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HomeMy WebLinkAbout2021-136 PO 20220187- Cascade Charter Company LLC Purchase Order Di ,as Fiscal Year 2022 Page: 1 of: 1 B City of Ashland r. = IATTN: Accounts Payable Purchase L 20 E. Main 20220187 Ashland, OR 97520 Order# T Phone: 541/552-2010 ' i - O Email: payable@ashland.or.us • ✓ H C/O Public Works Department E CASCADE CHARTER COMPANY, LLC I 51 Winburn Way N 2800 BIDDLE ROAD p Ashland, OR 97520 D MEDFORD, OR 97504 Phone: 541/488-5347 R R T Fax: 541/488-6006 — _ - i-dora tioi e r . ==T= eriWeUtft* ifiit►ir-t51q � -__ _�e r g .vim - Scott Fleury t s1tB riff eta_ YES-9L6`rak' ®'[iCT af@ u_-;Z=___7:-"'e. ..r'g g 6(_a.l ------:-= -.._ E--4i d7c e1=1f I--0 el 1011, 11/09/2021 2712 FOB ASHLAND OR/NET30 City Accounts Payable -_ - _ _— _ _ —� Wit. �.*:E����;� - ---- --_. ����� -� . -� �_�n77tri e��P-6.1P. Appraisal Briscoe School 1 Appraisal of City owned properties (Briscoe School) 1.0 $5,475.00 $5,475.00 Personal Services Agreement(Less than $25,000.00) Completion date: April 3, 2021 Project Account: *************** GL SUMMARY*************** 088400-604100 $5,475.00 � s:� - t p.� � ___ _ ..0,_ -,..___ . By: Date: 17--„q / , Authorized Signature 0_ __:- .5 475.00 ' FORM #3 CITY OF A request for a Purcha° -f%'%er,-a 49 l e 7 ASHLAND REQUISITION Date of request: 10!1512021 t Required date for delivery: Vendor Name Cascade Charter Company,LLC Address,City,State,Zip 2800 Biddle Road Medford,OR 97504 Contact Name&Telephone Number Gregory Schuler 541-776-7530 Email address SOURCING METHOD ❑ Exempt from Competitive Bidding ❑ Emergency ❑ Reason for exemption: ❑ Invitation to Bid ❑ Form#13,Written findings and Authorization ❑ AMC 2.50 Date approved by Council:_ 0 Written quote or proposal attached El Written quote or proposal attached ,_•(Attach copy of council communication) (If council approval required,attach copy of CC) O Small Procurement ❑ Request for Proposal Cooperative Procurement Not exceeding$5,000 Date approved by Council: ❑ State of Oregon O Direct Award _(Attach copy of council communication) Contract# ❑ Verbal/Written bid(s)or proposal(s) ❑ Request for Qualifications(Public Works) ❑ State of Washington Date approved by Council: Contract# _(Attach copy of council communication) 0 Other government agency contract Intermediate Procurement -❑ Sole Source Agency GOODS&SERVICES 0 Applicable Form(#5,6,7 or 8) Contract# Greater than$5,000 and less than$100,000 0 Written quote or proposal attached Intergovernmental Agreement O (3)Written bids&solicitation attached 0 Form#4,Personal Services$5K to$75K Agency PERSONAL SERVICES 0 Special Procurement 0 Annual cost to City does not exceed$25,000. Greater than$5,000 and less than$75,000 0 Form#9,Request for Approval Agreement approved by Legal and approved/signed by ■❑ Less than$35,000,by direct appointment 0 Written quote or proposal attached City Administrator.AMC 2.50.070(4) ❑ (3)Written proposals&solicitation attached Date approved by Council: 0 Annual cost to City exceeds$25,000,Council ❑ Form#4,Personal Services$5K to$75K Valid until: (Date) approval required.(Attach copy of council communication) Description of SERVICES Total Cost Appraisal of City owned properties(Briscoe School) 5,475 00 Item# Quantity Unit Description of MATERIALS Unit Price Total Cost ❑� Per attached quote/proposal 9TOTAL COST $` 7 Project Number Account Number 0 8 _ �4 0 0-6 0 4 1 0 0 Account Number - Account Number - *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,l certifythat the he�Ciitt�y's public contracting requirements have been satisfied. • Employee:�G �� �&1'1'��i!,l'if� 'am Department Head; o or greater!Sakiibl $5,000) Department Manager/Supervisor: City Administrator: . (Equal to or greater than$25,000) Funds appropriated for current fiscal year: YES / NOll —21 Fi ance irector-(Equal to or greater than$5,000) Date Comments: Form#3-Requisition • Kariann Olson From: Kariann Olson Sent: Tuesday;November 09,2021 12:27 PM To: Tami Campos Cc: Kariann Olson Subject: Just a heads up... Hello Tami, Just a heads up. . . . New contracts reference—less than$35K or greater than$35K—it is no.longer$25K. Also, I have gone ahead and changed the OLD ORG#82400 to NEW ORG#088400. Thank you.© Kariann Olson Purchasing Specialist City of Ashland 90 N. Mountain Ave. • Ashland, Oregon, 97520 Tel 541-488-5354 Fax 541-488-5320 TTY 800-735-2900 kari.olson@ashland.or.us • Visit the City's web site at: www.ashland.or.us This email transmission is official business of the City of Ashland, and it is subject to Oregon Public Records law for disclosure and retention. If you have received this message in error, please contact me at(541)488-5354.Thank you. • J 1 PERSONAL SERVICES AGREEMENT (LESS THAN$25,000.00) PROVIDER Cascade Charter Company,LLC CITY OF PROVIDER'S CONTACT: Gregory Schuler ASHLAND 20 East Main Street ADDRESS: 2800 Biddle.Road Ashland,Oregon 97520 Medford,Oregon 97504 Telephone: 541/488-5587 Fax: 541/488-4006 PHONE: (541)776-7530 This Personal Services Agreement(hereinafter"Agreement") is entered into by and between the City of Ashland,an Oregon municipal corporation(hereinafter"City")AND Cascade Charter Company, LLC. (a foreign business corporation) ("hereinafter "Provider"), for appraisal of City owned property (Briscoe School,). NOW THEREFORE,in consideration of the mutual covenants contained herein,the City and Consultant hereby agree as follows: 1. Effective Date and Duration: This Agreement shall become effective on the date of execution on behalf of the City,as set forth below(the`Effective Date"),and unless sooner terminated as specifically provided herein,shall terminate upon the City's affirmative acceptance of Consultant's Work as complete and Consultant's acceptance of the City's final payment therefore, but not later than April 3,2021. 2. Scope of Work: Consultant will provide appraisal of City owned property(Briscoe School)as more fully set forth in the Consultant's Proposal dated October 14,2021,which is attached hereto as"Exhibit A"and incorporated herein by this reference. Consultant's services are collectively referred to in this Agreement as the"Work." 3. Supporting Documents/Conflicting Provisions: This Agreement and any exhibits or other supporting documents shall be construed to be mutually complementary and supplementary wherever possible. In the event of a conflict which cannot be so resolved,the provisions of this Agreement itself shall control over any conflicting provisions in any of the exhibits or supporting documents. 4. All Costs Borne by Consultant: Consultant shall,at its own risk,perform the Work described above and,unless otherwise specified in this Agreement,furnish all labor, equipment,and materials required for the proper performance of such Work. Page I of 7: Personal Services Agreement with Cascade Charter Company,LLC. 5. Qualified Work: Consultant has represented,and by entering into this Agreement now represents,that all personnel assigned to the Work to be performed under this Agreement are fully qualified to perform the service to which they will be assigned in a skilled and worker-like manner and,if required to be registered,licensed or bonded by the State of Oregon, are so registered,licensed and bonded. 6. Compensation: City shall pay Consultant the sum of$5,475.00(five thousand four hundred seventy-five dollars)as full compensation for Consultant's performance of all Work under this Agreement. In no event shall Consultant's total of all compensation and reimbursement under this Agreement exceed the sum of$5,475.00(five thousand four hundred seventy-five dollars)without the express,written approval from the City official whose signature appears below,or such official's successor in office. Payments shall be made within thirty(30)days of the date of receipt by the City of Consultant's invoice, Should this Agreement be terminated prior to completion of all Work,payments will be made for any phase of the Work completed and accepted as of the date of termination. 7. Ownership of Work/Documents: All Work,work product,or other documents produced in furtherance of this Agreement belong to the City,and any copyright,patent,trademark proprietary or any other protected intellectual property right shall vest in and is hereby assigned to the City. 8. Statutory Requirements: The following laws of the State of Oregon are hereby incorporated by reference into this Agreement: ORS 279B.220,279B.230 and 279B.235. 9. Living Wage Requirements: If the amount of this Agreement is$22,310.46 or more, Consultant is required to comply with Chapter 3.12 of the Ashland Municipal Code by paying 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. Consultant is also required to post the notice attached hereto as"Exhibit B"predominantly in areas where it will be seen by all employees. 10. Indemnification:Consultant hereby agrees to defend,indemnify,save, and hold City,its officers, employees,and agents harmless from any and all losses,claims,actions, costs, expenses,judgments,subrogations,or other damages resulting from injury to any person (including injury resulting in death),or damage(including loss or destruction)to property,of whatsoever nature to the extent arising out of or incident to the negligent acts,or errors or omissions in the performance of this Agreement by Consultant(including but not limited to, Consultant's employees,agents,and others designated by Consultant to perform Work or services attendant to this Agreement).However,Consultant shall not be held responsible for any losses,expenses,claims,subrogations,actions,costs,judgments,or other damages, caused solely by the negligence of City. 11. Termination: a. Mutual Consent. This Agreement may be terminated at any time by the mutual consent of both parties. Page 2 of 7: Personal Services Agreement with Cascade Charter Company,LLC. b. :City's Convenience. This Agreement may be terminated by City at any time upon not less than thirty(30)days'prior written notice delivered by certified mail or in person. c. For Cause. City may terminate or modify this Agreement,in whole or in part,effective upon delivery of written notice to Consultant,or,at such later date as maybe established by City under any of the following conditions: i. If City funding from federal,state,county or other sources is not obtained and continued at levels sufficient to allow for the purchase of the indicated quantity of services; ii. If federal or state regulations or guidelines are modified,changed,or interpreted in such a way that the services are no longer allowable or appropriate for purchase under this Agreement or are no longer eligible for the funding proposed for payments authorized by this Agreement;or If any license or certificate required by law or regulation to be held by Consultant to provide the services required by this Agreement is for any reason denied,revoked, suspended,or not renewed. d. For Default or Breach. i. Either City or Consultant may terminate this Agreement in the event of a breach of the Agreement by the other. Prior to such termination the party seeking termination shall give to the other party written notice of the breach and its intent to terminate. If the party committing the breach has not entirely cured the breach within fifteen(15) days of the date of the notice,or within such other period as the party giving the notice may authorize in writing,then The Agreement may be terminated at any time thereafter by a written notice of termination by the party giving notice. ii. Time is of the essence for Consultant's performance of each and every obligation and duty under this Agreement. City,by written notice to Consultant of default or breach, may at any time terminate the whole or any part of this Agreement if Consultant fails to provide the Work called for by this Agreement within the time specified herein or within any extension thereof. iii. The rights and remedies of City provided in this subsection(d)are not exclusive and are in addition to any other rights and remedies provided by law or under this Agreement. e. =Obligation/Liability:of Parties. Termination or modification of this Agreement pursuant to subsections a,b,or c above shall be without prejudice to any obligations or liabilities of either party already accrued prior to such termination or modification. However,upon receiving a notice of termination(regardless whether such notice is given pursuant to Subsection a,b,c,or d of this section,Consultant shall immediately cease all activities under this Agreement,unless expressly directed otherwise by City in the notice of termination.Further,upon termination,Consultant shall deliver to City all documents, information,works-in-progress and other property that are or would be deliverables had the Agreement been completed. City shall pay Consultant for Work performed prior to Page 3 of 7: Personal Services Agreement with Cascade Charter Company,LLC. the termination date if such Work was performed in accordance with this.Agreement. 12. Independent Contractor Status: Consultant is an independent contractor and not an employee of the City for any purpose. Consultant shall have the complete responsibility for the performance of this Agreement. Consultant shall provide workers'compensation coverage as required in ORS Chapter 656 for all persons employed to perform Work pursuant to this Agreement. Consultant is a subject employer that will comply with ORS 656.017. 13. Assignment: Consultant shall not assign this Agreement or subcontract any portion of the Work without the written consent of City. Any attempted assignment or subcontract without written consent of City shall be void. Consultant 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 City of any assignment or subcontract of the Work shall not create any contractual relation between the assignee or subcontractor and City. 14. Default. The Consultant shall be in default of this Agreement if Consultant: commits any material breach or default of any covenant,warranty,certification,or obligation under the Agreement;institutes an action for relief in bankruptcy or has instituted against it an action for insolvency;makes a general assignment for the benefit of creditors;or ceases doing business on a regular basis of the type identified in its obligations under the Agreement;or attempts to assign rights in,or delegate duties under,this Agreement. 15. Insurance. Consultant shall,at its own expense,maintain the following insurance: a. Worker's Compensation insurance in compliance with ORS 656.017,which requires subject employers to provide Oregon workers' compensation coverage for all their subject workers b. _Professional Liabilityinsurance with a combined single limit,or the equivalent,of $2,000,000(two million dollars)per occurrence. This is to cover any damages caused by error,omission or negligent acts related to the Work to be provided under this Agreement. c. General Liability insurance with a combined single limit,or the equivalent,of$2,000,000 (two million dollars)per occurrence for Bodily Injury,Death,and Property Damage. d. Automobile Liabilitv'insurance with a combined single limit,or the equivalent,of $1,000,000(one million dollars)for each accident for Bodily Injury and Property Damage, including coverage for owned,hired or non-owned vehicles,as applicable. e. Notice of cancellation or chaii e. There shall be no cancellation,material change,reduction of limits or intent not to renew the insurance coverage(s)without thirty(30)days'prior written notice from the Consultant or its insurer(s)to the City. f. Additional Insured/Certificates of Insurance. Consultant shall name the City of Ashland, Oregon,and its elected officials,officers and employees as Additional Insureds on any insurance policies,excluding Professional Liability and Workers' Compensation,required herein,but only with respect to Consultant's services to be provided under this Agreement. The consultant's insurance is primary and non-contributory,excluding Professional Liability and Workers Compensation.As evidence of the insurance coverages required by this Agreement,the Consultant shall furnish acceptable insurance certificates prior to commencing the Work Page 4 of 7: Personal Services Agreement with Cascade Charter Company,LLC. under this Agreement. The certificate will specify all of the parties who are Additional Insureds. Insuring companies or entities are subject to the City's acceptance. If requested, complete redacted copies of insurance policies;trust agreements,etc. shall be provided to the City. The Consultant shall be financially responsible for all pertinent deductibles,self- insured retentions,and/or self-insurance. 15. Standard of Care: The standard of care applicable to CONSULTANT's Services will be the degree of skill and diligence normally employed by professional engineers or consultants performing the same or similar services during the time said services are performed. CONSULTANT will reperform any services not meeting this standard without additional compensation. 16. Nondiscrimination: Consultant agrees that no person shall,on the grounds of race,color, religion,creed,sex,marital status, familial status or domestic partnership,national origin,age, mental or physical disability,sexual orientation,gender identity or source of income,suffer discrimination in the performance of any Work under this Agreement when employed by Consultant. Consultant agrees to comply with all applicable requirements of federal and state civil rights and rehabilitation statutes,rules and regulations. Further,Consultant agrees not to discriminate against a disadvantaged business enterprise,minority-owned business,woman- owned business,a business that a service-disabled veteran owns or an emerging small business enterprise certified under ORS 200.055,in awarding subcontracts as required by ORS 279A.110. 17. Consultant's Compliance With Tax Laws: 17.1 Consultant represents and warrants to the City that: 17.1.1 Consultant shall,throughout the term of this Agreement,including any extensions hereof comply with: (i)All tax laws of the State of Oregon,including but not limited to ORS 305.620 and ORS Chapters 316,317,and 318; (ii) Any tax provisions imposed by a political subdivision of the State of Oregon applicable to Consultant;and (iii) Any rules,regulations,charter provisions, or ordinances that implement or enforce any of the foregoing tax laws or provisions. 17.1.2 Consultant,for a period of no fewer than six(6)calendar years preceding the Effective Date of this Agreement,has faithfully complied with: (i) All tax laws of the State of Oregon,including but not limited to ORS 305.620 and ORS Chapters 316,317,and 318; (ii) Any tax provisions imposed by a political subdivision of the State of Oregon applicable to Consultant;and (iii) Any rules,regulations,charter provisions,or ordinances that implement or enforce any of the foregoing tax laws or provisions. 18. 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 Page 5 of 7: Personal Services Agreement with Cascade Charter Company,LLC. • commercial overnight courier,by mailing using registered or certified United States mail,return receipt requested,postage prepaid,or by electronically confirmed at the address or facsimile number set forth below: If to the City: Public Works Department Attn: Contract Administrator 20 East Main Street Ashland,Oregon 97520 With a copy to: City of Ashland—Legal Department 20 E.Main Street Ashland,Oregon 97520 Phone: (541)488-5350 If to Consultant Cascade Charter Company,LLC. 2800 Biddle Road Medford,Oregon 97504 19. Governing Law. 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. 20. Amendments. This Agreement may be amended only by written instrument executed by both parties with the same formalities as this Agreement. 21. Nonappropriatlons Clause. Funds Available and Authorized: City has sufficient funds currently available and authorized for expenditure to finance the costs of this Agreement within the City's fiscal year budget. Consultant understands and agrees that City's payment of amounts under this Agreement attributable to Work performed after the last day of the current fiscal year is contingent on City appropriations,or other expenditure authority sufficient to allow City in the exercise of its reasonable administrative discretion,to continue to make payments under this Agreement. In the event City has insufficient appropriations,limitations or other expenditure authority,City may terminate this Agreement without penalty or liability to City,effective upon the delivery of written notice to Consultant,with no further liability to Consultant. 22. THIS AGREEMENT AND THE ATTACHED EXHIBITS CONSTITUTE THE ENTIRE UNDERSTANDING AND AGREEMENT BETWEEN THE PARTIES. NO WAIVER, Page 6 of 7: Personal Services Agreement with Cascade Charter Company,ILC. CONSENT,MODIFICATION OR CHANGE OF TERMS OF THIS AGREEMENT SHALL BIND EITHER PARTY UNLESS IN WRITING AND SIGNED BY BOTH PARTIES. SUCH WAIVER,CONSENT,MODIFICATION OR CHANGE,IF MADE, SHALL BE EFFECTIVE ONLY IN THE SPECIFIC INSTANCE AND FOR THE SPECIFIC PURPOSE GIVEN. THERE ARE NO UNDERSTANDINGS,AGREEMENTS,OR REPRESENTATIONS,ORAL OR WRITTEN,NOT SPECIFIED HEREIN REGARDING THIS AGREEMENT. CONSULTANT,BY SIGNATURE OF ITS AUTHORIZED REPRESENTATIVE,HEREBY ACKNOWLEDGES THAT HE/SHE HAS READ THIS AGREEMENT,UNDERSTANDS IT, AND AGREES TO BE BOUND BY ITS TERMS AND CONDITIONS. 23. Certification. Consultant shall sign the certification attached hereto as"Exhibit C"and incorporated herein by this reference. CITY OF ASHLAND: CASCADE CHARTER COMPANY,LLC (CONSULTANT'): • vg...,.t c. Signature +C N a ae c431_ Printed Name Y,. Printed Name c oa(zI dam . 'AAA, ate . - . . - Title - 13c t-o`oc..r— t Date Purchase Order No. . .- . ( 9 is to be submitted with this signed Agreement) Page 7 of 7: Personal Services Agreement with Cascade Charter Company,LLC. EILIIIBIT A From: Greg Schuler<dschuler@cascadecharter.com> Sent Thursday, October 14, 2021 8:45 AM To:Scott Fleury<scott.fleury@ashland.or.us> Cc: levison@cascadecharter.com Subject: OCDC building and park land [EXTERNAL SENDER] Good morning Scott.The fee for the appraisal will be $5475. Given the up- coming Thanksgiving Holiday the timing will be 45 days from execution of the City of Ashland's contract. Let me know if this is acceptable to the city. Please copy Emails on this assignment to Brooke Levison at our office at the Email above. Thanks for RI=P. Respectfully Submitted, Greg Schuler Managing Member Gregory S Schuler Cascade Charter Company LLC 2800 Biddle Road Medford,Oregon 97504 541 776-7530 Office 541 842-2873 Fax 541 844-5700 Cell c4-6-1 EXHIBIT i A EXHIBIT-B. _. CITY OF ASHLAND, OREGON it,.. , Ashiand ING- ALL employers described below must comply with City of Ashland laws regulating •a ment of a linin• wa e. $15.96 per hour, effective June 30, 2021.yar,11 The Living-Wage Is adjusted annually every Fiat- June 30 by the Consumer Price index. Employees must be paid a portion of business of their 401K and IRS eligible living wage. employer,lithe employer has cafeteria plans(including ten or more employees,and childcare)benefits to the has received financial amount of wages received by assistance for the project or the employee. ➢ For all hours worked under a business from the City of service contract between their Ashland in excess of ➢ Note: For temporary and employer and the City of 322,310.46. Ashland if the contract part-time employees,the Living Wage does not apply exceeds$22,310.46 or more. > If their employer is the City of to the first 1040 hours worked Ashland,including the Parks in any calendar year. For ➢ For all hours worked in a and Recreation Department more details,please see month if the employee spends Ashland Municipal Code 50%or more of the ➢ In calculating the living wage, Section 3.12.020. employee's time in that month employers may add the value working on a projector of health care,retirement, For additional information: Call the Ashland City Administrator's office at 541-488-6002 or write to the City Administrator, City Hall,20 East Main Street,Ashland,OR 97520,or visit the City's website at-www.ashlancL or..us. Notice to Employers: This notice must be posted predominantly in areas where it can be seen by all employees. CITY O F ASH LA• ,A , Page 1 of 1 EXHIBIT B EXHIBIT C CERTIFICATIONS/REPRESENTATIONS: Consultant,by and through its authorized representative,under penalty of perjury,certifies that(a)the number shown on the attached W-9 form is its correct taxpayer ID(or is waiting for the number to be issued to it and(b)Consultant. is not subject to backup withholding because: (i)it is exempt from backup withholding,or(ii)it has not been notified by the Internal Revenue Service(IRS)that it is subject to backup withholding as a result of a failure to report all interest or dividends,or(iii)the IRS has notified it that it is no longer subject to backup withholding. Consultant further represents and warrants to City that: (a)it has the power and authority to enter into this Agreement and perform the Work,(b)the Agreement,when executed and delivered,shall be a valid and binding obligation of Consultant enforceable in accordance with its terms,(c)the work under the Agreement shall be performed in accordance with the degree of skill and diligence normally employed by 1 44p�"a1:sa► professional enginlr standards,and(d)Consultant is qualified,professionally competent,and duly licensed(if applicable)to perform the Work. Consultant also certifies under penalty of perjury that its business is not in violation of any Oregon tax laws,it is an independent contractor as defined in the Agreement,it is authorized to do business in the State of Oregon, and Consultant has checked four or more of the following criteria that apply to its business. ?t - (1)Consultant carries out the work or services at a location separate from a private residence or is in a specific portion of a private residence,set aside as the location of the business. _ X = (2)Commercial advertising or business cards or a trade association membership are purchased for the business. X (3)Telephone listing is used for the business separate from the personal residence listing. Y. (4)Labor or services are performed only pursuant to written contracts. is (5)Labor or services are performed for two or more different persons within a period of one year. (6)Consultant assumes financial responsibility for defective workmanship or for service not provided as evidenced by the ownership of performance bonds, warranties,errors and omission(professional liability)insurance or liability insurance relating to the Work or services to be provided. A/47/ LI Consultants signature t ..r t5'_ i _ .. Date Page 1 of 1 EXHIBIT C 0 ACSo DATE(MMIDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 10/26/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT'AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy, certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCERCONTACT Russell P Brown Ins Agcy Inc NAME: Russell P Brown PHONE X 2581 W Main St C.N .EXO:541-776-6466 (A E m,No):641-776-8473 E-MAIL StateFarm Medford, Or 97501 ADDRESS:russell(a,russellbrown.biz CS, INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:State Farm Fire and Casualty Company 25143 INSURED Cascade Charter Company LLC INSURER B:State Farm Mutual Automobile Insurance Company 25178 2800 Biddle Road INSURERC lR Medford,Or 97504-4115 INSURER D: E 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 ADDLSUBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MM/DD/YYYY) (MMIDDIYYYY) A GENERAL UABIL(TY Y 97-CP-R296-3 04/01/2021 04/0112022 EACH OCCURRENCE $ 2,000,000 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) $ CLAIMS-MADE X OCCUR MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY jEGT 17 LOG $ AUTOMOBILE LIABIUTYCOMBWEn SINGLE LIMIT B Y 3670444-F11-37D 06/11/2020 06/11/2021 (Eaaccldent) $ ANY AUTO BODILY INJURY(Per person) $ 250,000 ALL OWNED X SCHEDULED BODILY INJURY(Per accident) $ PROPERTY DAMAGE 500,000 AUTOS —NON-OWNED HIRED AUTOS _AUTOS (Per accident) $ 100,000 $ A X UMBRELLA LIAB OCCUR 37-CE-P672.5 12/07/2020 '12/07/2021 EACH OCCURRENCE $ 2000000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 4000000 DED I RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS-LIABILITYTORY LIMITS ER ANY PROPRIETORIPARTNER/EXECUTIVE 1 I NIN/A E.L.EACH ACCIDENT $ OFFICEIMEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under E.L.DISEASE-POLICY LIMIT $ DFSCRIPTION OF OPFRATIONS below DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,It more space Is required) CERTIFICATE HOLDER CANCELLATION Additional Insured: SHOULD NY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE E?( (RATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Ashland ACCORD NCE WITH THE I ICY PROVISIONS. 20 East Main St i � L - Ashland,Or 97520 AUTHOR D REPR NTATIV I . ©1988-2010 ACO-,• C•RPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD 1001486 132849.8 01-23-2013 J CMP-4684.1 Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY. ADDITIONAL INSURED—OWNERS, LESSEES,OR CONTRACTORS (Scheduled) This endorsement modifies insurance provided under the following: BUSINESSOWNERS COVERAGE FORM SCHEDULE Policy Number: 97-CP-R296-3 Named Insured: CASCADE CHARTER COMPANY,LLC 2800 BIDDLE RD MEDFORD OR 97504-4115 Name And Address Of Additional Insured Person Or Organization: CITY OF ASHLAND 20 E Main St Ashland OR 97520-1814 1. SECTION Il—WHO IS AN INSURED of SECTION II—LIABILITY is amended to include,as an additional insured,any person or organization shown in the Schedule,but only: a. Ongoing Operations With respect to liability for"bodily injury","property damage",or"personal and advertising injury"caused by your ongoing Operations for that additional insured and only to the extent that such"bodily injury","property damage"or"personal and advertising injury"is caused by your negligence or the negligence of those performing operations on your behalf;or b. Products-Completed Operations To the extent that the liability for"bodily injury"or"property damage"is caused by"your work"performed for that additional insured and included in the"products-completed operations hazard". 2. Any insurance provided to the additional insured shall only apply with respect to a claim made or a"suit"brought for damages for which you are provided coverage. 3. Primary Insurance.The insurance afforded the additional insured shall be primary insurance.Any insurance carried by the additional insured shall be noncontributory with respect to coverage provided by you. All other policy provisions apply. CMP-4684.1 1009821 2000 154101 200 05-14-2019 ©,Copyright,State Farm Mutual Automobile Insurance Company,2018 Includes copyrighted material of Insurance Services Office,Inc.,with its permission.