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HomeMy WebLinkAbout2019-298 PO 20200240- Bugs Northwest Purchase Order FrAlV,aFiscal Year 2020 Page: 1 of: 1 • L d B, City of Ashland ) ATTN: Accounts Payable L 20 E. MainPurchase /� L Ashland, OR 97520 Order# 202002`t� T Phone: 541/552-2010" O Email: payable@ashland:or.us • V H .,C/O Facilities Maintenance Div E BUGS NORTHWEST I '90 North Mountain Ave N 551 SW G STREET p Ashland, OR 97520 GRANTS PASS, OR 97526 . •Phone: 541/488-5358 ' R T Fax: 541/552-2304 O ' • .1E.:ohs al ! �`��_I a v �� _ --` -� ��� a€ 3 �-�_ .:;.. -i' David Arnold 10/29/2019 1287 FOB ASHLAND OR/NET30 . City Accounts Payable 1! 11�'"a� �— eS T:�7�e�ati j,� I� =s.,[= _^ - - - J -= &74 Quarterly Pest Control 1 Quarterly Pest Control 1 $7,000.0000 $7,000.00' Goods &Services Agreement . Completion date: 06-/30/2020 Project Account: ***************GL SUMMARY*************** 082400-602400 $7,000.00 k • • • . k 7 , By: \3 la-41 lit� �� Date: Authorized ig u arlo = == $7 000.00 FORM #3 .e-- 1 7 p CITY OF ° t/` � ASHLAND Ar q .gest for a Purchase Or .dr , REQUISITION ., I of request:, l 10/22/2019 / Required date for delivery: Vendor Name Bugs Northwest - Address,City,State,Zip 551 SW G Street,Grants Pass,OR 97526 Contact Name&Telephone Number Dave Mays 541-472-5003 ' Email address c • SOURCING METHOD . ❑ Exempt from Competitive Bidding ." 0 Emergency ❑ Reason for exemption: 0 Invitation to Bid 0 Form#13,Written findings and Authorization ❑ AMC 2.50 Date approved by Council: 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 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 quote(s)or proposal(s) 0 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 0 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 ® (3)Written quotes and solicitation attached 0 Form#4,Personal Services>$5K&<$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 . ❑ Direct appointment not to exceed$35,000 0 Written quote or proposal attached City Administrator.AMC 2.50.070(4) ❑ (3)Written proposals/written solicitation Date approved by Council: 0 Annual cost to City exceeds$25,000,Council ❑ Form#4,Personal Services>$5K&<$75K Valid until: (Date) approval required.(Attach copy of council communication) Description of SERVICES Total Cost Quarterly Pest Control for FY20 $'7,0,00410'1, , , Item# Quantity Unit . Description of MATERIALS Unit Price Total Cost L ❑ Per attached quotelproposal TTOTAL'.COST�'" Project Number _ _ Account Number'082400-602400 ' '_ ' *Expenditure must be charged to the appropriate account numbers for the financials to accurately reflect the actual expenditures. IT Director in collaboration with depart to approve all hardware and software purchases: IT Director Date Support-Yes/No By signing this requisition form,l cerci ha' • 'ity's public contracting requirements have been satisfied. Employee: /V V Department Head: !q (Equal to or greater than$5,000) . Department ManagerlSupervisor: - City Administrator: (Equal to or greater than$25,000) Funds appropriated for current fiscal year: Y / NO -� ti4;, 1e (u; Deputy Finance Director-(Equal to or greater than$5,000) Date . , Comments: Form#3-Requisition GOODS& SERVICES AGREEMENT PROVIDER: Bugs Northwest CITY O F PROVIDER'S Dave Mays ASHLAND CONTACT: 20 East Main Street Ashland,Oregon 97520 ADDRESS: 551 SW G Street Telephone: 541/488-5587 Grants Pass, OR 97526 Fax: 541/488-6006 PHONE: 541-472-5003 This Goods and Services Agreement (hereinafter "Agreement") is entered into by and between the City of Ashland, an Oregon municipal corporation (hereinafter "City") and Bugs Northwest, a domestic business corporation("hereinafter"Provider"), for pest control. • 1. PROVIDER'S OBLIGATIONS 1.1 Provide three pest control treatments for FY20 as set forth in the "SUPPORTING DOCUMENTS" attached hereto and,by this reference, incorporated herein. Provider expressly acknowledges that time is of the essence of any completion date set forth in the SUPPORTING DOCUMENTS, and that no waiver or extension of such deadline may be authorized except in the same manner as herein provided for authority to exceed the maximum compensation. The goods and services defined and described in the"SUPPORTING DOCUMENTS"shall hereinafter be collectively referred to as"Work." 1.2 Provider shall obtain and maintain during the term of this Agreement and until City's fmal acceptance of all Work received hereunder,a policy or policies of liability insurance including commercial general liability insurance with a combined single limit,, or the equivalent, of not less than $2,000,000 (two million dollars)per occurrence for Bodily Injury and Property Damage. 1.2.1 The insurance required in this Article shall include the following coverages: • Comprehensive General or Commercial General Liability, including personal injury, contractual liability, and products/completed operations coverage; and • Automobile Liability. 1.2.2 Each policy of such insurance shall be on an "occurrence" and not a"claims made" form,'and shall: • Name as additional insured "the City of Ashland, Oregon, its officers, agents and employees" with respect to claims arising out of the provision of Work under this Agreement; • Apply to each named and additional named insured as though a separate policy had been issued to each,provided that the policy limits shall not be increased thereby; • Apply as primary coverage for each additional named insured except to the extent that two or more such policies are intended to "layer" coverage and, taken together, they provide total coverage from the first dollar of liability; • Provider shall immediately notify the City of any change in insurance coverage • Provider shall supply an endorsement naming the City, its officers, employees and agents as additional insureds by the Effective Date of this Agreement; and • Be evidenced by a certificate or certificates of such insurance approved by the City. Page 1 of 5: Agreement between the City of Ashland and Bugs Northwest • 1.3 All subject employers working under this Agreement are either employers that will comply with ORS 656.017 or employers that are exempt under ORS 656.126. 1.4 Provider agrees that no person shall, on the grounds of race, color, religion, creed, sex, marital status, familial status or domestic partnership, national origin, age, mental or physical disability, sexual orientation, gender identity or source of income, suffer discrimination in the performance of this Agreement when employed by Provider. Provider agrees to comply with all applicable requirements of federal and state civil rights and rehabilitation statutes, rules and regulations. Further, Provider agrees not to discriminate against a disadvantaged business enterprise,minority-owned business,woman-owned business, a business that a service-disabled veteran owns or an emerging small business enterprise certified under ORS 200.055,in awarding subcontracts as required by ORS 279A.110. 1.5 In all solicitations either by competitive bidding or negotiation made by Provider for work to be performed under a subcontract, including procurements of materials or leases of equipment, each potential subcontractor or supplier shall be notified by the Providers of the Provider's obligations under this Agreement and Title VI of the Civil Rights Act of 1964 and other federal nondiscrimination laws. 2. CITY'S OBLIGATIONS 2.1 City shall pay Provider the sum of$7,000 as provided herein as full compensation for the Work as specified in the SUPPORTING DOCUMENTS. 2.2 In no event shall Provider's total of all compensation and reimbursement under this Agreement exceed the sum of$7,000 without express, written approval from the City official whose signature appears below, or such official's successor in office. Provider expressly acknowledges that no other person has authority to order or authorize additional Work which would cause this maximum sum to be exceeded and that any authorization from the responsible official must be in writing. Provider further acknowledges that any Work delivered or expenses incurred without authorization as provided herein is done at Provider's own risk and as a volunteer without expectation of compensation or reimbursement. 3. GENERAL PROVISIONS 3.1 This is a non-exclusive Agreement. City is not obligated to procure any specific amount of Work from Provider and is free to procure similar types of goods and services from other providers in its sole discretion. 3.2 Provider is an independent contractor and not an employee or agent of the City for any purpose. 3.3 Provider is not entitled to, and expressly waives all claims to City benefits such as health and disability insurance,paid leave,and retirement. 3.4 This Agreement embodies the full and complete understanding of the parties respecting the subject matter hereof. It supersedes all prior agreements,negotiations,and representations between the parties, whether written or oral. 3.5 This Agreement may be amended only by written instrument executed with the same formalities as this Agreement. 3.6 The following laws of the State of Oregon are hereby incorporated by reference into this Agreement: ORS 279B.220, 279B.230 and 279B.235. Page 2 of 5: Agreement between the City of Ashland and Bugs Northwest 3.7 This Agreement shall be governed by the laws of the State of Oregon without regard to conflict of laws principles. Exclusive venue for litigation of any action arising under this Agreement shall be in the Circuit Court of the State of Oregon for Jackson County unless exclusive jurisdiction is in federal court, in which case exclusive venue shall be in the federal district court for the district of Oregon. Each party expressly waives any and all rights to maintain an action under this Agreement in any other venue, and expressly consents that, upon motion of the other party, any case may be dismissed or its venue transferred, as appropriate, so as to effectuate this choice of venue. 3.8 Provider shall defend,save,hold harmless and indemnify the City and its officers,employees and agents from and against any and all claims, suits, actions, losses, damages, liabilities, costs, and expenses of any nature resulting from, arising out of, or relating to the activities of Provider or its officers, employees, contractors, or agents under this Agreement. 3.9 Neither party to this Agreement shall hold the other responsible for damages or delay in performance caused by acts of God,strikes,lockouts,accidents,or other events beyond the control of the other or the other's officers, employees or agents. 3.10 If any provision of this Agreement is found by a court of competent jurisdiction to be unenforceable, such provision shall not affect the other provisions, but such unenforceable provision shall be deemed modified to the extent necessary to render it enforceable, preserving to the fullest extent permitted the intent of Provider and the City set forth in this Agreement. 4. SUPPORTING DOCUMENTS The following documents are,by this reference,expressly incorporated in this Agreement,and are collectively referred to in this Agreement as the"SUPPORTING DOCUMENTS:" • The Provider's complete written Rate Sheet dated October 7,2019 5. REMEDIES 5.1 In the event Provider is in default of this Agreement, City may, at its option, pursue any or all of the remedies available to it under this Agreement and at law or in equity, including,but not limited to: 5.1.1 Termination of this Agreement; 5.1.2 Withholding all monies due for the Work that Provider has failed to deliver within any scheduled completion dates or any Work that have been delivered inadequately or defectively; 5.1.3 Initiation of an action or proceeding for damages, specific performance, or declaratory or injunctive relief; 5.1.4 These remedies are cumulative to the extent the remedies are not inconsistent,and City may pursue any remedy or remedies singly, collectively, successively or in any order whatsoever. 5.2 In no event shall City be liable to Provider for any expenses related to termination of this Agreement or for anticipated profits. If previous amounts paid to Provider exceed the amount due,Provider shall pay immediately any excess to City upon written demand provided. 6. TERM AND TERMINATION 6.1 Term This Agreement shall be effective from the date of execution on behalf of the City as set forth below (the "Effective Date"), and shall continue in full force and effect until June 30, 2020, unless sooner terminated as provided in Subsection 6.2. Page 3 of 5: Agreement between the City of Ashland and Bugs Northwest 6.2 Termination 6.2.1 The City and Provider may terminate this Agreement by mutual agreement at any time. 6.2.2 The City may, upon not less than thirty(30) days' prior written notice, terminate this Agreement for any reason deemed appropriate in its sole discretion. 6.2.3 Either party may terminate this Agreement, with cause,by not less than fourteen(14) days' prior written notice if the cause is not cured within that fourteen (14) day period after written notice. Such termination is in addition to and not in lieu of any other remedy at law or equity. 7. NOTICE Whenever notice is required or permitted to be given under this Agreement, such notice shall be given in writing to the other party by personal delivery,by sending via a reputable commercial overnight courier, or by mailing using registered or certified United States mail, return receipt requested, postage prepaid, to the address set forth below: If to the City: City of Ashland—Facilities Maintenance Department Attn: David Arnold 90 North Mountain Avenue Ashland, Oregon 97520 Phone: (541) 552-2292 With a copy to: City of Ashland—Legal Department 20 E. Main Street Ashland, OR 97520 Phone: (541)488-5350 If to Provider: Bugs Northwest Attn: Dave Mays 551 SW G Street Grants Pass, OR 97526 541-472-5003 8. WAIVER OF BREACH One or more waivers or failures to object by either party to the other's breach of any provision,term,condition, or covenant contained in this Agreement shall not be construed as a waiver of any subsequent breach,whether or not of the same nature. 9. PROVIDER'S COMPLIANCE WITH TAX LAWS 9.1 Provider represents and warrants to the City that: 9.1.1 Provider shall, throughout the term of this Agreement, including any extensions hereof, comply with: (i) All tax laws of the State of Oregon, including but not limited to ORS 305.620 and ORS chapters 316, 317, and 318; (ii) Any tax provisions imposed by a political subdivision of the State of Oregon applicable to Provider; and (iii) Any rules,regulations, charter provisions, or ordinances that implement or enforce any of the foregoing tax laws or provisions. Page 4 of 5: Agreement between the City of Ashland and Bugs Northwest 9.1.2 Provider, for a period of no fewer than six(6) calendar years preceding the Effective Date of this Agreement, has faithfully complied with: (i) All tax laws of the State of Oregon, including but not limited to ORS 305.620 and ORS chapters 316, 317, and 318; (ii) Any tax provisions imposed by a political subdivision of the State of Oregon applicable to Provider; and (iii) Any rules,regulations, charter provisions, or ordinances that implement or enforce any of the foregoing tax laws or provisions. 9.2 Provider's failure to comply with the tax laws of the State of Oregon and all applicable tax laws of any political subdivision of the State of Oregon shall constitute a material breach of this Agreement. Further, any violation of Provider's warranty, as set forth in this Article 9, shall constitute a material breach of this Agreement. Any material breach of this Agreement shall entitle the City to terminate this Agreement and to seek damages and any other relief available under this Agreement,at law,or in equity. IN WITNESS WHEREOF the parties have caused this Agreement to be signed in their respective names by their duly authorized representatives as of the dates set forth below. CITY OF ASHLAND: Bugs Noi. ' s (PRO i E ' : By: / :y: Signature Signature ' / Printed Name Printed_� Name Pi/Z11/771— riaFer✓� Title Title ;3"-if«20/q /0-2f--1 Date Date (W-9 is to be submitted with this signed Agreement) Purchase Order No. Page 5 of 5: Agreement between the City of Ashland and Bugs Northwest • R 111 Bugs North{est City of Ashland Pest Control Bid, September 201.9 Revised Estimate for Quarterly Service, Exterior only (Prices revised 10/7/19) City Hall 20 E Main 140.00 Community Development 51 Winburn 120.00 Police Contact Station 40 N Main ST 120.00 Service Center 90 N Mountain _ 325.00 Police Station 1155 E Main ST 120.00 Justice Center 1175 E Main 120.00 Hardesty Property 1291 Oak St 120.00 Cemetery 440 Normal 160.00 Airport. . 403 Dead Indian Memorial Rd (Flight Op Bldg, Skinner Hangar 475.00 Fuel Shack, Surplus Hangar) After Hours Fees, (weekend or holiday) 275.00 www. bugsnw. com 541.472.5003• 541.770.2920 551 SW "G"Street• Grants Pass,OR 97526 CCB#200990 . '...---'—‘1 a DATE(MM/DD/YYYY) A U CERTIFICATE OF LIABILITY INSURANCE 9/10/2019 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 LIPCA Inc. CONTACT __LIPCA, Inc.NAME: ..-..— PO Box 80663, PHONE 225 927-3283 FAx 225"927-3295 Baton Rouge,LA 70898 E o.Ext): ( ) — (A)c,No):�_—) - ----- ADDRESS: info@Ilpca.COm _ - INSURER(S)AFFORDING COVERAGE _ NAIC# INSURER A: Gemini Insurance Company 10833 INSURED Green Line Corporation INSURER B: __• ..____ Bugs NorthwestINSURER C 551 SW G St Grants Pass,OR 97526 INSURER D: _ —_.- INSURER E: .. - INSURER F: - COVERAGES - -CERTIFICATE NUMBER:.67337 .. REVISION.NUMBER: 20190910 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. ILNSSR /TOOL SUER!'' - POLICY EFF POLICY EXP LIMITS TYPE OF INSURANCE INSR WVD POLICY NUMBER IMM/DDYY) (MM/DDIYYYY) GENERAL —1#7'1 PREMISES LIABILITY EACH OCCURRENCE I S 2,000,000 I COMMERCIAL GENERAL LIABILITY - PRS RENTED 100,000 ✓ V LGL0000759 06 9/10/2019 9/10/2020- { y ~II ,CLAIMS-MADE I V I OCCUR .MED EXP(Any one person) l$ 5,000 A ! Deductible 1,000PERSONAL&ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 4,000,000 • GEN'L EN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 4,000,000 (POLICY Ti E& 17 LOC -• I$ • COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY I S {E8 accident)' I —I ANY AUTO BODILY INJURY(Per person) �:S —1ALL OWNED SCHEDULED BODILYYINJURY(Pee accident)IISS' AUTOS AUTOS PROPERTY DAMAGE. s L I HIRED AUTOS —AUTOS ,(Per accident) _ $ UMBRELLA LIAB OCCUREACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTIONS. -. .. O 1-$I - _ WORKERS COMPENSATION . PER STATUTE ER AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE , . EL EACH ACCIDENT 1.5 OFFICER/MEMBER EXCLUDED? - N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE]$ .. ---- If ^__If yes,describe under DESCRIPTION OF OPERATIONS below . E.L..DISEASE-POLICY LIMIT I$ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) • Pest and Wildlife Services City of Ashland is included as an additional insured including waiver of subrogation on a primary&non-contributory basis with respect general liability per endorsement CG 78 27 0213 when required by written contract. • CERTIFICATE HOLDER .. CANCELLATION " , City of Ashland • 20 E Main St SHOULD ANY.OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Ashland,OR 97520 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ' ACCORDANCE WITH THE POLICY PROVISIONS. / AUTHORIZED REPRESENTATIVE , I 1 ACORD 25(2014101) ©1988-2014 PAORD C RPORQ ION.All rights reserved. The ACORD name and logo are registered marks of ACORD . Ac)Rd' CERTIFICATE OF LIABILITY INSURANCEDATB(MMIDD/YYYY) /011512019 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 ofsuch endorsement(s): , PRODUCER - CONTACT-House Account _ _ NAME: _ _ __... _. Siskiyou Insurance Marketplace,Inc. _�H No,.Exu (541)479-6672 __ Ia No z(541)474.6632 704 Sw 4th Street SS: _____.__ — ___ iNSURER(S).AFPORDINGCOVERAGE _ NAIC&_ Grants Pass ___. OR 97526INSURER A Saif Corporation _, 203 INSURED '-- INSURER B: • –' ---- _.,�._ ..– Green Line Corporation INSURER_,; _ __ _.. _ — DBA:Bugs North West INSURERD: 551 Sw G Street INSURER ie Grants Pass - OR 97526. 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_ - . IADDL SUER Ip POLICY EFF 1 POLICY EXP _ LI TS LTR• TYPE OF INSURANCE I pan-wvo I POLICY NUMBER I(MWDINYYYXI:(MMIDDNYYY) MI COMMERCIAL GENERAL LIABILITY i • EACH OCCURRENCE .�$ OAMAGE?O.RENTED CLAIMS MADE OCCUR ! I. t_PREMI$ES(EagcSildren[eI I I ^ `MED EXP(Any'onaperson) $ I _ -_ __- _... _ E i i PERSONAL P.Aly INJURY $ __� .GEN'L AGGREGATE LIMIT APP_LIES PER: i I GENERAL AGGREGATE $ _ __ —_ PRO- I _1 POLICY JECT ) :PRODUCTS-COMPIOPAGG S ., LOC �_�� , f OTHER: t , I$ AUTOMOBILE LIABILITY. COMBINED SINGLE LIMIT $ ANY AUTO I BODILY INJURY(Per person) $ 1, I OWNED ' SCHEDULED lBODILY INJURY(Per occident) $ AUTOS ONLY I AUTOS - { HIRED �f NON-OWNED I 1 PROPERTY DAMAGE $ AUTOS ONLY 1 i AUTOS ONLY I .(Pe�ccideg1_.,_-- _ I I . I . . t $ !UMBRELLA LIAR OCCUR I I _EACH OCCURRENCE_ S ,w— I EXCESS LIAB I I CLAIMS-MADE' ILII II AGGREGATE ^:� $_ _ „�_ I !DED I RETENTION S _ $ WORKERSCOMPENSATION ( 'PER ��� II 0TH IAND EMPLOYERS'LIABILITY _ `STA�IJTE�_.i E5 _.,' _ _—_ YIN : ANY PROPRIETOR/PARTNER/EXECUTIVE I EL EACH ACCIDENT jI$ 500.000 A .OFFICER/MEMBER EXCLUDED? I l I N I A N !747737 04)0112019 04/01/2020 .E L DISEASE: EA EMPLOYEE500 000 I(MandatoryinNH) ' I L _,__ LDSECdescribe under { R PON OF OPERATIONS below I I I E L DISEASE tt S PODGY LIMIT I$500,000" I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks-Schedule,may be attached it mere space Is required) ) M 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. 20E.MAIN ST -o 7 ASHLAND,OR 97520 AUTHORIZED REPRESENTATIVE ,,;r f'f1 ©;1988.26'(5 ACORD.CORPORATION: All rights reserved. Fax � Email: � � s ACORD 25(2016/03) The ACORD name,and logo are registered marks of ACORD COUNTRY • PREMIUM-NOTICE Notice Date:September09,2019 Account Number:0009988087 Auto • YOUR PREMIUM DETAILS AUTO INSURANCE Policy Number Vehicles) Your policy activity Amountbl led A36A4937883 2004 Ford Policy Renewal $1,640.81 Ranger A84765 effective date 10/11/19 Policy term 10/11/19-04/11/20 2009 Ford F-150 B71843 2009 Ford Ranger A51076 2009 Ford RangerA54631 CONTACT US Contact COUNTRY® Contact your COUNTRY Phone Financial®representative 1-866-COUNTRY(1-866.268-6879) Did you know you can Mailing Address Debbie D Derensld pay online? COUNTRY Mutual Insurance Company® 205 Northwest E St P.O.Box 2100 Grants Pass,OR 97526 Bloomington,IL 61702-2100 (541)479-0362 Email:debbie.derensld@countryfinancial.com COUNTRY Web Web:wwwcountryfinanciaLcom/debbie.derenski www.countryfinancial.com 122 • 1 + " l ' Pape 3 of 3 Sheetlarity - Y Lome Repair 790 Sonoma Ct. Medford, OR 97504 fi rest& 541-613-7311 License #AG-L1018497CPO Pest Control Agreement Purchaser City of Ashland Public Works Dept. Billing addressBelow Address : 90 N. Mountain Ave City: Ashland, , OR. Zip Code : 97520 Phone: Email: david.arnold@ashland.or.us Pest to be covered: • wasps Black Widows ants earwigs Service Frequency: Semi Annual As out on dates to be Determined by city Summary of Charges: One Time Charge Initial Charge Reg Charge $2,150.00 Per vist 2times per year See list of locations provided by City of Ashlanc Annual Total $4,300.00 Method of payment: Check Cash Credit Card Visa MC Disc Integrity Pest Representative . . Purchaser Date The intent of this agreement is for one year. . Early.cancellation will incur,a$100.00.cancellation fee. It can be cancelled after one year.with 30 days notice. I have read and understand the statements above: Page 1. Date of Date Request Onsite Date of Date of Update. Company Name Bid Format Rate Sheet Eval Result Bids Due Invitaiton 23 Sep A Better Pest Control 12-Apr . 29-May • 15-Aug email 16-Sep Bugs Northwest 12-Apr 15-Aug email 23-Aug 16-Sep • Online 15-Aug • 15-Aug 15-Aug 16-Sep Integrity Pest &.Home Repair Portal No Buggy 15-Aug email • N/A a Request Received Building Quote Quarterly Action Quarterly Notes Info Exterior Exterior Proposal Only No 7-Sep Response Submitted 7-Sep 02-Oct 07-Oct Proposal Several Clarifying Questions Submitted 7-Sep 02-Oct 02-Oct Proposal Several Clarifying Questions r ` Based on Very N/A Eliminated Poor Reviews