Loading...
HomeMy WebLinkAbout2022-133 PO 20220320- Squeeky Clean Window & Exterior Cleaning, Inc. Purchase Order FirAM ?I Y RECORDER /MiltFiscal Year 2022 Page: 1 of: 1 BCity of Ashland l�la�,,511 i y_t_�.,�16� aI�1 �Cjlttz3S' L ATTN: Accounts Payable Purchase L Ashland,20 E. M �OR 97520 Order# 20220320 - T Phone: 541/552-2010 O Email: payable@ashland.or.us . ESQUEEKY CLEAN WINDOW& EXTERIOR CLEANING, H C/O Facilities Maintenance Div N 90 North Mountain Ave D O BOX 256 p Ashland, OR 97520 • OR TALENT, OR 97540 Phone: 541/488-5358 T, Fax: 541/552-2304 Ol _ David Arnold t 04/13/2022 .-2426 _ FOB ASHLAND OR/NET30 Ci Accounts Pa able -rte_ (__2 - -_ -s-I 1--"F -.3 � �%+3�cr�= Dl4,;t,,E3AP�9�EB�I'A�L'�_�='16__ i - _ 3 ,�-F _�E3L d i �- ;'3'2 IF�BSJ ,17 _�. l 2 - � � _ �r -.1•--__.__��_ i AF - ��--1.:4r1..._9r1Sivo Window Cleaning 1 Perimeter window cleaning at various City buildings per attached 1.0 $2,050.00 $2,050.00 Estimate dated 03/10/2022 Goods and Services Agreement Completion date: June 30, 2022 Project Account: • . �st• .*************** GL SUMMARY*************** 088400-602400 " $2,050.00 • • • • 4--( z By: Date: ! � Authorized Signature '.2 050.00 • FORM #3CITY OF 61 774 A request fir a Purchase beer • H LAN D L REQUISITION / Date of request: 04/11122. Required date for delivery: • • Vendor Name Squeeky Clean Window&Exterior Cleaning,Inc. • • Address,City,State,Zip PO Box 256 Talent,OR 97540 Contact Name&Telephone Number Kiva Schreiber Email address SOURCING METHOD ❑ Exempt from Competitive Bidding ❑ Emergency ❑ Reason for exemption: . ❑ Invitation to Bid ❑ Form#13,Written findings and Authorization ❑ AMC 2.50 Date approved by Council: ❑ 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# • ❑ VerballWritten'bid(s)or proposal(s) ❑ Request for Qualifications(Public Works) 0 State of Washington • Date approved by Council: Contract#_ (Attach copy of council communication) ❑ Other government agency contract Intermediate Procurement ❑ Sole Source Agency GOODS&SERVICES 0 Applicable Form(#5,6,7 or 8) Contract# Greater than$5,000 and less than$100,000 0 Written quote or proposal attached Intergovernmental Agreement ❑ (3)Written bids&solicitation attached 0 Form#4,Personal Services$5K to$75K - Agency PERSONAL SERVICES ❑ Special Procurement 0 Annual cost to City does not exceed$25,000. Greater than$5,000 and less than$75,000 ❑ Form#9,Request for Approval Agreement approved by Legal and approved/signed by ❑ Less than$35,000,by direct appointment 0 Written quote or proposal attached City Administrator.AMC 2.50.070(4) 0 (3)Written proposals&solicitation attached Date approved by Council: ❑ Annual cost to City exceeds$25,000,Council ❑ Form#4,Personal Services$5K to$75K Valid until: • (Date) approval required.(Attach copy of council communication) • Description of SERVICES Total Cost Cleaning of building perimeter windows • ,..$:2050:00. • Item# Quantity Unit Description of MATERIALS Unit Price Total Cost • 0 Per attached quotelproposal TOTAL.COST Project Number _ _ _ Account Number 08 400 - 602400 ; Account 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 that the City's public contracting requirements have been satisfied. \ate � � - l Employee: Department Hea= 4116'2— Employee': �2 1.4 qual to r greater than$5,000) Department Manager/Supervisor: i City Administrator: (Equal to or greater than$25,000) Funds appropriated for current fiscal year: YES / NO Deputy Finance Director-(Equal to or greater than$5,000) Date Comments: Form#3-Requisition • • • • . GOODS &SERVICES AGREEMENT • • PROVIDER: Squeeky Clean Window& Exterior Cleaning,• Inc. CITY OF ASHLAND PROVIDER'S CONTACT: Kiva Schreiber • 20 East Main Street Ashland,Oregon 97520 ADDRESS: PO Box 256 • Telephone: 541/488-5587 Talent, OR 97540 • . • Fax: 541/488-6006 TELEPHONE: EMAIL: squeekycleanwc@gmail,com This Goods Agreement(hereinafter"Agreement")is entered into by and between the City of Ashland,an Oregon municipal corporation (hereinafter "City") and Squeeky Clean Window&Exterior Cleaning Inc., ("hereinafter "Provider"),Exterior window cleaning, City facilities. • . . 1. PROVIDER'S OBLIGATIONS 1.1 Provide Exterior window cleaning, City facilities, 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 defined and described in the "SUPPORTING DOCUMENTS"shall hereinafter be referred to as"Goods." 1.2 Provider shall obtain and maintain during the term of this Agreement and until City's final acceptance of all Goods 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$1,000,000 (one million dollars)for each 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; • • 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 Goods 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 within sixty(60) days of 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: Goods Agreement between the City of Ashland and Squeeky Clean Window&Exterior Cleaning 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$2,050.00 as provided herein as full compensation for the Goods 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$2,050.00 without express,written approval from the City official whose signature appear below,or such official's successor in office. Provider expressly acknowledges that no other person has authority to order or authorize additional Goods 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 Goods 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. Provider is obligated to provide the Goods at the rates set forth above during the term of this Agreement unless Provider is unavailable because of prior commitment. City is not obligated to procure any specific amount of goods from Provider, and is free to procure similar goods of other providers in its sole discretion. • 3.2 Provider is an independent contractor and not an employee or agent of the City for anypurpose. 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 6: Goods Agreement between the City of Ashland and Squeeky Clean Window&Exterior Cleaning • 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 Marion 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 all claims,suits; actions,losses, damages,liabilities costs and expenses of any nature • resulting from or arising out of, or relating to the activities of Provider of 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 i. • 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 . • 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 Estimate dated 03/10/2022. . • 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. • • Page 3 of 6: Goods Agreement between the City of Ashland and Squeaky Clean Window&Exterior Cleaning • " 1 ' I • 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 Goods that Provider has failed.to deliver within any scheduled completion dates or any Goods 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 Exercise of its right of setoff. • Kiva Schreiber • 5.1.5 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 6.1.1 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 30,2022,unless sooner terminated as provided in Subsection 6.2. written consent of the parties. Al tL. 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 • 7.1 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, by mailing using registered or certified United States mail, return receipt requested, postage prepaid,or by electronically confirmed at the address or facsimile number set forth below: f •If to the City: City of Ashland—Public Works Department 'Attn:Tami De Mille-Campos 20 E.-Main Street • Ashland,'Oregon 97520 Phone: (541)488-5587 • • • • Page 4 of 6: Goods Agreement.between the City of Ashland and Squeeky Clean Window&Exterior Cleaning ' • • With a copy to: City of Ashland—Legal Department 20 E.Main Street • Ashland, OR 97520, Phone: (541)488-5350 Fax: (541)552-2092 • If to Provider: Squeeky Clean Window&Exterior Cleaning Inc. Attn:Kiva Schreiber PO Box 256 Talent,OR 97540 Phone: • Email:squeekycleanwc@gmail.com - • . 8. WAIVER OF BREACH 8.1 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'swarranty, 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. • 9.3 Any Goods delivered to the City under this,Agreement shall be provided to the City free and clear of any and all restrictions on or conditions of its use,transfer,modification, or assignment, and shall be free and clear of any and all liens, claims, mortgages, security interests, liabilities, charges, and encumbrances of any kind. • I Page 5 of 6: Goods Agreement between the City of Ashland and Squeeky Clean Window&Exterior Cleaning • • 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: SQUEEKY CLEAN WINDOW&EXTERIOR ! i CLEANING INC.(PROVIDER): By: `:�� By: />ar .�C/uatrib °,,1, orks a irector Signature e Kiva Schreiber Printed Name Printed Name • 4111 President President I ! Da e Title• 4/8/2022 Date . f Purchase Order No. • (W-9 is to be submitted with this signed Agreement) • • • • • • • • iI • Page,6 of 6: Goods Agreement between the City of Ashland and Squeeky Clean Window&Exterior Cleaning • • Squeeky Clean Window&Exterior Cleaning N Estimate - AO or to,, • Inc. • PO Box 256 • „; $4-MU Talent, OR 97540 1$ iO,itmIr' SQUEEKY CLEAN squeekycleanwc@gmail.com �"oo c EXEERioR�«"`"o �A tt ANt� Medfordwindowcleaning.com . ---,---------- Kaylea Kathol City of Ashland-Public Works/Engineering 51 Winburn Way • Ashland, OR 97520 `ESTIMATE#' 'DATE .; EXPIRATION DATE 03/10/2022 106/10/2022 • SERVICE -.__._..--- -- ------ -- ... :. AMOUNT Services 0.00 These buildings are located in the City of Ashland, and are for Window Cleaning of the building perimeter windows. No skylight, screen, or window cleaning within the perimeter,are included • unless specified.Thank you. Window Cleaning Exterior 225.00 CITY HALL 20 East Main St. , Window Cleaning Exterior 25.00 SATELLITY POLICE STATION 40 N. Main St. Window.Cleaning Exterior 270.00 COMMUNITY DEVELOPMENT 51 Windburn Way Window Cleaning 30.00 COMMUNITY DEVELOPMENT Overhead entry horizontal windows directly above the entry on exterior Window Cleaning Exterior • 1.00.00 ASHLAND POLICE STATION 115 East Main St. NOTE: Does not include windows inside clearance area. Window Cleaning Exterior 50.00 COURTHOUSE 1175 East Main St. - Window Cleaning Exterior 200.00 N. MOUNTAIN SERVICE CENTER(3 buildings) 90 N. Mountain Ave. Deluxe Screen Cleaning 50.00 N. MOUNTAIN SERVICE CENTER(3 buildings) 90 N. Mountain Ave. deep clean the exterior screens Window Cleaning Exterior 425.00 FIRE STATION 1 455 Siskiyou Blvd NOTE:This is for all the windows EXCEPT for the 8bay doors Window Cleaning Exterior 125.00 . FIRE STATION 1 455 Siskiyou Blvd ONLY the 8 bay doors exterior Window Cleaning Interior 125.00 FIRE STATION 1 455 Siskiyou Blvd 8 bay doors interior. Please Note:This estimate is for a maintenance cleaning only and does not include the removal of construction debris such as paint or caulk,or the removal of staining caused by hard water-or building runoff.After completion of the maintenance cleaning,we can let you know if we found any of these and discuss how they might best be cared for. • • • SERVICE • AMOUNT' Window Cleaning Exterior 275.00 FIRE STATION 2 1860 Ashland St. This is for all the windows EXCEPT for the 3 bay doors Window Cleaning Exterior 75.00 FIRE STATION 2 1860 Ashland St 3 bay doors Exterior Window Cleaning Interior 75.00 FIRE STATION 21860 Ashland St 3 bay doors Interior Terms and Conditions • 0.00 This estimate is for maintenance window cleaning only, and does not include the removal of • construction debris such as paint, caulking, etc or the removal of hardwater staining. We look forward to the opportunity to clean for you. TOTAL $2,050.00 Kiva Schreiber • Southern Oregon's Most Trusted Window&Exterior • Cleaner • Accepted By • Accepted Date • • • • • • Please Note:This estimate is for a maintenance cleaning only and does not include the removal of construction debris such as paint or caulk,or the removal of staining caused by hard water or building runoff.After completion of the maintenance cleaning,we can let you know if we found any of these and discuss how they might best be cared for. I SQUEE-1 OP ID: CO ACOREY MMID ( DATE D/YYYY) L------- CERTIFICATE OF LIABILITY INSURANCE oMMLDo2z THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms 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 • 541-267-4124 CONTACT The Abel Insurance Team ABEL INSURANCE AGENCY NAME: The Fax COOS BAY OFFICE • (A/c,No,Ext):541-267-4124 I(ac,No):541-267-2002 PO BOX 1780E-MAIL Abel@AbellnsuranceAgency.com COOS BAY,OR 97420 ADDRESS: The Abel Insurance Team INSURER(S)AFFORDING COVERAGE NAIC# • INSURER A:Red Shield Insurance Co. INSURED INSURER B:Travelers Insurance Companies 25658 SQUEEKY CLEAN WINDOW&EXTERIOR CLEANING INC Evanston Insurance Company PO BOX 203 INSURER C: p y NORTH BEND,OR 97420 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 TYPE OF INSURANCE POLICY NUMBER ADDL SUBR POLICY EFF POLICY EXP - LIMITS LWINSD WVD IMMIDD/YYYY1 (MMIDDIYYYY) A X COMMERCIAL GENERAL LIABILITYFACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR X CNT020368 08/12/2021 08/12/2022 DAMAGE occurrence) $ 100,000 • • I • MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY_ $ 1,000,000 GEN'LAGGREGATELIMITAPPLIESPER: GENERAL AGGREGATE $ 2,000,000 X POLICY JECT LOC PRODUCTS-COMP/OP AGG '$ INCLUDED OTHER: $ • COMBINED SINGLE OMIT 1,000,000 B AUTOMOBILE LIABILITY (Ea accident) • $ X ANY AUTO BA-45497238-21.42' 08/12/2021 08/12/2022 BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS , _BODILY INJURY(per accident) $ AUTOS ONLY NON-OWNED LY PROPERTY DAMAGE (PerPE5T nq $ • 1 . $ C UMBRELLA LIAB X OCCUR EACH OCCURRENCE' $ 2,000,000 X EXCESS LIAR- CLAIMS-MADE EZXS3071453 02/14/2022 08/12/2022 AGGREGATE $ . 2,000,000 DED RETENTION$ $ - WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-FA 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 he attached if more space Is required) CERTIFICATE HOLDER IS ADDITIONAL INSURED FOR GENERAL LIABILITY BY WRITTEN CONTRACT OR AGREEMENT PER ATTACHED GL 1112. d 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. . PUBLIC WORKS DEPARTMENT 20 EAST MAIN ST AUTHORIZED REPRESENTATIVE ASHLAND,OR 97520 ' The Abel Insurance Team I ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks.of ACORD POLICY NUMBER: COMMERCIAL GENERAL LIABILITY GL 11 12 11 15 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - AUTOMATIC •STATUS WHEN REQUIRED IN WRITTEN AGREEMENT WITH YOU This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section II —Who Is An Insured is amended to C. With respect to the insurance afforded to the include as an additional insured any person or additional insureds the following limitations organization,,for whom you are performing • and exclusions apply: oRerations when you and such person or organization have agreed in writing in a This insurance does not apply to, and the contract or agreement that such person or additional insureds are not insureds for: organization you are contracting with be added as an additional insured on your policy. Such 1. "Bodily injury", "property damage" or person or organization is an additional insured "personal and advertising injury" arising only with respect to "bodily injury" or "property out of the rendering of, or the failure to damage" occurring subsequent to execution of render, any professional architectural, the written contract or agreement,while you are engineering or surveying services, performing your ongoing operations at the including: person's or organization's premises, and caused only by your negligence in the a. The preparing, approving, or failing to performance of those operations. The person's ' prepare or approve, maps, shop or organization's status as an additional insured drawings, opinions,/ reports, surveys, ends when your personnel are no longer field orders, change orders or present at the premises of the person` or drawings and specifications; and organization. b. 'Supervisory, inspection, architectural B. The insurance provided to the additional or engineering activities. insureds is limited as follows: This limitation and exclusion applies even if 1. Any insurance afforded to such additional the claims against an insured allege insureds by this endorsement only applies to negligence or. other wrongdoing in the the extent permitted by law; and supervision, hiring, employment, training or 2. If coverage provided to"the additional monitoring of others by that insured, if the insured is required by a contract or written "occurrence"which caused the "bodily injury" agreement, the insurance afforded to such or "property damage", or the offense which additional insured will not be broader than caused the "personal and advertising injury", that which you are required by the contract involved the rendering of or the failure to or written agreement to provide for such render any professional architectural, additional insured; and engineering or surveying services. 3. The person or organization is an additional insured only for vicarious liability resulting 2. "Bodily injury", "property damage" or from your negligent acts; and "personal and advertising injury" occurring 4. The person or organization are not after: additional insureds for liability arising out of a. All work, including materials, parts or their own negligence, or the "products , equipment furnished in connection completed operations hazard". with such work, or the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the GL 11 12 11 15 Includes copyrighted material of Insurance Services Office, Inc.with its permission. Page 1 of 2 www.aif.com • Sal Work. Life. Oregon. Oregon Workers' Compensation Certificate of Insurance Mail to: Certificate holder: SQUEEKY CLEAN WINDOW&EXTERIOR CLEANING INC CITY OF ASHLAND PO BOX 203 . PUBLIC WORKS DEPARTMENT NORTH BEND, OR 97459-0017 20 EAST MAIN ST ASHLAND, OR 97520 The policy of insurance listed below has been issued to the insured named below for the policy period indicated.The insurance afforded by-this policy is subject to all the terms,exclusions and conditions of • such policy;this policy is subject to change or cancellation at any time. Insured Producer/contact , Squeeky Clean Window&Exterior Cleaning Inc Abel Insurance Agency PO Box 203 Wendy Abel-Hatzel North Bend, Or 97459-0017 541.267.4124 wendy@abelinsuranceagency.com Issued 04/08/2022 'Limits of liability Policy 783421 Bodily Injury by Accident $1,000,000 each accident Period 01/01/2022 to 01/01/2023 Bodily Injury by Disease $1,000,000 each employee Body Injury by Disease $1,000,000 policy limit Description of operations/locations/special.items WINDOW CLEANING • Important This certificate is issued as a matter of information only and confers no rights to the certificate holder.This certificate does not amend,extend or alter the coverage afforded by the policies above.This certificate does not constitute a contract between the issuing insurer,authorized'representative or producer and the certificate holder. Authorized representative ( ' `' Chip Terhune President and CEO 400 High Street SE Salem,OR 97312 P:800.285.8525 Policy_OLCA_Certificateoflnsurance F:503.584.9812