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HomeMy WebLinkAbout2021-015 PO 20210343- Cutting Edge Restoration CITY RECORDER Purchase Order risk Fiscal{[Year 2021 Page: 1 of: 1 Ell'=CY t .1 S_ _ �i�2-_..ktgk B, City of Ashland ATTN' Accounts Payable 1-• 20 20 E. Main Purchase 20210343 Ashland, OR 97520 • Order T Phone: 541/552-2010 O Email: payable@ashland.or,us • VH CIO Public Works Department ECUTTING EDGE RESTORATION • . 51 Winburn Way PO BOX 782 p Ashland, OR 97520 JACKSONVILLE, OR 97530 Phone: 541/488-5347 RT Fax: 541/488-6006 tzt4- 16. ,13'a �E'.:{a i f. €_t1 -:j:�- -i= `et:l:l e:lsllc� -_ 541 776-8507 Scott Fleur c— — u1�=_�ITiaea«s ��:1 r E��t1 faFY1=I:-==r1 �}-1: — '- - — 6T- — - -- �— tom- LII=�o-= --- �i�;=t=i=i=�=i���i�= _ � :u�t€ri_I.1�_{��:fle�=�=- --- 05/15/2021 888 FOB AS LAND 0 /NET30 Clt Accounts Pa able Annual cleaning recycle center 1 Annual cleaning of recycle center 1.0 $3,866.00 $3,866.00 Goods and Services Agreement(Less than$25,000) Completion date: June 30, 2021 Project Account: ***************GL SUMMARY******o*,****** 082400-602400 $3,866.00 • • • .�d 13y: .fi/.�. Date:0,06197/ — _ Aut orized Signature , dn, :.-___ $3,866.00 ),,ae.,,_ d...—Z- , E-371/7 . FORM #3 a.' ,,,, - / d 1 ? CITY OF ,. - ,SHLAND A request Purchase:for Order ileu '` fir r REQUISITION Date of request: i 05/06/2021 Vendor Name Cutting Edge Restoration Address,City,State,Zip 804 W,12111 Street Medford,OR 97601 Contact Name David Geigle ' Telephone Number 541-326-6131 Email address heavensdoor7 anicloud.com SOURCING METHOD ❑ Exempt from Competitive Bidding 0 Emergency • ❑ Reason for exemption: ❑ Invitation to Bid (Copies on file) 0 Form 1113,Written findings and Authorization •. ❑ AMC 2.50 Date approved by Council: ❑ Written quote or proposal attached ❑ Written quota or proposal attached (Attach copy of council communication) (if council approval required,attach copy of CC) . ❑ Small Procurement Cooperative Procurement 1 Less than$5,000 0 Request for Proposal (Copies on file) 0 Stale of Oregon I=I Direct Award Date approved by Council _(Attach copy of council communication} Contract 11 0 VerbaiMrillen quote(s)or proposal(s) ❑ State of Washington Intermediate Procurement ❑ Sole Source Contract it GOODS&SERVICES ❑ Applicable Form(#5,6,7 orb) 0 Other government agency contract $5,000 to$100,000 0 Written quote or proposal attached Agency 0 (3)Written quotes and solicitation attached 0 Form#4, Personal Services$5K to$75K Contract# PERSONAL SERVICES 0 Special Procurement Intergovernmental Agreement $5,000 to$75,000 0 Form#9,Request for Approval 0 Agency original contract approved by Council: El Less than$35,000,by direct appointment ❑ Written quote or proposal attached Date (Date) 0 (3)Written proposals/written solicitation Date approved by Council: _(Attach copy of council communication) ❑ Form 44, Personal Services$5K to$75K Valid until: (Date) Description of SERVICES Total Cost Annual cleaning of Recycle Center. $.3,866,00. . . Item# Quantity Unit f Description of MATERIALS Unit Price Total Cost TOTAL COST ® Per attached quotelproposal Project Number Account Number 0 8 2 4 0 0.6 0 2 4 0 0 $_,_ .... 3,0 6 6,0 0 Project Number _ Account Number - $_, , Project Number ___ Account Number - $_,___,_ __ __ `Expenditure must be charged to the appropriate account numbers for the Mond*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 nf^form,I certify that the City's public contracting requirements have been satisfied. le" 4417024 Employee:1JWIYW DUI AA .'�Q () Department Headit. ���a (t.u. orgreater tltan$5,000) Department ManageriSupervisor: City Administrator: (Eq al to or greater than$25,000) Funds appropriated for current fiscal year: �YFSfitUO r/ 1471 Deputy Finance Director-(Equal to rgreat man$5,000) Dale Comments; Form in-Requisition GOODS AND SERVICES AGREEMENT(LESS THAN$25,000) • PROVIDER: Cutting Edge Restoration CITY OF PROVIDER'S CONTACT: David Geigle ASHLAND 20 East Main Street ADDRESS: 804 W. 12th Street Ashland,Oregon 97520 Medford, OR 97501 Telephone:•541/488-5587 PHONE: 541-326-6131 Fax: 541/488-6006 This Services Agreement (hereinafter "Agreement") is entered into by and between the City of Ashland, an Oregon municipal corporation (hereinafter "City") and Cutting Edge Restoration, (an assumed business name) ("hereinafter"Provider"), for annual cleaning of Calle Guanajuato recycling structure. .1. PROVIDER'S OBLIGATIONS 1.1 Provide annual cleaning of Calle Guanajuato recycling structure 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 or policies of liability insurance including commercial general liability,insurance with a combined single limit, or'the equivalent, of not lessthan $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 roducts/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 cut 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: Agreement between the City of Ashland and Cutting Edge Restoration . . 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 $22,002.43 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. 2. CITY'S OBLIGATIONS 2.1 City shall pay Provider the sum of$3,886.00 as provided herein as full compensation for the Work as specified in the SUPPORTING DOCUMENTS. 22 In no event shall Provider's total of all compensation and reimbursement under this Agreement exceed the sum of$3,886.00 without express, written approval from the City official whose signature appears below,or such official's successor in office. Provider expressly acknowledges that no other person has authority to order or authorize additional Work which would cause this maximum sum to be exceeded and that any authorization from the responsible official must be in writing. Provider further acknowledges that any Work delivered or expenses incurred without authorization as provided herein is done at Provider's own risk and as a volunteer without expectation of compensation or reimbursement. 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 ofthe parties respecting the subject matter hereof. It supersedes all prior agreements,negotiations,and representations between the parties, whether written or oral. Page 2 of 6: Agreement between the City of Ashland and Cutting Edge Restoration 3.5 This Agreement maybe amended only by written instrument executed with the same formalities as this Agreement. ;s, _. _ ;j 3.6 The following laws of the State of Oregonare hereby incorporated by reference into this Agreement: ORS 279B,220,279B:230 and 279B235.• 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 sand 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 effectuatethis 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. 4. SUPPORTING DOCUMENTS The following documents are,by this reference,expressly incorporatedtinthis,Agreement;and are collectively referred to in this Agreement as the "SUPPORTING DOCUMENTS:" • The Provider's complete written Estimate dated April 20,2021. Page 3 of 6: Agreement between the City of Ashland and Cutting Edge Restoration 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-bi-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. I 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, 2021, 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: If to the City: City of Ashland—Public Works Department Attn: Kaylea Kathol 20 E. Main Street Ashland, Oregon 97520 Phone: (541)488-5587 With a copy to: City of Ashland—Legal Department 20 E. Main Street Ashland, OR 97520 Phone: (541)488-5350 If to Provider: Cutting Edge Restoration Page 4 of 6: Agreement between the City of Ashland and Cutting Edge Restoration Attn: David Geigle 804 W. 12th Street : • '. . Medford, OR 975011 __: • ! : 1 8. WAIVER OF-BREACH 1•••• , , , . 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: , ; c 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. Page 5 of 6: Agreement between the City of Ashland and Cutting Edge Restoration CITY OF ASHLAND: CUTTING EDG ;�� ORATION(PROVIDER): By: By: 019 sign .e Scar r-tuRY Printed Name Printed Name Pu vi 5 bl Eucrz._ owNiR 2./c9p€ lc2r4 Title itle S 411021 0C4 (Z._ CoZ( Date D to is to be submitted with this signed Agreement) Purchase Order No. • Page 6 of 6: Agreement between the City of Ashland and Cutting Edge Restoration Estimate Recycle Bin Center. 04/20/2021 Cutting Edge Restoration CCB Lic#194900 David Geigle +: , (541) 326-6131 Kaylea Kathol, Project Manager City of Ashland - Public Works/Engineering 51 Winburn Way, Ashland OR 97520 C: (541) 331-1144 I 0: (541) 552-2419 Scope of Work: I hereby propose to furnish all the materials and perform the labor necessary for the completion of the following: (1) Complete pressure washing of the interior of the Recycle Bin Storage area, top to bottom (2) Includes the entrance doors to the grease recycle area (3) Includes the recycle storage bins Note: It would be helpful to have all recycle bins outside of the Recycle Bin Storage area before pressure washing. Cutting Edge Restoration will provide Bark Bags and Oil Only Absorption Matts for the protection for the storm catch basins in the above designated areas and will remove them upon completion of work.All the side walks in the work areas will be coned to insure safety. Cutting Edge Restoration is not responsible for any contamination resulting from pressure washing services. Estimated time for completion is one to two days. All the above work will be preformed in a timely and substantial workmanlike manner for the sum of: Time, Labor and Materials: $3,866.00 Due on Completion: $3,866.00 Respectful) Submitted, D, id G-igle, Cutting Edge Restoration 4.0 1 • CERTIFICATION OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE REQUIREMENTS Contractor is exempt from the requirement to obtain workers compensation insurance pursuant to ORS 1`i r 656 for the following reason. Contractor is to initial the appropriate box as follows: eitf SOLE PROPRIETOR (hiit f]s) • Contractor is a sole proprietor,and • Contractor has no employees,and • Contractor will not hire employees or subcontractors to perform this contract. CORPORATION—FOR PROFIT (In.itials) ■ Contractor's business is incorporated;and • All employees of the corporation are officers and directors and have a substantial ownership interest*in the corporation,and • All work will be performed by the officers and directors;Contractor will not hire other employees or subcontractors to perform this contract. CORPORATION-NONPROFIT (Initials) ■ Contractor's business is incorporated as a nonprofit corporation,and • Contractor has no employees;all work is performed by volunteers,and • Contractor will not hire employees or subcontractors to perform this contract. PARTNERSHIP (Initials) ■ Contractor is a partnership,and • Contractor has no employees,and • All work will be performed by the partners;Contractor will not hire employees or subcontractors to perform this contract,and • Contractor is not engaged in work performed in direct connection with the construction,alteration,repair, improvement,moving or demolition of an improvement to real property or appurtenances thereto.** LIMITED LIABILITY COMPANY (Initials) ■ Contractor is a limited liability company,and • Contractor has no employees,and • All work will be performed by the members;Contractor will not hire employees or subcontractors to perform this contract,and • If Contractor has more than one member,Contractor is not engaged in work performed in direct connection with the co truction,alteration,repair,improvement,moving or demolition of an improvement to real property or f,urtenances thereto.** C � 0/V2,6, (Signature Cr Authorized Signer) (Date) os,jA11.t2 / p -io a— (Au rized Signer's Title) *NOTE: Under OAR436-50-050 a shareholder has a"substantial ownership"interest if the shareholder owns 10%of the corporation,or if less than 10%is owned,the shareholder has ownership that is at least equal to or greater than the average percentage of ownership of all shareholders. **NOTE: Under certain circumstances partnerships and limited liability companies can claim an exemption even when performing construction work. The requirements for this exemption are complicated. Consult with City Attorney's Office before an exemption request is accepted from a contractor who will perform construction work. i CUTTI-1.1 OP ID:GW 4 J DATE(MM/DD/YYYY) �� CERTIFICATE OF LIABILITY INSURANCE 04/29/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS 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 541-899-9535 fCtAMTACT George Wheeler The Insurance Center,Inc. PHONE 240 West C Street (A/C,No,Ext):541-899-9535 FAX 541-899-9532 P 0 Box 6 E-MAIL (ac,No): Jacksonville,OR 97530 ADDRESS: George Wheeler INSURER(S)AFFORDING COVERAGE NAIC.1/ INSURER A:Evanston Insurance Company INSURED INSURER B: Cutting Edge Restoration David Dein Geigle INSURER C: PO Box 782 Jacksonville,OR 97530 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP A JN.Sn WDI VD POLICY NUMBER IMMIDYYYYI (MMD/ IDYY1M LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR y 3AA473392 04/29/2021 04/29/2022 DAMAGE TO RENTED 100,000 PREMISES(Ea occurrence/ $ MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY 28-, LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY (Ea accidenDtSINGLE LIMIT) $ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOSIEONLY AUTNOSSWN p BODILY INJURY(Per accident), $ AUTOS ONLY _ ALQTOS ONLY ( ra ti?AMAGE $ $q UMBRELLA X OCCUR EACH OCCURRENCE _ $ _ X EXCESS LIAB CLAIMS-MADE Y EZXS3049656 04/29/2021 04/29/2022 AGGREGATE $ 1,000,000 DED RETENTION$ WORKERS COMPENSATION - _ $ AND EMPLOYERS'LIABILITY Y/N STATUTE ER Fi OAFFIPROPRIETOR/PARTNER/EXECUTIVEEMN/A E.L EACH ACCIDENT $ (Mandatory In NH) If yes,describe under E.L DISEASE-EA EMPLOYEE $ DESCRIPTION OF OPERATIONS below EL,DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may bo attached If more space Is required) City of Ashland,its elected officials,officers&employees are included as additional insureds.Coverage is both primary and non-contributory RE:Annual cleaning if waste disposal&recycling building at 51 Wmburn Way. • Blanket Endorsement to follow CERTIFICATE HOLDER CANCE LATION CITYASH SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Ashland ACCORDANCE WITH THE POLICY PROVISIONS. • 20 East Main St. Ask. Ashland,OR 97520 AUTHORIZEDREPRESENTATIVEGeorgea Wheeler i - - ACORD 25(2016/03) ©1 8-20,,: ' c aRD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of 'CORD COMMERCIAL GENERAL LIABILITY POLICY NUMBER: 3AA473392 MARKEL' EVANSTON INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM LIQUOR LIABILITY COVERAGE FORM OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE FORM PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE FORM SCHEDULE Additional Premium: $Included (Check box if fully earned 0) Please refer to each Coverage Form to determine which terms are defined.Words shown in quotations on this endorsement may or may not be defined in all Coverage Forms. A. Who Is An Insured is amended to include as an additional insured any person or entity to whom you are required by valid written contract or agreement to provide such coverage, but only with respect to"bodily injury","property damage" (including"bodily injury"and"property damage"included in the"products-completed operations hazard"),and"personal and advertising injury" caused, in whole or in part, by the negligent acts or omissions of the Named Insured and only with respect to any coverage not otherwise excluded in the policy. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. The insurance afforded to such additional insured will not be broader than that which you are required by the valid written contract or agreement to provide for such additional insured. Our agreement to accept an additional insured provision in a valid written contract or agreement is not an acceptance of any other provisions of such contract or agreement or the contract or agreement in total. When coverage does not apply for the Named Insured, no coverage or defense will apply for the additional insured. No coverage applies to such additional insured for injury or damage of any type to any"employee"of the Named Insured or to any obligation of the additional insured to indemnify another because of damages arising out of such injury or damage. B. With respect to the insurance afforded to these additional insured,the following is added to limits of insurance: The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the valid written contract or agreement; or 2. Available under the applicable limits of insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable limits of insurance shown in the Declarations. All other terms and conditions remain unchanged. • MEGL 0009-01 09 18 Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 1 with its permission. i 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 (2) You have agreed in writing in a contract or Condition and supersedes any provision to the agreement that this insurance would be contrary: primary and would not seek contribution Primary And Noncontributory Insurance from any other insurance available to the This insurance is primary to and will not seek additional insured. contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance;and • CG 20 01 0413 ©Insurance Services Office, Inc., 2012 Page 1 of 1