❑ Exempt from Competitive Bidding. ❑ Emergency ❑ Reason for exemption: 0 Invitation to Bid 0 Form#13,Written findings and Authorization ❑ AMC 2.50 Date approved by Council: 0 Written quote or proposal attached ❑ Written quote or proposal attached (Attach copy of council communication) (If council approval required,attach copy of CC) ❑ Small Procurement ❑ Request for Proposal Cooperative Procurement Not exceeding$5,000 Date approved by Council: ❑ State of Oregon • ❑ Direct Award _(Attach copy of council communication) Contract# ❑ Verbal/Written bid(s)or proposal(s) 0 Request for Qualifications(Public Works) 0 State of Washington • Date approved by Council: ' Contract# _(Attach copy of council communication) 0 Other government agency contract Intermediate Procurement ❑ Sole Source Agency GOODS&SERVICES 0 Applicable Form(#5,6,7 or 8) Contract# Greater than$5,000 and less than$100,000 0 Written quote or proposal attached Intergovernmental Agreement ❑ (3)Written bids&solicitation attached 0 Form#4,Personal Services$5K to$75K Agency PERSONAL SERVICES ❑ Special Procurement 0 Annual cost to City does not exceed$25,000. Greater than$5,000 and less than$75,000 0 Form#9,Request for Approval Agreement approved by Legal and approved/signed by ❑ Less than$35,000,by direct appointment 0 Written quote or proposal attached City Administrator.AMC 2.50.070(4) ❑ (3)Written proposals&solicitation attached Date approved by Council: ❑ Annual cost to City exceeds$25,000,Council 0 Form#4,Personal Services$5K to$75K Valid until: (Date) approval required.(Attach copy of council communication) Description of SERVICES Total Cost Hosier Dam Monitoring System technical support assistance $;30;855. Item# Quantity Unit Description of MATERIALS Unit Price Total Cost 6 ,1 f" .COST. .' • Per attached quotelproposali TOTAL :` ' Project Number • _ Account Number CA I,%1500 - 604100 h40.4 f er 4-o, . . O 15000 _ 602400 4/d!t2/, `3v . �, - ``� Account Number - ccoypl�m r _ _ _ _ _ r *Expenditure must be charged to the appropriate accoun dFh s ori dols to accurately reflect the actual expenditures. IT Director in collaboration with department to approve hardware and software purchases: IT Director Date Support-Yes/No By signing this((requisition form,OU certify that the City's public contracting requirements have been satisfied. Employee:\7�/ .tQ OU Department Head: )rq2z�L�1 0: � �atert )Department Manager/Supervisor: City Administrator: t, �� 4a' ����(Equa-oorgr••tert5,000) Funds appropriated for current fiscal year: fe /NO atat....___________ I`/ Deputy Finance Director-(Equal to or greater than$5,000) Date Comments: Form#3-Requisition - Legal Department Review DOCUMENT TRANSMITTAL AND'CONTROL This form will accompany the document through the drafting,review,and signature processes,and will be kept with the City's final executed copy of the document. .Required fields are indicated in gray scale. Document: Engineered Monitoring Solutions LLC (Include names of parties to the document) Type of Document: Contract ® Lease 0 Easement 0: Deed 0 IGA 0 Other(Specify) . Dept Contact: Tami De Mille-Campos ACTION REQUESTED: Dept:Public Works Phone: Ext 2420 lI Review Draft V Date submitted to Legal: 12/30/2021 0 Approve final and forward to: Draft due by: ASAP . (Unless indicated,Legal will return document to you) Return Requested by: Tami De Mille-Campos Complete this section ONLY the first time this form is filled out: Has this document been previously worked on by the Legal Dept Staff? ® No 0 Yes If yes,by whom? _ LEGAL DEPT' First Date Received':by Legal • Date. • USR ONLY Returned to.Dept.for Revision : 'Date: By;• . Received for additional review by Legal Date: :By: ' Returned'_to Dept.fon Revision ' ' Date ' By: Received-for additional review••by legal , .Dater By:.. Returned to:Dept:for Revision Date: By: Received for Additional Review by Legal. Date: • By - - Returned to Dept-for Revision Date: • By; FinaLLogged out bY Legal Date: By: ` ' Comments from LEGAL to•DEPARTMENT: V . .• Comments from DEPARTMENT to LEGAL: V0 See Attached: " This Agreement needs Exhibit A and B . , DMM 014)6.222 City Manager I am approving this contract to form,. only.The'contractorhas:edited insurance.provisions pursuant to prior contracts,:and such decisions+area based,solelyupon management's own risk assessment. `DMM 01=18=22 Return original;executed'document to Ci Does this document need to be recorded? Recorder forsafekee in 9 ❑.No . ; ❑:Yes ; No 0 Yes P g•.' ;CITY ADMINISTRATOR/DEPARTMENT HEAD ' Please do not sign the attached document until this form has been approved by the.Legal Dept below FINAL LEGAL DEPARTMENT APPROVAL: Date: , G:\legal\DEPARTMENTS\Contracting\TORMS\Legal Doc Transmittal-KLB.docx T Kariann Olson From: Tami Campos Sent: Thursday,February 03,2022 8:06 AM To: Kariann Olson Cc: Thomas McBartlett Ill Subject: RE:Engineered Monitoring Solutions Sorry about that, it was a typo. It is 111500.602400(Electric fund). It's a 50/50 split so$15,427.50 each. Thank you © ram/a/De/M Ca&-C cGinp as, Administrative Analyst City of Ashland, Public Works Department 20 East Main Street,Ashland,OR 97520 541-552-2420 Fax:541-488-6006,TTY: 1-800-735-2900 Like Public Works on Facebook for updates and information! Like Ashland Water Conservation on Facebook for updates and information! This email transmission is official business of the City of Ashland, and it is subject to Oregon Public Records law for disclosure and retention. If you have received this message in error,please contact me at 541-552-2420. Thank you. From: Kariann Olson<kari.olson@ashland.or.us> Sent:Wednesday, February 02, 2022 3:53 PM To:Tami Campos<tami.campos@ashland.or.us> Cc: Kariann Olson<kari.olson@ashland.or.us> Subject: Engineered Monitoring Solutions PO for Hosier Dam technical support $30,855.00 -081500 604100 115000 602400 • I am not able to enter 115000? • How much do you want to go to each account? Thank you. Kariann Olson Purchasing Specialist City of Ashland 90 N. Mountain Ave. Ashland, Oregon 97520 1 Tel 541-488-5354 Fax 541-488-5320 TTY 800-735-2900 kari.olson(aashland.or.us • Visit the City's web site at: www.ashland.or.us This email transmission is official business of the City of Ashland, and it is subject to Oregon Public Records law for disclosure and retention. If you have received this message in error, please contact me at(541)488-5354.Thank you. r • • 2 e m TO: Joseph Lessard FROM: Tami De Mille-Campos (Public Works) DATE: 1/19/2022 RE: City Manager Signature Needed for Engineered Monitoring Solutions contract Background: In general, we have contracted with EMS for a number of years. They work only on the instrumentation for the system, which includes the seismographs and level.sensors for the dam. This contract is for EMS to purchase and replace the existing seismographs at the dam,perform the annual instrumentation inspection of the site in association with City staff and be available for remote consultationif needed. This does not involve an engineering work that would affect the structure itself, it is just third party representation for instrumentation on the site. We still manage the instrumentation and are alerted to. any abnormalities as part of our monitoring program that we:as staff would need to address. Council Action: Other Relevant Information: a waived co o •`o Q�CC f > Who to return to if different from sender? Are all other signatures required collected? Yes If no,please collect before sending them to the'City Manager. Are all attachments listed included?Yes If no,please include all attachments before sending to the City Manager. CITY OF ASHLAND 20 East Main Street Tel:541-488-6002 prim Ashland,Oregon 97520 'Fax:541-488-5311 www.ashland.or.us TTY: 800-735-2900 , IS f , CITY OF ASH LAN D Memo DATE: UCS 0 0 1 TO: au-a` rown PE,Director of Public Works FROM: Scott Fleury PE,Deputy Public Works Director RE: Low Risk,Less Stringent Insurance Coverage It is my intention to hire Barry Meyers of Engineered Monitoring Solutions to provide needed support with respect to the Dam Safety Program instrumentation monitoring.Mr.Meyers is'currently reducing his workload and plans on retiring and thus has reducedhis overhead costs with respect to insurance.Mr.Meyers has an important understanding of the dam's current monitoring and instrumentation systems,many of which he was involved in the design of,and it is important to have him on contract retainer forth;zala ear to assess and fix any issues that came up with respect to site monitoring.He can access the system remotely from his office desktop and many of the fixes can be done this way.Generally,he provides one site visit per year to visibly. inspect the systems.On these site visits he is always accompanied by City staff and his actions present very little risk.His documentation is submitted to the FERC annually in the Dam Safety Surveillance Monitoring Report. Professional Liability It is my opinion that Mr.Meyers contractual work does not present a risk to the public or city operations. Automobile Liability The only vehicle operation associated with this project would be associated with a site visit to perform a site inspection over the period of one day. • i Page l of 1 Ir, PERSONAL SERVICES AGREEMENT (LESS THAN$35,000)' CONSULTANT: Engineered Monitoring Solutions,LLC. CITY OF CONSULTANT'S CONTACT: Barry Myers ASHLAND ' 20 East Main Street ADDRESS: 16650 NE Hillside Dr. Ashland,Oregon 97520 Newberg,OR 97132 Telephone: 541/488-5587 Fax: 541/488-6006 TELEPHONE: 503-349-6161 This Personal Services Agreement(hereinafter"Agreement") is entered into by and between the City of Ashland, an Oregon municipal corporation (hereinafter "City") and Engineered Monitoring Solutions LLC, a Domestic Limited Liability Company("hereinafter"Consultant"),for Hosier Dam Monitoring System technical support assistance. NOW THEREFORE,in consideration of the mutual covenants contained herein,the City and Consultant hereby agree as follows: 1. Effective Date and Duration: This Agreement shall become effective on the date of execution on behalf of the City,as set forth below(the"Effective Date"),and unless sooner terminated as specifically provided herein,shall terminate upon the City's affirmative acceptance of Consultant's Work as complete and Consultant's acceptance of the City's final payment-therefore,but not later than June 30, 2022. 2. Scope of Work: Consultant will provide Hosier Dam Monitoring System technical support assistance as more fully set forth in the Consultant's Scope dated November 30,2021,which is attached hereto as ' "Exhibit A"and incorporated herein by this reference. Consultant's services are collectively referred to hereinas the"Work." 3. Supporting Documents/Conflicting Provisions: This Agreement and any exhibits or other supporting documents shall be construed to be mutually complementary and supplementary wherever possible. In the event of a conflict which cannot be so resolved,the provisions of this Agreement itself shall control over any conflicting provisions in any of the exhibits or supporting documents. - 4. All Costs Borne by Consultant: Consultant shall,at its own risk,perform the Work described above and,unless otherwise specified in this Agreement,furnish all labor,equipment,and materials required for the proper performance of such Work. - 5. Qualified Work: Consultant has represented,and by entering into this Agreement now represents,that all personnel assigned to the Work to be performed under this Agreement are fully qualified to perform the service to which they will be assigned in a skilled and worker-like manner and,if required to be registered,licensed or bonded by the State of Oregon,are so registered,licensed and bonded. - A Page 1 of 5: Personal Services Agreement with Engineered Monitoring Solutions LLC. { } 6. Compensation: City shall pay Provider for its Work at the hourly rates as set forth in Exhibit"A (TABLE 1 WORK BREAKDOWN AND COST ESTIMATE dated 11/30/21),which is attached hereto and incorporated herein by this reference,as full compensation for Provider's performance of all Work. . under this Agreement. In no event shall Provider's total of all compensation and reimbursement under this Agreement exceed the sum of$30,855.00 without express,written approval from the City official whose signature appears below,or such official's successor in office. Provider expressly acknowledges that no other person has authority to order or authorize additional Work which would cause this maximum sum to be exceeded and that any authorization from the responsible official must be in writing. Provider further acknowledges that any Work delivered,or expenses incurred without authorization as provided herein is done at Provider's own risk and as a volunteer without expectation of compensation or reimbursement. 7. Ownership of Work/Documents: All.Work,work product,or other documents produced in furtherance of this Agreement belong to the City,and.any copyright,patent,trademark proprietary or any other protected intellectual property right shall vest in and is hereby assigned to the City, 8. Statutory Requirements: The following laws of the State of Oregon are hereby incorporated by reference into this Agreement: ORS 2793.220,279B;230 and 279B.235.. 9. Living Wage Requirements: If the amount of this Agreement is$22,310.46 or more,Consultant is required to comply with Chapter 3.12 of the Ashland Municipal Code by paying aliving wage,as defined in that chapter,to all employees performing Work under this Agreement and to any Subcontractor who performs 50%or more of the Work under this Agreement Consultant is also required to post the notice attached hereto as"Exhibit B"predominantly in areas where it will be seen by all employees. 10. Indemnification: Consultant hereby agrees to defend,indemnify,save,and hold City,its officers, employees,and agents harmless from any and all losses,claims,actions,costs,expenses,judgments,or other damages resulting from injury to any person(including injury resulting in death),or damage ,aFy4...C8"r (including loss or destruction)to property,of whatsoever nature arising out of or incident to the ✓ 047 performance of this Agreement by Consultant(including but not limited to,Consultant's employees, agents,and others designated by Consultant to perform Work or services attendant to this Agreement). However,Consultant shall not be held responsible for any losses,expenses, claims,sub rogations, actions,costs,judgments,or other damages,caused solely by the negligence of City. - 11. Termination: a. Mutual Consent. This Agreement may be terminated at any time by the mutual consent of both parties. f b. City's Convenience. This Agreement may be terminated by City at any time upon not less than thirty(30)days' prior written notice delivered by certified mail or in person. j c. For Cause. City may terminate or modify this Agreement,in whole or in part,effective upon delivery of written notice to Consultant,or at such later date as may be established by City under any of the following conditions: i. If City funding from federal,state,_county or other sources is not obtained and continued at - levels sufficient toallow for the purchase of the indicated quantity of services; ii. If federal or state regulations or guidelines are modified,changed,or interpreted in such a way that the services are no longer allowable or appropriate for purchase under this Page 2 o 5: Personal Services Agreement with Engineered Monitoring Solutions LLC. r . . • Agreement orr are no longer eligible for the funding proposed for payments authorized by this Agreement;or iii. If any license or certificate required by law or regulation to be held by Consultant to provide the services required by this Agreement is for any reason denied,revoked,suspended,or not renewed. d. For Default or Breach. i. Either City or'Consultant may terminate this Agreement in the event of a breach of the Agreement by the other. Prior to such termination the party seeking termination shall give to the other party written notice of the breach and its intent to terminate. If the party committing the breach has not entirely cured the breach within fifteen(15)days of the date of the notice,or within such other period as the party giving the notice may authorize in writing, then the Agreement may be terminated at any time thereafter by a written notice of termination by the party giving notice. ii. Time is of the essence for Consultant's performance of each and every obligation and duty under this Agreement. City,by written notice to Consultant of default or breach,may at any time terminate the whole or any part of this Agreement if Consultant fails to provide the Work called for by this Agreement within the time specified herein or within any extension thereof. iii. The rights and remedies of City provided in this subsection(d)are not exclusive and are in addition to any other rights and remedies provided by law or under this Agreement. 12. Independent Contractor Status: Consultant is an independent contractor and not an employee of the City for any purpose. 13. Assignment: Consultant shall not assign this Agreement or subcontract any portion of the Work without the written consent of City. Any attempted assignment or subcontract without written consent of City shall be void. 14. Default. The Consultant shall be in default of this Agreement if Consultant: commits any material breach or default of any covenant,warranty,certification,or obligation under the Agreement;institutes an action for relief in bankruptcy or has instituted against it an action for insolvency;makes a general assignment for the benefit of creditors;or ceases doing business on a regular basis of the type identified in its obligations under the Agreement;or attempts to assign rights in,or delegate duties under,this Agreement. 15. Insurance. Consultant shall,at its own expense,maintain the following insurance: a. Workers' Compensation. Consultant shall obtain and maintain Workers' Compensation insurance in compliance with ORS 656.017,which requires subject employers to provide Oregon Workers' Compensation coverage for its subject workers,unless such employers are exempt under ORS 656.126. If exempt under ORS 656.126, Consultant shall certify such exemption to the City. ,!t!,!!! ..• - - -• ... - ... . . c. General Liability insurance with a combined single limit,or the equivalent,of not less than ,!!!,!!! • . • .. . . $1,000,000(one million)per occurrence for Bodily Injury,Death, and Property Damage. Page 3 of 5: Personal Services Agreement with Engineered Monitoring Solutions LLC. 1 • d. Automobile Liability insurance with a combined single limit;or the equivalent,of not less than $1,000,000(one million dollars)for each accident for Bodily Injury and Property Damage,including coverage for owned,hired or non-owned vehicles,as applicable. e. Notice of cancellation or change. There shall be no cancellation,material change,reduction of limits or intent not to renew the insurance coverage(s)without thirty(30)days'prior written notice from the Consultant or its insurer(s)to the City.. 'f. Additional Insured/Certificates of Insurance. Consultant shall name the City of Ashland,Oregon, and its elected officials,officers and employees as Additional Insureds on any insurance policies, excluding Professional Liability and Workers' Compensation,required herein,but only with respect to Consultant's services to be provided,under this Agreement.The consultant's insurance is primary and non-contributory.As evidence of the insurance coverages required by this Agreement, the Consultant shall furnish acceptable insurance certificates and endorsements prior to commencing the Work under this Agreement. 16. Nondiscrimination: Consultant agrees that no person shall,on the grounds of race,color,religion, creed,sex,marital status,familial status or domestic partnership,national origin,age,mental or physical disability,sexual orientation,gender identity or source of income,suffer discrimination in the performance of any-Work under this Agreement when employed by Consultant. Consultant agrees to comply with all applicable requirements of federal and state civil rights and rehabilitation statutes,rules and regulations. Further, Consultant agrees not to discriminate against a disadvantaged business enterprise,minority-owned business,woman-owned business,a business that a service-disabled veteran owns or an emerging small business enterprise certified under ORS 200.055,in awarding subcontracts as required by ORS 279A.110. . 17. Consultant's Compliance With Tax Laws: 17.1 Consultant represents and warrants to the City that: 17.1.1 Consultant shall,throughout the term of this Agreement,including any extensions hereof, comply with: (i)All tax laws of the State of Oregon,including but not limited to ORS 305.620 and ORS Chapters 316,317,and 318; (ii) Any tax provisions imposed by a political subdivision of the State of Oregon applicable to Consultant;and (iii) Any rules,regulations, charter provisions,or ordinances that implement or enforce any of the foregoing tax laws or provisions. • 17.1.2 Consultant,for a period of no fewer than six(6)calendar years preceding the.Effective Date of this Agreement,has faithfully complied with: . (i) All tax laws of the State of Oregon,including but not limited to ORS 305.620 and ORS Chapters 316,317,and 318; - (ii) Any tax provisions imposed by a political subdivision of the State of Oregon applicable to Consultant;and (iii) Any rules,regulations,charter provisions,or ordinances that implement or enforce any of the foregoing tax laws or provisions. 18. Governing Law;Jurisdiction: This Agreement shall be governed and construed in accordance with 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 Page 4 of 5: Personal Services Agreement with Engineered Monitoring Solutions LLC. 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.. 19. Amendments. This Agreement may be amended only by written instrument executed by both parties with the same formalities as this Agreement. 20. THIS AGREEMENT AND THE ATTACHED EXHIBITS CONSTITUTE THE ENTIRE UNDERSTANDING BETWEEN THE PARTIES. THERE ARE NO UNDERSTANDINGS, AGREEMENTS,OR REPRESENTATIONS,EITHER ORAL OR WRITTEN,NOT SPECIFIED HEREIN REGARDING THIS AGREEMENT. CONSULTANT,BY SIGNATURE OF ITS AUTHORIZED REPRESENTATIVE,HEREBY ACKNOWLEDGES THAT HE/SHE HAS READ THIS AGREEMENT,UNDERSTANDS IT,AND AGREES TO BE BOUND BY ITS TERMS AND CONDITIONS. 21. Certification. Consultant shall execute the certification attached hereto as"Exhibit C"and incorporated herein by this reference. IN WITNESS WHEREOF the parties have caused this Agreement to be signed in their respective names by their duly authorized representatives as of the dates set forth below. CITY OF ASHLAND: ENGINEERED MONITORING SOLUTIONS LLC. i (CONSULTANT): By: ,e,„, ignature / By: Signa are osp L 1-e55arci Printed Name ,aWY /115WAS Printed Name Cffy Mattkaqtr Title MestQ Title f Date /02l/3 l 020oZ! Date V�V-9 is to be submitted with this signed Agreement) Purchase Order No. Legally approved as to form- Feicts •e assessed by City Manager: Dougl McGe.Ty Assistant City Attorney 01-18-2022 Page 5 of 5: Personal Services Agreement with Engineered Monitoring Solutions LLC. , Exhibit A • ; • • inspection will be presented in a letterreport documenting the observed condition pf each of the items inspected and will include recommendations for servicing or repair efforts, if needed. The transient protection for the surveillance camera equipment will be upgraded. We understand that the City would like us to procure the transient protection units: City staff will then install the units: We recommend,using a Model TP-ESP-1000-POE by Tycon Systems, which currently can be purchased through Amazon. The unit is installed in-line on the Cat5e signal cable supplying communications to the camera. We will procure a total of 5 units which will allow for 1 spare. Two Model scai-43 seismic recorderswith-alarminterface cards by GeoSIG Ltd. will be procured to replace the existing GSR-16 units that are located on the crest of the dam and on the left abutment. The scai-43 units will be powered using POE and communicate over Cat5e signal cable. The City will be installing the Cat5e signal cable to the units. We Will configure the new units:to function similar to the old units. The City will install the equipment,and perform an initial startup test. We will provide additional testing and support during the annual system maintenance inspection site visit. Remote technical support and servicing or repair efforts that will be required to maintain normal operations of the system are not known at this time. The scope of services for this proposal includes accomplishing these efforts,as they are needed. Therefore, a budget item ;has been included for as-needed servicing or rpair efforts. No servicing or repair work will be performed without prior authorization from:the City. FEES We estimate that the total cost for the scope of work outlined above would be $30,855. A breakdown of theestimated labor effort and expenses is presented on the attached Table 1. We propose to perform this work on a time and materials basis in accordance with the attached Terms of Agreement for Equipment Maintenance Services. This estimate is based on the assumptions listed herein. Should you wish to modifythe scope of work prior to accepting this agreement, we would be pleased to review this proposal and our estimated fee with you. SC EDULE We are in a position to beginwork on this project within 2 weeks after receiving your authorization to proceed. CONCLUDIN COMMENTS If more than 60 days pass before authorizing the proposed work, we reserve the opportunity to review and modify this proposal where necessary. We look forward to continuing to be of service Page 2 Proposal 2022 Annual Maintenance Hosier Dam MonilorinjSystem.docx • to you on this project Should you have any questions regarding this proposal, we'would be pleased to confer with you at your convenience. Very truly yours, Engineered Monitoring Solutions by Barry Myers President End. 'Table 1 Werk Breakdown and Cost Estimate Terms of Agreement for Equipment Maintenance Services - I- Page 3 Proposal 2022 Annual Maintenance Hasler Dam Monitoring System.docx TABLE 1 WORK BREAKDOWN AND COST ESTIMATE Hosler Dam Monitoring System-System Technical Support for 2022 MANHOURS LABOR CHARGES EQUIPMENT($) Total($) - LABOR RATE CATEGORY I Labor Snr Snr Admin Labor Labor Unit Plus DESCRIPTION OF TASK AND ACTIVITY Pm Pd Hours Dollars Unit Qty Price Total Expenses $195 $150 $0. $95 Item 1-Annual Maintenance Inspection with Reporting 6 16 22 $3,570.00 $0.00 $3,570.00 Item 2-Equipment to Upgrade Transient Protection for Cameras 2 2 4 $580.00. 1 280 $280.00 $860.00 Item 3-Equipment and Support to Upgrade Seismic Recorders 8 8 4 20 $3,140.00 1 15800 $15,800.00 $18,940.00 Item 4-Remote Technical Support 12 12 $2,340.00 $0.00 $2,340.00 Item 5-As-needed Servicing and Repair Work 12 8 2 . 22 $3,730.00 $0.00 $3,730.00 Project Administration 2 2 $390.00 $0.00 $390.00 42 32 0 8 .82 13750. Estimated Labor&Equipment.. . .:$29,830.00 Subcontractors: 0 • $0.00 Subcontractor $0 Other Direct Charges TravelNehicle/Field Supplies 1 $750 $750:00 Communications 1 $275 - $275.00 Computer Usage 0 $15 $0.00 Repro,Copies . . 0 $0.10 $0.00 Repro,Photos 0 $1.00 $0.00 Repro,Color ••0 $1.00 : $0.00 ODC $1,025. Subtotal Labor&Equip. $29,830. Subcontractors • $0 ODC $1,025 Estimated Total • $30,855 TERMS OF AGREEMENT FOR EQUIPMENT MAINTENANCE SERVICES ENGINEERED MONITORING SOLUTIONS(referred to herein as Consultant) January 2020(H) FEES FOR SERVICES Fees for services are based on the time expended on the project by technical and clerical personnel at the following schedule of hourly charges: Position Hourly Rate I) Administrative Staff 95.00 Senior Project Systems Integrator , 150.00 Senior Principal 195.00 1) These rates shall remain in effect-until completion of the agreed scope of services or one year from date of agreement,whichever occurs first.' REIMBURSABLE EXPENSES Expenses incurred in connection with project tasks such as equipment purchases, rental equipment, out-of-town subsistence,vehicle costs, expedited delivery and similar, will be invoiced at direct cost plus 12 percent. Communication costs, including telephone,fax, cellular, and postage will be charged at 2 percent of labor costs. Special technical computer programs, CAD, and GIS usage will be charged at$15 per hour. SERVICES BY OTHERS On occasion specialized services by consultants, contractors, or other technical companies may be needed. Such services will be utilized only with your approval,with the cost of such services included in our invoice plus 15 percent. 1! PRODUCTS PURCHASED All hardware and software products are being procured by Consultant as a service for the Client. Client agrees that the relationship for all product warranty,support,servicing,and performance or defect liability issues is between the Client and the product manufactures. INVOICES Consultant will submit invoices to you,the Client on a monthly basis and a final bill upon completion of services. Payment is due upon receipt of the invoice unless otherwise agreed,and is past due thirty(30)days from invoice date. A service charge will be added to any account balance in arrears at a monthly rate of 1'/:percent of the balance due. Client agrees that the invoice balance is correct unless we are notified in writing within ten days of date of invoice. INSURANCE The Consultant represents and warrants that it and its agents,staff and other consultants employed by it are protected by workers'compensation insurance and that the Consultant has such coverage under public liability and property damage insurance policies which it deems to be adequate. Certificates for all such policies of insurance will be provided to Client upon request in'writing. Within the limits and conditions of such insurance,we agree to indemnify and save Client harmless from and againstany loss,damage,or liability arising from grossly negligent acts by the Consultant its agents,staff,and other sub-consultants employed by it. Consultant shall not be responsible for any loss,damage,:or liability beyond the amounts, limits,and conditions of such insurance. The Consultant shall not be responsible for any loss,damage,or liability arising from any acts by Client,its agents,staff,and other:consultants employed by it STANDARD OF CARE Services performed by the Consultant under this Agreement will be conducted in a manner consistent with that level of care and skill ordinarily exercised by the profession currently practicing under similar conditions in this area at this time. Client recognizes that conditions may vary from those encountered at the location where surveys or investigations are made by the Consultant,and that the data,interpretations and recommendations of the Consultant are based solely on the information available to it. The Consultant will be responsible for those data,interpretations,andrecommendations,but shall not be responsible for the interpretations by others of the information developed. LIMITATION OF LIABILITY Client agrees to limit the Consultant's liability to Client,and to any other person or entity,for anyclaim arising from,or alleged to arise from any acts,errors,or omissions in the performance of this Agreement,whether,such claim sounds in negligence,breach of contract, strict liability or other legal theory, and including any legal fees or costs awarded under this Agreement, to an aggregate limit of the amount of fees paid to Consultant under this Agreement,or$10,000,whichever is greater. Waiver of this clause or a higher limitation may be negotiated for an additional fee. DISCOVERY OF UNANTICIPATED HAZARDOUS MATERIALS Hazardous materials, including biological pollutants (molds, fungi, spores, bacteria, and viruses, and the byproducts of any such organisms or life forms) may exist, or occur later, at a site where there is no reason to believe they could or should be present. Consultant and Client agree that the discovery of unanticipated hazardous materials, including biological pollutants, constitutes a changed condition mandating a renegotiation of the scope of work or termination of services. Client agrees to compensate Consultant for the additional cost of working to protect employees'and public's health and safety. In addition, Client waives any resulting claim against Consultant, and agrees to defend, indemnify and save Consultant harmless from any claim orliability for injury or loss arising from Consultant's discovery of unanticipated hazardous materials or suspected hazardous materials. Client also agrees to fairly compensate Consultant as outlined herein for any time spent and expenses incurred by Consultant in defense of any such claim.. Client's initials Date Page 1 of 2 January 2020(H) AQUIFER CONTAMINATION Client recognizes that it Is impossible for Consultant to know the exact composition of a site's subsurface even after employing the most comprehensive exploratory program reasonably possible. As result,there is a risk that instrument installations or sampling may result in contamination of certain subsurface areas, as when a probe or boring device moves through a contaminated area, linking it to an aquifer or other hydrous body not previously contaminated and capable of spreading hazardous materials offsite. Because nothing can be done to prevent such an occurrence, and because such installation and sampling is a necessary aspect of the work which Consultant will perform for Client's benefit, Client waives any resulting claim against Consultant, and agrees to defend, indemnify and save Consultant harmless from any claim or liability for Injury or loss which may arise as a result of cross-contamination caused by instrument installation or sampling. Client further agrees to fairly compensate Consultant as outlined herein for any time spent or expenses incurred by Consultant in defense of any such claim. RIGHT OF ENTRY The Client will provide for right of entry of the Consultant,their contractors,and all necessary equipment,in order to complete the work. While the Consultant will take all reasonable precautions to minimize damage to the property,the Client understands that in the normal course of work some damage may occur,the correction of which is not part of this Agreement. UTILITIES In the prosecution of the work,the Consultant will take reasonable precautions to avoid damage or injury to subterranean structures or utilities. The Client agrees to hold the Consultant harmless for any damages to subterranean structures or utilities which are not,called to the Consultants attention and correctly shown on the plans furnished. OWNERSHIP OF DOCUMENTS All reports,field data,field notes,calculations,estimates,and other documents prepared by the Consultant, as instruments of service, shall remain confidential and the property of.the Consultant. Client agrees that all reports and other work furnished to the.Client,which is not paid for,will be returned upon demand and will not be used by the Client for any purpose whatever. The Consultant will retain all pertinent records relating to the services performed for an appropriate period following submission of the report or completion of work,during which period the records will be made available to the Client at all reasonable times. DISPUTES i In the event that a dispute arises in any way connected with this Agreement, and if the dispute cannot be settled through direct !! discussions,the parties agree to first attempt to settle the dispute by mediation,before recourse to arbitration or a judicial forum. If the dispute eventually results in litigation, it is agreed that the prevailing party shall be entitled to recover all reasonable costs incurred, including staff time,court costs,attorney's fees,and other claim-related expenses,including at trial and on appeal. TERMINATION This Agreement may be terminated by either party upon seven (7)days written notice in the event of substantial failure by the other party to perform in accordance with the'terms hereof. Such'termination shall not be effective if that substantial failure has been remedied before expiration of the period specified in the written notice. In the event of termination, the Consultant shall be paid for services performed to the termination notice date plus reasonable termination expenses. In the event of termination or suspension for more than three (3) months prior to completion of all reports contemplated by this Agreement,the Consultant may complete such analyses and records as are necessary to complete its files and may also complete a report on the services performed to the date of notice of termination or suspension. The expenses of termination or suspension shall include all direct costs of the Consultant in completing such analyses,records and reports. ASSIGNS Neither the Client nor the Consultant may delegate,assign,sublet or transfer its duties or interest in this Agreement without the written consent of the other party. SEVERABILITY V Client and Consultant have entered into this Agreement of their own free will to communicate to one another mutual understandings and responsibilities. Any element of this Agreement later held to violate,a law or regulation shall be deemed void, and all remaining provisions shall continue in force. However, Client and Consultant will in good faith attempt to replace any invalid or unenforceable provision with one that is valid and enforceable,and which comes as close as possible to expressing the intent of the original provision, Client's initials Date Page 2 of 2 i � Exhibit B CITY OF ASHLAND, OREGON • City of Ashland ALL employers described WAGE below must comply with City of Ashland laws regulating payment of a living wage. • $15.96 per hour, effective June 30, 2021. The Living Wage_,is adjusted annually every June 30 by the Consumer Price Index. Employees must be paid a portion of the business of of health care, retirement, their employer,if the 401K,and IRS eligible living wage: employer has ten or more cafeteria plans(including employees,and has received childcare)benefits to the ➢ For all hours worked under a financial assistance for the employee's amount of wages. service contract between their project or business from the employer and the City of City of Ashland over ➢ Note: For temporary and Ashland if the contract $22,310.46; part-time employees,the exceeds$22,310.46 or more. Living Wage does not apply ➢ If their employer is the City of to the first 1040 hours worked ➢ For all hours worked in a Ashland,including the Parks in any calendar year. For month,if the employee and Recreation Department. more details, please see spends 50%or more of the Ashland Municipal Code employee's time in that month > In calculating the living wage, Section 3.12.020. working on a project or employers may add the value For additional information: Call the Ashland City Manager's office at 541-488-6002 or write to the City Manager, City Hall,20 East Main Street,Ashland, OR 97520, or visit the City's website at www.ashland.or.us. Notice to Employers: This notice must be posted in areas where it can be seen by all employees. CITY OF ASHLAND - 1 EXHIBIT C CERTIFICATIONS/REPRESENTATIONS: Consultant,by and through its authorized representative,under penalty of perjury,certifies that(a)the number shown on the attached W=9 form is its correct taxpayer ID(or is waiting for the number to be issued to it and(b) Consultant is not subject to backup withholding because: (i)it is exempt from backup withholding,or(ii) it has not been notified by the Internal Revenue Service(IRS)that it is subject to backup withholding as a result of a failure to report all interest or dividends,or(iii)the IRS has notified it that it is no longer subject to backup withholding. Consultant further represents and warrants to City that: (a)it has the power and authority to enter into this Agreement and perform the Work,(b)the Agreement,when executed and delivered,shall be a valid and binding obligation of Consultant enforceable in accordance with its terms, (c)the work under the Agreement shall be performed in accordance with the highest professional standards,and(d)Consultant is qualified,professionally competent,and duly licensed(if applicable)to perform the Work. Consultant also certifies under penalty of pei jury that its business is not in violation of any Oregon tax laws,it is an independent contractor as defined in the:Agreement,it is authorized to do business in the State of Oregon,and Consultant has checked four or more of the following criteria that apply to its business. ✓ (1)Consultant carries out the work or services at a location separate from a private residence or is in a specific portion of a private residence,set aside as the location of the business. (2)Commercial advertising or business cards or a trade association membership are purchased for the business. (3)Telephone listing is used for the business separate from the personal residence listing. (4)Labor or services are performed only pursuant to written contracts. / (5)Labor or services are performed for two or more different persons within a period of one year. (6)Consultant assumes financial responsibility for defective workmanship or for service not provided as evidenced by the ownership.of performance bonds, warranties,errors andomission(professional liability)insurance or liability insurance relating to the Work or services to be provided. onsult s Signa e AR//.3 Date Page 1 of 1 EXHIBIT C I . AC o® CERTIFICATE OF LIABILITY INSURANCE DATE(MM,bD/YYYY) `..--- 12/17/2021 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(*)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 net confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Dohree Ridderman - ' . NAME: Slater&Associates Insurance,Inc. 1AHOONruo,Ext): 801-1264 FAX,No):) (503)624-0846 PO Box 1469 ' E-MAIL dohree@slaterinsurance.com - - ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC U Tualatin OR 97062-1469 INSURERA: Scottsdale Insurance Co ' INSURED • INSURER B: SAIF Corporation 36196 Engineered Monitoring Solutions,LLC INSURER C: 16650 NE Hillside Dr INSURER D: , ' INSURER E: . Newberg OR 97132 INSURER F: • COVERAGES CERTIFICATE NUMBER: '21/22 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, . EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR • ADDL SUBR POLICY EFF POLICY EXP' LTRTYPE OF INSURANCE INSD WVD -POLICY NUMBER (MMIDDIYYYY) (MM/DDM'YY) • LIMITS X COMMERCIAL GENERAL LIABILITYEACH OCCURRENCE 5 1,000,000 DAMAGE TO RENTED 1000 CLAIMS-MADE n OCCUR PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 5,000 A Y CPS7478664 12/03/2021 12/03/2022 PERSONAL&ADVINJURY $ 1,000,000 GEN'LAGGREGATE UMITAPPLIES PER: GENERALAGGREGATE • $ 2,000,000 --1 28,-- _PRODUCTS-COMP/OPAGG $ 2.000,000 �I POLICY n LOC $ I OTHER: • AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO ` BODILY INJURY(Perpersan) $ — OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED 'PROPERTY DAMAGE $ . AUTOS ONLY _ AUTOS ONLY (Per accident) — • $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE - AGGREGATE $ - DED RETENTION$ $ ' WORKERS COMPENSATION X STATUTE ER AND EMPLOYERS'LIABILITY YIN . B ANY PROPRIETOR/PARTNER/EXECUTIVE NIA 958900 12/01/2021 . 12/01/2022 E.L EACH ACCIDENT S 1,000,000 (Mandatory in E.L.DISEASE-EA EMPLOYEE $ 1,000,000 (Mandatory in NH) If yes,describe under 1 • DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $ , , . DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached It more space Is required) - • City of Ashland is named as Additional Insured as required by written contract.See form GLS-15os 0706. • i I . CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN CITY OF ASHLAND ACCORDANCE WITH THE POLICY PROVISIONS. 20EMain St AUTHORIZED REPRESENTATIVE fi4,Ashland OR 97520 I4'M' ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD . ENDORSEMENT NO. ATTACHED TO AND ENDORSEMENT EFFECTIVE DATE FORMING A PART OF NAMED INSURED AGENT NO. POLICY NUMBER (12.01 A.M.STANDARD TIME) CPS3964280 12/03/2020 36005 ENGINEERED MONITORING SOLUTIONS LLC THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART With respect to this endorsement, SECTION II—WHO IS a. All work, including materials, parts or equip- ' AN INSURED is amended to include as an additional in- meet furnished in connection with such work, sured any person or organization whom you are required to ' on the project (other than service, mainten- add as an additional insured on this policy under a written ancd or repairs)to be performed by or on be- contract,written agreement or written permit which must be: half of the additional insured(s) at the location of the covered operations has been com- a. Currently in effect or becoming effective during pleted; or the term of the policy;and in- b. Executed prior to the "bodily injury," "property b. That portion of"your work"out of which the jury or damage arises has been put to its in- damage,"or"personal and advertising injury." tended use by any person or organization The insurance provided to these additional insureds is li- other than another contractor or subcontrac- mited as follows: for engaged in performing operations for a principal as a part of the same project. 1. That person or organization is an additional insured only with respect to liability for "bodily injury," 3. The limits of insurance applicable to the additional "property damage" or "personal and advertising insured are those specified in the written contract, injury"caused,in whole or in part, by: written agreement or written permit or in the Decla- rations for this policy,whichever is less.These lim- a. Your acts or omissions;or its of insurance are inclusive of, and not in addition b. The acts or omissions of those acting on your to, the Limits of Insurance shown in the Declara- behalf. tions for this policy. • A person's or organization's status as an addi- . 4. Coverage is not provided for "bodily injury," tional insured under thisendorsement ends when "property damage," or "personal and advertising your operations for that additional insured are injury" arising out of the sole negligence of the completed. additional insured. 2. With respect to the insurance afforded to these 5. The insurance provided to the additional 'insured additional insureds, the following exclusions are does not apply to"bodily injury,""property damage," added to item 2. Exclusions of SECTIO N I— or "personal and advertising injury" arising out of COVERAGES: an architect's, engineer's or surveyor's rendering of or failure to render any professional services This insurance does not apply to "bodily injury," including: "property damage" or "personal and advertising injury"occurringafter: Includes copyrighted material of ISO Properties,Inc.,with its permission. Copyright,ISO Properties,Inc.,2004 GLS-150s (7-06) Page 1 of 2 � I a. The preparing, approving or failing to prepare written contract specifically requires that this insur- or approve maps, shop drawings, opinions, re- ance be primary. ports, surveys, field orders, change ordersor drawings and specifications;and When this insurance is excess,we will have no du- ty under SECTION I—COVERAGES to defend the b. Supervisory, inspection, architectural or engi- additional insured against any"suit"if any other in- neering activities. surer has a duty to defend the additional :insured 6. Any coverage provided hereunder will be excess against that "suit." If no other insurer defends, we will undertake to do so,but we will be entitled to the over any other valid and collectible insurance avail additional insured's rights against all those other able to the additional insured whether primary, excess, contingent or on any other basis unless a insurers. • • • i 1 i AUTHORIZED REPRESENTATIVE DATE Includes copyrighted material of ISO Properties,Inc.,with its permission. Copyright,ISO Properties,Inc.,2004 GLS-150s (7-06) Page 2 of 2 r r .. . ® DATE(MISMD/YYYY) A o CERTIFICATE OF LIABILITY INSURANCE 09,26,2021 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(les)must 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 CONTACTJulie Larkin • . NAME: • Julie Larkin Agency,LLC �Ne'Eat): 503-538-9402 FAX No): 506 E 1st St • Vass: juiielerkin@ailstate.com r Newberg,OR 97132INSURERS)AFFORDING COVERAGE NAIC# INSURER A: Allstate Insurance Company '- -_ ., , • INSURED INSURERS: Barry Myers.&Kerni Myers INSURER C: • 16650 NE Hillside Dr • INSURER D: • Newberg,OR 97132 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. ITR TYPE OF INSURANCE INSR SWVD POLICY NUMBER- (UBR MMIDDY!EFF (MMIODNYYY) ADDL LIMITS GENERAL LIABILITY .' '• EACH OCCURRENCE ' $ DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) $ CLAIMS-MADE OCCUR • '' MED EXP(Any one person) $ PERSONAL&ADV INJURY $ ' • • ' GENERAL AGGREGATE $ GEM_AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 7 POLICY n 3 P8 .ri LOC $ AUTOMOBILE LIABILITY . • COMBINED SINGLE LIMIT 1,250,000 (Ea accident) / ANY AUTO BODILY INJURY(Per person) $ .1,250,000 ALL OWNEDSCHEDULED 817740079 BODILY INJURY(Per accident) $ 1,500,000 AUTOS X AUTOS X HIRED AUTOS _AUTOS (Per' PROPERTY DAMAGE $ 100,000 Per accident) $ UMBRELLA LIAR OCCUR . ' • EACH OCCURRENCE ' $ EXCESS LIAB ' ,� CLAIMS-MADE AGGREGATE . $ DED RETENTION$ $ WORKERS COMPENSATIONWC STATU- DTH- - AND EMPLOYERS'LIABILITY TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE YE.L.EACH ACCIDENT ' , $ OFFICER/MEMBER EXCLUDED? I 'NIA (Mandatory In NH)' E.L.DISEASE-EA EMPLOYEE$ If yes,describe under . . • DESCRIPTION OF OPERATIONS below E.C.DISEASE=POLICY LIMIT $ • • DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) • CERTIFICATE HOLDER • CANCELLATION • SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ' THE EXPIRATION ,DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 'AUTHORIZED REPRESENTATIVE Julie Larkin I , ACORD 25(2010/05) ' ' ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD