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HomeMy WebLinkAbout2022-068 PO 20230044- Advanced Door & Hardware .- Purchase Order ,., ,\,,A, i 'aftFiscal Year 2023 Page: 1 of: 1 CA Y RECORDER B City of Ashland . =.- a:. i _ " i!9 _ h 1 ` _ _ a � ATTN: Accounts Payable Purchase 20 E. Main )L Ashland, OR 97520 Order# 20230044 T Phone: 541/552-2010 O Email: payable@ashland.or.us V H C/O Facilities Maintenance Div E ADVANCED DOOR& HARDWARE 1 90 North Mountain Ave N 2990 FAR WEST AVENUE p Ashland, OR 97520 D MEDFORD, OR 97501 Phone: 541/488-5358 OT Fax: 541/552-2304 R ' O =-r7 vi.:1..rim-[ee-c m. -_YB a elm=„E.,.- a s-1..mz- u e I I I - � ” -{'� � _ wvar _ —_—_ _ . David Arnold EF• 1 O SrUenbrirC� fi $ 1-.75----!----;-1--.---- -I(3 e ile k=15= � 1.:----'-----7.771.?BR men _Ica --------.,,A 06/13/2022 6614 FOB ASHLAND OR/NET30 City Accounts Payable ' .ity :.....{ �'4-'-`�i'f`mmatiL ...Hi 0:2_s�_ -:4Atirz�=_..T ":* T�%,F.'.�eniME1-- _- 4.05 T- '�-t'-'-17:77;-.51M- Door 1S'l.Door Repair Services FY 23 1 Door repair and installation services FY 23 1.0 $5,000.00 $5,000.00 Goods and Services Agreement($35,000 or Less) Completion date: '06/301/2023 Project Account: ***************GL SUMMARY*************** , 088400-602400 $5,000.00 I I • 31Z4/ 7-1/7 kt- --0. = -- By: Date: _� Autho i ed Signature = .i4- . _ $5,000.00 1 ' , If rFORM #3CITY OF > 0 a � �'���for Purchase a .der.der01P�,� ASHLAND A ��a REQUISITION Date of request: 5/12/2022' Required date for delivery: Vendor Name Advanced Door&Hardware Address,City,State,Zip 2990 Far West Avenue,Medford,OR 97501 Contact Name&Telephone Number Daryl Kreutzer 541-941-8043 darl.advanceddoor@charter.net Email address SOURCING METHOD ❑ Exempt from Competitive Bidding 0 Invitation to Bid 0 Emergency• . ❑ Reason for exemption: Date approved by Council: 0 Form#13,Written findings and Authorization ❑ AMC 2.50 _(Attach copy of council communication) 0 Written quote or proposal attached ❑ Written quote or proposal attached (If council approval required,attach copy of CC) Z 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) ❑ 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 0 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 r ❑ Less than$35,000,by direct appointment 0 Special Procurement City Administrator.AMC 2.50.070(4) 1 ❑ (3)Written proposals&solicitation attached 0 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 Door repair and installation services 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 El Per attached quotelproposal . "TOTAL'COST Project Number: -_ _ Account Number:088400-602400 $.$U:00 `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 : tracing requirements have been satisfied. Employee: / Department Head: Sir 9(2 t-. qual or greater than$5,000) Department Manager!Supervisor: City Manager: . (Greater than$35,00. Funds appropriated for'current fiscal year://NO �,%-7-F____ Fin nce DI - qual to or greater than$5,000) Da e Comments: Form#3-Requisition 1 , 1 GOODS AND SERVICES AGREEMENT ($35,000 OR LESS) PROVIDER: Advanced Door&Hardware CITY OF PROVIDER'S ASH LAN D CONTACT: Daryl Kreutzer 20 East Main Street • Ashland,Oregon 97520 ADDRESS: 2990 Far West Avenue Telephone: 541/488-5587 Medford,OR 97501 Fax: 541/488-6006 PHONE: 541-941-8043 This Goods and Services Agreement (hereinafter "Agreement") is entered into by and between the City of Ashland, an Oregon municipal corporation (hereinafter "City") and Advanced Door & Hardware, (a domestic/foreign business corporation)("hereinafter"Provider"), for door repair and installation. 1. PROVIDER'S OBLIGATIONS 1.1 Provide door repair and installation 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 term of this Agreement and until City's final acceptance of all Work received hereunder,a policy orpolicies of liability insurance including commercial general liability insurance with a combined single limit, or the equivalent. of not Iess than $2,000,000 (two million dollars)per occurrence for Bodily Injury and Property Damage. 1.2.1 The insurance required in this Article shall include the following coverages: • Comprehensive General or Commercial General Liability, including personal injury, contractual liability,and products/completed operations coverage; and • Automobile Liability. 1.2.2 Each policy of such insurance shall be on an "occurrence" and not a "claims made"form,and shall: • Name as additional insured "the City of Ashland, Oregon, its officers, agents and employees" with respect to claims arising out of the provision of Work under this Agreement; • Apply to each named and additional named insured as though a separate policy had been issued to each,provided that the policy limits shall not be increased thereby; • Apply as primary coverage for each additional named insured except to the extent that two or more such policies are intended to "layer" coverage and, taken together, they provide total coverage from the first dollar of liability; • Provider shall immediately notify the City of any change in insurance coverage • Provider shall supply an.endorsement naming the City,its officers,employees and agents as additional insureds by the Effective Date of this Agreement; and • Be evidenced by a certificate or certificates of such insurance approved by the City. Page 1 of 6: Goods and Services Agreement between the City of Ashland and Advanced Door&Hardware r ' 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 state civil rights and rehabilitation statutes, rules and regulations. Further, Provider agrees not to discriminate against a disadvantaged business enterprise,minority-owned business,woman-owned business, a business that a service-disabled veteran owns or an emerging small business enterprise certified under ORS 200.055, in awarding subcontracts as required by ORS 279A.110. 1.5 In all solicitations either by competitive bidding or negotiation made by Provider for work to be performed under a subcontract, including procurements of materials or leases of equipment, each potential subcontractor or supplier shall be notified by the Providers of the Provider's obligations under this Agreement and Title VI of the Civil Rights Act of 1964 and other federal nondiscrimination laws. 1.6 Living Wage Requirements: If the amount of this Agreement is $22,310.46 or more, Provider is required to comply with Chapter 3.12 of the Ashland Municipal Code by paying a living wage,as defined in that chapter,to all employees performing Work under this Agreement and to any Subcontractor who performs 50% or more of the Work under this Agreement, Provider is also required to post the notice attached hereto as"Exhibit A"predominantly in areas where it will be seen by all employees. • 1.7 Assignment: Provider shall not assign this 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 4/15/2022 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, not to exceed amount of ENTIRE Agreement) without express, written approval from the City official whose signature appears below, or such official's successor in office. Provider expressly acknowledges that no other person has authority to order or authorize additional Work which would cause this maximum sum to be exceeded and that any authorization from the responsible official must be in writing. Provider further acknowledges that any Work delivered or expenses incurred without authorization as provided herein is done at Provider's own risk and as a volunteer without expectation of compensation or reimbursement. 3. GENERAL PROVISIONS 3.1 This is a non-exclusive Agreement. City is not obligated to procure any specific amount of Work from Provider and is free to procure similar types of goods and services from other providers in its sole discretion. Page 2 of 6: Goods and Services Agreement between the City of Ashland and Advanced Door&Hardware 1, 1 ' ` 1 3.2 Provider is an independent contractor and not an employee or agent of the City for any purpose. 3.3 Provider is not entitled to, and expressly waives all claims to City benefits such as health and disability insurance,paid leave,and retirement. 3.4 This Agreement embodies the full and complete understanding of the parties respecting the subject matter hereof. It supersedes all prior agreements,negotiations,and representations between the parties, whether written or oral. 3.5 This Agreement may be amended only by written instrument executed with the same formalities as this Agreement. 3.6 The following laws of the State of Oregon are hereby incorporated by reference into this Agreement: ORS 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 Provider and 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 Commercial 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: Good's and Services Agreement between the City of Ashland and Advanced Door&Hardware 1 1 1 4. SUPPORTING DOCUMENTS 4.1 The following documents are, by ,thus reference, expressly incorporated in this Agreement, and are collectively.referred to in this Agreement as the"SUPPORTING DOCUMENTS:" The Provider's complete written Quote dated April 15,2022. 4.2 This Agreement and the SUPPORTING DOCUMENTS shall be construed to be mutually complimentary and supplementary wherever possible. In the event of a conflict which cannot be so resolved,the provisions of this Agreement itself shall control over any conflicting provisions in any of the 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; 5.1.2 Withholding all monies due for the Work that Provider has failed to deliver within any scheduled completion dates or any Work that have been delivered inadequately or defectively; 5.1.3 Initiation of'an action or proceeding for damages, specific performance, or declaratory or injunctive relief; 5.1.4 These remedies are cumulative to the extent the remedies are not inconsistent,and City may pursue any remedy or remedies singly,collectively,successively or in any order whatsoever. 5.2 In no event shall City be liable to Provider for any expenses related,to termination of this Agreement or for anticipated profits. If previous amounts paid to Provider exceed the amount due, Provider shall pay immediately any excess to City upon written demand provided. 6. TERM AND TERMINATION 6.1 Term This Agreement shall be effective from the date of execution on behalf of the City as set forth below (the "Effective Date"), and shall continue in full force and effect until June 30, 2023, unless sooner terminated as provided in Subsection 6.2. 6.2 Termination 6.2.1 The City and Provider may terminate this Agreement by mutual agreement at any time. 6.2.2 The City may, upon not less than thirty (30) days'.prior written notice, terminate this Agreement for any reason deemed appropriate in its sole discretion. 6.2.3 Either party_may terminate this Agreement, with cause, by not less than fourteen (14) days' prior written notice if the cause is not cured within that fourteen (14) day period after written notice. Such termination is in addition to and not in lieu of any other remedy at law or equity. 7. NOTICE Whenever notice is required or permitted to be given under this Agreement, such notice shall be given in writing to the other party by personal delivery, by sending via a reputable commercial overnight courier, or by mailing using registered or certified United States mail, return receipt requested, postage prepaid, to the address set forth below: • Page 4 of 6: Goods and Services Agreement between the City of Ashland and Advanced Door&Hardware If to the City: 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 Ashland,OR 97520 Phone: (541)488-5350 If to Provider: Advanced Door&Hardware Attn:Daryl Kreutzer 541-941-8043 8. WAIVER OF BREACH One or more waivers or failures to object by either party to the other's breach of any provision,term,condition, or covenant contained in this Agreement shall not be construed as a waiver of any subsequent breach,whether or not of the same nature. 9. PROVIDER'S COMPLIANCE WITH TAX LAWS 9.1 Provider represents and warrants to the City that: 9.1.1 Provider shall, throughout the term of this Agreement, including any extensions hereof, comply with: (i) All tax laws of the State of Oregon, including but not limited to ORS 305.620 and ORS chapters 316,317, and 318; (ii) Any tax provisions imposed by a political subdivision of the State of Oregon applicable to Provider;and (iii) Any rules,regulations,charter provisions,or ordinances that implement or enforce any of the foregoing tax laws or provisions. 9.1.2 Provider, for a period of no fewer than six(6)calendar years preceding the Effective Date of this Agreement, has faithfully complied with: (i) All tax laws of the State of Oregon, including but not limited to.ORS 305.620 and ORS chapters 316,317,and 318; (ii) Any tax provisions imposed by a political subdivision of the State of Oregon applicable to Provider;and (iii) Any rules,regulations,charter provisions,or ordinances that implement or enforce any of the foregoing tax laws or provisions. • 9.2 Provider's failure to comply with the tax laws of the State of Oregon and all applicable tax laws of any political subdivision of the State of Oregon shall constitute a material breach of this Agreement. Further, any violation of Provider's warranty, as set forth in this Article 9, shall constitute a material breach of this Agreement. Any material breach of this Agreement shall entitle the City to terminate this Agreement and to seek damages and any other relief available under this Agreement,at law,or in equity. • { Page S of 6: Goods and Services Agreement between the City of Ashland and Advanced Door&Hardware 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: Advanced Do• & Hardware(PROVIDER): By: Signature ScoTrFe-cud- ioa2iL KaLL (?,JL_ Printed Name Printed Name potbLtr`. watt S DagctL p yt� Title Title T Itv)( r>- - I Date ' Z_02.-1___ Date (W-9 is to be submitted with this signed Agreement) Purchase Order No. v 74 T • Page 6(11'6: Goods and Services Agreement between the City of Ashland and Advanced Door&Hardware i f 7 Advanced Door & Hardware t "Hanging On Integrity" L...„� { �_ 1, Daryl W. Kreutzer Quote Lai ,, : " 1 Commercial Specialty Contractor W 2990 Far West Avenue Date: Quote#: 3 - 'moi a Medford,OR 97501 ? 6- s 4/15/2022 3176 .:, Fax:(541)773-2224 t Phone:(541)941-8043 . daryl.advanceddoor@charter.net I CCB#167520 City To: of Ashland Attn:Accounts Payable 20 East Main Street Ashland,OR 97520 Project: Description: Total: Service call during normal work hours-One tech: 102.00 Service call during normal work hours-Two techs: 15100 Service call during normal.work hours-Three techs: 204.00 These labor rates are valid July 1,2022 thru June 30, 2023. Thank you for your business. r-r--- \--/ J Total: $459.00 a i ItkE 4: AC R® DATE(MMIDD/YYYV) Le...------- CERTIFICATE OF LIABILITY INSURANCE 12103r2021 • 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 Debbie D Reed Insurance Marketplace,Inc, rarc°.No.Ext): (541)779-0177 FAX Not(541)772-8235 1998 Sky Park Dr AIL ADDRESS: debbie@insmarket.com Medford,OR 97501 •''INSURERIS)AFFORDING COVERAGE NAIC# INSURERA: Nationwide Mutual Ins Co 23787 INSURED 'INSURERB: SAIF Corporation Daryl Wayne Kreutzer DBA:Advanced Door&Hardware • INSURER C: • 2990 Far West Ave INSURER D: • Medford;OR 97501-1586 INSURERE: , INSURER F: • COVERAGES CERTIFICATE NUMBER: 00015761-1331697 REVISION NUMBER: 133 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 ADM SUER POLICY EFF POLICY EXP LTR • TYPE OF INSURANCE .' IgD wv0 s. POLICY NUMBER IMMIDDIYYYYI_LMMIDDFYYYJ., LIMITS • A X COMMERCIAL GENERAL LIABILITY Y ACPCU017586346705 12102/2021 12102/2022 EACH OCCURRENCE 5 1,000,000 TO CLAIMS-MADE X OCCUR PRSI RENTED PREEMMI ESES(Ee occurrence) $ 100,000 MED EXP(Any one person) $ 10,000 ' PERSONAL BADV INJURY S 1,000,000 G���///EN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 /y��IPOLICY r I JECT I I LOC • PRODUCTS-COMP/OP AGG s 2,000,000 OTHER: $ . AUTOMOBILE LIABIUTY COMBINED SINGLE LIMIT SI (Ea accident) • ANY AUTO BODILY INJURY(Per person) $ OWNED 1-SCHEDULED AUTOS ONLY AUTOS::, • • BODILY INJURY(Per accident) S _ - HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) $ $ A X UMBRELLA LIAR X OCCUR ACPCU017586346705 1210212021 1210212022 EACH OCCURRENCE S 2,000,000 ( EXCESS UAB CLAIMS-MADE AGGREGATE $ 2,000,000 • DEDRETENTIONS S 2,000,000 WORKERS COMPENSATION PER 0TH- ' •B AND EMPLOYERS'LIABILITY 775207 • 1110112021 11/01/2022 X STATUTE ER ANYY IPROPRIETOR PARTNERIE ECUTIVE YJ N f A .E.L EACH ACCIDENT S 500,000 EXCLUDED(Mandatory In NH) E•L.DISEASE-EA EMPLOYEE $ 500,000 I(yes,describe under • DESCRIPTION OF OPERATIONS below _ E.L.DISEASE-POLICY OMIT S 500,000 } DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached it more space Is required) City of Ashland additional insured • • . • • { CERTIFICATE HOLDER CANCELLATION r SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE t •• THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN City of Ashland ACCORDANCE WITH THE POLICY PROVISIONS. P, 90 N Mountain Ave • Ashland,OR 97520 AUTHO ZED REPRESENTATIVE 3 I E. /Lt. . (DDR) ©1988-2015 ACORD CORPORATION. All rights reserved. • • ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD Printed by DDR on December 03,2021 at 03:56PM • g • COMMERCIAL GENERAL LIABILITY NCG 72 46 0120 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - AUTOMATIC STATUS FOR OTHER PARTIES WHEN REQUIRED IN WRITTEN CONSTRUCTION. AGREEMENT - INCLUDING ONGOING OPERATIONS This endorsement modifies insurance provided under the following: • COMMERCIAL GENERAL LIABILITY COVERAGE PART • 'O A. Section II — Who Is An insured is amended to service, maintenance or repairs) to be co M include as an additional insured: performed by or on behalf of the o Ongoing Operations additional Insured(s)at the location of the 0 1. Any person or organization for whom you are covered operations has been completed: o performing-operations when you and such person or co or organization have agreed in writing in a b. that operation of"your work" out of which contract or agreement that such person or the injury or damage arises has been put organization be added as an additional insured on to its intended use by any person or your policy;and organization other than another 2. Any other person or organization you are required contractor or subcontractor engaged in performing operations for a principal as a to add as an additional insured under the contract or agreement described in Paragraph 1.above. part of the same project. Such person(s) or organization(s) is an additional B. Section II —Who Is An Insured is amended to insured only with respect to liability for "bodily include as an additional insured: injury", "property damage" or "personal and Products—Completed Operations advertising injury"caused, in whole or in part, by: Any person or organization with whom you have a. Your acts or omissions;or agreed in writing in a contract or agreement that b. The acts or omissions of those acting on such person or organization be added as an additional insured. on your policy with respect to your behalf, liability for "bodily injury" or "property damage" in the performance of your ongoing operations for caused, in whole or in part, by "your work" the additional insured. performed for such person or organization and However, the insurance afforded to such included in the "products-completed operations 'z additional insured described above: hazard". 0) a. Only applies to the extent permitted by However, the insurance afforded to such m law; and additional insured described above: b. Will not be broader than that which you a. Only applies to the extent permitted by are required by the contract or agreement law; and to provide for such additional insured. b. Will not be broader than that which you A person's or organization's status as an are required by the contract or agreement additional insured for ongoing operations ends to provide forsuch additional insured. when your operations for the person or C. With respect to the insurance afforded to these o organization described in Paragraph 1. above are additional insureds, this insurance does not apply completed. to "bodily injury", "property damage" or"personal co 03 With respect to insurance afforded to these and advertising injury"arising out of the rendering additional insureds for ongoing operations, this insurance does not apply to "bodily injury" or "property damage"occurring after. a. All work, including material, parts or equipment furnished in connection with such work, on the project (other than NCG 72 46 01 20 Includes copyrighted material of insurance Services Office,Inc with Its permission. Page 1 of 2 NCG 72 46 01 20 of, or the failure to render, any professional 1. Required by the contract or agreement described architectural, engineering or surveying services, in Paragraph A.1.or Paragraph B.; or including: 2. Available under the applicable Limits of Insurance 1. The preparing,approving,or failing to prepare shown in the Declarations; or approve, maps, shop drawings, opinions, whichever is less. reports, surveys, field orders, change orders This endorsement shall not increase the or drawings and specifications;or applicable Limits of Insurance shown In the 2. Supervisory, inspection, architectural or Declarations. engineering activities. E. With respect to the insurance afforded to these This exclusion applies even If the claims against additional insureds, the following is added to any Insured . allege negligence or other Section IV — Commercial General Liability wrongdoing in the supervision, hiring, Conditions, Condition 4. Other Insurance and employment, training or monitoring of others by supersedes any provision to the contrary: that insured, if the"occurrence"which caused the Primary And Noncontributory Insurance "bodily injury" or "property damage", or the offense which caused the "personal and This insurance is primary to and will not seek advertising injury", involved the rendering of, or contribution from any other insurance the failure to render, any professional available to an additional insured under your architectural, engineering or surveying services. policy provided that: (1) The additional Insured is a Named D. With respect to the insurance afforded to these Ensured under such other insurance;and additional insureds, the following is added to (2) You have agreed in writing in a contract Section III—Limits Of Insurance: or agreement that this insurance would The most we will pay on behalf of the additional be primary and would not seek insured is the amount of insurance: contribution from any other insurance available to the additional insured. All terms and conditions of this policy apply unless modified by this endorsement. • • • i I Page 2 of 2 Includes copyrighted material of Insurance Services Office,Inc with its permission, NCG 72 46 01 20 • • COMMERCIAL GENERAL LIABILITY CG 20 01 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance (1) The additional Insured Is a Named Insured Condition and supersedes any provision to the under such other insurance;and contrary: (2) You have agreed in writing In a contract or co Primary And Noncontributory Insurance agreement that this insurance would be M This insurance is primary to and will not seek primary and would not seek contribution contribution from any other insurance available from any other insurance available to the to an additional Insured under your policy additional insured. provided that: co coN • • Z m 0 n 0 0 0 0 cn CG 20 01 0413 @ insurance Services Office,Inc.,2012 Page 1 of 1 COMMERCIAL GENERAL LIABILITY NCG 7471 1216 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. • CONTRACTORS ENHANCEMENT ENDORSEMENT This endorsement modifies insurance provided under the following: • COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Lost Key Coverage (4) Personal property in the care 1. Under Section I — Coverages, Coverage A custody, or control of the insured: Bodily Injury And Property Damage (a) For storage or sale at premises Liability, coverage is extended to include the you own,rent,or occupy;or following: (b) While being transported by any r,i If a customer's master or grand key, aircraft, "auto", or watercraft excluding electronic key card, is lost, owned or operated by or rented rn damaged, or stolen while in your care, to or loaned to any insured. o custody, or control we,will pay the cost of c. The coverage provided by this replacing the keys including the master lock o endorsement does not apply to"property o and all keys used in the same lock,the cost of damage": co adjusting locks to accept the new keys, or the rn cost to replace the locks,whichever is less. (1) Arising out of the disappearance or cr loss of use of personal property;or 2. Limit of Insurance—For the purpose of this (2) included in the "products-completed the most we will pay is $10,000 per operations hazard". occurrence. 2. Limit of Insurance-The most we will pay for B. Voluntary Property Damage loss arising out of any one"occurrence"Is 1. Under Section I — Coverages, Coverage A $5,000. Bodily Injury And Property Damage Liability, 3. Deductible-Our obligation to pay for a coverage is extended to include the following: covered loss applies only to the amount of ?'; At your request,we will pay for"property damage" loss in excess of$250. to property of others caused by you and while in We will pay the deductible amount to effect your possession, arising out of your business operations and occurring during the policy period. settlement of any claim or"suit'and upon notification having been taken you shall 2. Limit of Insurance—For the purpose of this promptly reimburse us for the deductible as coverage the most we will pay is$1,500. has been paid by us. C. Non-Owned Watercraft This insurance is primary to any expanded z Under Section. I. — Coverages, Coverage A damage coverage provided by a separate c Bodily Injury. And Property,Damage Liability, endorsement attached to this policy,and it will m 2. Exclusions Exclusion g.:Aircraft, Auto Or supplant any deductible in said endorsement. o Watercraft Paragraph(2) (a)is replaced with: E. Damage To Premises Rented To You o (a) Less than 51 feet long;and 1. Section<I—Coverages, Coverage A Bodily -< D. Expanded Property Damage Coverage • Injury And Property Damage Liability, the 1. For the purposes of this endorsement only: last paragraph of 2. Exclusions is replaced Section 1 — Coverages, Coverage A with: Bodily Injury And Property Damage If Damage To Premises Rented To You is not o Liability, 2. Exciusions, Exclusion j, otherwise excluded, Exclusions c. through n. o Damage To Property is amended as follows: do not apply to damage by fire, lightning, o explosion, smoke, or sprinkler leakage to 0. a. Paragraphs(3),(5),and(6)are deleted in their entirety. premises while rented to you or temporarily occupied by you with permission of the b, Paragraph(4)Is deleted in its entirety and owner: A separate limit of insurance applies replaced with: to this coverage as described in Section III- Limits Of Insurance. NCG 74 71 1216 Includes copyrighted material of Insurance Services Office,Inc.,with Its permission. Page 1 of 4 MCG 74 71 1218 2. Under Section Ill — Limits Of Insurance, be added as an additional insured on your Paragraph 6.is replaced with: policy during the policy period shown in the 6. Subject to 5. above, the Damage To Declarations. Premises Rented To You Limit is the The person or organization added as an most we will pay under Coverage A for insured by this endorsement is an insured damages because of "property damage" only for liability due to: to any one premises, while rented to you, a. Lessors of Leased Equipment with or in the case of damage by fire,lightning, respect to their liability for"bodily Injury", explosion, smoke or sprinkler leakage, "property damage",or"personal and while rented to you or temporarily advertising injury",caused In whole or in occupied by you with permission of the part by your maintenance, operation or owner. The limit is increased to use of equipment leased to you by such $1,000,000. person(s)or organization(s). This insur- 3. Under Section IV — Commercial General ance does not apply to any"occurrence" Liability Conditions, Condition 4. Other which takes place after the equipment Insurance, b. Excess insurance (1) (a) (Ii) lease expires. is replaced with: However, their status as additional (Ii) That is Fire, Lightning, Explosion, insured under this policy ends when their Smoke, or Sprinkler leakage lease, contract, or agreement with you for insurance for premises rented to you such leased equipment expires. or temporarily occupied by you with b. Managers or Lessors of Premises with permission of the owner. respect to liability arising out of the ownership, maintenance,or use of that F. Supplementary Payments part of the premises you own,rent,lease, Under Section I — Coverages, Supplementary or occupy. L; Payments — Coverages A and B Paragraphs This insurance does not apply to: 1.b. and 1.d.are replaced with: b. Up to $2,500 for colt of ball bonds (1) Any "occurrence" which takes place after you cease to be a tenant in that required because of accidents or traffic premises. law violations arising out of the use of any vehicle to which the Bodily Injury Liability (2) Structural alterations, new con- Coverage applies. We do not have to struction or demolition operations furnish these bonds. performed by or on behalf of the person or organization. d. All reasonable expenses incurred by the However, their status as additional insured at our request to assist us in the investigation or defense of the claim or insured under this policy ends when you "suit", including actual loss of earnings up cease to be a tenant of such premises. to $500 a day because of time off from c. State or Political Subdivision—Permits work. Relating to Premises—with respect to the following hazards for which the state G. Newly Formed And Acquired Organizations or political subdivision has issued a Under SECTION 11 — WHO IS AN INSURED permit or authorization In connection with Paragraph 3.a.Is replaced with: premises you own,rent or control and to a. Coverage under this provision is afforded which this insurance applies: only until the 180th day after you acquire (1) The existence, maintenance, repair, or form the organization or the end of the construction, erection, or removal of policy period,whichever Is earlier; advertising signs, awnings, canopies, H. Additional Insured — Automatic Status When cellar entrances, coal holes, Required In An Agreement Or Contract With driveways, manholes, marquees, You hoist away openings, sidewalk vaults, Section II —Who Is An Insured is amended to street banners, or decorations and include: similar exposures;or 1. Any person(s) or organization(s)described in (2) The construction, erection,or removal Paragraphs a. — d. below with whom you of elevators;or have agreed in writing in a contract or written (3) If coverage provided to the additional agreement that such person or organization Insured is required by a contract or agreement the insurance afforded to Page 2 of 4 Includes copyrighted material of Insurance Services Office,Inc.,with Its permission. NCG 74 71 12 16 NCG 74 71 1216 such additional insured will not be location of the covered operations broader than that which you are has been completed;or required by the contract or agreement (b) That portion of"your work" out of to provide for such additional insured. which the injury or damage arises This insurance does not apply to: has been put to its intended use (1) "Bodily injury" or "property damage" by any person or organization or "personal or advertising injury' other than another contractor or arising out of operations performed subcontractor engaged in for the state or municipality;or performing operations for a (2) "Bodily injury" or "property damage" principal as a part of the same included within the "products- project. completed operations hazard". However, a person or organization's However, such state or political status as additional insured under this subdivision's status as additional insured policy ends when your operations for under this policy ends when the permit that additional insured are completed. N ends. With respect to the insurance afforded to such a d. Owners, Lessees, or Contractors with additional insureds a. — d. described above ,� the following is added to the Section IiI — r„ respect to liability for "bodily injury", Limits Of Insurance: o "property damage" or "personal and o advertising injury" caused, in whole or in If coverage provided to the additional insured part,by: is required by a contract or agreement, the co most we will pay on behalf of the additional rn (1) Your acts or omissions;or co insured is the amount of insurance: N (2) The acts or omissions of those acting 1. Required by the contract or agreement;or on your behalf; 2. Available under the applicable Limits of in the performance of your ongoing Insurance shown in the Declarations; operations performed for that additional insured, whether the work whichever is less. is performed by you or on your This endorsement shall not increase the behalf. applicable Limits of Insurance shown in the The insurance does not apply to: Declarations. "'. L However, the insurance afforded to such '• (1) "Bodily Injury", "property damage", or 'r "personal and advertising injury' additional Insureds a.—d.described above: arising out of the rendering of or the 1. Only applies to the extent permitted by failure to render any professional law;and architectural, engineering, or survey 2. Will not be broader than that which you services, including: are required by the contract or agreement (a) The preparing, approving, or to provide such additional insured. z failing to prepare or approve I. Aggregate Limit Per Project maps, shop drawings, opinions, Under Section III — Limits Of Insurance The m reports, survey, field orders, following paragraph is added to Paragraph ph 2: 0 change orders, or drawings and o specifications:or The General Aggregate Limit under Section III { (b) Supervisory, inspection, archi- Limits Of insurance applies separately to each of tectural or engineering activities. your construction projects away from premises owned by or rented to you. (2) "Bodily injury" or "property damage" occurring after: J. Knowledge Of An Occurrence o (a) All work, including materials, Under Section IV — Commercial General Liability Conditions, the following Is added to o parts, or equipment furnished in Condition 2. Duties In The Event Of m connection with such work,on the project (other than service, Occurrence,Offense,Claim Or Suit: maintenance or repairs) to be e. Knowledge of an occurrence, offense, claim, performed by or on behalf of the or suit by an agent or employee of any additional insured(s) at the insured shall not In itself constitute knowledge of the insured unless you, a partner,if you are NCG 74 71 12 16 Includes copyrighted material of Insurance Services Office,Inc.,with Its permission. Page 3 of 4 NCG 74 71 1216 a partnership; or an executive officer or If required by a written contract executed prior to insurance manager, if you are a corporation loss, we waive any right of subrogation we may receives such notice of an occurrence, have against the contracting person or offense, claim or suit from the agent or organization because of payments we make for employee. injury or damage arising out of your ongoing f. The requirements in Paragraph b. will not be operations or "your work" done under a contract considered breached unless there is with that person or organization and Included in knowledge of occurrence as outlined in the"products-completed operations hazard". Paragraph e.above. M. Liberalization K. Unintentional Failure To Disclose Hazard Under Section IV — Commercial General Under Section IV — Commercial General Liability Conditions, the following condition Is Liability Conditions, Condition 6. added: Representations the following paragraph is 10. Liberalization added: If we revise this coverage form to provide d. Your failure to disclose all hazards or prior more coverage without additional premium "occurrences" or offensesexisting as of the charge,your policy will automatically provide inception date of the policy shall not prejudice the additional coverage as of the day the the coverage afforded by this policy provided revision is effective in your state. such failure to disclose all hazards or prior N. Broadened Bodily Injury Definition (Mental "occurrences" or offenses is not intentional. Anguish) This provision does not affect our right to collect additional premium or exercise our Under Section V — Definitions, Definition 3. right of cancellation or non-renewal. "Bodily Injury"is replaced with: L. Waiver Of Subrogation 3. "Bodily injury" means physical injury, Under Section IV — Commercial General sickness,or disease to a person and if arising Liability Condition, 8. Transfer Of Rights Of out of the foregoing, mental anguish, mental Recovery Against Others To Us, the following Injury, shock, or humiliation, Including death paragraph is added: at any time resulting therefrom. All terms and conditions of this policy apply unless modified by this endorsement. • Page 4 of 4 Includes copyrighted material of Insurance Services Office,Ina.,with its permission. NCG 74 71 12 16 AlIstate. • You're in good hands. CI CW A02 10 11 CERTIFICATE OF INSURANCE • This certificate Is issued for informational purposes only.It certifies that the policies listed in this document have been issued • to the Named Insured.It does not grant any rights to any party nor can it be used,in any way, to modify coverage provided • by such policies.Alteration of this certificate does not change the terms,exclusions or conditions of such policies.Coverage • is subject to the provisions of the policies,including any exclusions or conditions,regardless of the provisions of any other contract, such as between the certificate holder and the Named Insured.The limits shown below are the limits provided at the policy inception.Subsequent paid claims may reduce these limits. Certificate Holden Named Insured: CITY OF ASHLAND DARYL KREUTZER • 90 N MOUNTAIN AVE 2990 FAR WEST AVE ASHLAND, OR USA 975202019 MEDFORD OR 97501-1586 •• Automobile Liability • { Insurer Name:Allstate Insurance Company Policy Number. 048817641 X 1-My Auto 2-Owned Autos Only 3-Owned Priv.Pass.Autos Only 4-Owned Autos Other Than Priv. X 5-Owned Autos Subject to 6-Owned Autos Subject to a Compulsory UM Law Pass.Autos Only No Fault X 7-Specifically Described Autos 18-Hired Autos Only 9-Nonowned Autos Only Policy Effective Date: 09-21-2022 Policy Expiration Date: 09-21-2023 • • Limits of $2,000,000 • Combined Single Limit(each accident) Insurance: BI Per Person .. B1 Per Accident PD Per Accident • Description of Operations!Locations/VehicleslEndorsements/Spedal Provisions Interested Party Type: Additional Insured - Municipality THIS CERTIFICATE DOES NOT GRANT ANY COVERAGE OR RIGHTS TO THE CERTIFICATE HOLDER IF THIS CERTIFICATE INDICATES THAT THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED,THE POLICY(IES)MUST EITHER BE ENDORSED OR CONTAIN SPECIFIC LANGUAGE PROVIDING THE CERTIFICATE HOLDER WITH ADDITIONAL INSURED STATUS.THE CERTIFICATE HOLDER ISANADDITIONAL INSURED ONLY TO THE EXTENT INDICATED IN SUCH POLICY LANGUAGE OR ENDORSEMENT. . • Producer. DAVID W MARTIN Authorize rese We: //IV • Date:05-05-22 Includes copyrighted material of Insurance Services Office,Inc.,with its permission • CI CW A02 10 11 Allstate Insurance Company • Page 1 of 1 Insured Full Copy R2853.2 • • I Allstate. You're in good hands, POLICY NUMBER 0 4 8 817 6 41 COMMERCIAL AUTO CA 20 48 10 13 • THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s) or organization(s)who are'Insureds"for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided In the Coverage Form. This endorsement changes the policy effective on the Inception date of the policy unless another date is indicated below. Named Insured: DARYL KREUTZER Endorsement Effective Date: 0 5—0 5—2 0 2 2 • SCHEDULE Name Of Person(s)Or Organization(s): CITY OF ASHLAND 90'N MOUNTAIN AVE ASHLAND, OR USA 975202014 Information required to complete this Schedule,if not shown above,will be shown in the Declarations. Each person or organization shown in the Schedule is an'insured"for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph A.1. of Section II— Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I — Covered Autos Coverages of the Auto Dealers Coverage Form. CA 20 48 10 13 ®Insurance Services Office,Inc.,2011 Page 1 of 1 R2853-2