Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
2022-074 PO 20230084- Just Bugs Pest Control
Purchase Order. • r a Fiscal Year 2023 Page: 1 of: 1 4N11 34n°fF°1I�7 t,`� ' n[� iEC` svltJltl r�� B City of Ashland L ATTN: Accounts Payable Purchase. L Ashlanda�OR 97520 Order# 0230084: T Phone: 541/552-2010 0 Email: payable@ashland.or.us • . V • H C/O Facilities Maintenance Div E JUST BUGS PEST CONTROL I 90 North Mountain Ave. • • N - PO BOX 746 p Ashland, OR 97520 EAGLE POINT, OR 97524 Phone: 541/488-5358 R O Fax: 541/552-2304 12 Iare [fnlil_Vk-eZ[:1 6 iETIT E ]9 e:=i5(Er ii4i I E 'fie Ir _3 15' r - David Arnold_ 07/28/2022 6348 FOB ASHLAND OR/NET30 CiY Accounts- Pa able �pp --- -_= --. r...rl'�� e]ale��7s� IsRP=d=�-- _.- - -.. __ —;;Ti-�.. ��ai i �J39 t;�F,�I� --3c�t7 z(=1 eE31�1§VAC�� Pest Control 1 Quarterly Pest Control (outside only) 4.0 QTR $1,700.00 '$6,800.00 Refer to attached for cost per location Total cost for quarterly application $1,700.00 Goods and Services Agreement(Less than $35,000) Completion date: 06/30/2023 • Project Account: *************** GL SUMMARY*************** 088400-602400 $6 800.00 • •• • • • L • By: ALADate: Authori ed Signature 0 Dj4- P.-Eilat 6 800.00 FORM #3 • CITY OF • ;iv e �' .g7 g ASHLAND . 1 '1.'=c,,ii r? i;;1(�:f. ,'1 u:.)},lit�fl%lti'; .it. ';i' REQUISITION . Date of request: 7/21/2022 • .-•\ Required date for delivery: Vendor Name Just Bugs Pest Control • Address,City,State,Zip PO Box 746, Eagle Point, OR 97524 Contact Name 4,Telephone Number Benjamin Ralston 541-292-6998 justbugsor@gmail.com Email address . SOURCING METHOD . ❑ Exempt from Competitive Bidding 0 Invitation to Bid ❑ 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 O 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 O Direct Award (Attach copy of council communication) Contract# O Verbal/Written quote(s)or proposal(s) 0 Request for Qualifications(Public Works) .❑ State of Washington . • 'Date approved by Council: Contract# _(Attach copy of council communication) ❑ Other government agency contract ; Intermediate Procurement ❑ Sole Source . Agency GOODS&SERVICES 0 Applicable Forni(#5,6,7 or8) Contract# Greater than$5,000 and less than$100,000 0 Written quote or proposal attached • Intergovernmental Agreement i • ® (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 D. Form#9,Request for Approval 0 '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 Pest control for FY23 $6,800.00, Item# Quantity Unit Description of MATERIALS Unit Price Total Cost . 1 $0 . $0.00 • $0 $0.00 $0 $0.00 . •❑ Per attached quotelproposal " TOTA•L'COST`" Project Number: Account Number:088400-602400 $$0.00. *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 . pro e all hardware and software purchases: IT Director . Date Support-Yes/No By signing this requisition form,1 certify that the City'.pu.• contracting requirements have been satisfied. Employee: ..,,,2e....2 .. Department Hee,. "i�� 'Z•u 3 :Ito o •reater than$5,000) . Department ManagerlSupervisor: City ana er: (Greater than$35,0�p) Aqi Funds appropriated for current fiscal year: gp NO f 71, I Finance Director-(Equal to or greater than$5,000) Dat i . i Comments: ' Form#3-Reaulsitlon • GOODS AND SERVICES AGREEMENT (LESS THAN$35,000) PROVIDER: Just Bugs Pest Control CITY 0 F PROVIDER'S CONTACT: Debra Kay Kenny • ASHLAND 20 East Main Street ADDRESS: PO Box 746,Eagle Point,OR 97524 • Ashland,Oregon 97520 ); Telephone: 541/488-5587 PHONE:• 541-292-6998 • Fax: 541/488-6006 EMAIL:justbugsor cr,gmail,com • • • This Goods and Services Agreement (hereinafter "Agreement") is entered into by and between the City of Ashland,an Oregon municipal corporation(hereinafter"City")and Just Bugs Pest Control,(assumed business name)("hereinafter"Provider"),for Insect Control(Quarterly Applications). 1. PROVIDER'S OBLIGATIONS 1.1 Provide Insect Control(Quarterly Applications).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 date1set forth in the SUPPORTING DOCUMENTS, and that no ' waiver or extension of such deadline may be authorized except in the same mariner 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 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;and • • Workers' Compensation. 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 Page I of 7: Goods and Services Agreement between the City of Ashland and Just Bugs Pest Control • • • Be evidenced,by a certificate or certificates of such insurance approved by the City. 1.3 Provider shall,at its own expense,maintain Worker's Compensation Insurance in compliance with ORS 656.017, which requires subject employers to provide workers' compensation coverage for all of its subject workers, • 1.4 Provider agrees that no person shall, on the grounds of race, color, religion, creed, sex,marital status, familial status or domestic partnership, national origin, age, mental or physical disability, sexual . orientation,•gender identity or source of income, suffer discrimination in the performance of this Agreement when employed by Provider, Provider agrees to comply with all applicable requirements of federal and 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 equipnient, 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 $24,050.68 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 following sums per location for up to four(4) quarterly applications as full compensation for the Work as specified in the SUPPORTING DOCUMENTS. • • Bugs Pest Control 'Bid Proposal for City of Ashland(Quarterly Pest Control,outside only) Location Pesticide Product Cost • 'City Hall • Taurus SC,Suspend SC $100 Commmnity Development Taurus SC,Suspend SC $100 • Police Contact Station - Taunts SC,Suspend SC S50 • • Fire Station I Taurus SC,Suspend SC $125 Service Center • Taurus SC,Suspend'SC $430 Police Taurus SC,Suspend SC $100 Justice Center(Municipal Court) Taurus SC,Suspend SC $100 Hardesty Property .Taurus SC,Suspend SC $185 Cemetery • Taurus SC,Suspend SC $160 • Fire Station 2 Taurus SC,Suspend SC ' $125 Airport Taurus SC,Suspend SC • $225 • Total cost for quarterly application $1700 • Page 2 of 7: Goods and Services Agreement between the City of Ashland and Just Bugs Pest Control • • 2.2 In no event shall Provider's total of all compensation and reimbursement under this Agreement exceed the sum of$6,800.00, sixty-eight hundred dollars, 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. • • 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. Page 3 of 7: Goods and Services Agreement between the City of Ashland and Just Bugs Pest Control • • • 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. 4. SUPPORTING DOCUMENTS' 4.1 The following documents are, bythis reference, expressly incorporated in this Agreement, and are collectively referred to in this Agreement as the"SUPPORTING DOCUMENTS:" • • The City's written Invitation to Bid dated May 19,2022, is attached as Exhibit B. • ' The Provider's complete written bid dated June 14;2022,is attached as Exhibit C. 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 ofan 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.tennination 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. Page 4 of 7: Goods and Services Agreement between the City of Ashland and Just Bugs Pest Control • 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 Jnne 30, 2023, unless sooner i 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 nail,return receipt requested,postage prepaid, to the address set forth below: If to the City: • G City of Ashland • • Attention: David Arnold Facilities Maintenance 90 N.Mountain Avenue Ashland,Oregon 97520 ' t Phone: (541)552-2292 With a copy to: City of Ashland • Attention: Legal Department • 20 E.Main Street Ashland,OR 97520 • L Phone: (541)488-5350 • r l` If to Provider: ' iJust Bugs Pest Control Attention:Debra Kay Kenny ' PO Box 746 Eagle Point,OR 97524 • • 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 t or not of the same.nature. ' t t i. Page 5 of 7: Goods and Services Agreement between the City of Ashland and Just Bugs Pest Control f • • 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. 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: JUST BUGS PEST CONTROL: •By: By: Lefire " % Signature enR— ��eVvZ�( 'f5�14..Se -w Printed Name Printed Name .� C�WvLe(r Title Title Z(r.?_e2 z COV/OG /2-Z-- Date . _Date Date epelg —9 is to be submitted with this signed Agreement) Purchase Order No. • Page 6 of 7: Goods and Services Agreement between the City of Ashland and Just Bugs Pest Control • CITY OF ASHLAND • INVITATION TO BID INTERMEDIATE PROCUREMENT -'Release date: May 19,2022 • • Requested by David Arnold '. Facilities Maintenance 90 N.Mountain,Ashland, OR 97520 • • 541-951-0292 david.arnold@ashland.or.us Bids are due by: - 2:00:00 PM(PST),Wednesday,June 8,2022 Project name: INSECT CONTROL (Quarterly Applications) Job site location: Various city-owned buildings Contract term: July 1,2022 to June 30,2023 Bids may be mailed,emailed or hand delivered.Contractors shall submit bid on their company letterhead. Informal email bids and/or late bids will not be accepted. The successful contractor will be required to enter into a.contract with the City for these services and provide insurance certificates in their own name for General Liability,Automobile and Workers'Compensation,including the City of • Ashland named as the additional insured for General Liability and Automobile.Workers'Compensation insurance is mandatory;unless exempt.Subcontracting will not be permitted. • SCOPE.OF SERVICES • Purpose:' Exterior Insect Control Product Applications . • Location: Various"city-owned buildings(Refer to attached list) • Frequency: Quarterly (One year term,up to 4 applications) • Application of Pesticides: o Exterior application areas include but are not limited to the following: building foundations; foundation cracks and crevices; eaves; and around doors and windows. o All pesticides shall be applied by,or under the supervision of an Oregon Certified Pesticide Applicator using the highest quality standards in accordance with Ashland Municipal Code Chapter 9.28 Pesticide Policy. o No application shall be made when wind,rain,temperature or other environmental conditions would likely cause the pesticide to drift off target or onto adjoining property per AMC 9.28.040(E).. • Pesticide product(s): " o Taurus S3883-279 .06%-OR-Suspend 432-763 .06%-OR-Equivalent - o Products shall be the safest,lowest toxicity products available per AMC 9.28.030(B). o No"restricted use"pesticides shall be used per AMC 9.28.030(B) .41 Form#2—Intermediate Procurement,Invitation to Bid,Trade Services,Page 1 of 2,5/18/2022 • • • • • Voluntary walk-through (Attendance is not mandatory to submit a bid): . • • Time and day: 8:00:00 AM,Wednesday,June 1,2022 Location: City of Ashland, Service Center, 90 N Mountain Avenue,Ashland. (Directions: Enter gate at intersection of B Street and North Mountain Avenue -OR- gate off E. Main Street next to The Grove (1195 E. Main Street). The gate passcode is posted next to the keypad at each point of entry.) • Please provide an official bid on your company letterhead, including the following information: • • V Provide a copy of your Oregon Certified Pesticide Applicator's certification. . • V Provide a detailed cost breakdown for each city-owned building and the total cost for a • complete quarterly application. • • V Provide pesticide product information: ■ Name of manufacturer • • • Name of product • ■• Product ingredients • Reason(s)for using the proposed product • • ■ Include any short and/or long-term adverse impacts upon humans, animals or plants.. . V Describe where and how the pesticide will be applied that will avoid any unnecessary contact with other areas'frequented by animals (dogs,deer, etc.),humans and venting for HVAC wall units,etc. V Provide a copy of your City of Ashland business license. • • ✓ Confirm in writing that you.will provide a detailed written record upon completion of each of the quarterly pesticide applications in.accordance with the requirements set forth in AMC • 9.28.040(F). . • If you have any questions and/or need additional information,you are welcome to call 541-552-2292 or email'david.arnold@ashland.or.us. Thank you. • David Arnold • Facilities Maintenance Method of Award: In accordance with ORS 279B.070,'Intermediate Procurement(4)If a contract is awarded, the contracting agency shall award the contract to the offeror whose quote or proposal will best serve . • the interests of the contracting agency, taking into account price as well as considerations including, but not limited to, experience, expertise,product functionality,suitability for a particular purpose and contractor . responsibility under ORS 279B:110. H:12022 ITB Insect Control Pesticide Application\ITB Insect Control Pesticide Application.doc • 2 • . EXHIBIT.0 Page 1 of 2 ' • - - .... _117 , ..- -::V7 ,ra i -- `PEST' �CONTROL PO BOX 746 • Eagle Point OR 97524 • Phone;541-292-6998 June 14,2022 E-mail:lustbugsor@gmail.com Bid Proposal for City of Ashland , Quarterly Pest Control,outside only . • • Location Pesticide Product Cost City Hall Taurus SC,Suspend SC $100 . Community Development Taurus SC,Suspend SC $100 • • Police Contact Station, Taurus SC,Suspend SC $50 Fire Station 1 Taurus SC,Suspend SC $125 . Service Center Taurus SC,Suspend SC $430 ' Police Taurus SC,Suspend SC $100 • Justice Center(Municipal Court) Taurus SC,Suspend SC $100 , Hardesty Property Taurus SC,Suspend SC $185 • - Cemetery Taurus SC,Suspend SC $160 i . Fire Station 2 Taurus SC,Suspend SC $125 Airport Taurus SC,Suspend SC $225 Total cost for quarterly application $1700 ' •. • Product:Suspend SC 432-763 .06% Manufacturer: Bayer Environmental Science i Ingredient:Deltamethrin 4.75% • • This product is micro-encapsulated which lasts longer and is more'effective for spiders.Used around foundation,eaves,and windows. There are no short-or long-term adverse impacts on humans once itis dry. • i Product:Taurus SC 53883-279.06% • Manufacturer:Control Solutions, Inc. Ingredients:fipronii 9.1% i We only use this product when there is evidence of ants in the area.Only used around the foundation. • There are no short-or long-term adverse impacts on humans once•it is dry. IjII • Product:Wisdom It Flowable 5481-520.06% ' II . Manufacturer:AMVAC Chemical Corporation - i Ingredients:Bifenthrin 7.9% 1 ' This product is used inside along baseboards with a pin spray for any pests inside. • • • CITY OF ASHLAND BUSINESS REGISTRATION ,as 'For Services Provided in the City of Ashland,Oregon Only" Expiration Date l 6/30/2023 This is a registration only. It is—the sole responsibility of the applicant to ensure • compliance with all applicable federal, state, and local laws, ordinances, or regulations, Business Account ID • Renewal-fees wit automatically apply each year on July 1 unless the •City is notified that you are no longer doing business In Ashland. 14004706 • • - Business Location • • 12442 MEADOWS RD • WHITE CITY,OR 97503-9543 JUST BUGS PEST CONTROLS • • PO BOX 746 • EAGLE POINT,OR 97524-0681 2022 - 2023 • • • NOT TRANSFERABLE OR ASSIGNABLE. • For ell Inquiries rogardlne cartlfloata,contact MIL Busingss Support Contnr 164111331-21$0 70.2E POSTED INA CONSPICUOUS PLACE • • , JUST BUGS PEST CONTROLS: . • Thank you for your payment on your City of Ashland Business Registration.ALL CERTIFICATES MUST BE AVAILABLE FOR INSPECTION UPON REQUEST.If you have questions concerning your business registration,contact the Business • Support Center via email at:ashlandor€!hdigov.com or by telephone at:(541)304-2190, Keep this bottom portion of your certificate separate in case you need a replacement for any lost,stolen,or destroyed certificate.A fee may be charged for a replacement or duplicate certificate. • • • • • • • BUSINESS SUPPORT CENTER © c Kill S I 8839NCEDARAVE#212 City a Ashland ,a FRESNO,CA 93720-1832 O • BUSINESS REGISTRATION • • • • JUST BUGS PEST CONTROLS Account Number: /4004708 PO BOX 746 EAGLE POINT,OR 97524-0681 Date of Issue: 07/01/2022 • Form 4124 Rev 11/19 OREGON DEPARTMENT OF AGRICULTURE Printed: 01/04/2022 , 635 CAPITOL ST NE,SUITE 100 ' SALEM,OR 97301-2532 • POST THIS LICENSE IN A CONSPICUOUS PLACE • JESSE LEIMAS 3190 TIMOTHY AVE MEDFORD OR 97504 • • CATEGORIES OF LICENSES • • LICENSE NUMBER DATE ISSUED DATE EXPIRES IIHS-General Pests • AG-L10648480PA 01/03/2022 12/31/2022 " • Commercial Pesticide Applicator - •. Certification Period: 12/09/2019•thru 12/31/2024 • . • Form 4124 Rev 11/19 OREGON DEPARTMENT OF AGRICULTURE Printed: 01/04/202 635 CAPITOL ST NE,SUITE 100 • • SALEM,OR 97301-2532 . • • •POST THIS LICENSE IN A CONSPICUOUS PLACE • BENJAMIN RALSTON 0 • . 2217 ROBERTS RD • MEDFORD OR 97504 • • • • • CATEGORIES OF LICENSES LICENSE NUMBER DATE ISSUED DATE EXPIRES IIHS-General Pests AG-Li 044293CPA 01/03/2022 12/31/2022 • Commercial Pesticide Applicator • Certification Period: 01/01/2022 thru 12/31/2026 • • • • • • • • • • Form 1014 Rev 04/19 OREGON DEPARTMENT OF AGRICULTURE 635 CAPITOL ST NE,STE 100 • Printed: 01/05/2022 SALEM,OR 97301-2532 (503)9864550 POST IN A CONSPICUOUS PLACE JUST BUGS PEST CONTROL BUSINESS LOCATION DEBRA K KENNY JUST BUGS PEST CONTROL PO BOX 746. 12442 MEADOWS RD ' EAGLE POINT OR 97524 • WHITE CITY OR 97503 CATEGORIES OF LICENSES LICENSE NUMBER DATE ISSUED DATE EXPIRES /IHS-General Pests AG-L1020471CPO 01/04/2022 12/31/2022 /IHS-Structural Pests Commercial Pesticide Operator • • a . • • • • • • • • • • • • t - • r • .www.salf.com • . Saik . Oregon Workers' Compensation • Certificate of Insurance •• • Certificate holder: • •CITY OF ASHLAND , 20 EAST MAIN STREET • . ASHLAND,OR 97520 The policy of insurance listed below has been issued to the Insured named below for the policy period indicated.The insurance afforded by this policy is subject to all the terms,exclusions and conditions of . such policy;this policy ip subject to change or cancellation at any time. Insured . / Producer/contact . Debra Kenny United Insurance Agencies . • Just Bugs Pest Control United Insurance Agencies PO Box 746 _ 541.242.6464 workerscomp@uiaoregon.com Eagle Point,Or 97524-0746 . • Issued 06/02/2022 Limits of liability • Policy 882935 Bodily Injury by Accident $500,000 each accident Period 07/01/2022 to 07/01/2023 , Bodily Injury by Disease $500,000 each employee J • Body Injury by Disease $500,000 policy limit Description of operations/locations/special items All operations Important This certificate is issued as a matter of information only and confers no rights to the certificate holder.This certificate . does not amend,extend or alter the coverage afforded by the policies above.This l certificate does not constitute a contract between the issuing insurer,authorized representative or producer and the . certificate holder. • j? CANCELLATION: . SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE • THEREOF,NOTICE WILL BE DELIVERED TO THE POLICYHOLDER AND CERTIFICATE HOLDER IN ( ACCORDANCE WITH THE POLICY PROVISIONS AND OREGON LAW.SAIF WILL ENDEAVOR TO PROVIDE k WRITTEN NOTICE WITHIN 30 DAYS WHENEVER POSSIBLE. I. Authorized representative • C/ -4- t1 1 ' Chip Terhune • President and CEO • . l'. • . . . I' . l i1 . • 400 High Street SE Salem,OR 97312 t F:800.285.8525 f Policy_OLCA CertlficaleOflnsurance _ F:503.584.9812 1 • 1 ® , DATE(MM/DD/YYYY) . A 5RECERTIFICATE OF LIABILITY INSURANCE ��. 03/03/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS ' CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE.AFFORDED BY THE POLICIES • BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED ' • REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.' . ' IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must.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 CONTANAME CT Debbie Reed • f Insurance Marketplace,Inc PHONEo.Ext): (541)779-0177 (plc,Na); (541)772-8235 HON PO Box 278 • nt Amass: debbie@insmarket.com . INSURER(S)AFFORDING COVERAGE NAILS Medford • • OR 97501 INSURERA: Mesa Underwriters Specialty Insurance Co. 36838 INSURED INSURER B: • Debra Kenny DBA:Just Bugs Pest Control INSURER C: • PO Box 746 • INSURER D: INSURER E: Eagle Point OR 97524 INSURER F: COVERAGES CERTIFICATE NUMBER: • REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD • :. INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ' INSR TYPE OF INSURANCE Irmo WVp POLICY NUMBER (MM/DDY/YYYY) (MM/DD/ YYY) LIMITS • XI COMMERCIAL GENERA NLL/LIABIUTY • •EACH OCCURRENCE S 2,000,000 RENTED CLAIMS-MADE I OCCUR PREM SESO(Ea occurrence) S 100,000 MED EXP(Any one person) $ 5,000 A Y ' MP0046003016864 . 03/01/2022 03/01/2023 PERSONAL&ADV INJURY $ 2,000,000 •GE 'L AGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 . X POLICY. I Fla7 LOC . PRODUCTS-COMP/OP AGO S Included OTHER: S. • AUTOMOBILELWBILITY• COMBINED SINGLE LIMIT $ (Ea accident) ' ANY AUTO BODILY INJURY(Per person) S OWNED - SCHEDULED BODILY INJURY(Par accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PI20PEitTYDAMAGE •$ AUTOS ONLY _ AUTOS ONLY . (Per accident) S UMBRELLALIAB ' • _OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE • AGGREGATE $ BED I RETENTIONS ' 5 WORKERS COMPENSATION PER I 1 DTH• . AND EMPLOYERS'LIABILITY YIN STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE NIA E.L.EACH ACCIDENT $�' OFFICER/MEMBEREXCLUDED? I (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ • ' If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ II ' (' DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) €' City of Ashland,it's Officers,Agents and Employees are named as Additional Insured(s)per form CG 2012(04/13) . • F CERTIFICATE HOLDER • CANCELLATION - • SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE.THEREOF, NOTICE WILL BE DELIVERED IN City of Ashland,It's officers,Agents and Employees ACCORDANCE WITH THE POLICY PROVISIONS. 20 East Main.Street AUTHORIZED REPRESENTATIVE C t. Ashland OR 97520 �A I l ©1988-2015ACOR. CORPORATION. All rights reserved. Ci ACORD 25(2016/03) • The ACORD name and logo are registered marks of ACORD . F . • 1: • COMMERCIAL GENERAL LIABILITY • CG20330413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED IN.CONSTRUCTION.AGREEMENT WITH YOU This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART • A. Section II — Who'Is An Insured is amended to B. With respect to the insurance.afforded to these • include as an additional insured any person or additional insureds, the following additional organization for whom you . are performing exclusions apply: operations when you and such person or This insurance does not apply to: organization have agreed in writing in a contract or agreement that such person or organization be 1. "Bodily injury", "property damage" or"personal 'added as an additional insured on your policy. and advertising injury" arising out of the • Such person or organization is an additional rendering of, or the failure to render, any insured only with respect to liability for "bodily professional architectural, engineering or injury", "property damage" or "personal. and surveying services, including: advertising injury"caused, in whole or in part, by: a. The preparing, approving, or failing to 1. Your acts or omissions; or prepare or approve, maps,,shop drawings, opinions, reports, surveys, field orders, • 2. The acts or omissions of those acting on your change orders or drawings and • behalf; specifications; or in the performance of your ongoing operations for b. Supervisory, inspection, architectural or the additional insured. engineering activities. However, the insurance afforded to such additional This exclusion applies even if the'claims against insured: any insured allege negligence or other wrongdoing • 1. Only applies to the extent permitted by law; in the supervision, hiring, employment, training or and - monitoring of others by that insured, if the 2. Will not be broader than that which you are "occurrence" which caused the "bodily injury" or . required by the contract or agreement to "property damage", or the offense.which caused provide for such additional insured. the "personal and advertising injury", involved the person's or organization's status as an additional rendering of or the failure to render any A g professional architectural, engineering or • insured under this endorsement ends when your surveying services. operations for that additional insured are completed. • • • • • • CG 20 33 04 13 ©insurance Services Office, Inc., 2012 Page 1 of 2 Insured Copy • • • 2. "Bodily injury" or "property damage" occurring C. With respect to the insurance afforded to these ' after: additional insureds, the following is added to a. All work, including materials, parts or Section III—Limits Of insurance: equipment furnished in connection with The most we.will pay on behalf of the additional such work, on the project (other than insured is the amount of insurance: service, maintenance or repairs) to be 1. Required by the contract or agreement 'you performed by or on behalf of the additional have entered into with the additional insured; or insured(s) at the location of the covered operations has been completed;or 2. Available under the applicable Limits of b. That portion of"your work"out of which the Insurance shown in the Declarations; injury or damage arises has been put to its whichever is less, intended use by any person or organization This endorsement shall not increase the applicable other than another contractor or Limits of Insurance shown in the Declarations. subcontractor engaged in performing • operations for a principal as a part of the same project. • • • • • • ti Ir f it CG 20 33 0413 ©Insurance Services Office, Inc., 2012 Page 2 of 2 i • . • • • • r!y / DATE(MMIDDIYYYY) ACOCERTIFICATE OF LIABILITY INSURANCE 08104!2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS . • CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING'INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. • IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must 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/leu of such endorsement(s). PRODUCER CONTACT Debbie D Reed • Insurance Marketplace,Inc. IA/C..o.Eat). (541)779-0177 • FAX talc, (541)772-11235 1998 Sky Park Dr nooeess• debbie@insmarket.com Medford,OR 97501 INSURER(S)AFFORDING COVERAGE NAIC# INSURER Mutual of Enumclaw 14761 . INSURED • Debra Kenny INSURER B: • DBA:Just Bugs Pest Control INSURER C: PO Box 746 • INSURER D: Eagle Point,OR 97524 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:•00024546-394507 REVISION NUMBER:" 7 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 . ADDL SUER POLICY EFF POLICY EXP LIMITS • ' LTR INSD WVD POLICY NUMBER (MM/DDIWYY) IMMIDDIVYYYI I TYPE • COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S ' DAMAGE TO RENTED. CLAIMS-MADE OCCUR PREMISES(Ee occurrence) S • MED EXP(Any one person) 5 • PERSONAL 8 ADV INJURY S GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S POLICY I I JECT LOC , PRODUCTS-COMP/OP AGG' S OTHER: ' • S A AUTOMOBILE LIABILITY CPP0018707 07/31/2021 07/31/2022 (Ea aBitdeDtswGLE LIMIT s 1,000,000 ANY AUTO ' BODILY INJURY(Per person) S . OWNED SCHEDULED BODILY INJURY(Per accident) S '- AUTOS ONLY X AUTOS HIRED NON-OWNEDPROPERTY DAMAGE S AUTOS ONLY AUTOS ONLY (Per accident) _ S 1 . UMBRELLA LIAB u OCCUR ', ' - EACH OCCURRENCE S • EXCESS LIAB CLAIMS-MADE AGGREGATE S DED 1 RETENTION S _ S I WORKERS COMPENSATION PERTUTE , ETH AND EMPLOYERS'LIABILITY Y 1 N ' • ANY PROPRIETOR/PARTNER/EXECUTIVE ( I N/A E.L. •EACH ACCIDENT S OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE S If yes,describe under ' DESCRIPTION OF OPERATIONS below E.L.DISEASE-.POLICY LIMIT S • 1! 'DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) 'City of Ashland is additional insured • ' . c it . . ti P. . I r. CERTIFICATE HOLDER ' CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ( THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN t City of Ashland ACCORDANCE WITH THE POLICY PROVISIONS. G. 20 East Main Street h. Ashland,OR 97520 . . ' AUTHO ZED REPRESENT TIVE l I . " J "� f. E (DDR)1988-2015© ACORD CORPORATION. All rights reserved. kk ' ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD , I Printed by DDR on August 04,2021 at 10:56AM k c li . • • COMMERCIAL AUTO EA 99 10 11 13 • THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. 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 I —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 r "auto" for Liability Coverage under this • Coverage Form;and Any person or organization that you are •i required to include as an additional insured (2) Not used for business, farming or on this Coverage Form in a written contract ranching 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 in effect during wagon,pickup or van type designed for use the policy period is an"insured".for Liability ori public highways and subject to motor Coverage, but only for damages to which ' R 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 • P If Physical Damage Coverage is provided by this such person or organization ends. 'r. Coverage Form, the following types of vehicles are The Limits of Insurance applicable to the • also covered "autos" for Physical Damage Coverage: Additional Insured are those specified in the Lwritten 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 in addition • ,:, ' 1. Breakdown; . to the Limits of Insurance shown in the ,y 2. Repair; declarations for the Named-Insured. f3; Servicing; This Coverage does not apply to lessors of k leased"autos". t 4. "Loss";or - 5. Destruction. ' i IEA 99 10 11 13 Includes copyrighted material of Insurance Services Office,Inc.,with its permission Page 1 of 4 • e. Broadened Named Insured under this policy. No deductible applies to Any business entity newly acquired or this coverage. formed by you during the policy period (1) We will pay only for those expenses provided you own 51% or more •of,the incurred as a result of a covered "loss" business entity and the business is not occurring during the policy, period separately insured for .Business Auto beginning 24 hours after the"loss" and Coverage. Coverage is extended up to a • ending, regardless of the policy's • maximum of 90,days following acquisition • expiration, with the 'lesser of the or formation of the business entity or until following number of days: the end of the policy period, whichever (a) The number of days reasonably comes first. required to repair or replace the - f. Employee Hired Auto . covered "auto". If"loss" is caused • An"employee"of yours is an"insured"while by theft, this number of .days is operating an"auto" hired or rented under a added to the number of days It contract or agreement in that "employee's" • takes to locate the covered "auto" name, with your permission, while and return it to you;or performing duties related to the conduct of (b) 10 days. your business. (2) Our payment under this Coverage Paragraphs A.2.a.(2) and A.2.a.(4) are deleted and Extension (4.a.) Is limited to the lesser replaced with the following: of the necessary and actual expenses 2. Coverage Extensions incurred or the maximum amount shown,$250. a. Supplementary Payments (3) Coverage under this Coverage (2) Up to $2,500 for cost of bail bonds Extension (4.a.) does not apply while (including bonds for related traffic law there are spare or reserve "autos" violations) required because of an available to you for your operations. "accident"we cover. We do not have to furnish these bonds. The following is added to Paragraph A.4.: (4) All reasonable expenses incurred by c. Transportation Expenses - Theft of a the "insured" at our request, including Private Passenger Auto actual loss of earnings up to$300 a day In the event of "loss" to a covered private because of time off from work. passenger type "auto" caused by a total The following changes reviseSECTION III—PHYSICAL theft which is covered by Comprehensive or DAMAGE COVERAGE Specified Causes of Loss Coverage on this policy, we will pay up to $25 per day to a This coverage applies only for a covered "auto" for maximum of $500 for transportation which Physical Damage Coverage is provided for on expenses incurred by you as a result of that this policy. • "loss". The following is added to Paragraph A,3: (1) We will pay for transportation expenses Glass Repair—Waiver of Deductible incurred during the period beginning No deductible will apply to glass breakage if such 264 hours(11 days)after the"loss", glass is repaired in a manner acceptable to us (2) Regardless of;the policy's expiration, rather than replaced. our reimbursement of your Paragraph A.4.a. is deleted and replaced with the transportation expensesunder this Coverage Extension will end when the following: covered "auto" is returned to your use 4. Coverage Extensions or we pay for its"loss". a. Limited Rental Reimbursement or Travel (3) No deductible applies to this Coverage Expense . Extension. We will pay up to $25 per day to a d. Tapes,Records and Discs maximum of$250.for rental reimbursement' We will pay for "loss" to tapes, records, expenses for the rental of an"auto"or other compact discs, or other similar devices transportation expense incurred by you used with audio, visual or data electronic because of"loss"to a covered "auto"which devices.' is covered by Comprehensive, Specified Causes of Loss, or Collision coverage (1) We will pay only if the tapes, records, compact discs,or other similar devices: EA 99 10 11 13 Includes copyrighted material of Insurance Services Office,Inc.,with its permission Page 2 of 4 • (a) Are your property or that of a family . (d) Animals, private passenger"autos," member; or motorcycles,aircrafts, boats or any (b) -Are the property of an "employee" other motorized vehicles or their using a covered "auto" in your equipment, furnishings or business affairs at the time of the appurtenances. loss";and (e) Equipment or accessories while (c) Are in a covered "auto" which your Travel Trailer, "Camper" or sustains other covered "loss" under Motor Home Is leased or rented to Comprehensive or Collision any organization or any person coverage at the time of the"loss"to other than you or a family member. tapes, records, compact discs, or - (2) The maximum we will pay for "loss" is other similar devices. the lesser of: (2) The most we will pay for "loss" under (a) The actual cash value 'of the • • this Coverage Extension(4.d.)is$200. personal property at the time of (3) Physical Damage Coverage provisions "loss"; apply to this coverage, except that any (b) The cost of repairing the damage; deductible - applicable to or Comprehensive or Collision coverage • (c) The cost of replacing the.damaged does not apply to this Coverage personal property with other : Extension(4.d.). personal property of like kind, • • The exclusion referring to tapes, records, condition, quality and value. • discs or other similar audio, visual or data g. Vacation Expense Allowance electronic devices designed for use with audio, visual.or data electronic equipment We will pay you$.50 per day to a maximum does not apply. of$500 for extra expenses when a Travel e. Camper Bodies Trailer, "Camper" or Motor Home is a scheduled auto for physical damage In the event of a "loss" to a detached - coverage, and the Travel Trailer, "Camper" "camper," physical damage coverage will- or Motor Home: apply as if it were part of the covered"auto" (1) Isdamaged or destroyed and is on which it is rated. uninhabitable;and i I? f. Contents of a Travel Trailer, Camper or (2) While being used for vacation purposes Motor Home within the policy period. . When a Travel Trailer, "Camper" or Motor Extra •expenses must be supported by - Home is a scheduled auto for physical receipts or other valid evidence. I: damage coverage,we will pay up to $1,000li The following is added to Paragraph A.: for"loss" to personal property belonging to you or a family member that is within the 5. Extra Expense—Broadened Coverage . I Travel Trailer, "Camper" or Motor-Home. We will pay for the direct expense of the We will pay up to$250 for'"loss to personal returning of a stolen covered"auto"to you. We El property belonging to you or a family will pay only for those covered"autos"for which i' member that is outside the Travel Trailer, you carry Comprehensive or Specified Causes K "eror Motor Home. I; "Camper" of Loss Coverage. This coverage will only II (1) We will not pay for"loss"to: apply to vehicles recovered inside the 48 (a) Articles carried or held for sale • contiguous United States. This coverage does , l F! storage or repairs, or for later not apply to an"auto"we deem a total"loss". II� delivery;goods kept to show or sell; The following is added to Paragraph B.3.a.: k? or theatrical wardrobes. Airbag Coverage—Accidental Deployment (b) Business,store of office furniture or However, this exclusion does not apply to the equipment. unintended inflation of an airbag if the inflation - (c) Records or accounts, money, is caused by mechanical or electrical . t bullion,deeds,contracts,evidences breakdown. of debt,securities,tokens or tickets, I.' stamps in current use or . 4. manuscripts. k ' ' i' k c EA 99 10 11-13 Includes copyrighted material of Insurance services office,Inc.,with Its permission Page 3 of 4 I, • • • 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 are a 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: ' b. 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 "employee's" 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 B.5. e. 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 10 11 13 Includes•copyrighted material of Insurance Services Office,Inc.,with its permission • .Page 4 of 4