Loading...
HomeMy WebLinkAbout2022-058 PO 20230042- Pressure Point Roofing Inc Purchase Order Pt RECORDER'IM Fiscal Year 2023 Page: 1 of: 1 B City of•Ashland — � �= _ - '' L ATTN: Accounts Payable ` 2Purchase • L Main Ashland, OR 97520 Order# 20230042 • T Phone: 541/552-2010 O Email: payable@ashland.or.us ✓ H 0/0 Facilities Maintenance Div E PRESSURE POINT ROOFING INC I 90 North Mountain Ave N 5235 RAINBOW DR p Ashland, OR 97520 CENTRAL POINT, OR 97502 Phone: 541/488-5358 O .. R T Fax: 541/552-2304 3=I 3 _�Q s s. _: =�_�=e?€{ E• I=1 _ _ = '-73 - t3a= —_= — (541) 772-1945 Arnold &= 5.j'e<_ 1_] ' _ �= . == -3 06/13/2022 997 FOB ASHLAND OR City Accounts Payable } - - �tlE3 ' 17 5 mei6-7,-q- 1r,F ' rir ri qw Roof Maintenance FY 23 1 Roof maintenance and repair for FY 23 1.0 $5,000.00 $5,000.00 Goods and Services Agreement($35,000 or Less) Completion date: 06/30/2023 ' Project Account: *************** GL SUMMARY*************** • 088400-602400 1 . $5,000.00 By: fj.„... Date: Auto zed Signature MID ,7471 ____ $5 000.00 'FORM #3 CITY OF A request for a Purchasers ,_6',4P-----. ASHLAND REQUISITION Date of request: 4/28/2022 Required date for delivery: Vendor Name Pressure Point Roofing, Inc. • Address,City,State,Zip 5235 Rainbow Drive, Central Point, OR 97502 . Contact Name&Telephone Number Dustin Dalton 541-210-2008 dustind anoressureoointroofing.com Email address SOURCING METHOD ❑• Exempt from Competitive Bidding ❑ Invitation to Bid ❑ Emergency ❑ Reason for exemption: Date approved by Council: ❑ Form#13,Written findings and Authorization • ❑ AMC 2.50 _(Attach copy of council communication) ❑ Written quote or proposal attached ❑ Written quote or proposal attached _(If council approval required,attach copy of CC) ® Small Procurement 0 Request for Proposal Cooperative Procurement • Not exceeding$5,000 Date approved by Council: 0 State of Oregon ® Direct Award _(Attach copy of council communication) Contract# ❑ Verbal/Written quote(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 0 Sole Source Agency GOODS&SERVICES - ❑ Applicable Form(#5,6,7 or 8) Contract# Greater than$5,000 and less than$100,000 ❑ Written quote or proposal attached Intergovernmental Agreement ❑ (3)Written bids and solicitation attached 0 Form#4,Personal Services$5K to$75K Agency PERSONAL SERVICES Date approved by Council: 0 .Annual cost to City does not exceed$25,000. Greater than.$5,000 and less than$75,000 Valid until: (Date) _,'Agreement approved by Legal and approved/signed by ❑ Less than$35,000,by direct appointment 0 Special Procurement City Administrator.AMC 2.50.070(4) ❑ (3)Written proposals&solicitation attached ❑ Form#9,Request for Approval ❑ Annual cost to City exceeds$25,000,Council ❑ Form#4,Personal Services$5K to$75K 0 Written quote or proposal attached approval required.(Attach copy of council communication) • Date approved by Council: Valid until: (Date) Description of SERVICES Total Cost Roof maintenance and repair for FY23 $5,000.00'_ Item # Quantity Unit Description of MATERIALS Unit Price Total Cost 1 • $0 $0.00 • $0 $0.00 $0 $0.00 / 0 Per attached quotelproposal TOTAL COST Project Number: -_ _ _ Account Number:088400-602400 ' , $$0.09 *Expenditure must be charged to the appropriate account numbers for the financials to accurately reflect the actual expenditures. . IT Director in collaboration with department to approve all hardware and software purchases: IT Director Date Support-Yes/No By signing this requisition form,I certify that the City's public ntracting requirements have been satisfied. Employee: Department Head: � - bll'122— (:•ual to or. eater than$5,000) Department ManagerlSupervisor: City Manager:• Funds appropriated for current fiscal year: 0/NO (Greater than$35102W Fin nce Director-(Equal to or greater than$5,000) . Date Comments: • Form#3-Requisition GOODS AND SERVICES AGREEMENT ($35,000 OR LESS) PROVIDER: Pressure Point Roofing,Inc. CITY OF PROVIDER'S -AS H LAN D CONTACT: Dustin Dalton 20 East Main Street Ashland,Oregon 97520 ADDRESS: 5235 Rainbow Drive Telephone: 541/488-5587 Central Point, OR 97502 Fax: 541/488-6006 • PHONE: 541-772-1945 V This Goods and Services Agreement thereinafter "Agreement") is entered,into by and between the City of Ashland, an Oregon municipal corporation (hereinafter "City") and Pressure Point Roofing, 'Inc., (a domestic/foreign business corporation) ("hereinafter"Provider"),for rOof maintenance and repair. 1. PROVIDER'S OBLIGATIONS V 1.1 Provide roof maintenance and repair for FY23 as set forth in the "SUPPORTING DOCUMENTS" • attached hereto and, by this reference,incorporated herein. Provider expressly acknowledges that time ' is of the essence of any completion date set forth in.the SUPPORTING DOCUMENTS, and that no waiver or extension of such deadline may be authorized except in the same manner as herein provided for authority to exceed the maximum compensation. The services defined and described in the - , "SUPPORTING DOCUMENTS"shall hereinafter be collectively referred to as"Work." 1.2 Provider shall obtain and maintain during the teen of this Agreement'and until City's final•acceptance of all Work received hereunder,a policy or-policies of liability insurance including commercial general liability insurance with a combined single limit, or the equivalent, of not less than $2,000,000 (two million dollars)per occurrence for Bodily Injury and Property Damage. 1:2.1 The insurance required in this Article shall include the following coverages: • Comprehensive General or Commercial General Liability, including personal injury, contractual liability,and products/completed operations coverage; and • Automobile Liability. 1.2.2 Each policy of such insurance shall be on an"occurrence" and not a"claims made" form, and shall: • Name as additional insured ‘"the City of Ashland, .:Oregon, its officers, agents and employees" with respect to claims arising out of the provision of Work under this Agreement; • Apply to each named and additional named insured as though a separate policy had been issued to each,provided that the policy limits shall not be increased thereby; • Apply as primary coverage for each additional named insured except to the extent that two • or more such policies are intended to "layer" coverage and,taken together, they provide total coverage from the first dollar of liability; • Provider shall immediately notify the City of any change in insurance coverage - • Provider shall supply an endorsement naming the City, its officers, employees and agents as additional insureds by the Effective Date of this Agreement; and • Be evidencedby a certificate or certificates of such insurance approved by the City. . Page 1 of 6: Goods and Services Agreement between the City of Ashland and Pressure Point Roofing,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 discrimination in the performance of this . Agreement when employed by Provider. Provider agrees to comply with all applicable requirements of federal and statecivil rights and rehabilitation statutes,rules and regulations. Further,'Provider agrees not to discriminate against a disadvantaged business enterprise,minority-owned business,woman-owned business, a business that a service_disabled veteran owns or an emerging small business enterprise certified under ORS 200.055,in awarding subcontracts as required by ORS 279A.110. 1.5 In all solicitations either by competitive bidding or negotiation made by Provider for work to be performed under a subcontract, including procurements of materials or leases of equipment, each. potential subcontractor or supplier shall be notified by the Providers of the Provider's obligations under this Agreement and Title VI of the Civil Rights Act of 1964 and other federal nondiscrimination laws. 1:6 Living Wage Requirements: If the amount of this Agreement is $22,310.46 or more, Provider is required tocomply with Chapter 3.12 of the Ashland Municipal Code by paying a living wage,_as defined in that chapter,to all employees performing Work under this Agreement and to any Subcontractor who performs 50%or more of the Work under this Agreement: Provider is also required to post the notice attached hereto as"Exhibit A"predominantly in areas where it will beseen by all.employees: - 1.7 ;Assignment: Provider shall not assign this Agreement or subcontract any portion of the Work to be provided hereunder without the prior written consent of the City. Any attempted assignment or subcontract without written consent of the City,shall be void. Provider shall be fully responsible for the acts or omissions of any assigns or subcontractors and of all persons employed by them,and the approval by the City of any assignment or subcontract shall not create any contractual relation between the assignee or subcontractor and the City. 2. CITY'S OBLIGATIONS . 2.1 City shall pay Provider the hourly rates effective 4/12/2022 as specified in the SUPPORTING DOCUMENTS: 2.2 In no.event shall.Provider's total.of all compensation and'reimbursement under this Agreement exceed the sum of$5,000.(this is maximum, riot to exceed amount.of ENTIRE Agreement) without express, written approval from the City official whose signature appears below,or such official's successor in offices Provider:expressly acknowledges that no other person has authority to order or authorize additional Work which would cause this maximum sum to be exceeded and that any authorization from the responsible official must be in writing. Provider further acknowledges that any Work delivered or expenses incurred without authorization as provided herein is done at Provider's own risk and as a volunteer without expectation of compensation or reimbursement. . 3. GENERAL PROVISIONS 3.1 This.is anon=exclusive Agreement. City is not obligated to procure any specific amount,of Work from Provider and is free to procure similar types of goods and services from other providers.in its sole discretion. Page 2 of 6; Goods and Services Agreement between the,City of Ashland and Pressure Point Roofing,;Inc: 3.2 Provider is an independent contractor and not an employee or agent of the City for any purpose. 3.3 Provider is not entitled to, and expressly waives all claims to City benefits such as health and disability insurance,paid leave,and retirement. _ 3.4 This Agreement embodies the full'andcomplete 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.220,279B.230 and 279B.235. 3.7 This Agreement shall be governed by the laws of the State of Oregon without regard to conflict of laws principles. Exclusive venue for litigation of any action arising under this Agreement'shall be in the Circuit Court of the State of Oregon for Jackson County unless exclusive jurisdiction is in federal court, in which case exclusive venue shall be in the federal district court for the district of Oregon. Each party expressly waives any and all rights to maintain an action under this Agreement in any other venue,and expressly consents that, upon motion of the other party, any case may be dismissed or its venue transferred,as appropriate, so as to effectuate this choice of venue. 3.8 Provider shall defend,save,hold harmless and indemnify the City and its officers,employees and agents .from and against any and all claims, suits, actions, losses, damages, liabilities, costs, and expenses of any nature resulting from, arising out of, or relating to the activities of Provider or its officers, employees,contractors,or agents under this Agreement. 3.9 Neither party to this Agreement shall hold the other responsible for damages or delay in performance caused by acts of God,strikes,lockouts,accidents,or other events beyond the control of the other or the other's officers, employees or agents. 3.10 If any provision of this Agreement is found by a court of competent jurisdiction to be unenforceable, �. such provision shall not affect the other provisions, but such unenforceable provision shall be deemed modified to the extent necessary to render it enforceable,preserving to the fullest extent permitted the intent of Providerand the City set forth in this Agreement. 3.11 Deliveries will be F.O.B destination.Provider shall pay all transportation and handling charges for the Goods.Provider is responsible and liable for loss or damage until final inspection and acceptance of the Goods by the.City. Provider remains liable for latent defects,fraud, and warranties. 3.12 The City may inspect and test the Goods. The City may reject non-conforming.Goods and require Provider to correct them without charge or deliver them at a reduced price, as negotiated. If Provider does not cure any defects within a reasonable time, the City may reject the Goods and cancel this Agreement in whole or in part. This paragraph does not affect or limit the City's rights, including its rights under the Uniform Conunercial Code,ORS Chapter 72(UCC).. 3.13 Provider represents and warrants that the Goods are new, current, and fully warranted by the manufacturer. Delivered Goods will comply with SUPPORTING. DOCUMENTS and be free from defects in labor,material and manufacture.Provider shall transfer all warranties to the City. Page 3 of 6: Goods and Services Agreement between the City of Ashland and Pressure Point Roofing,Inc. • • • 4. SUPPORTING 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 Rate Sheet dated April 12,2022. • 42 This Agreement and the SUPPORTING DOCUMENTS shall be construed to be mutually complimentary and supplementary wherever possible. In the event of a conflict which cannot be so resolved,the provisions of this Agreement itself shall control over any conflicting provisions in any of the 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 • 5.1, In the event Provider is in default of this Agreement, City may,at its option, pursue any or all of the remedies available to it under this Agreement and at law or in equity, including, but not limited to: '5.1.1 Termination of this Agreement; 5.12 Withholding all monies due for the Work that Provider has failed to deliver within any scheduled completion dates or any Work that have been delivered inadequately or defectively; 5.1.3 Initiation of an action or proceeding for damages, specific performance, or declaratory or injunctive relief; 5.1.4 These remedies are cumulative to the extent the remedies are not inconsistent,and City may pursue any remedy or remedies singly,collectively, successively or in any order whatsoever. 5.2 In no event shall City be liable to Provider for any expenses related to termination of this Agreementor for anticipated profits.If previous amounts paid to Provider exceed the amount due,Provider shall pay immediately any excess to City upon written demand provided. 6. TERM AND TERMINATION 6.1 Term This Agreement shall be effective from the date of execution on behalf of the City as set forth below (the "Effective.Date"), and shall continue in full force and effect until June 30, 2023, unless sooner terminated as,provided in Subsection 6.2. 6.2 Termination 62.1 The City and Provider may terminate this Agreement by mutual agreement at any time. . , 622 The City may,upon not less than thirty (30)days' prior written notice,terminate this Agreement, for any reason deemed appropriate in its sole discretion. ' 62.3 Either party may terminate this Agreement,with cause;by not less than fourteen(14)days'prior written notice if the cause is not cured within that fourteen (14) day period after written notice. Such termination is in addition to and not,in lieu of any other remedy at law or equity. 7. NOTICE Whenever notice is required or permitted to be given under this Agreement, such notice shall be given in writing to the other party by personal delivery,by sending via a reputable commercial overnight courier, or by mailing using registered or certified United States mail,return receipt requested,postage prepaid,,to the address set forth below: • If to the City: Page 4 cf,6: Goods and Services Agreement between the City of Ashland and Pressure Point Roofing,Ino. City of Ashland—Facilities Maintenance Department Attn: David Arnold 20 E.Main Street Ashland, Oregon 97520 Phone:(541)552-2292 With a copy to• _ City of Ashland—Legal Department 20 E.Main Street ,.r.: `. , • Ashland,OR 97520 . • Phone: (541)488-5350 If to Provider: Pressure Point Roofing,Inc. , Attn:Dustin Dalton • 541-772-1945 . 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 waiyer of any subsequent breach,whether • or not of the same nature. 9. PROVIDER'S COMPLIANCE WITH TAX LAWS 9.1 Provider represents and warrants to the City that: 9.1.1 Provider shall,throughout the term of this Agreement, including any extensions hereof, comply with: (i) All tax laws of the State of Oregon, including but not limited to ORS 305.620 and ORS chapters 316,317,and 318; . (ii) Any tax provisions imposed by•a political subdivision of the State of Oregon applicable to Provider;and • (iii) Any rules,regulations,charter provisions,or ordinances that implement or enforce any of the foregoing tax laws or provisions. 9.12 Provider,for a period of no fewer than six(6)calendar years preceding the Effective Date of this Agreement, has faithfully complied with: . (i) All tax laws of the State of Oregon, including but not limited to ORS 305.620 and ORS chapters 316, 317,and 318; • (ii) Any tax provisions imposed by a political subdivision of the'State of Oregon applicable to Provider;and _ (iii) Any rules,regulations,charter provisions,or ordinances that implement or enforce any of the foregoing tax laws or provisions. 92 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 materia l breach of this Agreement Further,. any violation of Provider's warranty, as set forth in this Article 9, shall constitute a material breach of this Agreement. Any material breach of this Agreement shall entitle the City to terminate this , Agreement and to seek damages and any other relief available under this Agreement,at law,or in equity. Page 5 of 6: Goods and Services Agreement between the City ofAshland and Pressure Point Roofing,Inc. • 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: Pressure Point Roo g nc. VIDER): By: ? By: j • Sig afore • : afore Sc&C Pc cuz.y &a0nl fiSfted Printed Name Printed Name *5 01 VP OF OPews Title Title • 5(t 2Z sti 25/22 • Date Date (W-9 is to be submitted with this signed Agreement). 7—as er Purchase Order No, • • • • • Page 6 of 6: Goods and Services Agreement between the City. of Ashland and Pressure Point Roofing,Inc. • t • IF1T 1 R D O F I N G •4/12/22 Goods and Services letter for+6/1/22 thru 6/30/23 for City of Ashland Regular time minimum call out $400.00 Amer Hours and Weekends Call out- $600.00 Holiday Call out- $750.00 • Materials- Cost plus 15% • Call out rates are for 2hr allotment.Any time after the 2hrs the hourly charge per man hour is $105. • The response time to a call out is within 24hrs • The rates for the labor are subject to change if the.cost rises more than 10% Brian Fisher / � _ir: Date 9/2 2 Z. VP of Operations ' E 523512ain6ow prim, Centralcpoint, OR 97502 ♦ (541)772-1945• TFiix(541)664-1772 -1 1 AERD® l ACco DAT3(M29DD `� 03/29/2022• CERTIFICATE OF LIABILITY INSURANCE / /2/1YYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER: IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT PHOKristi Dolmage Hart Insurance Agency - Medford PHONE : PO Box 1240 AIC.No.Ext): (541) 779-4232 FAX No): E-MAIL ADDRESS: kdolmage@hartinsurance.com Grants Pass OR 97528 • INSURER(S)AFFORDING COVERAGE NAIC# • INSURER A:Berkley Aspire 31295 • INSURED (541) 772-1945 INSURERS: Pressure Point Roofing Inc INSURER C: 5235 Rainbow Drive ( INSURERD: Central Point OR 97502 INSURERE: INSURER F: ' COVERAGES CERTIFICATE NUMBER:Cert ID 22251 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP LIMITS LTR IINSD WVD POLICY NUMBER (MM/DDIYYYY) (MM/DD/YYYY) A I X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 • CLAIMS-MADE X OCCUR Y Y CGL0123510 03/29/2022 03/29/2023 PREM SESO(Ea occurRENTErence) $ 100,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X PROT- LOC . PRODUCTS-COMP/OPAGG $ 2,000,000 JEC OTHER: $ AUTOMOBILE LIABILITY• k COMBINED SINGLE LIMIT $ , (Ea accident) , ANY AUTO BODILY INJURY(Per person) $ - OWNED SCHEDULED AUTOS ONLY AUTOS • BODILY INJURY(Per accident) $ __ HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) $ A X UMBRELLA LIAB X OCCUR CX0123511 03/29/2022 03/29/2023 EACH OCCURRENCE $ 2,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE . $ 2,000,000 ` DED RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y/N STATUTE ERH ANYPROPRIETOR/PARTNER/EXECUTIVEN/A E.L.EACH ACCIDENT $ OFFICER/MEMBEREXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under - DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ • $ $ • DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) • Certificate holder is additional insured per forms attached: L807 01/17 Additional Insured Primary and Non Contributory Including Completed Operations, CG2010 04/13 Additional Insured Per Written Contract, CG2037 04/13 Additional Insured Completed Operations Per Written Contract, L404 05/09 Per Project Aggregate, and L609 .05/09 Waiver . additional insured: The City of Ashland, Oregon, its 'officers, agents and employees with respect to claims arising out the of the provision of work under agreement • • CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Ashland '90 North Mountain Avenue • - AUTHORIZED REPRESENTATIVE Ashland OR 97520 wCyi/_(J . I ' ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) • The ACORD name and logo are registered marks of ACORD Page 1 of 1 - • COMMERCIAL AUTO • EA 9911 0318 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. SPECIAL BUSINESS AUTO ENHANCEMENT ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM With respect to coverage provided by this endorsement,the provisions of the Coverage Form apply unless modified by this endorsement. The following changes revise SECTION 1—COVERED The, coverage that applies is the same as the AUTOS coverage provided for the vehicle being replaced. Paragraph C.1. is deleted and replaced with the Physical Damage Coverage is extended to the following: temporary substitute auto for the lesser of the 1. Trailers following number of days: . • a. "Trailers" with a load capacity. of 2,000 • 1. The number of days reasonably required to pounds or less designed primarily for travel repair or replace the covered "auto"that is out on public roads;.or of service;or b. "Trailers" designed primarily for travel on 2. 30 days. public roads when: The following changes revise SECTION II—LIABILITY (1) Pulled by an owned private passenger COVERAGE auto specifically described• in Item The following is added to Paragraph A.1.:' Three of the Declarations as a covered d. Blanket Additional Insured "auto" for Liability Coverage under this Coverage Form;and Any person or organization that you are (2) Not used for business, farming or required to include as an additional insured on this Coverage Form in a written contract ranchingotu • purposes: or agreement that is signed and executed Private passenger auto means a motor by you before the"bodily injury"or"property vehicle of the private passenger, station damage"occurs and that is ineffect during •• wagon,pickup or van type designed for use the policy period is an "insured"for Liability on public highways and subject to motor Coverage, but only for damages to which vehicle registration. • ' this insurance applies. • The following Is added: A person's or organization's status as an D. Temporary Substitute Autos—Physical Damage additional insured under this endorsement ends when your contract or agreement with • If Physical Damage Coverage is provided by this such person or organization ends. Coverage Form, the following types of vehicles are • also covered "autos" for Physical Damage The Limits of Insurance applicable to the Coverage: Additional Insured are those specified in the written contract or agreement but not more Any "auto" you do not own while used with the than the Limits of Insurance specified in the permission of its owner as a temporary substitute Declarations of this policy. The Limits of • for a covered "auto"you own that is out of service Insurance applicable to the Additional because of its: Insured are Inclusive of and not inance appl •• 1. Breakdown; to the Limits of Insurance shown in the 2. Repair, declarations for the Named Insured. 3. Servicing; • . .This Coverage does not apply to lessors of leased"autos". 4. "Loss"; or 5. Destruction. • EA 99 11 03 18 Includes copyrighted material of insurance Services Office,inc,with its permission Page 1 of 6 0 • e. Broadened Named insured 2. Towing a Any business entity newly acquired or We will pay up to $200 for a covered "auto" for formed, by you during the, policy period • towingand labor costs incurred each time the provided you own 51% or more of the covered "auto" is disabled. However, the labor business entity and the business is not • . must be performed at the place of disablement. ' separately insured for Business Auto This coverage is excess over Coverage. Coverage is extended up to a • maximum of 180 days following acquisition a. any limit shown in the Declarations for or formation of the business entity or until towing and labor costs;and • the end of the policy period, whichever b. any other collectible insurance. comes first. This coverage applies only for an "auto" f. Employee Hired Auto covered on this policy for An"employee"of yours is an"insured"while c. Comprehensive or Specified Causes of operating an"auto"hired or rented under a Loss Coverage; and contract or agreement in that "employee's" d. Collision Coverage. name, -with your permission, while performing duties related to the conduct of The following Is added to Paragraph A.3 . - your business. Glass Repair—Waiver of Deductible • Paragraphs A.2.a.(2) and A.2.a.(4) are deleted and No.deductible will apply to glass breakage if replaced with(the following: such glass is repaired in a manner acceptable 2. Coverage Extensions to us rather than replaced. a. Supplementary Payments ' Paragraph A.4.a.is deleted and replaced with the (2) Up to $5,000 for cost of bail bonds following: (Including bonds for related traffic law 4. • Coverage Extensions •• violations) required because of an a. Limited Rental Reimbursement or Travel "accident"we cover. We do not have to Expense furnish these bonds. (4) All reasonable expenses incurred byWe will pay up to $75 per day to a P maximum of $2,250 for rental the "insured" at our request, including reimbursement expenses for the rental of • actual loss of earnings up to$500 a day an "auto" or other transportation expense. • • because of time off from work. . . incurred by you because of "loss" to a • • Paragraph B.5.is deleted and replaced with the covered . "auto" which is covered by • following: Comprehensive, Specified Causes of Loss, .• 5. Fellow Employee or Collision coverage under,this policy.'No deductible applies to this coverage. "Bodily Injury"to: ' (1) We willpay only for those expenses a. Any fellow "employee of the "insured" incurred as a result of.a covered "loss" arising out of and in the course of the fellow . occurring during the policy period "employee's" employment or while beginning 24 hours after the"loss" and . performing duties related to the conduct of ending, regardless of the 'policy's your business. This exclusion does not expiration, with the lesser of the • • apply to an Insured" who occupies a 'following number of days: position as an officer, manager .,or.. (a) The number of days reasonably • supervisor.;or required to repair or replace the b. The spouse, child, parent, brother or sister. • covered "auto". If"loss" is caused of that fellow"employee"as a consequence by theft, this number•of days is of Paragraph a.,above. added to the number of days it The following changes revise SECTION Ill—PHYSICAL takes to locate the covered "auto" DAMAGE COVERAGE and return it to you;or This coverage applies only for a, covered "auto" for (b) 30 days. • • which Physical Damage Coverage is provided for on (2) Our payment under this Coverage this policy. . Extension (4.a.) is limited to the lesser Paragraph A.2. is deleted and replaced with the of the necessary and actual expenses following: incurred or the maximum amount A. COVERAGE shown,$2,250. • EA 99 11 03 18 Includes copyrighted material of Insurance Services Office,Inc.,with Its permission Page 2 of 6 • „ J • (3) Coverage under this Coverage "loss", and such equipment is Extension (4.a.) does;not apply while designed to be solely operated by, there are spare or reserve "autos" use of the power from the "auto's" available to you for your operations. electrical system, in or upon the (4) If a covered "auto" is described or covered"auto". designated as a covered "auto" on • (b) We will pay with respect •to a endorsement EA 99 01, the coverage covered "auto" described in the provided by this extension is excess Schedule for loss" to any over coverage provided by accessories used with the endorsement EA 99 01.' electronic equipment described in The following is added to paragraph A.4. Paragraph (1)(a)above. However, this does not include tapes, records c. Tapes,Records and Discs or discs. We will pay for "loss" to tapes, records, (2)Exclusions compact discs, or other similar devices The exclusions that apply to Physical used with audio; visual or data electronic The a Coverage, exceptly for s the devices. g g exclusion relating to Audio, Visual and (1) We will pay only if the tapes, records, Data Electronic Equipment, also apply compact discs, or other similar devices: to coverage provided by this extension. (a) Are your property or that of a family In addition, the following exclusions member;or apply: (b).Are the property of an "employee" We will not pay, under this extension, using a covered "auto" in your for either any electronic equipment or business affairs at the time of the accessories used with such electronic "loss";and equipment that is: (c) Are in a covered "auto" which (a) Necessary for the normal operation sustains other covered "loss" under of the covered ,"auto" or the Comprehensive or Collision monitoring of the covered "auto's° coverage at the time of the"loss"to operating system;or tapes, records, compact discs, or (b) An integral part of the same unit other similar devices. housing any sound reproducing (2) The most we wilt pay for "loss" under equipment designed solely for the this Coverage Extension(4.c.)is$200. reproduction of sound if the sound (3) Physical Damage Coverage provisions reproducing equipment is apply to this coverage, except that any permanently installed in the • deductible applicable to' covered"auto"in the opening of the Comprehensive or Collision coverage dash or console normally used by does not apply to this Coverage the manufacturer for the installation Extension(4.c.). of a radio. d. Audio, Visual and Data Electronic (3) Limit of Insurance Equipment With respect to coverage under this (1) Coverage extension the Limit of Insurance • (a) We will provision of Physical Damage • pay with respect to a Coverage is replaced by the following: covered "auto" described in the Schedule for"loss"to any electronic (a) The most we will pay for all"loss"to • equipment that receives or audio, visual or data electronic • transmits. audio, visual or data equipment and any accessories signals and that is not designed used with this equipment as a result • solely for the reproduction of sound. of any one "accident" is the lesser This coverage applies only if the of: equipment is permanently installed (i) The actual cash value of the • in the covered "auto" at the time of damaged or stolen property as the "loss" or the equipment is of the time of the"loss"; removable from a. housing unit which is permanently installed in the , covered "auto" at the time of the EA 9911 0318 Includes copyrighted material of Insurance Services Office,Inc.,with its permission Page 3 of 6 (ii) The cost of repairing or g. Camper Bodies . replacing the damaged or ; In the event of a "loss" to a detached stolen property with other "camper," physical damage coverage will property of like kind and quality; apply as if it were part of the covered"auto" or on which it is rated. (iii)$500. h. Contents of a Travel Trailer,Camper or • (b) An adjustment for depreciation and. Motor Home - physical condition will be made in When a Travel Trailer, "Camper" or Motor determining actual cash value at Home is a scheduled auto for physical the time of the"loss". damage coverage,we will pay up to$1,000 (c) If a repair or replacement results in for"loss"to personal property belonging to better than like kind or quality, we you or a family member that is within the will not pay for the amount of Travel Trailer, "Camper" or Motor Home. betterment. We will pay up to$250 for"toss"to personal (4) Deductible property belonging to you or. a family member that is outside the Travel Trailer, No deductible applies to this coverage. "Camper"or Motor Home. The insurance provided by this extension is (1) We will not pay for"loss"to: excess over any other collectible insurance. (a) Articles carried or held for sale, e. Custom Signs and Decorations storage or repairs, or for later Physical Damage coverage on a covered . delivery;goods kept to show or sell; "auto"may be extended to"loss"to custom, or theatrical wardrobes. signs and decorations including custom (b) business,store of office furniture or murals, paintings or other decals or • graphics. equipment. (c) Recordsor accounts, money, Our limit of liability for loss to custom signs bullion, deeds, contracts,evidences and decorations shall be the least of: of debt,securities,tokens or tickets, (1) Actual cash value of the stolen or stamps in current use or damaged property; manuscripts. (2) Amount necessary to repair or replace (d) Animals, private passenger"autos," the property;or motorcycles, aircrafts, boats or any (3) $500. other motorized vehicles or their equipment, furnishings or f. Personal Effects Coverage - ' : appurtenances. (1) Physical ' Damage Coverage on a (e) Equipment or accessories while covered "auto" may be extended to your Travel Trailer, "Camper" or "loss" to your "personal effects". or, if Motor Home is leased or rented to you are an individual; the "personal . any organization or any person effects"of a family member, that are in other than you or a family member. the covered "auto" at the time of the "loss" (2) The maximum we.will pay for"loss" is • the lesser of: (2) "Personal effects" as used in this (a) The actual cash value of the extension means tangible property that is worn or carried 'by the "insured". personal property at the time of "Personal effects" does not include • ,"loss"; tools,jewelry, money, securities, radar (b) The cost of repairing the damage; or laser detectors, or tapes, records, or • discs or similar audio, visual or data '(c) The cost of replacing the damaged electronic equipment. personal property .with other (3) The most we will pay for any one"foss" personal property of like kind, • under this coverage extension is$500. condition,quality and value. No deductible applies to this extension. The insurance provided by this extension is • • excess over any other collectible insurance. . , - - EA 99 11 03 18 Includes copyrighted material of Insurance Services Office,Inc.,with Its permission Page 4 of 6 • • I. Vacation Expense Allowance If hired "autos"are covered"autos" for Liability We will pay you$50 per day to a maximum Coverage and if Comprehensive, Specified of$500.for extra expenses when a Travel Causes of Loss or Collision Coverages are Trailer,. "Camper" or Motor Home is a provided under this coverage form for any scheduled auto for physical damage "auto" you own, then the Physical Damage coverage, and the Travel Trailer, Tamper" Coverages provided are extended to "autos" or Motor Home: you hire of like kind and use, subject to the following: • (1) Is damaged or destroyed and is The most we willpayfor anyone "loss" is uninhabitable;and a. $50,000 or the actual ashvlue or the cost (2) While being used for vacation purposes to repair and replace, whichever is less, within the policy period. minus a deductible; Extra expenses must by supported by b. The deductible will be equal to the largest receipts or other valid evidence. deductible applicable to any owned "auto° • The following is added to Paragraph A.: for that coverage; 5. Extra Expense—Broadened Coverage c. Hired Auto Physical Damage coverage is We will pay for the direct expense of returning a excess over any other collectible insurance; stolen covered "auto"to you. We will pay only and for those covered "autos" for which you carry d. Subject to the above limit, deductible and Comprehensive or Specified Causes of Loss excess provisions, we will provide coverage Coverage. This coverage will only apply to equal to the broadest coverage applicable vehicles recovered inside the 48 contiguous to any covered"auto"you own. • United States. This coverage does not apply to If a limit for. Hired Auto Physical Damage is , an"auto"we deem a total"loss". indicated in the• Declarations, then that limit 6. Auto Loan/Lease Gap Coverage • replaces,and is not in addition to,the$50,000 i In the event of a covered total "loss" to a limit indicated above. covered "auto" described or designated in the The following is added to Paragraph B.3.a.: Schedule or in the Declarations, we will pay up Airbag Coverage—Accidental Deployment • to $2,000 for any unpaid amount due on the lease or loan for a covered"auto"less: However, this exclusion does not apply to the a. The Amountpaid under the Physical unintended inflation of an airbag if the inflation y is caused by mechanical or electrical Damage Coverage section A.1. of the , breakdown. policy;and The following is added to Paragraph C.2. b. Any: (1) Overdue lease/loan payments at the New Vehicle Replacement Cost • time of the"loss"; If, however, a"loss" occurs to your covered "auto" within 180 days of your purchase of the"auto"and, (2) Financial penalties Imposed .under a we deem the covered"auto"to be a total"loss"and • lease for excessive use,abnormal wear it has not been previously titled under the motor and tear or high mileage; vehicle law of any state,we will pay at your option: ` (3) Security deposits not returned by the a. the cost to replace the covered "auto" with a Lessor; new"auto of like make, model and year;or •• • (4) Costs for extended warranties, Credit b. an amount equal to the original,purchase price Life Insurance, Health, Accident or you paid to acquire the vehicle, including taxes, Disability Insurance purchased with the but excluding any extended warranties and • loan or lease;and licensing fees. (5) Carry-over balances from previous This coverage applies only to a covered "auto". of loans or leases. the private passenger, light truck or medium truck 7: Hired Auto Physical Damage Coverage type(20,000 lbs. or less gross vehicle weight). • . EA 99 11 03 18 Includes copyrighted material of Insurance Services Office,Ina,with its permission Page 5 of 6 • • • • The following changes revise SECTION IV — The following changes revise SECTION V — BUSINESS AUTO CONDITIONS DEFINITIONS The following is added to Paragraph A.2.a.: The following is added: Amended Duties in the Event of an Accident, Q. "Camper" means a portable dwelling unit without Claim,Lawsuit or Loss axles or wheels that has been manufactured for However, this duty is only required when the attachment on the bed of a pickup truck to be used "accident"is known to: for casual travel or camping. (1) You,if you are an individual; • (2) A partner,if you area partnership; (3) A member, if you are a limited liability company; or (4) An executive officer or insurance manager, if you are a corporation. • The following is added to Paragraph A.: 6. Blanket Waiver of Subrogation We.waive any right of recovery we may have against any person or organization to the extent . required of you by a written contract executed prior to any"accident"because of payments we make for . • damages under this coverage form. The following is added to Paragraph B.2.: Unintentional Failure to Disclose Hazards . Any unintentional failure to disclose all exposures or • hazards existing as of the effective date of.the • Business Auto Coverage Form or at any time during. the policy period will not invalidate or•adversely • affect the coverage for such exposure or hazard. However,you must report the undisclosed exposure or hazard to us as soon as reasonably possible • after its discovery. . Paragraph B.5.b. is deleted and replaced with the following: a. For Hired Auto Physical Damage Coverage, the following are deemed'to be covered "autos" you . own: • (1) Any covered "auto" you lease, hire,..rent or borrow;and (2) Any covered "auto" hired or rented by your "employee" under a contract in that individual "employees"name, with your permission, while , performing duties related to the conduct of your business. • . However, any"auto"that is leased, hired, rented or borrowed with a driver is not a covered"auto". • The following is added to Paragraph 6.5. _, • d. To the extent required by an"insured contract", this insurance is primary on behalf of the • . additional insured, and any other insurance . maintained by the additional insured is excess and not contributory with this insurance. If the "insured contract" does not require this . provision,then Paragraph a.above will apply. • • • • EA 99 11 03 18 Includes copyrighted material of Insurance Services Office,Inc.,with Its permission •Page 6 of 6 • ACS CERTIFICATE CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDNYYY) `.... 11/29/2021 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 CERTII;ICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED • REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. • IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). • - PRODUCER • CONTACT NAME Kristi Dolmage. Hart Insurance Agency - Medford PHONE FAX PO Box 1240 IAIC,No.Ext): (541) 779-4232 (NC,No): ADDRESS: kdolmage@hartinsurance.com Grants Pass OR 97528 ' INSURER(S)AFFORDING COVERAGE NAIC# _INSURER A:Mutual of Enumclaw Insurance C 14761 INSURED • (541) 772-1945 •INSURERB: .. Pressure Point Roofing Inc - INSURER C: , • 5235 Rainbow Drive • INSURERD: Central Point OR 97502 INSURER E: INSURER F': • COVERAGES • . CERTIFICATE NUMBER:Cert.ID 21090 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. • INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR /Y INSD WVD POLICY NUMBER (MM/DDYYY) (MM/DD/YYYY) COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS-MADE OCCUR , , PREMISES(Ea occurrence) $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ • GEN'LAGGREGATE LIMIT APPLIES PER: . GENERAL AGGREGATE $ POLICY PRO- JECT LOC PRODUCTS-COMP/OP AGG $ • OTHER: $ AUTOMOBILE LIABILITY - COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) A X ANY AUTO Y CPP0002914 12/06/202112/06/2022 BODILY INJURY(Per person) $ OWNED SCHEDULED •AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED . PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) . $ UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ _ EXCESS LIAB CLAIMS-MADE AGGREGATE $ . DED RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y/N PER ERH ANYPROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $ • OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under • DESCRIPTION OF OPERATIONS below • E.L.DISEASE-POLICY LIMIT $ $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) , additional insured: The City of Ashland, Oregon, its officers, agents and employees with respect to claims arising out the of the provision of work under agreement form EA9911 attached and applies • • CERTIFICATE HOLDER - CANCELLATION . • SHOULD ANY OF THE-ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ' City of Ashland 90 North Mountain Avenue AUTHORIZED REPRESENTATIVE � a0111/4 11 ) Ashland OR 97520 I ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Page 1 of i ' ( • • • • AecoRD CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/,-YYY) 09/23/2021 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(ies)must have ADDITIONAL INSURED provisions or be endorsed. • If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Hart Insurance Agency - Medford PHONE Kristi Dolmage FAX PO Box 1240 INC.No.Ext): (541) 779-4232 (A/C,No): ADDRESS: kdolmage@hart insurance.com Grants Pass OR 97528 INSURER(S)AFFORDING COVERAGE NAIC# • • INSURERA:SAIF Corporation 36196 INSURED INSURER B: Pressure Point Roofing Inc INSURER C: 5235 Rainbow Drive INSURERD: • Central Point OR 97502 INSURERE: INSURER F: . COVERAGES CERTIFICATE NUMBER:Cert ID 20578 • REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR • TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP WLIMITS LTR INSD VD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY)_ COMMERCIAL GENERAL LIABILITY EACH OCCURRENCEDAMAGE TO RENTED $ CLAIMS-MADE OCCUR PREMISES Ea occurrence) $ • MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: • GENERAL AGGREGATE $ • POLICY PRO- JECT RO LOC PRODUCTS-COMP/OPAGG $ OTHER: $ AUTOMOBILE LIABILITY • COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED r- SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS • HIRED • NONrOWNED - PROPERTY DAMAGE $ AUTOS ONLY _ AUTOS ONLY (Per accident) $ , UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS-MADE • AGGREGATE • $ DED I RETENTIONWOR $ / $ A ANDEMPL LIAILI Y/N 945959 10/01/2021 10/01/2022 x STATUTE EERPER H EMPLOYERS'LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below • E.L.DISEASE-POLICY LIMIT $ • $ • DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) •CERTIFICATE HOLDER CANCELLATION • • SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. . City of Ashland 90 North Mountain Avenue AUTHORIZED REPRESENTATIVE Ashland OR 97520 • • ©1988-2015 ACORD CORPORATION. All rights reserved. . ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Page 1 of 1 0 POLICY NUMBER: COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED- PRIMARY AND NONCONTRIBUTORY - AUTOMATIC STATUS WHEN REQUIRED IN CONTRACT OR AGREEMENT (Including Completed Operations) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE • Date:. A. Section If-Who Is An Insured is amended to include as an additional insured any person or organization for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy. Such person or organization is an additional insured only with respect to liability for"bodily injury","property damage" or"personal and advertising injury"caused,in whole or in part,by: 1. Your acts or omissions,or the acts or omissions of those acting on your behalf in the performance of your ongoing operations for the additional insured;or 2. "Your work"and included in the"products-completed operations hazard": but only for"occurrences"or coverages not otherwise excluded in the Coverage Part to which this endorsement applies. However the insurance afforded to such additional insured: 1. Only applies to the extent permitted by law;and 2. Will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. Status as an additional insured for the person or organization to which this endorsement applies commences during the policy period and after such written contract or agreement has been executed. C. With respect to the insurance afforded to the additional insured,the following additional exclusions apply: This insurance does not apply to: . 1. "Bodily injury","property damage","personal and advertising injury"or medical payments arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: • a. The preparing, approving, or failure to prepare or approve, maps, shop drawings, opinions, reports, surveys,field orders,change orders or drawings and specifications;or. b. Supervisory,inspection,architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, If the "occurrence" which caused the "bodily injury"or"property damage", or the offense which caused the "personal and advertising injury",involved the rendering of or the failure to render any professional architectural,engineering,or surveying services. . • 2. "Bodily injury" or"property damage"included in the "products-completed operations hazard" and arising out of"your work"that was completed by or on behalf of any insured prior to the date shown in the Schedule • of this endorsement. L807(01/17) Includes copyrighted material of Insurance Services Office,Inc.,with its permission. Page 1 of 2 a D. With respect to the insurance afforded to the additional insured, the following is added to Section III—Limits Of Insurance: The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement you have entered into with the additional insured;or 2. Available under the applicable Limits of insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. E. The following condition is added to 4.a. of Other Insurance of Section IV-Commercial General Liability Conditions: If required in a written contract, the Coverage Part to which this endorsement applies is primary and noncontributory in the event of an "occurrence"caused, in whole or in part,by your acts or omissions, or the acts or omissions of those acting on your behalf that: 1. Occurs while performing ongoing operations for the additional insured,or 2. Is included in the"products-completed operations hazard"and arises out of"your work"that was completed by or on behalf of any insured after the date shown in the Schedule of this endorsement, All other terms and conditions remain unchanged. • 1,007(01/17) Includes copyrighted material.of Insurance Services Office.Inc.,with its permission. Page 2 of 2 • • • • CGL 0123510 - 20 03/29/20 HSB 12/22/20 • POLICY NUMBER: 0123510-20 COMMERCIAL GENERAL LIABILITY • CG 20 10 04 13 • THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR • CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: • COMMERCIAL GENERAL LIABILITY COVERAGE PART • • SCHEDULE Name. Of Additional Insured Persons) or 'Organization(s) • Per Written Contract • • Location(s) Of Covered Operations Per written contract • (Information required to complete this Schedule, if not shown above, will be shown in the Declarations.) A. Section II - Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to lia- ' . bility for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: • • 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; • in 'the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: • • 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and • 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be . • broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional 'insureds, the follow- . ing additional exclusions apply: • This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All' work, including materials, parts or equipment furnished in connection .with such work, on the project (other than service, maintenance or repairs) • to be performed by or on behalf of the additional insured(s) at the location . of the covered operations has been completed; or- 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another con- tractor or subcontractor engaged in performing operations for.a principal as a part of.the same project. • C. With respect to the insurance afforded to these additional insureds, the . following is added to Section III -'Limits Of Insurance: • • • • • • • cG 20 10 04 13 Copyright, Insurance Services Office, Inc., 2012 Page 1 of 2 • • • • i . • If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required'by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. 03201001113 Copyright, Insurance services Office, Inc., 2012 Page 2 of 2 • • • • CGL 0123510 - 20 03/29/20 BSB 12/22/20 POLICY NUMBER: 0123510-20 COMMERCIAL GENERAL LIABILITY CG 20 37 04 13 ' .THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE • Name Of Additional Insured Person(s) Or Organization(s) Per Written Contract • Location And Description Of Completed Operations • • Per written contract Information required to complete this Schedule, if not shown above, will be shown in the Declarations. • A. Section II - Who Is An insured is amended to include as' an additional insured the ' person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional . insured and included •in the • • "products-completed operations hazard". • However: 1. The insurance afforded to such additional insured only applies to the extent • permitted by law; and • • 2. If coverage provided to the additional .insured. is required by a .contract or agreement, the insurance afforded to such additional insured will not be • broader than that which you are required by the contract or agreement to provide for such' additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III - Limits Of Insurance: If coverage provided • to the additional insured is required by' a contract or agreement, the most we will pay on behalf of the additional insured is the amount • ` of insurance: • 1. Required by the contract or' agreement; or • • 2. .Available under the. applicable Limits of Insurance shown in the Declarations; whichever is less. • • This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. V • . • • • • • • CG 20 37 04 13 Copyright, Insurance Services Office, Inc., 2012 Page 1 of 1 • COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CONSTRUCTION PROJECT GENERAL AGGREGATE LIMIT WHEN REQUIRED BY CONTRACT AND MAXIMUM PER POLICY GENERAL AGGREGATE LIMIT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Limits Of Insurance Maximum Per Policy General Aggregate Limit $5,000,000 A. For all sums which the insured becomes legally obligated to pay as damages caused by"occurrences"under Section I - Coverage A - Bodily Injury And Property Damage Liability, and for all medical expenses • caused by accidents under Section I - Coverage C- Medical Payments, which can be attributed only to ongoing operations at a single construction project: 1. A separate Construction Project General Aggregate Limit applies to each construction project when required in a written construction contract or agreement, and that limit is equal to the amount of the General Aggregate Limit shown in the Declarations. • 2. The Construction Project General Aggregate Limit is the most we will pay for the sum of all damages under Coverage A, except damages because of "bodily injury" or "property damage" included in the "products-completed operations hazard";and for medical expenses under Coverage C regardless of the number of: a. Insureds; • b. Claims made or"suits"brought;or c. Persons or organizations making claims or bringing"suits". 3. Any payments made under Coverage A for damages or under Coverage C for medical expenses shall reduce the Construction Project General Aggregate Limit for that construction project. Such payments shall not reduce the General Aggregate Limit shown in the Declarations nor shall they reduce any other Construction Project General Aggregate Limit for any other construction project. •• 4. The limits shown in the Declarations for Each Occurrence, Damage To Premises Rented To You and Medical Expense continue to apply. However, instead of being subject to the General Aggregate Limit shown in the Declarations, such limits will be subject to the applicable Construction Project General Aggregate Limit. 5. The Maximum Per Policy General Aggregate Limit shown in the Schedule is the most we will pay for the sum of all Construction Project General Aggregate Limits and the General Aggregate Limit shown in the Declarations regardless of the number of: a. Insureds; b. Claims made or"suits"brought; . c. Persons or organizations making claims or bringing"suits";or d. Construction projects. • • L404(05/09) Includes copyrighted material of Insurance Services Office,Inc.,with its permission. Page 1 of 2 • • B. For all sums which the insured becomes legally obligated to pay as damages caused by"occurrences"under Section I - Coverage A - Bodily Injury And Property Damage Liability, and for all medical expenses • caused by accidents under Section I-Coverage C-Medical Payments,which cannot be attributed•only to ongoing operations at a single construction project: 1. Any payments made under Coverage A for damages or under Coverage C for medical expenses shall reduce the amount available under the General Aggregate Limit shown in the Declarations or the Products-Completed Operations Aggregate Limit shown in the Declarations,whichever is applicable;and • 2. Such payments shall not reduce any Construction Project General Aggregate Limit. C. 'Whe"n coverage for liability arising out of the "products-completed operations hazard" is provided, any' payments for damages because of "bodily.injury" or"property damage",included in the "products-completed operations hazard" will reduce the Products-Completed Operations Aggregate Limit shown in the . Declarations, and not reduce the General Aggregate Limit shown in the Declarations nor the Construction • Project General Aggregate Limit. D. If the applicable construction project has been abandoned, delayed, or abandoned and.then restarted, or if the authorized contracting parties deviate from plans, blueprints, designs, specifications, or timetables,the project will still be deemed to be the same construction project, E. The provisions of Section III - Limits Of Insurance not otherwise modified by this endorsement shall continue to apply as stipulated. • All other terms and conditions of this policy remain unchanged. • i • • • • • L404(05/09) Includes copyrighted material of Insurance Services Office,Inc.,with its permission. Page 2 of 2 • • • COMMERCIAL GENERAL LIABIUTY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. • • WAIVER OF TRANSFER OF RIGHTS OF RECOVERY • "AGAINST OTHERS TO US -AUTOMATIC STATUS WHEN • REQUIRED IN CONTRACT OR AGREEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART The following is added to 8. Transfer Of Rights'Of Recovery Against Others To Us of Section IV - Commercial General Liability Conditions: We waive any right of recovery we may have against any person or organization because of payments we make for injury or damage caused, in whole or in part, by your acts or'omissions, or the acts or omissions of those acting on your behalf in the performance of your ongoing operations or"your work"done under a written contract with that person or organization and included in the"products-completed operations hazard".This waiver applies only when you and that person or organization have agreed to such waiver in writing in a contract or agreement. • All other terms and conditions of this policy remain unchanged.' • • • • • • • • L609(05/09) Includes copyrighted material of Insurance Services Office,inc.,with Its permission. • • •