Loading...
HomeMy WebLinkAbout2023-075 PO 20220229 Amnd #1 Grayback Forestry Inc CITY -RECORDER . I � CDPurchase Order Ki11 ,M Fiscal Year 2022 Page: 1 of: 1 7� r79. iaii 1°°fes ifg"� PAL B City of Ashland .. iii i.i-'zi/z,0l , - ��� ea ,e, _� = LATTN: Accounts Payable Purchase . 20 E. Main 20220229 L Ashland, OR 97520 Order# T Phone: 541/552-2010 O Email: payable@ashland.or.us • 0 d-, '• J E GRAYBACK FORESTRY INC H C/O Fire and Rescue Department PO BOX 838 l 455 Siskiyou Blvd D MERLIN, OR 97532 • 0 P Ashland, OR 97520 OR Email: GREG@GRAYBACKFORESTRY.COM ' Phone: 541/482-2770 T Fax: 541/488-5318 . -1- ai-i ' ��ee1 TI€i Oi§&IeI FI_l^1i,71 iii Ic, _ =----.--- -. - '-'.;Tr-17-1i--75---W-tijt ]gk[� — =--- :541)___1541) 476-0033 Chris Chambers _ �_ =-to d'-'17' 2 k�®le] 1-1 €7M a I _=t- 1 rerA( I 1 1lR''':.---7. -_i las[jel47 a. a eE=- — 12/22/2021 989 FOB ASHLAND OR/NET30 ' City Accounts Payable Its - = b. _meftirmareel Services . 1 MODIFIED: Contractor will provide goods and services 1.0 $233,702.26 $233,702.26 necessary to complete forestry services for the AFR project, . private owners, and City forestlands according to the agreed upon rates and resources. • Goods and Services Agreement(Greater than $25,000) Completion date: June 30, 2023 . : ESSED CHANGE ORDER 06/29/2021 • • DEDUCT 3 PYMTS NOT APPLIED TO PO $6,828-.60 I_8x3,027.34 $26,441.80 , rojecf ccount: E-G00027-400 j. • 2,-Pro'cessed change order 06/28/2623_3 • 1.0 $140,000.00 . $140,000.00 AmendrnenttN :t:o , , Increase in_cornOnsatiori-$210;000.0 Ap rove y�ily-Courrcil-June-20; 23 1 Project Account: E-G00027=40 ***************GL SUMMARY***************. 1 072900-604160 $373,702.26 • • iirBy: \U f`.1ti a... Date: W L._T -- Authorized Signature p.;a5=1��� �_r� $373 702.26 1 . FORM#10 CITY OF . CONTRACT AMENDMENT APPROVAL REQUEST FORM S H L,AN D Request for a Change Order / • Name of Supplier/Contractor!Consultant: Grayback Forestry Inc, r ..TOt1w;atflQG1'I(OfitlliS: -' • ;contract�amendment • Purchase Order Number:20220229 - . / 1fi461)00. , ' Title!Description:Forest restoration end controlled burn management / $ y' Q Per attached contract amendment Contract Amendment , •' Original contract amount $350,000 100 %of original contract . } Total amount of previous contract amendments 0 - • 0 %of original contract Amount of this contract amendment $140,000 • 40 %of original contract TOTAL AMOUNT OF CONTRACT • $490,000 140 • %of original contract In accordance with OAR 137-047-0800:1)The amendment is within the scope of procurement as described in the solicitation documents,Sole Source notice or approval of Special Procurement.?}The amendment is necessary to comply with a change in law that affects performance•of the contract.3)The amendment results from renegotiation of the terms and conditions,including the contract price,of a contract and the amendment is advantageous to the City o f Ashland,subject to all of the following conditions:a)goods and services to be provided under the amended contract are the same as the goods and services to be provided under the unamended contract b)Th a City determines that,with all things considered,the • f• amended contract is at least as favorable to the City as the unamended contract;c)The amended contract does not have a tots I tern greater than allowed in the solicitation document, contract or approval of a Special Procurement.An amendment is not within the scope of the procurement if the City determines that if it had described the changes to be made by the• amendment in the procurement documents,it would likely have increased competition or affected award of contract • Contract amendment is within the scope of procurement:' YES NO ■ I (If"NO",requires Council approval i Attach copy of CC.) • Sourcing Method: - SMALL PROCUREMENT—Not exceeding$5,000 _ INVITATION TO BID or ' - • COOPERATIVE PROCUREMENT,QRF or • .❑'YES",the total amount of contract and cumulative REQUEST FOR PROPOSAL EXEMPTION PURSUANT TO AMC 2.50 amendments 5$6,000. ' • • 0 'YES',the total amount of cumulative amendments 0`YES',the total amount of original contract and • o If'NO'.amount exceeding authority requires 525%of original contract amount or$250,000 cumulative amendments 5$100K for Goods&Services,5 Council approval.Mach copy of Council whichever is less. ' $75K for Personal Services,<$50K for Attorney Fees. Communication. 0 If'NO",amount exceeding authority requires 0 If"NO",amount exceeding authority requires Council . ❑ Exempt-Reason: • ' Council approval.Attach copy of Council approval.Attach copy of Council Communication. • PERSONAL SERVICES(Direct Appointment) Communication. 0 Exempt—Reason ❑ 'YES°,cumulative amendments 5$35,000 0 Exempt—Reason: • • ❑ If"NO',requires council approval.(Attach CC) • • INTERMEDIATE PROCUREMENT ' SOLE SOURCE ' EMERGENCY PROCUREMENT • Goods&Services•>$5,000 and<$100,000 0 'YES',the total amount of cumulative amendments 0 Written Findings:Document the nature of the Personal Services->$5,000 and<$75,000 5 25%of original contract amount or$250,000 emergency,including necessity and circumstances - ❑ `YES',the total amount of cumulative •• whichever is less, requiring the contract amendment • amendments 5 25%of original contract amount 0 If°NO",amount exceeding authority requires 0 Obtain direction and written approval from City ❑IMO",amount exceeding authority requires Council approval.Attach copy of Council Administrator . Council approval.Attach copy of Council Communication. • 0 If applicable,attach copy of Council Communication • Communication. . • 0 Exempt—Reason: • • ' 0 Exempt—Reason: ❑ Exempt—Reason: - - - SPECIAL PROCUREMENT INTERGOVERNMENTAL AGREEMENT • • ti]'YES°,the total amount of original contract and cumulative amendments are 0 Renewal of Intergovernmental Agreement:Terms modified In accordance with initial within the amount and terms initially approved by Council as a Special agreement OR cost will not be more than 25%greater than initial agreement.Renewal • Procurement. •• approved by City Attorney and department head affected by renewal and approved/signed - ❑ 111,10%amount exceeding authority requires Council approval. by City Administrator.AMC 2.28.045(B) • • Attach copy of Council Communication. 0 If°NO",Council approval lir7ired.Attach copy of Council Communication • Project Number 0 0 0 2,7 -goo Account Number o-7 2 e o o. 6 o 4 ;1 6 0 Account Number• - *Expenditure must be charged to the appropriate account numbers for the financials to reflect the actual expenditures eccuratey. Attach extra pages if needed. - • Employee Signature: Department Head Signature: • . 1 alto or teat an$5,000) City Manager:�7 ie ii • �/�, f (Contract and addenda greater than t45,000) _ Funds appropriated for current fiscal year: YE /NO ] " / ! ,l � l� Finance Director(Eq to rgreaterthan$5)O0) wf 6D 4 Comments: • Olt- 'l(f'2'`'d- :i Form#10-Contract Amendment Approval Request Form,Request for a Change Order,Page 1 of 1,4/23/2020 - . . ' • • Council Business Meeting • April 18, 2023 Agenda Item: Contract Amendment for Forest Management Services with Grayback Forestry,Inc. From;:-.: • Chris Chambers Wildfire Division Chief ;Contact Chris.chambers@ashland.or.us 541.552.2066 . Item Type. Requested by Council El Update 0 Request for Direction Presentation 0 SUMMARY • • In 2021,Council.approved a contract to Grayback Forestry, Inc.for forestry related practices related to managing fuels including prescribed burning on City, Parks,and U.S.Forest Service lands in the Ashland Watershed.The contract was awarded under a Special Procurement process as prproved by Council in September of 2021.The City was successful in securing grant funding from the Oregon Department of Forestry in early 2022,effectively increasing the Wildfire Division's budget.With successful completion of prescribed burning this spring that utilized Grayback capacity and aided by State grant funding,the City needs to add compensation to the • Grayback Forestry contract to account for the added grant funding and work being accomplished in the amount of$140,000. POLICIES,PLANS&GOALS SUPPORTED • 2016 Ashland Forest Plan Ashland Climate Energy Action Plan FEMA Natural Hazard Mitigation Plan (See Page AA-1) • BACKGROUND AND ADDITIONAL INFORMATION Grayback Forestry has been a business partner of the City's since 2012 and part of the Ashland Forest Resiliency Project implementation team since 2010.They have developed unique knowledge,skills,and relationships with staff and our agency partners that is irreplaceable and has significant benefit to the City's interest.Thecontract amendment reflects the increased capacity afforded-through a State of Oregon grantawarded to the City, which allowed work above and beyond the original contracted arnount. • • • FISCAL IMPACTS The increased'amount of$140,000 is proposed to be added to the Grayback Forestry contract and is offset by the State of Oregon Department of Forestry Landscape Resiliency Program grant approved by Council in 2022 and included in the supplemental budget approved.by Council on March 151,2022 in the amount of$445,500. DISCUSSION QUESTIONS • None SUGGESTED NEXT STEPS � Staff recommends approval of the proposed contract amendment. Pagel of 2• . /11i/ ElCouncil Business Meeting • ACTIONS,OPTIONS&POTENTIAL MOTIONS I move to approve a contract amendment to increase compensation by $140,000 on the existing contract with Grayback Forestry,Inc to a contract total of$490,000. REFERENCES&ATTACHMENTS S Contract amendment proposal Grayback Forestry Inc.Contract with City of Ashland • • • • • • • • • • • Page 2of2 Purchase Order !WArat Fiscal Year 2022 . . Page: 1 of: 1 WI Lfi! 1 ai' F' flr,401,eib u� 6' hfTB City of Ashlandi} � e. I tF1144 I ATTN:Accounts Payable purchase . 20220229 AshlandiOR 97520 • Order# T Phone: 541/552-2010 O Email: payableGashland.or.us . GRAYBACK FORESTRY INC H C/O Fire and Rescue Department PO BOX 838 I 455 Siskiyou Blvd • D . MERLIN, OR 97532 p Ashland, OR 97520 O Email: GREG@GRAYBACKFORESTRY.COM Phone: 541/482-2770 OT Fax: 541/488-5318 • r 'i i kIl li!fi ii 9 Z,,,P� S 11 i � • ""v` ix {� OI' r ill iyiiq it .v Y r� �5�'�. i Lil,tq. j` G i^3r [< (541) 4 7-6'G.0033 Chris Chambers /e6doafe � � eL, aka r r' Ali ' 12/22/2021 989 FOB AS L+ D OR/NET3O City Accounts Payable R I Forestry Services . 1 Contractor will provide goods and services necessary to complete 1.0 $350,000.00 .$350,000.00 forestry services for the AFR project, private owners, and City forestlands according to the agreed upon rates and resources. • Goods and Services Agreement(Greater than $25,000) • Completion date: June 30,2023 , Project Account: • **************:*GL SUMMARY*************** . , • 072900-604160 5 $350,000.00 •pir1S • • • • • • • • ,7y 1,4• By: ✓ Date: / 4 ;r ,�Y� Authorized Signature, �a ' 350 000.00 Yi4RLtp • FORM #3 CITY OF r Fty . t s <:�;,:: •�; .tea.. t 'a�.SH'ASHLAND a.,. ',�: REQUISITION Date of request: 12/07/21 Required date for delivery: 12/14/21 Vendor Name Grayback Forestry Inc. Address,City,State,Zip PO Box 838,Merlin,OR 97632 • Contact Name&Telephone Number Dale Lee(541)476-0033 ' Fax Number (541)476-0162-dale cub i ra bac, • est .con . SOURCING METHOD ❑ Exempt from Competitive Bidding ❑ Emergency • ❑ Reason for exemption: , 0 Invitation to Bid (Copies on file) • 0 Form#13,Written findings and Authorization ❑ AMC 2.60 Date approved by Council:N/A 0 Written quote or proposal attached ❑ Written quote or proposal attached _ (Attach copy of council communication) (If council approval required,attach copy of CC) ❑ Small Procurement Cooperative Procurement Less than$5,000 ❑ Request for Proposal (Copies on file) 0 State of Oregon ❑ Direct Award Date approved by Council: Attach copyof council communication Contract# ❑. VerballWritten quote(s)or proposal(s) —( ) 0 State of Washington • Intermediate Procurement El Sole Source Contract#, • GOODS&SERVICES 0 Applicable Form(#5,6,7 or 8) • 0 Other government agency contract $5,000 to$100,000 . 0 Written quote or proposal attached Agency ❑ (3)Written quotes and solicitation attached 0 Form#4, Personal Services$51(to$75K Contract# PERSONAL SERVICES . 181Special Procurement Intergovernmental Agreement $5,000 to$75,000, co Form#9,Request for Approval ❑ Agency ❑ Less than$35,000,by direct appointment ® Written quote or proposal attached Date original contract approved by Council: • ❑ (3)Written proposalsiwritten solicitation Date approved by Council: 12117/19 (Date) • CIForm 114, Personal Services$5K to$75K Valid until:,DI 0/2i, • _(Attach copy of council communication) Description of SERVICES Total Cost Contractor will provide goods and services necessary to complete forestry services for the AFR .4..5000 project,private owners,and City forestlands according to the agreed upon rates and resources. Item#. quantity Unit Description of MATERIALS Unit Price Total Cost TOTAL COST 0 Per attached quote/proposal • • $350,000 Project Number:NIA Account Number 072900.604160 Account Number n 4 - Account Number - • d *Expenditure must be charged to the appropriate account numbers for the financials to accurately reflect(he actual expenditures. • IT Director in collaboration with department to approve all hardware and software purchases: IT Director ' Date Support-Yes I No By signing this requisition "form I certify that the/SO public contracting requirements have been satisfied. Employee. " ", " ,........... . Department Head:l . .4(6-- ,,.1 (Equal to r.greaterthan$5,000) Department Manager/Supervisor: A �{ (.---- City Admtntstratat: = ` �t,t �.•",• :...... "` (Equal to or greater than$25,000) Funds appropriated for current fiscal year YES /NO j,�.'*" • '' _ 'X'°-1-141 z Fldbnce Director-(Equal to orgreater than$5,000) (late Comments: contract spans 3 years,but full amount Is available In OWEB grant in current FY and work could be completed by June 301h;2017, Form#3-Requisition . . �""� : .. . . . , . . . FOI1M #10 , • CITY OF . . . . CONTRACT AMENDMENT APPROVAL REQUEST FORM AsfiLAND Request for a Change Order , . Name of Supplier.!Contractor!Consultant: Praytack Fmccaly Inc ' Total amount of this ,. • contract amendment: , • Purchase Order Number:;. ..022022a. . . $1 40,00000 Title!Description: PONE'S rotatuadui ond copula.'burn rum-a:gen-4ot - . i ( El Per attached contract amendment • . - - . • • • , ., .. . .. Contract Amendment i . . . Original contract amount $350,600 100 %of original contract . . . , Total amount of previous,contract amendments . a. 0 %of original contract • . • 1 . itil()Soar' ' , 'ID %of original contract Amount of this contract amendment . . . • TOTAL AMOUNT OF CONTRACT • $41.,0,030 • . PID %of original contract . . In accordance.with OAR 131-047-0600:1)The amendment Es within the scoop of procurement as described in the sac:Italian•dodinente,8ot Bewce notice or epprOval of Speeal Procurement,2)The amendment is naceary to comply with a change in law that affects performance of the contract 3)The amendment results from renegotiation of the ferns and • conditions,incbding the contractpiice,of a contradand the amendment is advantageous tothe Oily of Ashland,subjectlo all of tho foltwingtonditions:a)goods end services to be ' provided under the amended contract are the Samoan tie goods and ServiceS b be provided under the unamended contract b)The City determines that,with all thilgs considered,the amended=treats at leastas favorable So the City as the unamended centred;c)The amended contractdoes not have a lata I term greater than allowed'in the solbltafon document. contrast or approval of a Special Prim:raiment An amendment is not within the scope Of the procurer:anti!the City determines that It It had described Its changes to be Mere by the amendment in the procurement'documents,ii would Rely have inaCtOnadCOmpetICton ot affected award of contrail. , , . Contract amendment is within the scope of procurement: YES lir NO • (If INV;requires Council approval I Attach copy of CC.) , . Sourcing Method: , . . k,.. . •z., :.,. ,, -,,. . . .1,. ,i.J amataggla i t..• ;...;. . ..., .; . El 4YES,the fol amounted mitred and cumulative REQUEST FOR PROPOSAL EXEMPTION PURSUANT TO AMC 2.50 amendments 5$6,000. • 0 YES,the total amount of cumulative amenernent E3'YES",the total amount of original contract and• .0 If"NO",amount exceeding authority requires s 25%of original centrect amount or$251.1,000 . ' cumulative amendments 5$100K for Goods&SepAces,• 5 Council approval,Attach cum/of Council whichever Is less, $75K for Personal Services,<5501(1orAttomeyfees: • Communication. 0 11140",enclinl exceeding authority requires 0 If 4NCY,amount exceeding authority requkes Council ' 0 Exempt—Reason; Council approval.Anat;ti conv of Council ' appayial.Attach cony Of Council GOMmunkarent , PERSONAL SERVICES(Direct Apoolotmentt Communication. , . 0 Exempt—Reason:.: .. 0 'YET,cumulative amendments 5$35,000 0 Exempt—Reason; • • • 0 If'N0',.reoutes council approval.(Attach CC) I .li k • t.P;* 4 L.,..4, =ME • . ..,. . ...k Ya ;.!:. _ i . . Goods&Services•)55,800 end<6100.000 0 'YES%the total amount of cumulative amendments I WrKen Ridings:Document the matire of the • Personal Services.>55,000 end<575,000 • 5 25%of rgiginal CallW amount or 6250,1300 ' emergency,incleding necessity and chug:stances . .0 'YES,the total amount of ormulalive vatichevar is less. requiring fie contract amendment " amendments 525%of original contract amount , 0 trip'',amount exceeding authmify requires., 0 Obtain direction and written approval from Cal • 0 IMO",amount exceeding authority iequires Council approval:Attach coov of Council• • ArintiniStrator • . Council a..-..:.1.Mach cony of Council Comniijrdcation. ' 0 if applicable.attach Copy at Council Communicate() Comm. alion. • • Exempt—Reason: 0 Exempt—Reason: . xempt—Reason: , • ''ECIAL PROCUREMENT • INTERGOVERNMENTAL AGREEMENT a'YET,the total amount of original calked and cumulative amendment?e, • Cl Renewal of IntergOvenut 0131 Agreement Tins modified in accordance with initials with . -;--.!i i and terms Initially approved by Councli nee:Special • • itZt OR cost Minot be more than 25%greater than InIlielagreement.Renewal • Pie I meat, • .. 'i : . :. and department head affected by renewal and approved/signed iir...' ,iceftni exceeding ntiocityrecy4res .:Couneil mai °Z-1)by City Admadstrator,Amp .`4 f•p__ Lffil___mirt.,_____w_a_ )clICnininu c kn.' :f., • d . E1 If`110°.Council aeproval 1st- oiled.At nob co ial...i.,:..... ,J,e, miletin • 6*--- • • ,.,, Project Nu ber,,t,e_rt,t ,7,;"-,,T, i 7f - :• •count Numbers 2 ?_e J)s-_a_a.,1;J_ 9 Account Number_ _ ,..:, __ ....."-,.... .... ...,.. _ • tExpanditura must,-,I°mod to the appmpt ate account nu rs for the r oaf 10 reflect thi :dual expenditures accurately. Attach extra pa 'needed. \ • Empl. ,ee Signature:, • / i Dep: )1.;, Head Signature /A , j r7(• 1 Manager: • . (Equal to or greater than$5,000) (Contract and addenda greater than , ';nail - - ' Fundi a.,()plated for cuffent fiscal ye t YES i •': . • Finance Director(Equal to or greater than SOO* # 6 '' Comments: - •• • .. ...,. . _.. . .. • - Form#10-Contract Amendment Appmyal.Request Form,Request fora Change Order,F'age 1 of 1,4/23/2020 . • • . . . • T ..� t AMENDMENT NO. 1 to . GOODS&SERVICES AGREEMENT • between • •. 'THE CITY OF ASHLAND, an Oregon municipal corporation, ("Ciz p") . • • .• and • . . Grayback Forestry Inc, ' ' • - a(corporation), . • • • ("Provider") • . • for • (Accomplish.objectives set by City.and Ashland Forest Resiliency Partnership to accomplish • . prescribed burning;forest thinning,piling and other forestry related activities) - RECITALS . ' • A. The City and Provider previously entered into a Goods and Services Agreement effective October 6th,2021 (the"Agreement"),for the(services.for prescribed fire,forest thinning and other forestry .• related activities). i 'B. The'City and Provider now wish to amend the Agreement to increase the amount of compensation . to be paid to Provider. • AGREEMENT ' ' NOW THEREFORE,in consideration of the mutual benefits and obligations set forth ' herein,the parties agree as follows:, • 1. Amend Section 2 of the Agreement as follows,with strikeout wording deleted and . ' underscored wording added: • . 2:1 City shall pay Provider the sum of $ (490,000) $350,000 as provided herein as full compensation for the Work as specified in the SUPPORTING DOCUMENTS.. • . 2.2 In no event shall Providei's total of all compensation and reimbursement under this Agreement exceed the sum of$(490,000)$350,000 without the 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•maximurri 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. 1herein is done at Provider's own risk and as a volunteer without expectation of • . compensation or reimbursement. . • ' i . Page 1 of 2: Amendment No. 1 to Goods&.Services Agreement between the City of Ashland and Grayback Forestry Inc. . 2: This Amendment No. 1 is effective upon being signed by both parties. 3. Except as specifically modified by this Amendment No; 1,the terms and conditions of the • Agreement remain in full force and effect. ' . • IN WITNESS WHEREOF the parties ljave•caused this Amendment No. 1 to be signed in their . respective names by their duly authorized representatives as of the,dates set forth below; • CITY OF ASHLAND, OREGON- Gra ba, restiy Inc. • By: By: • #1,#,,,,,,,6040-, sd, City Manager . • • Printed Name: CBL U-.-- . • Date: 6' z Title: . a , i\-)Q2.. • • Date: t (2Z/23 • ' . ' i • J • • .• • • • • • I i • Page 2 of 2: Amendment No. 1 to Goods&Services Agreement between the City of Ashland and Grayback Forestry Inc. . i ^ • 1 ' 1 • DATE(MMIDDNYYY) A 9RD CERTIFICATE OF LIABILITY INSURANCE 1/2/2023 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,ANb THE CERTIFICATE HOLDER. • IMPORTANT:- If the certificate holder is an ADDITIONAL.INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to-the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT < . Protectors Insurance, LLC • PHONE Kendall'Pori FAX • P.O. Box 4669 • (Nc.No.Ext):541-842-2963 (A/c,No):541-772-1906 Medford OR 97504 • ADDARESS: kendallp@protectorsins.com • • • INSURER(S)AFFORDING COVERAGE NAIC# • INSURER A:Cincinnati Specialty 13037 . INSURED • GRAYS-1 INSURER B:The Cincinnati Insurance Co 10677 • Grayback Forestry Inc . . PO Box 838 - INSURER C:Landmark American Insurance Co • . • Merlin OR 97532-0838 INSURER D:Gemini Insurance Co • • INSURER E:. 1 • . ' - INSURER F: • COVERAGES CERTIFICATE NUMBER:972659325 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 QR 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. ITR TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP LIMITS 1 INSD WVD POLICY NUMBER (MMIDD/YYYY) (MMIDD/YYYY) A X COMMERCIAL GENERAL LIABILITY Y Y CSU0180904 1/1/2023 1/1/2024 EACHOCCURRENCE $1,000,000 CLAIMS-MADE X OCCUR DAMAGE TO RENTED . PREMISES(Ea occurrence) $1,000,000' • • • I MED EXP(Any one person) $15,000 - . X Loggers BFPD - • PERSONAL&ADV INJURY $1,000,000 • -GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE • $2,000,000 ' X POLICY PRO LOC , PRODUCTS-COMP/OP AGG $2,000,000 JECT . • OTHER: - LBFPD $1,000,000 B AUTOMOBILE LIABILITY • • Y V EBA0577453 •1/1/2023 1/1/2024 COMaccldeBINED n0 SINGLE LIMIT $1,000,000 (Ea - X ANY AUTO ‘ BODILY INJURY(Per person) $ OWNED SCHEDULED ' BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS . • • HIRED NON-OWNED I PROPERTY DAMAGE $ AUTOS ONLY _ AUTOS ONLY (Per accident) . $ C UMBRELLALIAB • X OCCUR LHA255083 1/1/2023' 1/1/2024 EACH OCCURRENCE $2,000,000 X EXCESS LIAR CLAIMS-MADE AGGREGATE $2,000,000 •DED RETENTION$ $ • WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY ' Y/N • STATUTE ER ANYPROPRIETORIPARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED7 N/A E.L.EACH ACCIDENT $ (Mandatory In NH) ' EL.DISEASE-EA EMPLOYEE $ . If yes,describe under DESCRIPTION OF OPERATIONS below ' , E.L.DISEASE-POLICY LIMIT $ D Excess Auto Liability GVE100239804 ' 1/1/2023 :1/1/2024 Each Occurrence 3,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) The City of Ashland,Oregon,and ifs elected officials,officers and employees as Additional insured per policy endorsement CSGA 4034(0612)as respect to Contractor's services to be provided under contract. • ` • 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.• City of Ashland 20 East Main St AUTHORIZED REPRESENTATIVE • Ashland OR 97-520 p • t .. /- • ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo.areregistered marks of ACORD . . .• • . - • • , " . . . • • . • . . , .• , , . • • • . , COMMERCIAL GENERAL LIABILITY.- • . . . ' • • . .CSGA.4004 06 12 . . . • • • • • . . . . • ' . •THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. • . . - . . . AUTOMATIC ADDITIONAL INSURED - WHEN REQUIRED IN IANY . . • • NON-CONSTRUCTION CONTRACTOR AGREEMENT WITH YOU • • • . . , . . . . . . . • This endorsement modifies insurance provided under the following: - • • • . , . • . . . . . . • . COMMERCIAL GENERAL LIABILITY COVEFIAGE'pART • . ' . • . . . . . • . . . • • . ' 'A. SECTION .11 - WHO IS AN INSURED js . a Thepreparing,approving, or falling to • amended to include as an additional insured . • . prepare or approve, merit; shop any personarthrganization•whenou and:such , -drawings, opinions, reports; surveys, perebn or organization itaVe agreed in writing - • field Orders, Change Orderb Or draw- in a.cOntradt br.agreement.that.Such person Or • ,. - • ings and specifications; • • • . . •• • .. organization be added as•an additional insured • -on This Coverage Part; but only with respect to b. Providing..or hiring independent pro.- . . "bodily injury", "property damage" or "personal • • fe.ssiorials to provide engineering,ar- ' and:adVertising injury" caused, in'whole or in • • . chitectural,•surveying or construction , . ' •P.airt,bY: ' management services; or.- , •• • , • • • • 1. YOur acts.or omis.siohk or . •• C. Supervisory or inspeetion. activities . • • • - 'performed.as part of any related oar- .2. The acts.or omissions of those acting On • . - - ohitectural, engineering or construe • • rurbehalf; • . •tion)management ectiVItieS. . . - . in'the. CerforrnanOe Of.. 1 yoLir.wiire operationProfessional services do•not include for that additional Insured. A person or organi- • .•services •within construction means, . zation's status as an insured under this en- . ' methods,techniques; sequences and •dbrsement. continues for only the. period of . . • • procedures employed by you in cam.; time TOO red by the Written contract or agree- • • .nection •with construction work you , Merit, but in no event beyond the expiration perform. • . date Of this,coverage Part. if ho period of time . is required by the written contract or agree- 2. "Bodily Injury",."property damage" or"per- : . • Merit;A person or Organizatidn'S status as an . solel and advertising•injury"to any.arn• . . . • • insured under Anis..erid.orterrient ends.when ployeesof you.or to any obligation of the . wig operatiOns for that insured are completed. . • - additional. insured to indemnity another • . • becaUse Of damages arising but of such .. - • ' The written contract or agreement must.0e . inkiry, . . , currently in effect or become effective during • . • • the term of this Coverage•Part.The.contract or. . S. "Blodily InjUry-',."proPerty damage" or"per- • sonal and advertising injurr•fot Which the • . agreeniert'mOSIbeexebuted.prier to the''bod- ily injury", "prigpertydamage" or"personal:end . . Named Insured IS afforded no coverage , 'advertieing injury" to which this.endorsementunder this policy.of insurance. . . •. • pertains. • • • .0. 'With respect to the. insurance afforded to these additional SECTION III - LIM- ' B. -With topped lathe insurance afforded to the- • se additional insureds, the following additional . • . • ITS OF INSURANCE is amended to inelud.ef • . . • • . exClUsibhaappiy:: . , ' The limits applicable to the additional insured. • This.insurance does:n.ot•apply to:. are those sPecified in the Written contract or . :agreement or in the peclaratibins Of this Coy- • . . • • • 1. "Bodily injury',"property damage"'or"per- .erage Part, whichever is less If no limits are . sonal and advertising injury'arising out of .specified in the written contract or agreement, • • . the tendering,of,,,Or-the failure to render, , the limits applicable to the additional insured . . Any. professional'architectural, engineer- , are thoSe..specified in the Declarations-of this ' log, surveying or •constructiOn„Manage-. . Coverage Part.The Limits of insurance are inr • . .. . . •ment services,.including: • • S •• Clusive of and not in addition tothe limits of in- • • • . . . • • suranCe shown in the:Declarations •. . . • - . • . . includes Copyrighted'materiel of Insurance. . . • . ' • : CSGA403 .4 06 12. • ' ie •8ervcs°Wei inc.,with its permlasiOn. Pagel of 2 • . , . • . • . . • , . . • ' . . . ' • - • • , D. With reP6.ct to the inetkande.afforded toithe- Ornery, eXceSe, dontindent on any other se additional insureds, SECTION.IV - COM- baSiS unless you have agreed in a written cbn- MWVIAL GENERAL LIABILITY •CONDI- tract or written agreement qx0.Putoo.prior to • TIONS,4. !Other Insurance Is amended to in, any loss that this Insurance will be primary. • clUde: This'indOrende will.be noncontributory only if SWilaVe,so agreed.in a:written contract or Any coverage provided herein will be excess written agreemOnt executed prior to.any i0§§ over any other valid and collectible insurance and thia.cbverage.it determined ID be primary, available tb the 'additionai. insured whether • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • .•__ Includes Cdpyridhted material of InSuranee CSGA.4034 0612 $ervideS ,Qtfice, Inc.,with its penrilasion. Page 2.02 .• . • ACOREA CERTIFICATE OF LIABILITY INSURANCE UATE(MM/°DIYYYY) • f`,�' 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(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms arid 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 • k.p.d.Insurance LLC • PHONE FAX PO BOX 784 (A1C.No.Ex*541-741-0550 (AIC,No):641-741-1674 • Springfield OR 97477 . ADDRESS: wc-certs©kpdihsurance.com • INSURER(S)AFFORDING COVERAGE NAIC# INSURERA c SAIF Corporation 36196 INSURED GRAYFORO2W INSURER B:Zurich American Insurance Company 16535 Grayback Forestry, Inc. PO Box 838 INSURER C: Merlin OR 97532 INSURERD: • . INSURER E: • • INSURER F:. ' COVERAGES . CERTIFICATE NUMBER:327641295 . . 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 NUMBER (MM/DD/YYYY) (MM/DD/YYYY) COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ _ • DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES(Ea occurrence) $ ' MED EXP(Anyone person) $ PERSONAL&ADV INJURY $ GE 'L AGGREGATE LIMIT APPLIES PER: . GENERAL AGGREGATE $ ' • POLICY, PRO- LOC • PRODUCTS-COMP/OP AGG $ JECT , • • OTHER: AUTOMOBILE LIABILITY 1 • . COMBINED SINGLE LIMIT $ • (Ea accident) ANY AUTO BODILY INJURY(Per person)' $ OWNED • SCHEDULE •D AUTOS ONLY AUTOS BODILY INJURY(Per accident) $HIRED NON-OWNED PROPERTY DAMAGE $ _ AUTOS ONLY AUTOS ONLY • (Per accident) $ UMBRELLALIAB _ OCCUR • EACH OCCURRENCE $ • EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION$ • $ A WORKERS COMPENSATION 395606 1/1/2023 1/1/2024 X STATUTE ETH B AND EMPLOYERS'LIABILITY • Y/N - 9663291 1/1/2023 1/1/2024 - -' ANYPROPRIETOR/PARTNER/EXECUTIVEE.L.EACH ACCIDENT $500,000 OFFICER/MEMBEREXCLUDED? n N/A (Mandatory In NH) 'EL.DISEASE-EA EMPLOYEE $500,000 If yes,describe under • DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 Workers Compensation ' and Employers Liablity Limits 1 • DESCRIPTION OF OPERATIONS/LOCATIONS 1 VEHICLES(ACORD 101,Additional Remarks Schedule,may he attached If more space Is required) RE:All Operations • CERTIFICATE HOLDER CANCELLATION . • •SHOULD ANY OF THE ABOVE'DESCRIBED POLICIES BE CANCELLED BEFORE . s THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN • ACCORDANCE WITH THE POLICY PROVISIONS. City Of Ashland • . 20 East Main.Stree •t Ashland OR 97520AUTHORIZED REPRESENTATIVE • ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) .The ACORD name and logo are registered marks of ACORD