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HomeMy WebLinkAbout2023-161 PO 20230231- Countryside Electric Inc Via WA- 4' CITE' RECORDED Purchase Order / Fiscal Year 2023 Page: 1 of 1 P1516,1.5IB City of Ashland ATTN: Accounts Payable20 E. Main Purchase L Ashland, OR 97520 Order# 20230231 T Phone: 541/552-2010 0 Email: payable@ashland.or.us V H C/O Facilities Maintenance Div E COUNTRYSIDE ELECTRIC INC. l 90 North Mountain Ave N PO BOX 395 p Ashland, OR 97520 TURNER, OR 97392 Phone: 541/488-5358 R T Fax: 541/552-2304 7FlFTE s`[16LIEj j `'��`L E B] � p---�[n,ag El --�� a.1r-•j] 1",5]a= I=l:] s v� � mss[ 1�iF E �i=] ]EI David Arnold _ _ - jfi3 -- --- _ 02/10/2023 7572 FOB ASHLAND OR/NET30 - City Accounts Payable Electric Fuel Pump Replacement 1 Electric services for the the fuel pumps replacement project 1.0 $5,000.00 $5,000.00 Goods and Services Agreement($35,000 or less) Completion date: 06/3D/2023 Project Account: *************** GL SUMMARY*************** 088400-602400 $5,000.00 I � � Date: By: ii I Au on �`�:ignature —� � .5 000.00 0 ,id I . 1 FORM,#3 ‘• , , t T Y +D F• �� A requesi for a Pi_ir°cllOr* ... :i,. p 7/ . . ,. REQUISITION Oateaf reqim-?, uest: 1/31/2023 Required,ante fi3r delivery: ' Vendor Name '(,i'itintrosist Electric:.Inc. •Address,City,State,Zip .' 3 Stiai , hair OR 97 g2 contact Name;&.Telephone Numberr Email address alQ ��lstr 15 zS3 lreni'rfa�craiin�� tPic,com . SOURCING-MttintOD. ❑ Fxornpt From Competitive'Bidding:, ' ❑ Invitation to Bid . ❑ Emernencv., El •Reason for exemption Date approved by cob rll: ❑ Form f113,Written findings and Authorization ❑ AMC 2 54, . . _(Altaah copy of council communication) 0 Written grroto os proposal attached ❑ Written quote or proposal attached . -:(If bouricil approval required;.atlachcopy of cot_ EI:-Small Procurement 1'❑•'Reddest for Proposal Cooperative Procurement -Not exceeding 55;000 ' Dateapproved by Council: 9 Stale of Oreyon . O. Direct Award (Altach'aopy of council comniunicalion)' Contract# ❑ •VeitralMlritten quotes)or proposals) 0 Request for,Qualifications•(Public Works) ❑ Slate of Waa iirigton. -Date approver[by Council: Contract# f Attach copy'of council communication) ❑ Other,.government agency contract •tntot i d ato:Procurement 0 "Sole Saunce,. Agency GOODS&SERVICES ElApitili0 ie Form(#5,6,7.or 8) Centratpt# Greater than$5,0110 and'Iess than$100,000 .❑ Wdlfen•quote or,proposal 41l00d hitergoveritmental Araremnant. ❑,•(3)Written bids'and solfcitation.attacke_d D. Fong Personal Services$51(to$75K Agency. . , . PERSONAL SERVICES -.., Date approved by Council - ❑ •Annual coal to.City dons not exceed$25,000.. 'Greater than$5,000 and less than$75,000' Valid until (Date). , Agreement approved by Legal arid approved/slgneri by, • Less than$$5,000,by direct appctnintent.. -D Special Procurement• City Administrator;=AMc 2.59070(4) O (3)Wniten'proposals&soliotaliori attahed.• 0 Forrl9n ,Request far Approval; 9•Annual cost to City oxceeds:$25,000,•Council O Form#4 Personal Sorvicos$5K tot75K ,❑ Written quote or jtraposal 00040.- :approval required,(Ansett copy of'council communication), Dato--approved byiCounal: Valid unlit' (Date)' _V Description of.SERVICES Total COst , Electric.ser-vices for_FY23 ,$t'5 4.O0 U0�' • item# Quantity unit' :Description Of MATERIALS Unit Price Total Cost I $o $0.00 :$0 '$o. 00 -$.0 ;$0:00 ❑ Per all ached quotelproposal , ,T#a`TA .C.OSTI ' Project Number - _ _ Account Number:066400=602400" ` a`00 `Expenditure Must bs'chargedtofhe,aoproprfatc ac,ouni rnonlmrs lb):the finirrcfols€o-a cOuiefotyrcfec€tliOcfuaf cxacodrfuros. IT plrecfor In collaboration with:department toiapp, up q.11.0rdwarp and software pdrehases: �. ... IT,t7iieclor Oaf , Supp©rl-Yes)No By signing this requisition,foriri,I eerfifyMal the City's public contracting requirements have been:selisfred. � � .1 Employee: _ Department Head: , .�� .2. ter' �•''" �`�Zr olio or gre- $5 r.than ,000) Department NlanagierlSupervisor:- •Cit :Manager • (Greator.tlian,53 0 Fundsapprondafed fir current fiscal yea /�NO . 7 e-73 . tri.cce-Director-,-(Egiraitooigr icrIhaa$5;OZit)) Date • Comments: - - • Form#3`Requisition CITY OF �S H LAN D Memo TO: Scott Fleury FROM: David Arnold DATE: 2 Feb 2023 RE: Fuel Pumps Replacement I'm writing to inform you of the determining factors in choosing a contractor for the removal and replacement of the two fuel pumps at the Service Center. Countryside Electric Inc. specializes in petroleum installation and the explosion proof requirements necessary for this type of installation. They have also worked to complete similar projects with the pump installation team, Pump Pipe &Tank. Therefore, we would like your authorization to award the contract to Countryside Electric Inc. 111/0/177-1,4k7 M �' 2� 2023 Fi, Kariann Olson From: Heather Rodriguez Sent: Thursday,February 09,2023 4:12 PM To: Kariann Olson Subject: RE:W9 Countryside Electric Vendor 7572—Countryside Electric Inc. is ready to use. Heather Rodriguez,Accounts Payable City of Ashland Finance Department 20 E Main St,Ashland,Oregon 97520 541-552-2010 I TTY 800.735.2900 Heather.rodriguez@ashland.or.us Online ashland.or.us;social media (Facebook @CityOfAshlandOregon I Twitter @CityofAshland) This email transmission is official business of the City of Ashland,and it is subject to Oregon Public Records Law for disclosure and retention. If you have received this message in error, please contact me at 541-552-2010. Original Message From: Kariann Olson<kari.olson@ashland.or.us> Sent: Friday, February 03,2023 10:10 AM To:Accounts Payable<payable@ashland.or.us>; Heather Rodriguez<heather.rodriguez@ashland.or.us> Cc: Kariann Olson<kari.olson@ashland.or.us> Subject:W9 Countryside Electric • W9 for a PO. Thanks a bunch! :) Kariann (Kari)Olson, Purchasing Specialist • City of Ashland Purchasing Office 90 North Mountain Avenue,Ashland, Oregon 97520 541.488.5354 I TTY 800.735.2900 Kari.olson@ashland.or.us This email transmission is official business of the City of Ashland,and it is subject to Oregon Public Records Law for disclosure and retention. If you have received this message in error, please contact me at 541.488.5354.. Original Message From: noreply@ashland.or.us<noreply@ashland.or.us> Sent: Friday, February 03,2023 10:08 AM To: Kariann Olson<kari.olson@ashland.or.us> Subject: Message from "Electric156" [EXTERNAL SENDER] • 1 This E-mail was sent from "Electric156" (IM C3000). Scan Date:02.03.2023 10:08:04(-0800) Queries to: noreply@ashland.or.us • 2 GOODS AND SERVICES AGREEMENT ($35,000 OR LESS) PROVIDER: Countryside Electric Tic, C I.T Y O F PROVIDER'S ASHLAND CONTACT: Josh Ironer 20 East Main Street Ashland,Oregoa 97520 ADDRESS: 7465 3rd Street Telephone: 5411408-55$7 Turner,OR. 97392 �/ • Pats: 5411488-6006 PHONE: 503-551-g583 This Goods and Services Agreement (hereinafter "Agreement") is entered into by acid between the City of Ashland,an Oregon municipal corporation(hereinafter"City")and Countryside Electric lie.,(a domestic/foreign business corporation)i,"hereeina$er"Provider"), for electrician services, L. PROVIDER'S OBLIGATIONS 1.1 Provide electrician services 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 productslcompleted 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. !Pagel of 6: Goods and Services Agreement between the City of Ashland end Cattinriyside Electric Inc. • 1.3 Provider shall,at its own expense,maintain Worker's Compensation Insurance hi compliance with OILS 656,017, which requires subject employers to provide workers' parnpensation 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 appli sable,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.€55,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 Rejuiroments: If the amount of this Agreement is $22,310.46 or more, Provider is required to comply with Chapter 3.12 of the Ashland Munioipal 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. 1,7 Assignment: Provider shall not assign this Agreement or subcontract any portion of the Work to be provided hereunder without the prior written consent of the City. Any attempted assignment or subcontract without written consent of the City shall be void. Provider shall be fully responsible for the acts or omissions of any assigns or subcontractors and of all persons employed by them,and the approval by the City of any assignment or subcontract shall not create any contractual relation between the assignee or subcontractor and the City. 2. CITY'S OBLIGATIONS 2,1 City shall pay Provider the hourly rates effective 1/412023 as specified in the SUPPORTING DOCUMENTS. 2.2 In no event shall Providers total of all compensation and reimbursement under this Agreement exceed the sum of$5,000 (this is maximum, not to exceed amount of ENTIRE Agreement)without express, written approval from the City official whose signature appears below, or such official's successor 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 55 a volunteer without expectation of compensation.or reimbursement. 3. Glu NERAL 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. Page 2 01'6: Goods and Scrvis ss A.graeireat between the City of Ashland and Coutts yaide I:ilee#ria Inc. N 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 lull 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 27911.235. 3.7 'Phis 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 eouit 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 11.0.13 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 icon'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(IJCC). 3.13 Provider represents and warrants that the Goods are new, currant, and fully warranted by the manufacturer, Delivered Goods will oomply with SUPPORTING DOCUMENTS and be free from defects;in labor,material and manufacture.Provider shall transfer all warranties to the City. Page 3 01.5: Croons and Services Agreement between the City of Ashland and Countryside Electric Inc. j 4. SUPPORTING DOCUMENTS 4.1 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 January 4,2023. 4.2 This Agreement and the SUPPORTING DOCUMENTS shall be construed to be mutually complimentary and supplementary wherever possible. In the event of a conflict which cannot be so resolved,the provisions of this Agreement itself shall control over any conflicting provisions in any of the SUPPORTING DOCUMENTS. In. the event of conflict between provisions of two of the SUPPORTING DOCUMENTS,the several supporting documents shall be given precedence in the order listed in Article 4.1. 5. REMEDIES 5.1 .In the event Provider is in default of this Agreement, City may, et 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 duo 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 TERMINA'fIUN 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, 2023, 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. 6.22 The City may, upon net less than thirty(30)days'prior written notice,terminate this Agreement Iter any reason deemed appropriate in its sole discretion. 6.2.3 Either party may terminate this Agreement, with cause,by not less than fourteen(1 4)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 he 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: Page 4 of6: Goods and Services Agreement:between the City of A hiand and Countryside Fredric Ino, City of Ashland Facilities Maintenance Department Attn: David Arnold. 20 E.Main Street Ashland,Oregon 97520 Phone: (541)552-2292 With a copy to: City of Ashland—Legal Department 20 E.Main Street Ashland,OR. 9'7520 Phone: (541)488-5350 If to Provider: Countryside Electric Inc. Attn: Josh Roner 503-551-8583 R. 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) MI 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 • Arty 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. fags 5 01'5: Goods and Services Agreement between the City of Ashland and Countryside Electric Inc. IN WITNESS WHEREOF the parties have caused this Agreement to be signed iti their respective names by their duly authorized representatives as of the dates set forth below. CITY OF ASHLAND: Couatmide Electric Inc,(P.RO'Vfl)ER): By; tg1ature Signature torr' rt.ctiL374-41-1--/ :x. `3-0mte Printed Name rinteWTame Ftvb—ic LA-10 1.. ,...,DtecccL_ }e L QVif5r. Title Title --- 2. 1 . 2 112-b 12 Date Date (W-9 is to be submitted with this signed.Agreement) Purchase Order No. 9 d I Nage 6 01 6: Goads and Services Agrcc;ncnt bctwccn the City of Ashland and Countryside Electric Inc, 4 Eve Countryside 1 iectric 740 3r'St Trner,OR 97392 01104/2023 ATTN: Nicole Re: Rates $110 per hour $110.per hour travel port to port Mark up on material 10% $50 a day perdiuth and hotel expense at cost. Thanks, Jeff Bromley Vice President pO BOX 30 Tumor,r,OR 97890 tel _50 3 51 43 6 61 B Emell:brotedey6$courrtrysufo44Xisftn ARL? If CERTIFICATEOF LIABILITYURACE DATE EM►AIIDD/W Y1 01/2012023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO ftIGWI S UPON THE CERTIFICATE HOLDER,'1I-IES CUiTIFICAT DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE APFORDEU BY THE POLICIES BELOW. THES CERTIFICATE OF FNSURANCE.POEs NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S},AUTI-I4RIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.. . IMPORTANT If the certificate holder is an ADDITIONAL INSURED,the pollcytisa)mut hate ADDITIONAi INSURED previsions yr be endorsed, ' If SUBROGATION ES WAIVED,subject La Lite toms and conditions of the policy,certain peliciss may rogiiire an endorsement. A siaternent on this.certificate dons not confer rights to the certificate holder In'lieu of such cndorscront{s). rleeuesk �N1A T JernhIernbarnolh NAL1F: y Flinn Pawe!1 Haien tend Baker tile. F110Nli (503)227-1771 4 Irk (803)274-7644 An IS1r Neiwork Member &MAIL aberltetn 0 t1.com AnnRes3: • Yt� _ _ 1521 SW Salmon SIreet iNS11HERCELAfFC]Rl11NCa UWF.RASiE „M MAKS Portland OR .37205.17W INSURER A: Girne:m.1a Insurance Company 10,577 1M5URFD 3NStJRCRa: SAIF Carporatioti^ -M M - -_ t 36198 Countryside Electric Inc INSURER C: PO BOX 395 INSURER a- ,A,---— INSURER E: rumor OR 97352 INSURER : _,,...._.� ,. COVERAGES CERTIFICATE NUMBER: 22123 GL,13A.XS,WG,IM REVISION NUMBER: THIS IS TO C,ITRTIFYTHAT TI IR POLICIES OF INSURANCE LISTED BELOW RAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PEN ICE INCICATED. NOTWITi-ISTANDING ANY REQUIREMENT,TERM OR CONDITION OF AhfY COM RAC f OR OTHER DOCUMENTWMTI E RESPECT TOW IICH THIS CERTIFICATE MAY SE ISSUED OR!MAY PERTAIN,THE INSURANCE AFFORDED NY THE POLIO=Dr_SCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND C:DNDITIONS OF SUCH PCE1ER S.tIMITR$E iQVo-N MAY I•IAVF RCE;N REDUCED BY PAID CLAIMS. iF1sI -- -- ASDL JSR __,,,,.,..•—,_-a. nD , • I•r• F a LILYEAR -",.-•__ UR. TYPE OF INSURANCE IVSD 155/fZ_ P(]LIEN?VEER ASIMIDJYYYY PATAMCWYYY LIM7T5 X COMMERCIAL GE NEILLLLIABILITY ;,000,000 ' -ACH F17.:CIJERFACI: 5 • LAM. E ICJRI:NIr:(] (400000 CI PJI-0SttAOF. OCC-JR PRbr.[i fi ffa A,.urrrntel 5 re1.1)tXP • twa -*Mts ffl,000 A Y 1 ECP8624d16 0810512022 0810512023 PfesJCTHn1,alW[rylr urer _„501,000,000 ((e N1.ALi0REGATE LIMITAPDLIFS PER. 0FNFRAI AZOOFECATE S 7.,0000000 • Y�I PROl•IOTHER: -- LCC • —,- rRnaucrs-cad+ryoF s ?,0110,003 S AUT0MOIVLETJAB Lr1Y COMHINE(.1]4INril gifirbr s 1,0n0,000 Fa.encrtznll X ANY A11111 Yr:XIII Y'WIRY#'arpersor1 s A nJ HCI FN FIS Y EEAO9NtiIS OW0512022 00105/2023 BONA r INJURY 5 y_-,AllZO..SOA ONLY A.17C(j _ IIIHe.l1 Hl)114DVd1'4FI] �YJ2fh'H{TYi]Am 3F. $ ____AU AUL•C F ONLY _ A5)1CSC.7NIY „AI'A!6CA•10Er1Q S x' tirAssaLLA LIAR X OCCUR EACH 0=1.11N{INCE $ 2,000,006 ,...- A •EXS:EtitiLIAa _ _ GI+ti17&JA,:Uk ECP0624416 09/05/2022 081052023 AGG.46GJL1. g 2000,004 D ED .XI i2t:TEN(iON s 4 WORMERS COISPENSMON 1 X PCR #t)lsi• AND EIA Purr E.R5'Wallin' aFn7uTt- I t-R ANY PECHRII,TUi,PAH1NF-NJFXFCUTIVF Y�� E,L.EACHA(:I)ii'113 i,000,ona 01.14.,1i&ThMEFE F•x{,r l)ilm, n NtA 7634172 08/01/2022 0E31o1e2023 CLbandatory in 101 11 I:C.DIRF/M-;F•-FAF.',7PLOYEE S 1..M13'°1:16It yes.dcrrnhc under t,a[IR,000 IS:SiiFi:FI N CJ.-CYERAl1UNlj3 17.4 - FJ..L115FAS'-,-VOLICY UMlT S Limit-ACV 525.000 Leased&Rented Eg pmsni A Installation FIoale] ECP0621416 W/05/2022 . 0510512023 Any One lobelia $100,000 --- DESCRIPTION OP OPESiATIONSJ LOCATIONS f VEHICLES IACORO 1or,Additicnsi Hcmatim.Schedurc,mayiw ntiaclurt if romaaflncai9 MONO NO Per 3lraclied GM72 05120 and AA289 0320. •• CERTIFICATE HOLDER CANCELLATION . • SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCCt,LBD HOFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE E]ELIVJ:RF,D IN City orAslllend AOCCRDANCEWITH THE POLICY PROvisi]Ns. 20 East Main Street •-•- . hUTI IORIZEB RCP RLSLIlTATIVE Ashland OR 97520 � ,� 0.5 19813-201S ACORD CORPORATION. All rights reserved. ACORD26{2016103) Thu ACORD narneared logo.0re registered marks ofACQRP THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CONTRACTORS ADDITIONAL INSURED - AUTOMATIC STATUS AND AUTOMATIC WAIVER OF SUBROGATION WHEN REQUIRED IN WRITTEN CONTRACT) AGREEMENT', PERMIT OR AUTHORIZATION This endorsement modifies insurance provided under the following; COIVIMERCIAL GENERAL LIABILITY COVERAGE PART A. Additional Insured - Owners, Lessees Or oiuded in the "products-completes Contractors - Automatic Status For Other operations hazard", but only if: Parties When Required In Written Contract Or Agreement With You (1) The Coverage Part to which this endorsement is attached pro- 'I. Section II - Who le An Insured is vides coverage for"bodily injury" amended to include as an additional in- or "properly damage" included stared any person or organization you within the 'products-ccmpreted have agreed in writing in a contract or operations hazard";and agreement to add as an additional in- sured on this Coverage Pert. Such per- (2) The written contract or written son(s) or organization(s) is an additional agreement requires you to pro- insured only with reaped to liability for; vide additional insured coverage included within the "products- a. "Bodily injury', "property damage" or completed operations hazard" "personal and advertising injury" for that person or organization_ caused, in whole, or in part by the performance of your ongoing opera- If the written ntract or written tions by you or on your behalf, under agreement requires you to provide that written contract or written additional insured coverage included agreement.Ongoing operations does within the 'products-completed cper- to'bodrl injury"or` ations hazard" for a specified length not apply y `proper- ty damage"occurring after: of time for that person or organize- tion, the "bodily injury" or "property (1) All work, including materials, damage"must occur prior to the ex- perts xparts or equipment furnished In Oration of that period of time in order connection with such worlc, on for this insurance to apply. the project Cotner than service, maintenance or repairs) to be it the written contract or written performed by or on behalf of the agreement requires you to provide additional insured(s)at the lora- additional insured coverage for a tion of the covered operations person or organization per only ISO has been completed; or additional insured endorsement form number CO 20 10,without specifying (2) That portion of'your work"out of an eclitidn date, and without specifi- which the injury or damage aril- cally requiring additional insurers es has been put to its intended coverage Induced within the 'prod- use by any person or organize- ucts-completed operations hazard", lion other than another confrac- this Paragraph b. does not apply to for or subcontractor engaged in that person or organization. performing operations for a prin- cipal as a part of the same pro- 2. if the written contract or written agree- jeat; and ment described in Paragraph 1. above specifically requires you to provide addi- b. "Bodily injury" or "property damage" tional insured coverage to that person or caused, in whole or in part, by'your organization: • work" performed under that written contract or written agreement and in- a. Arising out of your ongoing opera- tions or;rising ot.tt of"'ourwork',or Includes copyrighted material of Insurance GA 472 05 20 Services Office: Inc.,with its permission. Page 1 of 3 b, By way of an edition of an ISO addi- 2, With respect to the insurance afforded to tional insured endorsement that in- the additional insureds described in Pare- eludes arising out of your ongoing graph B.1„ the following additional exclu- operations or erising out of'your Bions apply; work"; This insurance does not apply to: then the phrase caused, in whole or in pert by in Paragraph A.1,a.andior Para- a. "Bodily injury", "property damage" or graph A.1.b.above,whichever applies,is "personal and advertising injury"ails- replaced by the phrase arising out ot ing out of operations performed for the federal government, state or mu- 3, With respect to the insurance afforded to nicipaiity;or the additional insureds described in Para- graph A.1.,the following additional excite- b. "Bodily injury" or "property damage" cion applies: included within the "products- completed operations hazard." This insurance does not apply to "bodily injury', "property damage" or "persona! C, The insurance afforded to additional insureds and advertising injury" arising out of the described in Paragraphs A.and B.: rendering of,or the failure to render, any 1. Only applies to the extent permitted by professional architectural, engineering or law, and surveying services,including: 2. Will not be broader than that which you a. The preparing,approving or failing to are required by the written contract, writ- prepare or approve, maps, shop ten agreement, written permit or written drawings, opinions, reports, surveys, authorization to provide for such addition field orders, change orders or draw- el insured;and ings and specifications;or b. Supervisory, inspection, architectural tion, Does not apply to any person, organiza- tion, state, governmental agency or sub- or engineering activities. division or political subdivision specifically This exclusion applies even if the oiaians named as an additional insured for the against any insured allege negligence or same project in the schedule of an en- other wrongdoing in the supervision, hir- dorsement added to this Coverage Part. ing, employment,training or monitoring of p With respect others by that insured, if the"occurrence" to the insurance afforded to the which caused the insured, iyf injury""oc ou "prep- Aadditional insureds described in Paragraphs erty damage", or the offense which -Limitand s the Insurangce: is added to Section III caused the"personal and advertising inju- ry", involved the rendering of, or the fail- The most we will pay on behalf of the eddi- ure to render, any professional architec- tional insured is the amount of insurance: turd,engineering or surveying services, 1. Required by the written contract, written 4. This Paragraph A.does not apply to addi- agreement, written permit or written au- tional insureds described in Paragraph B. thori2ation described in Paragraphs A. and B.For the purpose of determining the B. Additional Insured-State Or Governmental required amount of insurance only,we will Agency Or Subdivision Or Political Suhdi• include the minimum amount of any Lim- via ion - Automatic Status When Required breila Liabi€ity or Excess Liability cover- In Written Permits Or Authorizations age required for that additional insured in • '#. Section II - Who Is An Insured is that written contract, written agreement, amended to include as an additional in- written permit or written authorization;or cured any state or governmental agency 2. Available under the applicable limits of in- or subdivision or political subdivision you sure nee: have agreed in writing in a permit or au- thorization to add as an additional insured whichever is less. on this Coverage Part Such state or gav- ernmental agency or subdivision or politi- This endorsement shall riot increase the appli- cal subdivision is an additional insured cable limits of insurance. only with respect to operations performed E. Section IV - Commercial' General Liability by you or on your behalf for which the Conditions is amended to add the follrwring: state or governmental agency or subdivi- sion or political subdivision has issued, in Automatic Additional Insured Provision writing, a permit or authorization. Includes copyrighted material of Insurance GA 472 05 20 Services Office, Inc.,with its permission. Page 2 of This insurance applies only lithe "bodily inju- scribed in Paragraph A.or B.that this in- ry" or "property damage" occurs, or the "per surance would be primary to any other in- toned and advertising injury' offense is corn- surance available to the additional in- miffed: cured. 'I. During the policy period;and As used in this endorsement, wrap-up insur- ance means a centralized insurance program 2. Subsequent to your execution of the writ- under which one party has secured either in- ten contract or written agreement, or the surance or self-insurance covering some or all issuance of a written permit or written au- of the contractors or subcontractors perform- thorizetir}n, described in Paragraphs A. ing work on one or more specific project(s). and B. F. Except when .below applies.the follpwing is Primary And Noncontributory Insurance added to Section IV - Commercial General Agreement,WhePermuired By Written Contract, 'Liability Conditions, Other Insurance, and Permit supersedes any provision to the contrary: Except when wrap-up insurance applies to the claim or " uit" on behalf of the ecidilional in- When Other Additional insured Coverage sured,this insurance is primary to and MI not Applies On An Excess Basis seek contribution from any other insurance This insurance is primary to other insurance available to the additional insured described in available to the additional insured described le Paragraphs A.and B.provided that: Paragraphs A.and B,except: 1. The additional insured is a Named in- 1. As otherwise provided in Section IV - sured under such other insurance; and Commercial General Liability Condi- 2. You have agreed in writing in a contract, tions, Other Insurance, b. Excess In- agreement, permit or authorization de- surance; or scribed in Paragraph A.or B.that this in- 2. For any other valid arid collectible incur- surance would be primary and would not ance available to the additional insured as seek contribution from any other incur- an additional insured on another incur- ance available to the additional insured. ance policy that is written on an excess As used in this endorsement, wrap-up Instr.- basis. In such case,this insurance is also ante means a centralized insurance program excess. under which one party has secured either in- G. The following is added to Section IV -Com- surance or self-insurance covering some or all mereial General Liability Conditions, Other of the contractors or subcontractors perform- Insurance, and supersedes any provision to ing work on one or more specific project(s). the contrary: ft Section IV - Commercial General Liability Primary Insurance When Required By Writ- Conditions, Transfer Of Rights Of Recov- ten Contract, Agreement, Permit Or Au- ery Against Others To tis is amended by the tharixatian addition of the following: Except when wrap-up insurance applies to the Waiver of Subrogation claim or "suit" on behalf of the additional in- We waive any right of recovery against any sured, this insurance is primary to any other additional insured under this endorsement, insurance available to the additional insured because of any payment we make under this described in Paragraphs A. and B. provided endorsement, to whom the insured has that: waived its right of recovery in a written con- i. The additional insured is a Named In- tract,written agreement,written permit or writ- sured under such other insurance; and ten authorization. Such waiver by us applies only to the extent that the insured has waived 2. You have agreed in writing in a contract, its right of recovery against such additional in- agreement, permit or authorization de- sured prior to loss. Includes copyrighted material of Insurance GA 472 05 20 Services Office, Inc.,with its permission. Page 3 of 3 • THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Gine'PIus° BUSINESS AUTO XC+c (EXPANDED COVERAGE PLUS) ENDORSEMENT • This endorsement modifies insurance provided by the following: BUSINESS AUTO COVERAGE FORM With respect to the coverage provided by this endorsement,the provisions of the Coverage Form apply unless modified by this endorsement. A. Blanket Waiver of Subrogation This provision does not apply unless the valid written contract has been; SECTION IV - BUSINESS AUTO CONDI- TIONS, A. Loss Conditions, 5. Transfer of 1. Executed prior to the accident musing Rights of Recovery Against Others to Us is "bodily injury"or"property damage"; and amended by Be addition of the following: 2. Is still in force at the Lime of the"ardent" We v.aive any right of recovery we may have causing "body injury" or "property dam- against any person or organization because of age". payments we make for 'bodily injury" or "property damage"arising out of the operation D. Employee Hired Auto of a covered "auto"when you have assumed 1. Changes in Liability Coverage liability for such "bodily injury" or "property damage" under an "insured contract", proved- The following is added to the SECTION 11 ed the"bodily injury"or"property damage"cc- - LIABILITY COVERAGE, A. Coverage, curs subsequent to the execution or the "in- 1.Who is an Insured: sured contract An "employee" of yours is an "insured" B. Noncontributory Insurance while operating an auto" hired or rented under a contract or agreement in that SECTION IV - BUSINESS AUTO CONDI. "employee's"name,with your permission, TIONS, B. General Conditions, 5. Other 1n- while performing duties related to the surance c. is deleted in its entirety and re- conduct of your business. placed by the following: 2. Changes in General Conditions c. Regardless of the provisions of Par- agraph a. above, this Coverage SECTION IV - BUSINESS AUTO CON- Form's Liability Coverage is primary DITIONS, B. General Conditions, 5. and we will not seek contribution Other Insurance is deleted in its entirety from any other insurance for any lia- and replaced by the following: bility assumed under en 'insured contract" that requires tiatiiiity to be $. For Hired Auto Physical Damage • assumed on a primary noncentributo- Coverage the following are deemed ry basis. to be covered"autos"you own: C. Additional Insured by Contract (1) Any covered "auto" you lease, hire,, rent or borrow;and SECTION 11 - LIABILITY COVERAGE A. Coverage, 1.Who is an Insured is amended (2) Any covered "auto" hired or to include as an insured any person or organi- rented by your"employee"under nation for whom you have agreed in a valid a contract in that individual"em- written contract to provide insurance as of ployee's" name, with your per- forded by this policy. mission, while performing duties related to the conduct of your This provision is limited to the scope of the business. • valid written contract. Includes copyrighted material of ISO AA 288 Orr 20 Properties,Inc.,with its permission. Page 1 of 4 However, any ,.auto" that is /eased, a. Is effective on the date of acquisition hired, rented or borrowed with a driver or formation, and is afforded for 180 is not a covered"auto". days after such date; E. Audio, Visual and Data Electronic Equip- b. ices not apply to "bodily injury' or merit "property damage" resulting from an SECTION lit - PHYSICAL DAMAGECOV- "accident" that occurred before you ERASE, C. Limit of Insurance is amended acquired or formed the organization; by adding the following; c. Does not apply to any newly acquired 4. The most we will pay for all 'oars" In au- or formed organization that is a joint dio, visual or date electronic equipment venture or partnership;and and any accessories used with this d. Does not apply to an insured under equipment as a result of any one 'aoci- any other automobile liability policy or dent"is the lesser of- would be an insured under such a a. The actual cash value of the darn- policy but for the termination of such aged or stolen property as of the time policy ots ofr the nes urance.n of such poli- of the"accident"; $limits of insurance. t1. The cost of repairing or replacing the 3. Any of your "employees" w?tile using a covered 'auto in your business or your damaged or stolen property with oth- personal affairs,provided you do not owns, er property of like kind and quality; or hire or borrow that"auto". C. $2,506. G. Liability Coverage Extensions - Supple- Provided the equipment,at the lime of the mentary Payments-Higher Limits "loss"is. SECTION II - LIARILtTY COVERAGE, A. a. Permanently installed in or upon the Covereige,2. Coverage Extensions,a.Sup- covered "auto"in a housing,opening plementary Payments is amended by: or other location that is not normally 1. Replacing the $2,000 Limit of Insurance used by the "auto manufacturer for for tail bonds with$4,000 in(2); and the instatlation of such equipment; b. Removable from a permanentlyin- 2. Replacing the $250 Limit of Insurance for reasonable expenses with$500 in(41. stalled housing unit as described in Paragraph 2,a.above;or H. Amended Fellow Employee Exclusion e� An integral part of such equipment. SECTION fl "LIABILITY COVERAGE,B. Ex- F. Who is an Insured-Amended follows: 5, Fellow Employee is modified as follows: SECTION II - LIABILITY COVERAGE, A. Exclusion 5,Fellow Employee is deleted. Coverage, 1.Who is an Insured is amended by adding the following; I. Hired Auto-Physical Damage The following are"insureds': If hired"autos"are covered"autos"for Liability Coverage, then Comprehensive and Collision 1, Any subsidiary which is a legally incorpo- Physical Damage Coverages as provided un- rated entity of which you own a financial der SECTION tlt - PHYSICAL DAMAGE interest of more than 50% of the voting COVERAGE of this Coverage Part are ex- stock on the effective date of this cover- tended to "autos' you hire, subject to the fol- age form. lowing: However, the insurance afforded by this #. The most we will pay for "loss" to any provision does not apply to any subsidiary hired"auto"is$50,000 or the actual cash that is an 'insured" under any other au- value or cost to repair or replace,which- tomcsbile liability policy or would be an"in- ever is the least, minus a deductible. sired" under such policy but for termina- tion of such policy or the exhaustion of 2. The deductible will be equal to the largest such policy's limits of insurance_ deductible applicable to any owned"auto" 2. Any organization that is newly acquired or fen that coverage, or$1,000, whichever is less. formed by you and over which you main- tain majority ownership. The insurance 3. Hired Auto - Physical Damage coverage provided by this provision; is excess over any other collectible insur- ance. includes copyrighted material of 1S0 AA 288 0820 Properties, Inc.,with its permission. Page 2 of 4 4, Subject to the above limit,deductible,and K. Transportation Expense-Higher Limits excess provisions we will provide ' wer- SECTION III - PHYSICAL DAMAGE C ?V- age equal to the broadest coverage appli COV- cable to any covered 'auto" you own in- ERAGE, A. Coverage, 4. Coverage Exten- erect under this policy_ cions is amended by replacing $20 per day with :x50 per day, and $600 maximum with Coverage includes loss of use of that hired au- $1,500 maximum in Extension a. Transpor- to, provided it results from an "accident" for Cation Expenses. which you are legally liable and as a result of which a monetary loss is.sustained by the L. Airbag Coverage leasing or rental concern. The most,we will SECTION Ili - PHYSICAL DAMAGE COV- pay far ony one"accident"le$3,000. ERAGE, R. Exclusions, 3.a. is amended by If a limit for Hired Auto - Physical Damage is adding the following: shown in the Schedule, then that limit replan- However, the mechanical and electrical es, and is not added to,the $50,000 limit indi- breakdown portion of this exclusion does not eited above and the deductibles shown in the apply to the accidental discharge of an airbag. Schedule are applicable_ This coverage for airbags is excess over any J. Rental Reimbursement other collectible insurance or warranty. SECTION III - PHYSICAL DAMAGE COV- M. Loan or Lease Gap Coverage ERAGE is amended by adding the following: 1. SECTION ill - PHYSICAL DAMAGE 1. We will pay for rental reimbursement ex- COVERAGE, G. Limit of Insurance is penses incurred by you for the rental of deleted in its entirety and replaced by the an"auto"because of a loss"to a covered following, but only for private passenger "auto". Payment applies in addition to the type,"autos"with an original loan or lease, otherwise applicable amount of each coy- and only in the event of a 'total loss" to erage you have on a covered "auto". leo such a private passenger type"auto": deductible applies to this coverage, a. The most we will pay for'loss"in any 2, We will pay only for those expenses in- one"accident"is the greater of: curved during the policy period beginning (1) The amount due under the terms 24 hours after the "loss" and ending, re- of the lease or lean to which gardless of the policys eviration, with your covered private passenger the lesser of the following number of type"auto"is subject, but will riot days: ariciude: a. The number of days reasonably re- quircd to repair the covered "auto". If {a) meeana Overdue lease or loan pay "loss"is caused by[heft,this number ms; of days is added to the number of {b) Financial penalties imposed days it takes to locate the covered under the lease due to high "auto"end return it to you;or mileage, excessive use or b. 3{}days abnormal wear and tear; 3. Our payment is limited to the lesserof the (c) Security deposits not re- funded by the lesso following amounts: r.; warren- a. Necessary and actual expenses tat (d) Costs for extended ties, Credit Life Insurance, currect: or Health, Accident or Disabil- le $50 per day. ity fneuranoe purchased • with the loan or lease; and 4.. This coverage does not apply while there are spare or reserve "autos" available to {e) Carry-over balances from you for your operations. previous loans or[eases,or 5. We will pay under this coverage only that (2) Actual cash value of the stolen amount of your rental reimbursement ex- or damaged property, panses which is not already provided for b. An adjustment for depreciation and under SECTION III - PHYSICAL DAM- physical condition will be made En de- AGE COVERAGE, A. Coverage, 4. terrnining actual cash value at the Coverage Extensions. time of"loss". Includes copyrighted material of ISO AA 288 08 20 Properties, Inc.,with its permission. Page 3 of 4 2, SECTION V-DEFINITIONS is amended P. Unintentional Failure to Disolose Hazards by adding the following, but only for the purposes of this Loan or Lease Gap SECTION IV - BUSINESS AUTO CONDI- Coverage: TIONS, B. General Conditions, 2. Conceal- ment, Misrepresentation or Fraud is 'Total loss" means a "loss" in which the amended by adding the fallowing: cost of cepa€rs plus the salvage value ex However, if you unintentionally fail to disclose ceeds the actual cash value, any hazards existing ort the effective date of N. Glass Repair-Waiver of Deductible this Coverage Form, we will not deny cover- age 1>I - PHYSICAL DAMAGE COY- age under this Coverage Form because of such failure. ERAGE,D.Deductible is amended by adding the following; O. Mental Anguish Resulting from Bodily Inju- ry Na deductble applies to glass damage if the glass is repaired in a manner acceptable to us SECTION V-DEFINITIONS,C."Bodily inju« rather than replaced. ry" is deleted in its entirety and replaced by O. Duties in the Event of art Accident, Claim, the following: Suit or Loss..Amended "Bodily injury'means bodily injury,sickness or IV - BUSINESS AUTO CCNDt- disease sustained by a person,inducting men- SECTIONtal anguish and death sustained by the same TIONS,A. Loss Conditions, 2.Duties in the person that results from such bodily injury, Event of Accident,Claim,Suit or Loss,a,IC sickness or disease. 'Bodily injury" does not amended by adding the following: include menial anguish or death that does not This condition applies only when the "asci- result tern bodily injury,sickness or disease. dent"or'toss'is known to: R. Coverage for Certain Operations in Con- t. You,ifyouare art individual; inection with Railroads 2. A partner, if you are a partnership; With respect to the use of a covered"auto" in operations for or afecting a railroad; 3. Are executive officer or insurance manag- er,if you are a corporation;or 1. SECTION V -DEFINITIONS, H. "Insured contra', 1.c.is deleted in its entirety and 4. A member or manager, if you are a lim- replaced by the following: ited liability company, c. An easement or license agreement; 2. SECTION V - DEFINITIONS, H. "Insured contract",2,a,is deleted, • includes copyrighted material of ISO AA 288 06 20 Proper€ies, Inc.,with its permission. Page 4 of 4