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HomeMy WebLinkAbout2022-141 PO 20230078- Rogue Boiler Works Purchase Order rift CITY RECORDER Fiscal Year 2023 Page: 1 of: 1 B 148701.3 B City of Ashland l�: ATTN: Accounts PayableL 20 E. Main Purchase L Ashland, OR 97520 Order# 20230078 T Phone: 541/552-2010 0 Email: payable@ashland.or.us V H C/O Facilities Maintenance Div E ROGUE BOILER WORKS I 90 North Mountain Ave N 936 PARKDALE AVE p Ashland, OR 97520 � MEDFORD, OR 97501 Phone: 541/488-5358 R O Fax: 541/552-2304 -01164:1 a." -moi_- _ •-":.b Mak'Ali- 6 `�4 d 6�:-'- - � _ i. � sil()@� =�=1t= -.L ^'� -'�' ' __ _ ___ _ __ __ ._.. ._ _ _-- .- -ter David Arnold na.67_67.7 .`� 07/21/2022 4420 FOB ASHLAND OR/NET30 City Accounts Payable _ _ � ted. �� ILiC]7 � �� T; = _gib-� !Ilan On-call Boiler Services 1 On-call boiler services 1.0 $5,000.00 $5,000.00 Goods and Services Agreement(435,000 or Less) Completion date: 06/30/2023 Project Account: ***************GL SUMMARY*************** 088400-602400 $5,000.00 B J .Id k Date: _ 2 y' Authoize. S'gnaturesfi — ..5 000.00 FORM #3 • . CITY OF • • ,ice lg ASHLAND REQUISITION Date of request: 7/15/2022 • Required date for delivery: Vendor Name Roque Boiler Works Address,City,State,Zip 2105 Corey Road, Central Point, OR 97502 . Contact Name&Telephone Number Matt Smith 541-613-5457 roqueboiler(@outlook.com Email address SOURCING METHOD • ❑ Exempt from Competitive Bidding' 0 Invitation to Bid 0 Emergency ❑ Reason for exemption: Date approved by Council: ❑ Form#13,Written findings and Authorization ❑' AMC 2.50 ' _(Attach copy of council communication) 0 Written quote or proposal attached ❑ Written quote or proposal attached _(If council approval required,attach copy of CC) ® Small Procurement 0 Request for Proposal Cooperative Procurement Not exceeding$5,000 Date approved by Council: . ❑ State of Oregon . ® Direct Award _(Attach copy of council communication) • Contract# ❑ Verbal/Written quote(s)or proposal(s) 0 Request for Qualifications(Public Works) 0 State of Washington Date approved by Council: Contract# Attach col of council communication 0 Other government agency contract Intermediate Procurement 0 Sole Source Agency GOODS&SERVICES 0 Applicable Form(#5,6,7 or 8) Contract#- Greater than$5,000 and less than$100,900 0 Written quote or proposal attached Intergovernmental Agreement ❑ (3)Written bids and solicitation attached ❑ Form#4,Personal Services$5K to$75K Agency PERSONAL SERVICES Date approved by Council: 0 Annual cost to City does not exceed$25,000. Greater than$5,000 and less than$75,000 Valid until: (Date) Agreement approved by Legal and approved/signed by •• ❑ Less than$35,000,by direct appointment 0 Special Procurement City Administrator.AMC 2.50.070(4) ❑ (3)Written proposals&solicitation attached 0 Form#9,Request for Approval 0 Annual cost to Cityexceeds,$25,000,Council ❑ Form#4,Personal Services$5K to$75K ❑' Written quote or proposal attached approval required.(Attach copy of council communication) Date approved by Council: Valid until: (Date) Description of SERVICES • Total Cost Boiler service for FY23 • . $5,000.00 • Item # Quantity Unit Description of MATERIALS Unit Price Total Cost 1 $0 ) $0.00 $0 $0.00 $0 $0.00 ❑ Per attached quote/proposal 1 TOTAL COST •Project Number: -_ _ . Account Number: 088400-602400 $$0:00 • *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 appr ar ware and software purchases: • IT Director Date • Support-Yes/No By signing this requisition form,I certify that the City's py lic contra ' g requirements have been satisfied. . . Employee: Department Head: �-�j�s�� -7•l Z .20 ZZ ��j�•1•alto• greater than$5,000) • Department Manager/Supervisor: City Man.,.er: (Greater than$3 Q09/1 Funds appropriated for current fiscal year. h / NO ` l/ d/ Fina ce ni:'-.r-(qual to or greater than$5,000) Date Comments: Form#3-Requisition ' . GOODS AND SERVICES AGREEMENT(S35,000 OR LESS) PROVIDER: Rogue Boiler Works • CITY OF Pfli;®V®El 'S ASHLAND CONTACT: Matt Smith 20 East Main Street Ashland,Oregon 97520 ADDRESS: 2105 Corey Road Telephone: 541/488-5587 P Central Point,OR 97502 Fax: 541/488-6006 PHONE: 541413-5457 • This Goods and Services Agreement (hereinafter "Agreement') is enter into by and between the City of Ashland, an Oregon municipal corporation (hereinafter "City") and Rogue Boiler Works, (a domestic/foreign • business corporation)("hereinafter"Provider"),for boiler service. 1. PROVIDER'S OBLIGATIONS 1.1 Provide boiler service for FY23 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, iricludin nY� g 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, employeesand 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: Goods and Services Agreement between the City of Ashland and Rogue Boiler Works . • 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 $22,310.46 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. • 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 Cityshall 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 6/24/2022 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$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 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. ' ' Page 2 of 6: Goods and Services Agreement between the city of Ashland and Rogue Boiler Works 3.2 Provider is an independent contractor and not an employee or agent of the City for any purpose. 3.3 Provider is not entitled to, and expressly waives all claims to City benefits such as health and disability • insurance,paid leave, and retirement. 3.4 This Agreement embodies the full and complete understanding of the parties respecting the subject matter hereof. It supersedes all prior agreements,negotiations,and representations between the parties, whether written or oral. • 3.5 This Agreement may be amended only by written instrument executed with the same formalities as this Agreement. • 3.6 The following laws of the State of Oregon are hereby incorporated by reference into this Agreement: ORS 279B.220, 279B.230 and 279B.235. 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 maybe 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. Page 3 of 6: Goods and Services Agreement between the City of Ashland and Rogue Boiler Works • 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 June 2022. - 4.2 This Agreement and the SUPPORTING DOCUMENTS shall be construed to be mutually • complimentary andsupplementary 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 Iisted in Article 4.1. 5. REMEDIES 5.1 In the event Provider is in default of this Agreement, City may, at its option,pursue any or all of the remedies available to it under this Agreement and at law or in equity,including,but not limited to: 5.1.1 Termination of this Agreement; 5.1.2 Withholding all monies due for the Work that Provider has failed to deliver within any scheduled completion dates or any Work that have been delivered inadequately or defectively; 5.1.3 Initiation of an action or proceeding for damages, specific performance, or.declaratory or injunctive relief; 5.1.4 These remedies are cumulative to the extent the remedies are not inconsistent,and City may pursue any remedy or remedies singly, collectively,successively or in any order whatsoever. 5.2 In no event shall City be liable to Provider for any expenses related to termination of this Agreement or for anticipated profits. If previous amounts paid to Provider exceed the amount due,Provider shall pay immediately any excess to City upon written demand provided. 6. TERM AND TERMINATION • 6.1 Term This Agreement shall be effective from the date of execution on behalf of the City as set forth below (the "Effective Date"), and shall continue in full force and effect until.June 30, 2023, unlesssooner 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 commnercial 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 of 6: Goods and Services Agreement between the City of Ashland and Rogue Boiler Works • City of Ashland—Facilities Maintenance Department Attn: David Arnold 20 E.Main Street Ashland,Oregon 97520 Phone: (541)552-2292 • With a copy to: Citrof Ashland—Legal Department 20 E.Main Street Ashland, OR 97520 Phone: (541)488-5350 If to Provider: Rogue Boiler Works • Attn:Matt Smith 541-613-5457 8. WAIVER OF BREACH • One or more waivers or failures to object by either party to the other's breach of anyprovision,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 apolitical 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. Page 5 of 6: Goods and Services Agreement between the City of Ashland and Rogue Boiler Works 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; Rogue Boiler Works(PROVIDER): 1714 By: By: ` /- 54- Signature Signature Star.PtUe, // /v•51774 . Printed Name I Printed Name • POtc_t— 14.jOZ mum__ P/ T- "- ti1 Title Title -7. VI. 20 LI— ( /-2,( ) 2322 Date Date (W-9 is to be submitted with this signed Agreement) Purchase Order No. 9690 7 • • • • i ` I Page 6 of 6: Goods and Services Agreement between the City of Ashland and Rogue Boiler Works • IX) i ORKs 6/24/2022 • Rate Sheet. ' PO# Customer: City of Ashland. • Job Location: Services to be Provided: • Hourly rates. Lead Mechanic per hour. $125.00 Lead Mechanic overtime per hour. $187.50 Mechanic and helper per hour. $200.00 • Mechanic and helper overtime per hour. $300.00 Total. • $0 Terms Net15. • *Credit cards accepted. CSLB#1007364 DIR#1000029463 CCB#200332 • CERTIFICATION OF EXEMPTION FROM WORKERS'COMPENSATION INSURANCE REQUIREMENTS Contractor is exempt from the requirement to obtain workers compensation insurance under ORS Chapter 656 for the following reason. Contractor is to initial the appropriate box as follows: __SOLE PROPRIETOR (Initials) • Contractoris a sole proprietor,and • Contractorhasno employees,and • Contractorwill 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 andhavea substantial ownership interest*in the 'corporation,and • All work will be performed by the officers and directors;Contractorwill not hire other employees or subcontractors to perform this contract. CORPORATION-NONPROFIT (Initials) • Contractor's business is incorporated as a nonprofit corporation,and • Contractorhas no employees;all work is performed by volunteers,and • Contractorwill not hire employees or subcontractors to perform this contract. =PARTNERSHIP • ' (Initials) ■ Contractor is a partnership,and • Contra ctorhas no employees,and • I All work will be perfonned by the partners;Contra ctorwill not hire employees or subcontractors to perform this contract,and • Contractoris 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) • Contractoris a limited liability company,and • Contractorhasno employees,and • All work will be performed by the members;Contractorwill not hire employees or subcontractors toperfomi this contract,and • If Contractor has more than one member,Contractoris not engaged in work performed in direct connection with the construction,alteration,repair,improvement,movingor demolition of an improvement to real property or appurtenances thereto.** 444 -Sl- `7// Z r;2.2_ (Signature of Authorized Signer) / (Date) PA grfik/C- (Signer'sTitle • *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 shareholderhas ownership that is at least equalto 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 contmctorwho will perform constructionwork. • • • Policy No. 97 CMN878 7 2275-FAE6 • CMP-4684.1 Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY CMP-4684.1 ADDITIONAL INSURED —OWNERS, LESSEES, OR CONTRACTORS (Scheduled) • This endorsement modifies insurance provided under the following: - BUSINESSOWNERS COVERAGE FORM • SCHEDULE Policy Number: 97 CMN878 7 . Named Insured: • ROGUE BOILER WORKS LLC PO BOX 809 SHADY COVE OR 97539-0809 • • Name And Address Of Additional Insured Person Or Organization: CITY OF ASHLAND • 20E MAIN ST ASHLAND OR 97520-1849 • • 1. SECTION 'II '— WHO IS AN INSURED of SECTION II — LIABILITY is amended to include, as an • additional insured, any person or organization shown in the Schedule, but only: • a. Ongoing Operations • With respect to liability for "bodily injury", "property damage", or "personal and advertising injury" caused by your ongoing operations for that additional insured and only to the extent that such "bodily injury", "property damage" or "personal and advertising injury" is,caused by your negligence or the negligence of those performing operations on your behalf; or b. Products-Completed Operations To the extent that the liability for"bodily injury" or"property damage"is caused by "your work" per- formed for that additional insured and included in the"products-completed operations hazard". • 2. Any insurance provided to the additional insured shall only apply with respect to a claim made or a • "suit" brought for damages for which you are provided coverage. 3. Primary Insurance. The insurance afforded the additional insured shall be primary insurance. •Any insurance carried by the additional insured shall be noncontributory with respect to coverage provid- ed by you. All other policy provisions apply. • CMP-4684.1 155600 04-09-2019 • ©,Copyright,State Farm Mutual Automobile Insurance Company,2018 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. • V . $ • Acc•R�' CERTIFICATE OF LIABILITY INSURANCE DoE(MM!DD2"z" 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 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 Russell P Brown Ins Agcy Inc CONTACT FAX NAME: Russell P Brown 2581 W Main St• q/CON,_NQ,_ Extl:541-776-8466 MO,No);541-776-8473 StateFarm Medford, Or 97501 nDDDDRILFss:russellArusseltbrown.biz A- INSURER(S)AFFORDING COVERAGE NAIL# INSURER A:State Farm Fire and Casualty Company 25143 • INSURED Rogue Boiler Works LLC INSURERB: lid 936 Parkdale Ave - INSURER C: Ewl . . Medford,Or 97501 -1892INSURERD: 2 INSURER E: I2, 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. TR TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP INSR WY° POLICY NUMBER (MMIDDIYYYY) (MM/DDIYYYY) LIMITS • ❑ A GENERAL LIABILITY Y 97-CM-N878-7 01/02/2022 01/02/2023 EACH OCCURRENCE $ 2,000.000 X COMMERCIAL GENERAL LIABILITY PREMISES(Ea occRENTurrence) $ 100,000 CLAIMS-MADE X OCCUR MED EXP(Any one person) $ 10,000 • • PERSONAL 8,ADV INJURY $ GENERAL AGGREGATE _ $ 4,000,000 I I GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 4,000,000 7 POLICY 1-1 JEOT LOC , Business Property $ 79000 A AUTOMOBILE LIABILITY y 4196740-F31-37 07/02/2022 01/02/2023 (EegcddeDtIINGLELIMR $ XANY AUTO BODILY INJURY(Per person) $ 100000 X ALL OWNED —'SCHEDULED BODILY INJURY(Per accident) $ 300000 AUTOS _AUTOS • NON-OWNED — PROPERTY DAMAGE $ 100000 HIRED AUTOS AUTOSUTOS (Perecddant) $ UMBRELLA LIAR ` OCCUR EACH OCCURRENCE $ • EXCESS LJAB • CLAIMS-MADE • AGGREGATE $ DED RETENTION$ .. $ WORKERS COMPENSATION WC STATU- 0TH- AND EMPLOYERS'LIABILITY . TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIE piN/A E.L.EACH ACCIDENT $ OFFICE/MEMBER EXCLUDED? ' (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ It yes,describe under DESCRIPTION OF OPFRATIONS below E.L.DISEASE-POLICY LIMIT $ I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more spate Is required) • CERTIFICATE HOLDER CANCELLATION Additional Insured: • SHOULD A OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE . City of Ashland THE EXP TION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDAN E WITH THE POLICY P VISIONS. • 20 East Main St t j B1 Ashland,Or 97520 AUTHORIZED/ft PRESEN OVE. 2 • . ,� _ fillP l' . . i ©1988-2010 A RD CO •ORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD 1001486 132849.8 01-23-2013