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2023-057 PO 20240023- Engineered Monitoring Solution, LLC
�.{ Purchase Order EC RD FrAll C , tR ,aFiscal Year 2024 Page: 1 of: 1 B City of Ashland L ATTN: Accounts Payable 20 E. Main Purchase T - L Ashland, OR 97520 Order# 20240023 T Phone: 541/552-2010 0 Email: payable@ashland.or.us • V H C/O Public Works Department E ENGINEERED MONITORING SOLUTION, LLC I 51 Wnburn Way N 617 N MAIN ST p Ashland, OR 97520 O NEWBERG, OR 97132 Phone: 541/488-5347 R O Fax: 541/488-6006 .1 t ._ .�.�.. (503) 537-0900 _ Scott Fleury _... a, _ss TSS-> �- �� z-'=` a.@ e 9 = -r�x�f a �E}'F� -.I.:: a __T ��tl.�--�-F�Br� . A[a z�`§(�sI. "_ �.. �c7a r-�5�§ I i�' ���-- '"��'� 07/17/2023 651 FOB ASHLAND OR/NET30 City qiAAcdounts PayableJg -MA �. ""_" —' b _S terra ! iEa—z-_�- c�_ :7_=-721711- 3€ ^ q i_ k 1 3 , Hosier Dam Monitoring System 1 Hosler Dam Monitoring System Technical Support Assistance 1.0 $26,542.00 $26,542.00 Personal Services Agreement (Less than $35,000) Completion date: June 30, 2025, Project Account: • Project Account: ***************GL SUMMARY*************** 081500-604100 . 111500-602400 $13,271.00$13,271.00 • I . By: , Date: IJ1II1 uthorized Signatu _�, _-- $26,542.00 46 . it ' FORM #3 '�/w CITY OF A request for a Purchase Order , .S H LAN D REQUISITION of request: 6/1/2Q23 � 2 " R>squired date for delivery: Vendor Name Engineered Monitoring Solutions,LLC Address,City,State,Zip 16650 NE Hillside Dr Newberg,OR 97132 Contact Name&Telephone Number Barry Myers Email address SOURCING METHOD ❑ Exempt from Competitive Bidding ❑ Emergency ❑ Reason for exemption: 0 Invitation to Bid 0 Form#13,Written findings and Authorization ❑ AMC 2.50 Date approved by Council: ❑ Written quote or proposal attached O Written quote or proposal attached Attach col of council communication _If council as'royal re.uired,attach co. of CC ❑ Small Procurement 0 Request for Proposal Cooperative Procurement Not exceeding$5,000 Date approved by Council: 0 State of Oregon ❑ Direct Award _(Attach copy of council communication) Contract# ❑ Verbal/Written bid(s)or proposal(s) ❑ Request for Qualifications(Public Works) 0 State of Washington Date approved by Council:_ Contract# (Attach copy of council communication) 0 Other government agency contract Intermediate Procurement ❑ Sole Source Agency GOODS&SERVICES 0 Applicable Form(#5,6,7 or 8) Contract# _Greater than$5,000 and less than$100,000 ❑ Written quote or proposal attached Intergovernmental Agreement ❑ (3)Written bids&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 I] Form#4,Personal Services$5K to$75K Valid until: (Date) approval required.(Attach copy of council communication) Description of SERVICES Total Cost Hosler`Dam Monitoring System technical support assistance $26,542 ._ ._w.s .' ._ `Y ., Item# Quantity Unit Description of MATERIALS Unit Price Total Cost 0 Per attached quote/proposal ,` TOTAL COST Project Number _ _ _ Account Number 081500 ., 604100 Ico4. Account Number - A ,n lun}ber - 602400 . s `/(.DO *Expenditure must'be charged to the appropriate account u `v • ,':' 'ancials to accurately reflect the actual expenditures. IT Director in collaboration with department to approve all hardware and software purchases: IT Director Date Support-Yes/No By signing this requisition form, 'I certify that the City's public contracting requirements have been satisfied. off Employee:Jc4.k\j'.,.D DQX .�— Department Head: I' c-tz-23 c�%r , (Equal to or greater than$5,000) /� Department Manager/Supervisor: City Administrator: (Equal to or grea,•r than$35,000) Funds appropriated for current fiscal year: 0) NO Wit i ,�,i bt7/3 J Deputy Finance Directt, qua/to or greater than$5,000) Date V ) Comments: 2i Form#3-Requisition r Purchase Order • Wil,aft Fiscal Year 2023 Page: 1 of: 1 i 7...7„m 7.j -0iTIOMBEVIOWAVREA:RilitALB LCity of Ashland ATTN: Accounts Payable L 20 E. Main Purchase 20 ,30349 Ashland, OR 97520 Order# T Phone: 541/552-2010 O Email: payable@ashland.or.us 0 ✓ SC/O Public Works Depa ment N ENGINEERED MONITORING SOLUTION LLC � H 51 Winburn Way 617 N MAIN ST p Ashland, OR 97520 • D NEWBERG, OR 97132 Phone: 541/488-53:7 O6t1 T Fax: 541/488-601 R T — ��nfQrPhoo�-I��ilri �a���a��1��14 _�__t _..� _ � 4. 4 .��_-_--. (503) 537-0900S S ott F D-atO-Qt� fjd a§1s s ,Z1 III ISI M.- 2 7_e..{tuws t-- - igj t ,—] ,E,-----7—.;p4: t ri-Ds7 l'Thi 1 1 t== t14d_ 06/29/2023E-Tmw2651 FOB ASHLAND OR/NE •0 • i,• Acc• nts Payable 7�{ I,iit - --B:7-----sat_ C i-a 3-§ E t= _ -rte -_4 -3 °ja - MEW -;€ e _ __ -Cry Hosier Dam Monitoring System if 1 Hosier Dam monitoring system technical support assistance ..0 $26,542.00 $26,542.00 Personal Services Agreement(Less than$35,000) • , Completion date: June 30, 2025/ Project Account: • Project Account: *************** GL SUMMARY** ************ '' , 081500-604100 $13,271.00" 111500-602400 $13,271.00 �_ A 0111LC4ANZX TO a ','V^jv`' vik, �2F V ) By: �.'�/ �k1 v Date: • . . '•14-IM _. Authorize. Signature, 5 a_s _..�. $26 542.00 Ka Olson From; Tami Campos Sent: Thursday,July 06,2023 10:16 AM To: ' Kariann Olson Subject: RE:Neilsen Research FY24 invoice t9,24 Tami DeMille-Campos,Administrative Analyst • cp (Zeit GI City of Ashland Public Works 20 East Main Street,Ashland,Oregon 97520 • 541-552-2420 I TTY 800.735.2900 Tami.camposashland.or.us Online ashland.or.us I Social media Facebook @CityOfAshlandOregon I Twitter @CityofAshland 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 541-552-2420. From: Kariann Olson<kari.olson@ashland.or.us> Sent:Thursday,July 06,2023 10:12 AM To:Tami Campos<tami.campos@ashland.or.us> Cc: Kariann Olson<kari.olson@ashland.or.us> Subject: RE: Neilsen Research FY24 invoice I will have to look. Backed up. . .way backed up. . . I issued PO fo E gineered"Mon'toring-Solution LLC. In FY 23,should it be FY 24? No services performed in June, s/b FY 24. Thank you. Kariann (Kari)Olson,Purchasing Specialist 1 wne aelie45.404r716retheill, City of Ashland Purchasing Office 90 North Mountain Avenue,Ashland, Oregon 97520 541.488.5354 I TTY 800.735.2900 • Kari.olson@ashlandor.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.. From:Tami Campos<tami.campos@ashland.or.us> Sent:Thursday,July 06, 2023 9:59 AM To: Kariann Olson<kari.olson@ashland.or.us> Subject: RE: Neilsen Research FY24 invoice Sorry I forgot to say this was the one for WWTP. I'll let Ben know'you are working on it © Do you know the status of the Columbia Cascade one that was recently approved by Council? Tami DeMille-Campos,Administrative Analyst fr,--74, egekyofzizetz, City of Ashland Public Works 20 East Main Street,Ashland,Oregon 97520 541-552-2420 I TTY 800.735.2900 Tami.campos@ashland.or.us Online ashland.or.us I Social media Facebook @CityOfAshlandOregon I Twitter @CityofAshland 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 541-552-2420. 2 Kariann Olson From: Tami Campos Sent: Th :. $23 11:09 AM To: ariann OIs.• -- Subject: RE:P• or Engineered Moni .\ing So ions Sorry it must have bee' a typo, 111500.602400. Tami DeMille-Campos,Administr• e Analyst ,„.1311t:i r iz melte tzra# ' City of Ashland Public Works 20 East Main Street,Ashland,Oregon 97520 541-552-2420 I TTY 800.735.2900 Tami.campos(aashland.or.us '. Online ashland.or.us I Social media Facebook @CityOfAshlandOregon I Twitter @CityofAshland 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 541-552-2420. From: Kariann Olson<kari.olson@ashland.or.us> Sent:Thursday,June 29,2023 11:02 AM To:Tami Campos<tami.campos@ashland.or.us> Cc: Kariann Olson<kari.olson@ashland.or.us> Subject: PO for Engineered Monitoring Solutions Hello Tami, Not able to enter account number 115000 602400. Please advise. Thank you. Kariann (Kari)Olson,Purchasing Specialist 1 , 4, ., . or .... .,, . kc..,...„,,....... ...,., P G ., City of Ashland _ . Purchasing Office 90 North Mountain Avenue,Ashland,Oregon 97520 541.488.5354 I TTY 800.735.2900 Kari_olson@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.. i •2 ) PERSONAL SERVICES AGREEMENT (LESS THAN$35,000) CONSULTANT: Engineered Monitoring Solutions,LLC. CITY OF CONSULTANT'S.CONTACT: Barry Myers ASHLAND . 20 East Main Street ADDRESS: 16650 NE Hillside Dr. Ashland,Oregon 97520 Newberg,OR 97132 Telephone: 541/4'88-5587 Fax: 541/488-6006 TELEPHONE: 503-3.49-6161 This Personal Services Agreement(hereinafter"Agreement")is entered into by and between the City of Ashland, an Oregon municipal corporation (hereinafter "City") and Engineered Monitoring Solutions LLC, a Domestic Limited,Liability Company ("hereinafter"Consultant"),for Hosier Dam Monitoring System technical support assistance. 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 June 30, -202 . 040a6- 2. oas2. Scope of Work: Consultant will provide Hosler Dam Monitoring System technical support assistance as more fully set forth in the Consultant's Scope dated May 19,2023,which is attached hereto as "Exhibit A"and incorporated herein by this reference. Consultant's services are collectively referred to herein 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. 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. Page 1 of 5: Personal Services Agreement with Engineered Monitoring Solutions LLC. ) 6. Compensation: City shall pay Provider for its Work at the hourly rates as set forth in Exhibit"A" (TABLE 1 WORK BREAKDOWN AND COST ESTIMATE dated 5/19/23),which is attached hereto and incorporated herein by this reference,as full compensation for Provider's performance of all Work under this Agreement. In no event shall Provider's total of all compensation and reimbursement under this Agreement exceed the sum of$26,542.00 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. 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%0 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,or other damages resulting from injury to any person(including injury resulting in death),or damage ,ytGeear (including loss or destruction)to property,of whatsoever nature arising out of or incident to the Y performance of this Agreement by Consultant(including but not limited to,Consultant's employees,. /604,1 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. 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 may be 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 toallow 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:r purchase under this Page 2 of 5: Personal Services Agreement with.Engineered Monitoring Solutions LLC. Agreement or are no longer eligible for thefunding proposed for payments authorized by this Agreement; or iii. 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. 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. 12. Independent Contractor Status: Consultant is an independent contractor and not an employee of the City for any purpose. 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. 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 institutedagainst 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. Workers' Compensation. Consultant shall obtain and maintain Workers' Compensation insurance in compliance with ORS 656.017,which requires subject employers to provide Oregon Workers' Compensation coverage for its subject workers,unless such employers are exempt under ORS 656.126. If exempt under ORS 656.126, Consultant shall certify such exemption to the City. .. • _ c. General Liability insurance with a combined single limit, or the equivalent, of not less than e e -• _. $1,000,000 (one million)per occurrence for Bodily Injury,Death, and Property Damage. Page 3 of 5: Personal Services Agreement with Engineered Monitoring Solutions LLC. d. Automobile Liability insurance with a combined single limit,or the equivalent, of not less than $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 change. There shall b e 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.As evidence of the insurance coverages required by this Agreement, the Consultant shall furnish acceptable insurance certificates and endorsements prior to commencing the Work under this Agreement. 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,hasfaithfully 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. Governing Law; Jurisdiction: This Agreement shall be governed and construed in accordance with 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 Page 4 of 5: Personal Services Agreement with Engineered Monitoring Solutions LLC. V Y 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. Eachparty expressly waives any and all rights to maintain an action under this Agreement in any other venue. 19. Amendments. This Agreement may amended,only by written instrument executed by both parties with the same formalities as this Agreement. 20. THIS AGREEMENT AND THE ATTACHED EXHIBITS CONSTITUTE THE ENTIRE UNDERSTANDING BETWEEN THE PARTIES. THERE ARE NO UNDERSTANDINGS, AGREEMENTS, OR REPRESENTATIONS,EITHER 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. 21. Certification. Consultant shall execute the certification attached hereto as"Exhibit C"and incorporated herein by this reference. 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: ENGINEERED.MONITORING SOLUTIONS LLC. (CONSULTANT): By: 4011111� ign• re By: ignature Lbrr Cc..**UL\./ Printed Name ,6,9722 y /h1 ' .. S Printed Name Title /°2e7Sf4 -e-0T Title (,,, 22. L Date 4//07,/0143 Date (W-9 is to be submitted with this signed Agreement) Purchase Order No. Page 5 of 5: Personal Services Agreement with Engineered Monitoring Solutions LLC._ ss EXHIBIT B CITY OF ASHLAND, OREGON City of Ashland LIVING ALL employers described IIVAG E below must comply with City of Ashland laws regulating •a ment of a livin• wase. $18.12;per hour,:effective June`30, 2023 The Living Wage is adjusted annually every /r June 30 by the Consumer:Pace Index. Employees must be paid a portion of business of their 401K and IRS eligible living wage: employer, if the 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. D For all hours worked under_a business from the City of service contract between their Ashland in excess of D Note: For temporary and employer and the City of $25,335.05. part-time employees,the Ashland if the contract Living Wage does not apply exceeds$25,335.05 or more. A If their employer is the City of to the first 1040 hours worked Ashland,including the Parks in any calendar year. For D 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 D In calculating the living wage, Section 3.12.020. employee's time in that month employers may add the value. working on a project or 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.ashland.or.us. Notice to Employers: This notice must be posted predominantly in areas where it can be seen by all employees. CITY OF AS H LAN D Page 1 of I 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 highest professional standards,and(d)Consultant is qualified,professionally competent,and duly licensed(if applicable)to perform the Work. mm 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. ✓ (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. V (2) Commercial advertising or business cards or a trade association membership are purchased for the business. (3)Telephone listing is used for the business separate from the personal residence listing. ✓ (4)Labor or services are performed only pursuant to written contracts. ✓ (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. Consulta signature �0//02�020023 Date Page 1 of I EXHIBIT C 0 4 ♦ j Engineered Monitoring Solutions 16650 NE Hillside Dr. Newberg,OR 97132 503 349-6161'ph May 19,2023 5004.16 City of Ashland Public Works Department 20 East Main Street Ashland, Oregon 97520 Attn: Steven Burkhalter Re: Proposal for.Equipment Maintenance Services Hosier Dam Monitoring System,Ashland,Oregon Dear Steve: We are pleased to submit this proposal to provide two years of technical support assistance to the City in maintaining the existing Hosier Dam Monitoring System. This assistance will include two annual on-site maintenance inspections of the monitoring system equipment, providingtwo years of remote technical support using a VPN, connection to the City's computer network, providing telephone support, and providing system maintenance/repairs as-requested. We understand that the City will be contracting with Federal. Signal Corporation for the notification system maintenance and technical support. SCOPE OF SERVICES Our proposed scope of work includes performing annual maintenance inspections which would include an on-site visit to the project to perform a visual inspection of the monitoring system components. To accomplish this, a visit to the dam will be performed to inspect the system components including the reservoir level sensor, seismic recorders, ADAS equipment, radio equipment, and surveillance camera equipment. A visit to the water treatment plant (WTP)will also be performed to inspect the ADAS equipment, I/O interface with the.SCADA system, radio equipment, and surveillance cameras. We will manually trigger alarm conditions to the ADAS to test the integration of the ADAS and SCADA programming. We will also review the functionality of the web interface, and meet with City personnel to review the observed performance of the system over the past year. The results of the maintenance inspection will be presented in a letter report documenting the observed condition of each of the items inspected and will include recommendations for servicing or repair efforts, if needed. { c ; � 4 Remote technical support and servicing or repair effortsthat will be required to maintain normal operations of the system are not known at this time. The scope of services for this proposal ! includes support for the City inaccomplishing these efforts as they are needed. Therefore, a budget item has been included for as-needed servicing or repair efforts. No servicing or repair work will be performed without prior authorization from the City. FEES We estimate that the total cost for the scope of work outlined above would be $26,542. A breakdown of the estimated labor effort and expenses is presented on the attached Table 1. We propose to perform this work on a time and materials basis in accordance with the attached Terms of Agreement for Equipment Maintenance Services. This estimate is based on the assumptions listed herein. Should you wish to modify the scope of work prior to accepting this agreement,we would be pleased to review this proposal and our estimated fee with you. SCHEDULE We are in a position to begin work on this project within 2 weeks after receiving your authorization to proceed. CONCLUDING COMMENTS If more than 60 days pass before authorizing the proposed work, we reserve.the opportunity to review and modify this proposal where necessary. We look forward to continuing to be of service to you on this project. Should you have any questions regarding this proposal, we would be pleased to confer with you at your convenience. Very truly yours, Engineered Monitoring Solutions by� /- Barry Myers President Encl. Table 1 Work Breakdown and Cost Estimate Terms of Agreement for Equipment Maintenance Services e } Page 2 Propose!2023 Annual Maintenance Hasler Dam Monitoring Sysfem.docx TABLE 1 WORK BREAKDOWN AND COST ESTIMATE Hosier Dam Monitoring System- System Technical Support for FY 2023/24 and FY 2024/25 MANHOURS LABOR CHARGES EQUIPMENT($) Total($) LABOR RATE CATEGORY Labor Snr Snr Admin Labor Labor Unit Plus. DESCRIPTION OF TASK AND ACTIVITY Pm Prj Hours Dollars Unit Qty Price Total Expenses $215 $165 $0 $105 Item 1 Two Annual Maintenance Inspections with Reporting • 12 32 44 $7,860.00. $0 00 $7,860.00 Item 2 Two Years of Remote Technical Support 24 24 $5,160:00 • $0.00_ $5,160 00 5 n �rr ,�^' t *�-,r r pc' Item 3 As needed Servicing and Repair Work 24 16 4 44 $8,220.00 .. $0 00 $8,220 00, 'ta `" pM 'fY "'� 'x" :. Y a ,' SF � ;. � r x-.✓r ':., .... v. �+.»]..=ts.a.aa.,w,..t,-W.>r.»«n.-. y �-<+... ....r� s r"k', a..o.. Y 4.: 2r z ...n-1,H,.,re-m+.5s.,...,.L,:+,�;zu w+v-t...,.s:N .,..,� 3'+ . Project Administration 4 4 $860.00 $0.00 $860.00 "•'�' r.. m ,$r x'' �'dt � .�`.e. r. .e. ...,ke °d ,�. r, ,a �:•t,_e. ..^'C ,,,. ' ,., .vris%* ..�. .. , . t n . ��. ...�.� ,... . ��*`� � -N� . ::',',17:7;r477;15 _.a 64 48 0 4 116 22100 Estimated Labor 8,Equipment • $22,100.00 0 0 ;$o.00 Subcontractor $0 : Other Direct Charges F. F �` .., „� ". .._` Travel Supplies 4 $1,000 $4,000.00 I C r r. r 5.1 r r Computer Usage 0 $15 $0 00 Re ro Co yes �, d w �� 0� $010 ,fi $0 00 �_... ...... _ ....,..... T.,d.,,. �.....�.,.�...... ..,w.-� _Rax. A ...,,.�..,...,., -. .,.w...M�,. <.......-,....�.w N �., Repro,Photos 0 $1 00 ,37 $0 00 . , 0 $1 00_. . _M x•. ODC $4,442 • Subtotal Labor 8,Equip. :$22,100 Subcontractors $0 ODC $4,442 Estimated Total $26;642 TERMS OF AGREEMENT FOR EQUIPMENT MAINTENANCE SERVICES ENGINEERED.MONITORING SOLUTIONS(referred to herein as Consultant) January 2023(H) FEES.FOR SERVICES Fees for services are based on the time expended on the project by technical and clerical personnel at the following schedule of hourly charges: Position Hourly Rate 1) Administrative Staff 105.00 Senior Project Systems Integrator 165.00 Senior Principal 215.00 1) These rates shall remain in effect until completion of the agreedscope of services or one year from date of agreement,whichever occurs first. REIMBURSABLE EXPENSES Expenses incurred in connection with project tasks such as equipment purchases,rental equipment, out-of-town subsistence,vehicle costs, expedited delivery and similar, will be invoiced at direct cost plus 12 percent. Communication,costs, including telephone, fax, cellular, and postage will be charged at 2,percent of labor costs. Special technical computer programs, CAD,and GIS usage will be charged at$15 per hour. SERVICES BY OTHERS On occasion specialized services by consultants,contractors, or other technical companies may be needed. Such services will be utilized only with your approval,with the cost of such services included in our invoice plus 15 percent. PRODUCTS PURCHASED All hardware and software products are being procured by Consultant as a service for the.Client. Client agrees that the relationship for all product warranty,support,servicing,and performance or defect liability issues is between the Client and the product manufactures. INVOICES Consultant will submit invoices to you,the Client on a monthly basis and a final bill upon completion of services. Payment is due upon receipt of the invoice unless otherwise agreed,and is past due thirty(30)days from invoice date. A service charge will be added toany account balance in arrears at a monthly rate of 1' percent of the balance due. Client agrees that the invoice balance is correct unless we are notifiedin writing within ten days of date of invoice. INSURANCE The Consultant represents and warrants that it and its agents,staff and other consultants employed by it are protected by workers'compensation insurance and that the Consultant has such coverage under public liability and property damage insurance policies which it deems to be adequate. Certificates for all such policies of insurance will be provided to.Client upon request in writing. Within the limits and conditions of such insurance,we agree to indemnify and save Client harmless from and against any loss,damage;:or liability arising from grossly negligent acts by the Consultant,its agents,staff,and other sub-consultants employed by it, Consultant shall not be responsible for any loss,damage,or liability beyond the amounts, limits,and conditions of such insurance. The Consultant shall not be responsible for any loss,damage,or liability arising from any acts by Client,its agents,staff,and other consultants employed by it. STANDARD OF CARE Services performed by the Consultant under this Agreement will be conducted in a manner consistent with that level of care and skill ordinarily exercised by the profession currently practicing under similar conditions in this area at this time. Client recognizes that conditions may vary from those encountered at the location where surveys or investigations are made by the Consultant,and that the data, interpretations and recommendations of the Consultant are based solely on the information available to it. The Consultant will be responsible for those data,interpretations,and recommendations,but shall not be responsible'for the interpretations by others of the information developed. LIMITATION OF LIABILITY Client agrees to limit the Consultant's liability to Client, and to any other person or entity,for any claim arising from, or alleged to arise from any acts,errors,or omissions in the performance of this Agreement,whether such claim sounds in negligence,breach of contract, strict liability or other legal theory, and including any legal fees or costs awarded under this Agreement, to an aggregate limit of the amount of fees paid to Consultant under this Agreement, or.$10,000,whichever is greater. Waiver of this clause or a higher limitation may be negotiated for an additional fee. DISCOVERY OF UNANTICIPATED HAZARDOUS MATERIALS Hazardous materials, including biological pollutants (molds; fungi, spores, bacteria, and viruses, and the byproducts of any such organisms or life forms) may exist, or occur later, at a site where there is no reason to believe they could or should be present. Consultant and Client agree that the discovery of unanticipated hazardous materials, including biological pollutants, constitutes a #_ changed condition mandating a renegotiation of the scope of work or termination of services. Client agrees to compensate Consultant for the additional cost of working to protect employees'and public's health and safety. In addition, Client waives any resulting claim against Consultant, and agrees to defend, indemnify and.save Consultant harmless from any claim or liability for injury or loss arising from Consultant's discovery of unanticipated hazardous materials or suspected hazardous materials. Client also agrees to fairly compensate Consultant as outlined herein for any time spent and expenses incurred by Consultant in defense of any such claim. Client's initials Date Page 1 of 2 January 2023(H) AQUIFER CONTAMINATION Client recognizes that it isimpossible for Consultant to know the exact composition of a site's subsurface even after employing the most comprehensive exploratory program reasonably possible. As result,there is a risk that instrument installations or sampling may result in contamination.of certain subsurface areas, as when a probe or boring device moves through a contaminated area, linking itto an aquifer or other hydrous body not,previously contaminated and capable of spreading hazardous materials offsite. Because nothing can be done to prevent such an occurrence, and because such installation and sampling is a necessary aspect of the work which Consultant will perform for Client's benefit, Client waives any resulting claim against Consultant, and agrees to defend, indemnify and save Consultant harmless from any claim or liability for injury or loss which may,arise as a result of cross-contamination caused by instrument installation or sampling. Client further agrees to fairly compensate Consultant as outlined herein for any time spent:or expenses incurred by Consultant in defense of any such claim. RIGHT OF ENTRY The Client will provide for right of entry of the Consultant,their contractors, and all necessary equipment,in order to complete the work. While the Consultant will take all reasonable precautions to minimize damage to the property,the Client understands that in the normal course of work some damage may occur,the correction of which is not part of this.Agreement. UTILITIES In the prosecution of the work,the Consultant will take reasonable precautions to avoid damage or injury to subterranean structures or utilities. The Client agrees to hold the Consultant harmless for any damages to subterranean structures or utilities which are not called to the Consultants attention and correctly shown on the plans furnished. OWNERSHIP OF DOCUMENTS All reports,field data,field notes,calculations, estimates, and other documents prepared by the Consultant, as instruments of service, shall remainconfidential and the property of the Consultant. Client agrees that all reports and other work furnished to the Client,which is not paid for,will be returned upon demand and will not be used by the Client for any purpose whatever. The Consultant will retainall pertinent recordsrelating to the services performed for an appropriate period following submission of the report or completion of work,during which period the records will be made available to the Client at all reasonable times: DISPUTES In the event that a dispute arises in any way connected with this Agreement, and if the dispute cannot be settled through direct discussions,the parties agree to first attempt to settle the dispute by mediation,before recourse to:arbitration or a judicial forum. If the dispute eventually results in litigation, it is agreed that theprevailing party shall be entitled to recover all reasonable costs incurred, including staff time,court costs,attorney's fees,and other claim-related expenses,including at trial and on appeal. TERMINATION This Agreement may be terminated by either party upon seven (7) days written notice in the event of substantial failure by the other party to perform in accordance with the terms hereof: Such termination shall not'be effective if that substantial failure has been remedied before expiration of the period specified in the written notice. In the event of termination, the Consultant shall be paid for services performed to the termination notice date plus reasonable termination expenses. In the event of termination or suspension for more than three (3) months prior to completion of all reports contemplated by this Agreement,the Consultant may complete such analyses and records as are necessary to complete its files and may also complete a report on the services performed to the date of notice of termination or suspension. The expenses of termination or suspension shall include all direct costs of the Consultant in completing such analyses,records and reports. ASSIGNS Neither the Client nor the Consultant may delegate, assign,sublet or transfer its duties or interest in this Agreement without the written consent of the other party. SEVERABILITY Client and Consultant have entered into this Agreement of their own free will to communicate to one another mutual understandings and responsibilities. Any element of this Agreement later held to violate a law or regulation shall be deemed void, and all remaining provisions shall continue in force. However, Client and Consultant will in good faith attempt to replace any invalid or unenforceable provision with one that is validand enforceable,and which comes as close as possible to expressing the intent of the original provision, Client's initials Date Page 2 of 2 ENDORSEMENT SCOTTSDALE INSURANCE COMPANY® ENDORSEMENT ATTACHED TO AND ENDORSEMENT EFFECTIVE DATE FORMING A PART OF (12:01 A.M.STANDARD TIME) NAMED INSURED AGENT NO. POLICY NUMBER CPS7696833 12/03/2022 ENGINEERED MONITORING SOLUTIONS LLC 36005 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART With respect to this endorsement, SECTION 1I—WHO IS a. All work, including materials, parts or equip- AN INSURED is amended to include as an additional in- ment furnished in connection with such work, sured any person or organization whom you are required to on the project (other than service, mainte- add as an additional insured on this policy under a written nance or repairs) to be performed by or on contract,written agreement or written permit which must be: behalf of the additional insured(s) at the loca- a. Currently in effect or becoming effective during tion of the covered operations has been com- the term of the policy; and pleted; or b. Executed prior to the "bodily injury," "property b. That portion of"your work" out of which the in- damage," or"personal and advertising injury." jury or damage arises has been put to its in- tended use by any person or organization The insurance provided to these additional insureds is lim- other than another contractor or subcontrac- ited as follows: tor engaged in performing operations for a principal as a part of the same project. 1. That person or organization is an additional insured only with respect to liability for "bodily injury," 3. The limits of insurance applicable to the additional "property damage" or "personal and advertising insured are those specified in the written contract, injury" caused, in whole or in part, by: written agreement or written permit or in the Decla- rations for this policy, whichever is less. These lim- a. Your acts or omissions; or its of insurance are inclusive of, and not in addition b. The acts or omissions of those acting on your to, the Limits of Insurance shown in the Declara- behalf. tions for this policy. A person's or organization's status as an addi- 4. Coverage is not provided for "bodily injury," tional insured under this endorsement ends when "property damage," or "personal and advertising your operations for that additional insured are injury" arising out of the sole negligence of the completed. additional insured. 2. With respect to the insurance afforded to these 5. The insurance provided to the additional insured additional insureds, the following exclusions are does not apply to"bodily injury,""property damage," added to item 2. Exclusions of SECTION 1— or "personal and advertising injury" arising out of COVERAGES: - an architect's, engineer's or surveyor's rendering of or failure to render any professional services This insurance does not apply to "bodily injury," including: "property damage" or "personal and advertising injury" occurring after: Includes copyrighted material of ISO Properties,Inc.,with its permission. Copyright,ISO Properties,Inc.,2004 GLS-150s(7-06) Page 1 of 2 a. The preparing, approving or failing to prepare written contract specifically requiresuires that this insur- or approve maps, shop drawings, opinions, re- ance be primary. ports, surveys, field orders, change orders or drawings and specifications; and When this insurance is excess, we will have no du- ty under SECTION 1—COVERAGES to defend the b. Supervisory, inspection, architectural or engi- additional insured against any "sue-if any other in- neering activities. surer has a duty to defend the additional insured 6. Any coverage provided hereunder will be excess against that "suit." If no other insurer defends, we over any other valid and collectible insurance avail- will undertake to do so, but we will be entitled to the able to the additional insured whether primary, ex- additional insured's rights against all those other cess, contingent or on any other basis unless a insurers. AUTHORIZED REPRESENTATIVE DATE Includes copyrighted material of ISO Properties,Inc.,with its permission. Copyright,ISO Properties,Inc.,2004 GLS-150s(7-06) • Page 2 of 2 Aco CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 12/07/2022 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(ies)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). PRODUCER CONTACT NAME: Mid Valley General Agency LLC PHONE .EMI, (503)365-7001 FAX No): (503)365-7354 888 Madison St NE,Ste 100 ADDRESS: Certs@midvalleyga.com INSURER(S)AFFORDING COVERAGE NAIC# Salem OR 97301 INSURER A: Scottsdale Insurance Company 41297 INSURED INSURER B: Engineered Monitoring Solutions LLC INSURER C: 16650 NE Hillside Dr INSURER D: INSURER E: Newberg OR 97132 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 LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ 100,000 MED EXP(Any one person) $ 5,000 A Y CPS7696833 12/03/2022 12/03/2023 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE _ $ 2,000,000 X POLICY JE� LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS — AUTOS _ HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ _ AUTOS (Per accident) _ UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) City of Ashland is included as additional insured per GLS-150s(07/06). 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 ACCORDANCE WITH THE POLICY PROVISIONS. 20 E Main St AUTHORIZED REPRESENTATIVE Ashland OR 97520 0. 40 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD Y ' ARD® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDlYYYY) 12/20/2022 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(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 COAME:NTACT Dohree Ridderman N Slater&Associates Insurance,Inc. PHONNo,Ext): (971)801-1264 A xc,No): (503)624-0846 PO Box 1469 E-MAIL dohree@slaterinsurance.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# Tualatin OR 97062-1469 INSURERA: SAIF Corporation 36196 INSURED INSURER B: Engineered Monitoring Solutions LLC INSURER C: 16650 NE Hillside Dr INSURER D: INSURER E: Newberg OR 97132-2312 INSURER F: COVERAGES CERTIFICATE NUMBER: 22/23 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 ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MMIDD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE RENTED CLAIMS-MADE n OCCUR PREM SESO(Ea occurrence) $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY n PRO- LOC PRODUCTS-COMP/OP AGG $ JECT OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY _ AUTOS ONLY (Per accident) — $ UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION X STATUTE EORH AND EMPLOYERS'LIABILITY Y/N 1,000,000 A ANY PROPRIETOR/PARTNER/EXECUTIVE H N/A 958900 12/01/2022 12/01/2023 E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L._DIS_EASE-EA A EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATION • SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN CITY OF ASHLAND ACCORDANCE WITH THE POLICY PROVISIONS. 20 E Main St AUTHORIZED REPRESENTATIVE /� Ashland OR 97520 .' w -_ 1 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD ArCOR ® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 09/28/2021 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 be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Julie Larkin NAME: Julie Larkin Agency,LLC PAHONE N.Ext): 503-538-9402 ac,No): 506 E 1st St E-MAIL ulielarkin@allstate.com ADDRESS: Newberg,OR 97132 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: Allstate Insurance Company INSURED INSURER B: Barry Myers&Kerni Myers INSURER C: 16650 NE Hillside Dr INSURER D: Newberg,OR 97132 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 SUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY N UMBER (MM/DD/YYYY) (MM/DD/YYYY), GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) $ CLAIMS-MADE OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 7 POLICY PRO- JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,250,000 (Ea accident) 3 ANY AUTO BODILY INJURY(Per person) $ 1,250,000 ALL OWNEDSCHEDULED 817740079 BODILY INJURY(Per accident) $ 1,500,000 AUTOS X AUTOS X HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ 100,000 AUTOS (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE _ $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVEN/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Julie Larkin ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD