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HomeMy WebLinkAbout2019-308 PO 20200248- Cutting Edge Restoration Fr Purchase Order ,aft a d �( � i �; F Fiscal Year 2020 Page: 1 of: 1 dA B City of Ashland ATTN: Accounts Payable Purchase L 20 E. Main 20200248 Ashland, OR 97520 Order# T Phone: 541/552-2010 • 0 Email: payable@ashland.or.us • V H CIO Public Works Department E CUTTING EDGE RESTORATION I 51 Winburn Way N 804 W 12TH ST p Ashland, OR 97520 R M=-1E6[=-D1.=-FI E3OaE3Lfi_Rt='Df"=, O1 R 9lv-7 5! 01 Phone: 541 /488-53 47O Fax: 541/488-6006T - z' tft _-=y (541 776-8507 Paula Brown I 11/06/2019 888 FOB ASHLAND OR/NET30 I City Accounts Payable .7;177.i -I- o ._. aE_r7411.; Fra Interior Painting Airport 1 Interior painting of fixed base operator's office at Ashland 1 $4,390.0000 $4,390.00 Municipal Airport Goods and Services Agreement(less than $25,000) Completion date: 01/31/2020 Project Account: • ***************'GL SUMMARY*************** 085700-704100 $4,390.00 • By: / �'""b!� Date: ttfig -- ===. — --_� Authorized Signature ge= $4 390.00 , ), ,, i'7/�C� FORM #3 CITY OF A request for Pd�rc'r i 1, ,../ ASHLAND REQUISITION Date of request: 10/07/2019 ' Vendor Name Cutting Edge Restoration I Address,City,State,Zip 804 W.12th Street Medford,OR 97501 Contact Name David Geigle Telephone Number 541-326-6131 Email address heavensdoor7Ricloud.com • SOURCING METHOD ❑ Exempt from Competitive Bidding ❑ Emergency ❑ Reason forexemption: ❑ Invitation to Bid (Copies on file) 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 Cooperative Procurement Less than$5,000 0 Request for Proposal (Copies on file) 0 State of Oregon Date approved by Council:Q Direct Award Contract# _(Attach copy of council communication) 0 VerbaINVritten quote(s)or proposal(s) , 0 State of Washington Intermediate Procurement 0 Sole Source Contract# GOODS&SERVICES 0 Applicable Form(#5,6,7 or 8) ❑ 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$5K to$75K Contract# PERSONAL SERVICES 0 Special Procurement Intergovernmental Agreement $5,000 to$75,000 0 Form#9,Request for Approval ❑ Agency ElLess than$35,000,by direct appointment ❑ Written quote or proposal attached Date original contract approved by Council: ❑ (3)Written proposals/written solicitation Date approved by Council_ (Date) ❑ Form#4, Personal Services$5K to$75K Valid until: Date —(Attach copy of council communication) Description of SERVICES Total Cost . ., 390Q0i . Interior painting of Fixed Base Operators office at Ashland Municipal Airport {.$'_ Item# Quantity Unit Description of MATERIALS Unit Price Total Cost ;TOTA L,COST JI Per attached quote/proposal l; � _-# , . ' Project Number _ _ _ Account Number 0 8 5 7 0 0.7 0 4 1 0 0 $_,_ _ 4,3 9 0 ,0 0 ice`_,_ 4,.,,:,..2,.::,,.._.__' _ _. Project Number -_ _ _ Account Number - $_,_ _ _,_ _ _._ Project Number -_ _ _ Account Number - , *Expenditure must be charged to the appropriate account numbers for the financials to accurately reflect the actual expenditures. IT Director in collaboration with department to approve all hardware and software purchases: IT Director Date Support-Yes/No By signing this requisition form,I certify thattthe City's public contracting requirements have been satisfied. Employee:OO,�Y�A1 ►, Z�Y Al 9 Department Head: " , / ���,,,���uuu za�acr Zvi/ i reater than$5,000)J Department Manager/Supervisor: City Administrator: • 11 • (Equal to or San$25,000) , q Funds appropriated for current fiscal year: YE / NO `ti�'��t1��� � 0 fô(i 1 Deputy Finance Director-(Equal to or greater than goon) ate Comments: - Form#3-Requisition GOODS AND SERVICES AGREEMENT (LESS THAN$25,000) PROVIDER: Cutting Edge Restoration CITY OF PROVIDER'S CONTACT: David Geigle ASHLAND 20 East Main Street ADDRESS: 804 W. 12th Street Ashland, Oregon 97520 Medford, OR 97501 Telephone: 541/488-5587 PHONE: 541-326-6131 Fax: 541/488-6006 This Services Agreement (hereinafter "Agreement") is entered into by and between the City of Ashland, an Oregon municipal corporation (hereinafter "City") and Cutting Edge Restoration, (an assumed business name) "hereinafter"Provider"), for interior painting of Fixed Base Operator's office at Ashland Municipal Airport. 1. PROVIDER'S OBLIGATIONS 1.1 Provide for interior painting of Fixed Base Operator's office at Ashland Municipal Airport as set forth in the "SUPPORTING DOCUMENTS" attached hereto and, by this reference, incorporated herein. Provider expressly acknowledges that time is of the essence of any completion date set forth in the SUPPORTING DOCUMENTS, and that no waiver or extension of such deadline may be authorized except in the same manner as herein provided for authority to exceed the maximum compensation. The services defined and described in the"SUPPORTING DOCUMENTS" shall hereinafter be collectively referred to as "Work." 1.2 Provider shall obtain and maintain during the term of this Agreement and until City's final acceptance of all Work received hereunder, a policy or policies of liability insurance including commercial general liability insurance with a combined single limit, or the equivalent, of not 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 6: Agreement between the City of Ashland and Cutting Edge Restoration 1.3 Provider shall, at its own expense,maintain Worker's Compensation insurance in compliance with ORS 656.017, which requires subject employers to provide workers' compensation coverage for all of its subject workers. 1.4 Provider agrees that no person shall, on the grounds of race, color, religion, creed, sex, marital status, familial status or domestic partnership, national origin, age, mental or physical disability, sexual orientation, gender identity or source of income, suffer discrimination in the performance of this Agreement when employed by Provider. Provider agrees to comply with all applicable requirements of federal and state civil rights and rehabilitation statutes, rules and regulations. Further, Provider agrees not to discriminate against a disadvantaged business enterprise,minority-owned business,woman-owned business, a business that a service-disabled veteran owns or an emerging small business enterprise certified under ORS 200.055, in awarding subcontracts as required by ORS 279A.110. 1.5 In all solicitations either by competitive bidding or negotiation made by Provider for work to be performed under a subcontract, including procurements of materials or leases of equipment, each potential subcontractor or supplier shall be notified by the Providers of the Provider's obligations under this Agreement and Title VI of the Civil Rights Act of 1964 and other federal nondiscrimination laws. 1.6 Living Wage Requirements: If the amount of this Agreement is $21,507.75 or more, Provider is required to comply with Chapter 3.12 of the Ashland Municipal Code by paying a living wage,as defined in that chapter, to all employees performing Work under this Agreement and to any Subcontractor who performs 50% or more of the Work under this Agreement. Provider is also required to post the notice attached hereto as "Exhibit A"predominantly in areas where it will be seen by all employees. 2. CITY'S OBLIGATIONS 2.1 City shall pay Provider the sum of$4,390.00 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$4,390.00 without express, written approval from the City official whose signature appears below, or such official's successor in office. Provider expressly acknowledges that no other person has authority to order or authorize additional Work which would cause this maximum sum to be exceeded and that any authorization from the responsible official must be in writing. Provider further acknowledges that any Work delivered or expenses incurred without authorization as provided herein is done at Provider's own risk and as a volunteer without expectation of compensation or reimbursement. 3. GENERAL PROVISIONS 3.1 This is a non-exclusive Agreement. City is not obligated to procure any specific amount of Work from Provider and is free to procure similar types of goods and services from other providers in its sole discretion. 3.2 Provider is an independent contractor and not an employee or agent of the City for any purpose. 3.3 Provider is not entitled to, and expressly waives all claims to City benefits such as health and disability insurance,paid leave, and retirement. 3.4 This Agreement embodies the full and complete understanding of the parties respecting the subject matter hereof. It supersedes all prior agreements,negotiations, and representations between the parties, whether written or oral. Page 2 of 6: Agreement between the City of Ashland and Cutting Edge Restoration 3.5 This Agreement 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. 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. 3.11 Deliveries will be F.O.B destination. Provider shall pay all transportation and handling charges for the Goods.Provider is responsible and liable for loss or damage until final inspection and acceptance of the Goods by the City. Provider remains liable for latent defects, fraud, and warranties. 3.12 The City may inspect and test the Goods. The City may reject non-conforming Goods and require Provider to correct them without charge or deliver them at a reduced price, as negotiated. If Provider does not cure any defects within a reasonable time, the City may reject the Goods and cancel this Agreement in whole or in part. This paragraph does not affect or limit the City's rights, including its rights under the Uniform Commercial Code, ORS Chapter 72 (UCC). 3.13 Provider represents and warrants that the Goods are new, current, and fully warranted by the manufacturer. Delivered Goods will comply with SUPPORTING DOCUMENTS and be free from defects in labor,material and manufacture.Provider shall transfer all warranties to the City. 4. SUPPORTING DOCUMENTS The following documents are,by this reference,expressly incorporated in this Agreement,and are collectively referred to in this Agreement as the "SUPPORTING DOCUMENTS:" • The Provider's complete written Estimate dated 10/01/2019 5. REMEDIES Page 3 of 6: Agreement between the City of Ashland and Cutting Edge Restoration 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 01/31/2020, unless sooner terminated as provided in Subsection 6.2. 6.2 Termination 6.2.1 The City and Provider may terminate this Agreement by mutual agreement at any time. 6.2.2 The City may, upon not less than thirty (30) days' prior written notice, terminate this Agreement for any reason deemed appropriate in its sole discretion. 6.2.3 Either party may terminate this Agreement, with cause, by not less than fourteen (14) days' prior written notice if the cause is not cured within that fourteen (14) day period after written notice. Such termination is in addition to and not in lieu of any other remedy at law or equity. 7. NOTICE Whenever notice is required or permitted to be given under this Agreement, such notice shall be given in writing to the other party by personal delivery, by sending via a reputable commercial overnight courier, or by mailing using registered or certified United States mail, return receipt requested, postage prepaid, to the address set forth below: If to the City: City of Ashland—Public Works Department Attn: Kaylea Kathol 20 E. Main Street Ashland, Oregon 97520 Phone: (541)488-5587 With a copy to: City of Ashland—Legal Department 20 E. Main Street Ashland, OR 97520 Phone: (541) 488-5350 If to Provider: Cutting Edge Restoration Attn: David Geigle Page 4 of 6: Agreement between the City of Ashland and Cutting Edge Restoration 804 W. 12th Street Medford, OR 97501 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. 9.1.2 Provider, for a period of no fewer than six(6) calendar years preceding the Effective Date of this Agreement, has faithfully complied with: (i) All tax laws of the State of Oregon, including but not limited to ORS 305.620 and ORS chapters 316, 317, and 318; (ii) Any tax provisions imposed by a political subdivision of the State of Oregon applicable to Provider; and (iii) Any rules, regulations, charter provisions, or ordinances that implement or enforce any of the foregoing tax laws or provisions. 9.2 Provider's failure to comply with the tax laws of the State of Oregon and all applicable tax laws of any political subdivision of the State of Oregon shall constitute a material breach of this Agreement. Further, any violation of Provider's warranty, as set forth in this Article 9, shall constitute a material breach of this Agreement. Any material breach of this Agreement shall entitle the City to terminate this Agreement and to seek damages and any other relief available under this Agreement,at law,or in equity. IN WITNESS WHEREOF the parties have caused this Agreement to be signed in their respective names by their duly authorized representatives as of the dates set forth below. Page 5 of 6: Agreement between the City of Ashland and Cutting Edge Restoration CITY OF ASHLAND: CUTT ► t EDGE RES f RATION (PROVIDER): ' /- C By � By• /. / ASO dlay/ Signature " Signai 44,1 A- , Vvuel.,1, ,„ :ki , ,,,, (-___ -_-__ic,-( =„ , Printed Name 0 Printed Name CA ill Mkt ifil'5 11/1409,1- GE2‘1 -12-A-1_, CDINigt-A-6-11:D12--- Title Title 10 1S0119 101C(/( D to Date (W-9 is to be submitted with this signed Agreement) Purchase Order No. �' ''' t: '' l b Page 6 of 6: Agreement between the City of Ashland and Cutting Edge Restoration . . I: _ CITY OF ASHLAND, OREGON City of Ashland LIVING ALL employers described WAG E below must comply with City of Ashland laws regulating S. 11 -I • '• • i .• $15.39 per hour, effective June 30,. 2019. "A, The Living Wage is adjusted annually every June 30 .by the Consumer Price Index. Employees must be paid a portion of business of their of health care, retirement, living wage: employer, if the employer has 401 K and IRS eligible ten or more employees,and cafeteria plans(including has received financial childcare) benefits to the assistance for the project or amount of wages received by. > .For all hours worked under a business from the City of the employee. service contract between their Ashland in excess of employer and the City of $21,507.75. > Note: For temporary and Ashland if the contract part-time employees,the exceeds$21,507.75 or more. > If their employer is the City of Living Wage does not apply Ashland, including the Parks to the first 1040 hours worked > For all hours worked in a and Recreation Department. in any calendar year. For month if the employee spends more details, please see 50%or more of the > In calculating the living wage, Ashland Municipal Code employee's time in that month employers may add the value Section 3.12.020. working on a project or 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 ASHLAND 8 Estimate Interior Paint 10/01/2019 Cutting Edge Restoration David Geigle General Contractor CCB Lic#194900 (541) 326-6131 Kaylea Kathol, Project Manager City of Ashland-Public Works/Engineering 51 Winburn Way, Ashland Or 97520 C: (541) 331-1140 Bob Skinner Skinner Aviation Ashland Municipal Airport (541) 482-7675 Scope of Work: I hereby propose to furnish all the materials and perform the labor necessary for the completion of the following: (1) Prep the paintable interior surfaces of all rooms except bathrooms for paint (2) Fill and patch holes in all the walls (3) Repair ceiling trim in south office (4) Caulk around windows, doors, trim, molding and walls where needed (5) Move furniture to the center of each room and cover with plastic (6) Tape and mask all windows, doors, cabinets, brick and woodwork, light fixtures, and air vents (7) Remove electrical light switch and plug in plates (8) Cover floors with drop cloths (9) Primer where needed (10)Paint all paintable interior walls, and ceilings of all the rooms except the bathrooms one color (11)Paint all the paintable trim and molding white (12)Paint all the paintable doors front and back except for the bathrooms and the entry door which will be painted on the interior side only (one color) (13)Remove all tape and masking (14)Reinstall electrical plates Note: Contractor prefers to use quality Sherwin Williams Paint with a Limited Life Time Warranty. The color of the walls, ceiling and doors to be determined by the customer. Recommended sheen is Semi Satin.The contractor is not responsible for the color of the paint chosen but will assist the customer if asked. The job is estimated to take 6-7 days. The rooms will be painted 1-2 rooms at a time with priority specified by the customer. Pg1 Estimate Interior Paint 10/01/2019 All material is guaranteed as specified and the above work to be performed in a timely and substantial workmanlike manner for the sum of: Time, Labor and materials: $4,390.00 Due on Completion Respectfully Submitted, David Geigle The above prices, specs, and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payments will be made as outlined above. Kaylea Kathol, project manager Pg2 ....„........1 CUTTI-1 OP ID:GW Ac.c Rte® CERTIFICATE OF LIABILITY INSURANCE DATE 10/22IDDIYYYY) 10/22/2019 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 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). 541-899-9535 CONTACT George Wheeler PRODUCER NAME: The Insurance Center,Inc. PHONE 541-899-9535 I FAX 541-899-9532 240 West"C"Street (AIc,No,Ext): (A1C,No): P 0 Box 6 AIL ADDRESS: Jacksonville,OR 97530 George Wheeler INSURER(S)AFFORDING COVERAGE NAIC# INSURERA:Developers Surety&Indemnity INSURED INSURER E:Scottsdale Insurance Company Cutting Edge Restoration David Dein Geigle INSURER C: PO Box 782 Jacksonville,OR 97530 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUER POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MMIDDIYYYYI /MM/DD/YYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR y BIS00014725-07 01/28/2019 01/28/2020 pREMIS S(EaE000u a nce) $ 300,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2'000'000 POLICY ' f LOC _PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY (Ea accident)INGLE LIMIT $ ANY AUTO BODILY INJURY(Per person) $ AUTOS ONLY _ AUTOS BODILY INJURY(Per accident) $ JRnWN PROPERTY DAMAGE AUTOS ONLY — AUU OS ONLY (Per accident) ._$__— $ B UMBRELLA LIAR _ OCCUR EACH OCCURRENCE $ 1,000,000 X EXCESS LIAB CLAIMS-MADE XBS0118048 10/21/2019 10/21/2020 AGGREGATE $ 1,000,000 DED RETENTION$ _ $ WORKERS COMPENSATION PEATUTE ER H TH- AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $ (Mandatory in NH)EXCLUDED? 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,it's elected officials,officers&employees named additional insured.endorsement attached CERTIFICATE HOLDER CANCELLATION CITYASH 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 Attn:Tami DeMille-Campos AUTHORIZED REPRESENTATIVE 20 East Main St. George Wheeler Ashland.OR 97520 ACORD 25(2016/03) ©1988-21 it- =RD CORPORATION. All rights reserved. The ACORD name and logo are registered marks . CORD ID 00 37 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section II — Who Is An Insured is amended to include as an additional Insured any person or organization for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy. Such person or organization is an additional insured only with respect to liability for"bodily injury", "property damage"or"personal and advertising injury"caused by and to the extent of your negligence in the performance of your ongoing operations for the additional insured. A person's or organization's status as an additional Insured under this endorsement ends when your operations for that additional insured are completed. B. With respect to the insurance afforded to these additional insureds,the following additional exclusions apply: This Insurance does not apply to: 1. "Bodily injury", "property damage"or"personal and advertising injury"arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: a. The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports,surveys,field orders,change orders or drawings and specifications;or b. Supervisory, inspection, architectural or engineering activities. 2. "Bodily injury"or"property damage"occurring after: a. All work, including materials, parts or equipment furnished in connection with such work, on the project(other than service,maintenance or repairs)to be performed by or on behalf of the additional insured(s)at the location of the covered operations has been completed;or b. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. 3. "Bodily Injury","property damage"or"personal and advertising injury'involving or related to or in connection with any additional insured or any location covered by a scheduled or blanket additional insured endorsement that is a part of the policy. C. Primary and Non-contributory Insurance-We will consider this insurance to be primary and non- contributory to other insurance issued directly to additional insured person(s) or organization(s) to which this endorsement applies if each such additional insured is a named insured in such other insurance and a written contract between you and such person(s) or organization(s) specifically requires that we consider this Insurance to be primary and non-contributory.. D. Waiver of Subrogation—We waive any right of recovery we may have against the additional insured person(s) or organization(s) to which this endorsement applies if each such additional insured is a named insured in such other insurance and a written contract between you and such person(s) or organization(s) specifically requires that we waive subrogation of payments we make for injury or damage arising out of "your work" done under a contract with such person(s) or organization(s) to which this endorsement applies. ID 00 37 0413 Page 1 of 1 INSURANCE CENTEa } 9- !RO-OREJIB • POOX JACKSONVILLE,O0530 Policy Number 9,1,3970283 . Undeiwritten by:' . Progressive Classic Insurance Co , DAVo GEIGLE August 22,2019 r'.,'s0}, 'hti JODPIGEE LE Policy Penod: Sep 18,2019 Mar 18,2020: ' PO®OX 782 Page•1 .of 2 N Arr.,..,,,...)ACI50NVILLE,OR 97530 ts1=541=899=9535 pp ),: INSURANCE CENTER ", Contact your agent#or peisonal zed service. p;sa P9r0 r@ssil(eagentcom Auto, Insurance Grains$enrice Make payrrlents,check billing activity,update Coverage Summary policy information or check status of a claim. 1-800-i74-4499 This is your Renewal'' Torepprtaclaim. Declarations Page . The coverages,limits and policyperiod shown a I onl if you -a for policy to renew. 9 PPY y� y- pay P cY Your coverage begins on September 18,2019 at 12:01 a.m. This policy expires on March 18,2020 at 12:01 a.m. Your insurance policy and any policy endorsements contain a full explanation of your.coverage. The policy limits shown.for a vehicle may not be combinedwith the limits for the same.coyerage on another vehicle. The policy contract is form 9611A 014(08/15). The contract is modified by forms 4884(1.0/08),;2445 OR,(11/17)and A267 OR(04/19). __ D.riuers.an 4esidentreiares__ : David Geigle Named irtsured ..1` Jodi Geo le y 9 Named insured " Outline of coverage. 2005 FORD F150 PICKUP ="` VIN: 1 FTRF14505KC62095 , <, Garaging ZIP Code:97530 Primary use of the vehicle: Pleasure Length of vehicle ownership when policy startedor vehicle added:5 years or mote 4'''',- s+ . Limits ` Deductible Premium - liability To Others r- Bodily Injury Liability $213 $100,000 each person/$300,000 each accident Property Damage Liability $160,000 each accident Personal Injury Protection UninsuredNnderinsured'Motorist $15,000 $0 55 $100,000each person/$300,000 each accident - 52 Uninsured Motorist Property Damage - $25,000 each accident $200 5 Comprehensive. . �..... ................. `•• ............. ........... $300 hit &run Collision...... ...,.... ................. . .......... . ............. Actual Cash Value......................... $100 ....................25 Rental Reimbursement. ............................... .....Actual Cash Value..... ....... .. .. .............. ............... . $500 ...... .... -.....86 Roadside Assistance. ...... ......'.•. .,•...• ,...... up to$40.each day/maximum 30.days.....•....................... 7 Total premium for 2005 FORD...................... ...... 5 448 f/ i , ':` form 6489AA Oft(I 1117) t``wt'. .- - --- -. . Continued __ - . ued CITY OF ASHLAND Memo DATE: October 28, 2019 TO: Paula Brown,Director of Public Works FROM: Staff RE: Low Risk,Less Stringent Auto Insurance Coverage, Cutting Edge Restoration Staff intends to hire David Geigle, owner of Cutting Edge Restoration,to provide interior painting services at the FBO,Ashland Municipal Airport. Cutting Edge carries$100,000 in personal automobile insurance,which is lower than the City's minimum of$2M in commercial liability. Staff believe the City's requirement for$2M in automobile insurance is not necessary for this project based on the following reasons: Automobile Liability Other than parking lot access and egress,this project will not require the operation of a vehicle on City-owned property. Staff believes that the type of driving,the spatial extent of where an automobile will be operated, and the duration of automobile operations do not necessitate the City's requirement for$2M in coverage. For approximately three days,Mr. Geigle will access a nearly-empty parking lot once a day, and will exit that same lot once a day. Mr. Geigle has worked at the airport property on two other projects in the past 36 months, so he is familiar with the access route and parking lot. It is reasonable to conclude that experience and familiarity with a route further reduces risks associated with operating an automobile along said route. Past Performance Mr. Geigle has worked for the City on nearly a dozen jobs, including the two described above at the airport, over the past five years. He has no record of claims or disputes with the City. His conduct in all components of his work consistently circumspect. Page 1 of 1 Wr, CERTIFICATION OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE REQUIREMENTS Contractor is exempt from the requirement to obtain workers compensation insurance pursuant to ORS 'Chapter 656 for the following reason. Contractor is to initial the appropriate box as follows: • DG SOLE PROPRIETOR '(li{i als) • Contractor is a sole proprietor,and • Contractor has no employees,and • Contractor will not hire employees or subcontractors to perform this contract. CORPORATION—FOR PROFIT (Initials) • Contractor's business is incorporated;and • All employees of the corporation are officers and directors and have a substantial ownership interest*in the corporation,and • All work will be performed by the officers and directors;Contractor will not hire other employees or subcontractors to perform this contract. CORPORATION-NONPROFIT (Initials) • Contractor's business is incorporated as a nonprofit corporation,and • Contractor has no employees;all work is performed by volunteers,and • Contractor will not hire employees or subcontractors to perform this contract. PARTNERSHIP (Initials) • Contractor is a partnership,and • Contractor has no employees,and • All work will be performed by the partners;Contractor will not hire employees or subcontractors to perform this contract,and • Contractor is not engaged in work performed in direct connection with the construction,alteration,repair, improvement,moving or demolition of an improvement to real property or appurtenances thereto.** LIMITED LIABILITY COMPANY (Initials) • Contractor is a limited liability company,and • Contractor has no employees,and • All work will be performed by the members;Contractor will not hire employees or subcontractors to perform this contract,and • If Contractor has more than one member,Contractor is not engaged in work performed in direct connection with the construction,alteration,repair,improvement,moving or demolition of an improvement to real property or appy enances thereto.** Api Al /1 /, (Signature 7t(,rized Sig,- )— «!(!! (Date) Co (Authorized Signer's Title) *NOTE: Under OAR436-50-050 a shareholder has a"substantial ownership"interest if the shareholder owns 10%of the corporation,or if less than 10%is owned,the shareholder has ownership that is at least equal to or greater than the average percentage of ownership of all shareholders. **NOTE: Under certain circumstances partnerships and limited liability companies can claim an exemption even when performing construction work. The requirements for this exemption are complicated. Consult with City Attorney's Office before an exemption request is accepted from a contractor who will perform construction work. Business Registry Business Name Search New Search Business Entity13:Data 10-013:039 03 Entity Entity Registry Next Renewal Registry Nbr Type Status Jurisdiction Date Renewal Due? Date 771021-93 ABN ACT 05-11-2011 05-11-2021 Entity Name CUTTING EDGE RESTORATION Foreign Name Affidavit? N New Search Associated Names Type PPB PRINCIPAL PLACE OF BUSINESS Addr 1 804 W 12TH Addr 2 CSZ MEDFORD bOR 197501 I CountrylUNITED STATES OF AMERICA The Authorized Representative address is the mailing address for this business. Type REP AUTHORIZED Start Date 05-11- Resign Date REPRESENTATIVE 2011 , Name DAVID ID IGEIGLE Addr 1 804 W 12TH Addr 2 CSZ MEDFORD IOR 197501 1 CountrylUNITED STATES OF AMERICA Type REG1REGISTRANT Name DAVID IGEIGLE Addr 1 804 W 12TH Addr 2 CSZ MEDFORD 1OR 97501 CountrylUNITED STATES OF AMERICA New Search Name History Business Entity Name Name Name Start End Date Type Status Date CUTTING EDGE RESTORATION EN CUR .05-11-2011 Please read before ordering Copies. New Search Summary History Image Action Transaction Effective Status Name/Agent Dissolved By Available Date Date Change RENEWAL 05-03-2019 SYS PAYMENT REACTIVATION 08-15-2017 FI FAILURE TO 05-12-2017 SYS RENEW REACTIVATION 08-07-2015 FI FAILURE TO 05-12-2015 SYS RENEW RENEWAL 04-05-2013 SYS PAYMENT APPLICATION FOR 05-11-2011 FI Representative REGISTRATION New Search Counties Counties Filed Jackson, Josephine Counties Not Filed (but not necessarily available) Baker,Benton, Clackamas, Clatsop, Columbia, Coos, Crook, Curry, Deschutes, Douglas, Gilliam, Grant,Harney, Hood River, Jefferson, Klamath, Lake, Lane, Lincoln, Linn,Malheur, Marion, Morrow, Multnomah, Polk, Sherman, Tillamook, Umatilla, Union, Wallowa, Wasco,Washington,Wheeler,Yamhill © 2019 Oregon Secretary of State. All Rights Reserved.