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HomeMy WebLinkAbout2023-181 PO 20240176- Advanced Door & Hardware Purchase Order /llit • �^ r- nS 'Cr Fiscal Year i 1 2024 Page: to a1. Tyl B City of Ashland r ;'``° «a t,u0� . !l�� g L alai Y -.rte _ E_, I ATTN: Accounts PayableL 20 E. Main Purchase L Ashland, OR 97520 Order#. 20240176 T Phone: 541/552-2010 O Email: payable@ashland.or.us V H C/O Facilities Maintenance Div E ADVANCED DOOR& HARDWARE 1 90.North Mountain Ave N 2990 FAR WEST AVENUE p Ashland, OR 97520. O MEDFORD, OR 97501 Phone: 541/488-5358 R Fax: 541/552-2304 -' 1's F an, ,±! •a u J E! 70.2.4---7- 3- ;'4- - fli�f t4. Vie(- ' - _ggFit* .-}_i4rhenisi = r i=?i iia_ 7i Robert Ha er (britt _. :i. . _ _. � 10/26/2023 6614 FOB ASHLAND OR/NET30 City Accounts Pa able • _[ ire__ ' - �=.. a,w,i6. iCi`�� £S!ela-,6F fi a � -__ -_ A_=,z-=1 �i--- ��'� '.-je-2 �-3!a[ �` * _-.� + • Exit Door Installation ` 1 Exit door installations at 2200 Ashland Street 1.0 $6,594.00 $6,594.00 ' Goods and Services Agreement($35,000 or less) Completion date: 06/30/2024 . Project Account: E-000839-999 ✓ . ***************GL SUMMARY*************** , , I- 017200-6041 0 $6,594.00 -- ., . n � a V -- By: AA Date: f Au horized Signatu aa„�h ' :t- 6 594.00 FORM #3 CITY OF • ASHLAND A request fora Purchase !girder ® , 7 REQUISITION /°:.° Date of request: • 10/23123 Required date for delivery: Vendor Name Advanced Door&Hardware Address,City,State,Zip 2990 Far West Avenue, Medford, OR 97501 Contact Name&Telephone Number Email address • Daryl Kreutzer 541-941-8043 Daryl.advanceddooracharter.net - SOURCING METHOD ❑ Exempt from Competitive Bidding ❑ Invitation to Bid • 0 Emergency ❑ Reason for exemption: Date approved by Council: 0 Form#13,Written findings and Authorization ❑ AMC 2.50 (Attach copy of council communication) 0 Written quote or proposal attached O 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: 0 State of Oregon ® Direct Award _(Attach copy of council communication) Contract# ❑ Verbal/Written quote(s)or proposal(s) 0 Request for Qualifications(Public Works) 0 State of Washington Date approved by Council: Contract# Attach col of council communication ❑ Other government agency contract Intermediate Procurement 0 Sole Source Agency. GOODS&SERVICES 0 Applicable Form(#5,6,7 or 8) Contract# Greater than$5,000 and less than$100,000 0 Written quote or proposal attached Intergovernmental Agreement O (3)Written bids and solicitation attached 0 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 City exceeds$25,000,Council , ❑ Form#4,Personal Services$5K to$75K 0 Written quote or proposal attached approval required.(Attach copy of council communication) Date approved by Council: Valid until: (Date) Description of SERVJC Total Cost Exit door installations at��//Ashland St Shelter $6,594.00 Item # Quanti Unit Description of MATERIALS Unit Price Total Cost $0 $0.00 • _ $0 $0.00 $0 $0.00 ❑ Per attached quotelproposal . . TOTAL COST Project Number: 000839.999 Account Number: 017200.604100 . : $6,594.00 *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 approve all hardware and software purchases: IT Director Date Support-Yes/No By signing this requisition form,I certify Cyr, , that the City's public contracting requirements have been satisfied. / Employee: fol" 1 yCyr, , Ler Department Head: , �4-_ AfG\ /0.-.26-.23 (Equal to or greater than$5,000) Department ManagerlSupervisor:• City Manager: - _ (Greater than$ ,000) Funds appropriated for current fiscal ye YES / NO • 0ILaafe 7 La n Doctor-(Equa to eater than$5,000) Comments: • Form#3-Requisition • • GOODS AND SERVICES AGREEMENT ($35,000 OR LESS) • PROVIDER: Advanced Door&Hardware CITY OF PROVIDER'S �S H LAN D CONTACT: Daryl Kreutzer 20 East Main Street Ashland,Oregon 97520 ADDRESS: 2990 Far West Avenue • Telephone: 541/488-5587 Medford, OR 97501 Fax: 541/488-6006 PHONE: 541-941-8043 This Goods and Services Agreement (hereinafter "Agreement") is entered into by and between the City of Ashland, an Oregon municipal corporation (hereinafter "City") and Advanced Door & Hardware, (a domestic/foreign business corporation) ("hereinafter "Provider"), for exit door installations at 2200 ASHLAND Street,Ashland, OR 97520. 1. PROVIDER'S OBLIGATIONS 1.1 Provide three exit door installations at 2200 Ashland St for FY24 as set forth in the "SUPPORTING DOCUMENTS" attached hereto and, by this reference, incorporated herein. Provider expressly acknowledges that time is of the essence of any completion date set forth in the SUPPORTING DOCUMENTS, and that no waiver or extension of such deadline may be authorized except in the same manner as herein provided for authority to exceed the maximum compensation. The services defined and described in the "SUPPORTING DOCUMENTS" shall hereinafter be collectively referred to as "Work." 1.2 Provider shall obtain and maintain during the term of this Agreement and until City's final acceptance of all Work received hereunder, a policy or policies of liability insurance including commercial general liability insurance with a combined single limit, or the equivalent, of not less than $2,000,000 (two million dollars)per occurrence for Bodily Injury and Property Damage. 1.2.1 The insurance required in this Article shall include the following coverages: • Comprehensive General or Commercial General Liability, including personal injury, contractual liability, and products/completed operations coverage; and • Automobile Liability. 1.2.2 Each policy of such insurance shall be on an "occurrence" and.not a "claims made" form,and shall: . • Name as additional insured "the City of Ashland, Oregon, its officers, agents and employees" with respect to claims arising out of the provision of Work under this Agreement; • Apply to each named and additional named insured as though a separate policy had been issued to each,provided that the policy limits shall not be increased thereby; • Apply as primary coverage for each additional named insured except to the extent that two or more such policies are intended to "layer" coverageand, taken together, they provide total coverage from the first dollar of liability; • Provider shall immediately notify the City of any change in insurance coverage Page 1 of 6: Goods and Services Agreement between the City of Ashland and Advanced Door&Hardware 2200 Ashland St • 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. 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 solicitationseither 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 $25,335.05 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 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 10/3/23 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$6,594.00 (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. Page 2 of 6: Goods and Services Agreement between the City of Ashland and Advanced Door&Hardware 2200 Ashland St 3. GENERAL PROVISIONS 0 3`.1 This is a non-exclusive Agreement. City is not obligated toprocure any specific amount of Work from Provider and is free to procure similar types of goods and services from other providers in its sole discretion. 3.2 Provider is an independent contractor'and not an employee oragent 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 may be dismissed or its venue transferred, as appropriate, so as to effectuatethis 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 reasonabletime, the City may reject the Goods and cancel this Page 3 of 6: Goods and Services Agreement between the City of Ashland and Advanced Door&Hardware 2200 Ashland St / I 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 Quote dated October 3, 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, 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, 2024, unless sooner terminated as provided in Subsection 6.2. 6.2 Termination 6.2.1 The City and Provider may terminate this Agreement by mutual agreement at any time. 6.2.2 The City may, upon not less than thirty (30) days' prior written notice, terminate this Agreement for any reason deemed appropriate in its sole discretion. 6.2.3 Either party may terminate this Agreement,with cause, by not less than fourteen (14) days' prior written notice if the cause is not cured within that fourteen (14) day period after written notice. Such termination is in addition to and not in lieu of any other remedy at law or equity. Page 4 of 6: Goods and Services Agreement between the City of Ashland and Advanced Door&Hardware 2200 Ashland St • 7. NOTICE Whenever notice is required or permitted to be given under this Agreement, such notice shall be given in writing to the other party by personal delivery, by sending via a reputable commercial overnight courier, or by mailing using registered or certified United States mail, return receipt requested, postage prepaid, to the address set forth below: If to the City: City of Ashland—Facilities Maintenance Department Attn: David Arnold 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 97520 Phone: (541) 488-5350 If to Provider: Advanced Door&Hardware 2900 Far West Avenue Medford, OR 97501 Attn: Daryl Kreutzer • 541-941-8043 • 8. WAIVER OF BREACH • One or more waivers or failures to object by either party to the other's breach of any provision,term,condition, or covenant contained in this Agreement shall not be construed as a waiver of any subsequent breach,whether or not of the same nature. 9. PROVIDER'S COMPLIANCE WITH TAX LAWS 9.1 Provider represents and warrants to the City that: 9.1.1 Provider shall, throughout the term of this Agreement, including any extensions hereof, comply with: (i) All tax laws of the State of Oregon, including but not limited to ORS 30 .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 Page 5 of 6: Goods and Services Agreement between the City of Ashland and Advanced Door&Hardware 2200 Ashland St • (iii) Any rules, regulations, charter provisions, or ordinances that implement or enforce any of the foregoing tax laws or provisions. 9.2 Provider's failure to comply with the tax laws of the State of Oregon and all applicable tax laws of any political subdivision of the State of Oregon shall constitute a material breach of this Agreement. Further, any violation of Provider's warranty, as set forth in this Article 9, shall constitute a material breach of this Agreement. Any material breach of this Agreement shall entitle the City to terminate this Agreement and to seek damages and any other relief available under this Agreement,at law,or in equity. IN WITNESS WHEREOF the parties have caused this Agreement to be signed in their respective names by their duly authorized representatives as of the dates set forth below. CITY OF ASHLAND: Advanced Door& Hardware(PROVIDER): By: -`' +/`7 c��___. )f /U-?(,-DBy: Z7t t' i nature Signature Signature / 'c Lae, ( ,rr 1 Sb r Daryl Kreutzer f Printed Name Printed Name i9erp.ty ���cc �� Owner Title Title ^2 3 10-19-2023 Date Date (W-9 is to be submitted with this signed Agreement) Purchase Order No. �� /7* • Page 6 of 6: Goods and Services Agreement between the City of Ashland and Advanced Door&Hardware 2200 Ashland St Advanced Door& Hardware "Hanging On Integrity" Daryl W. Kreutzer Quote ~ v 1 ,= i Commercial Specialty Contractor 2990 Far West Avenue Date: Quote #: Medford,OR 97501 r 10/3/2023 3406 - Phone:(541)941-8043 daryl.advanceddoor@charter.net This quote valid for 30 CCB#167520 days from above date • To: City of Ashland • Attn:Accounts Payable 20 East Main Street • Ashland, OR 97520 • Project: 2200 Ashland Street Description: Total: To supply and install three(3)Von Duprin 99E0 x 990NL exit devices and two 6,594.00 (2)LCN 4111 closers: Notes: 1) 1-2 week order time. 2).Hardware finish to be dark bronze at entry door and satin chrome at rear doors. 3) Quote based on lock cylinders being provided by the city of Ashland. 4) Quote includes basic adjustment of existing doors to close better. 5)For optional 996L exit device trim,add$1321.00 to quote for a total of $7915.00. - • , Thank you for the opportunity-t quote this, g i` /%`-� Total: $6,594.00 Deyics types • , • 98/99 Rim exit device I\ I if 98 and 99 rim exit devices for all types of single and double doors with mullion,UL listed for panic exit hardware.Devices are certified to ANSI/BHMA A156.3 2014,Grade 1.The 98 . device has a smooth mechanism case and the 99 device has a grooved case.The rim . device Is non-handed except when the following device options are used:SD(special dogging),-2(double cylinder)or SS(signal switch).Covers stock hollow metal doors with 86 or 161 cutouts on single doors(may cover cutouts on pairs—consult template). Specifications Features and options Device functions Device ships EO/DT/NL;Field selectable; For TP,K or L remove NL drive screw from device Electrified options Device lengths 3' 2'4'to 3'(711mm to 914mm)Door size - Latch bolt monitor switch RX Request to exit 4' 2'10"to 4'(864mm to 1219mm)Door size Device centerline 3913/,"(1011mm) R)(2 Double request to exit from finished floor 39"/,6"(1008mm)with mullion E Electric locking and unlocking trim Electric latch retraction Center case 8"x 2 s/."x2 3/e"(203mm x 70mm x 60mm) EL Mechanism case 2/."x 2'/n'(57mm x 57mm) ESL •-Emergency secure lockdown QEL Quiet electric latch retraction Projection Pushbar neutral—313/16"(97mm) SS Signal switch Pushbar depressed—31/16"(78mm)' CX Chexlt delayed exit • • Latch bolt Deadlocking,3/<"(19mm)throw ALK Alarm exit kit Finishes 605.606.612,625.626/626AM,628.710.711 and 643e WP-RX Waterproof request to exit (619 and 630 available with 98 Series only) CON - Allegion Connect • Fasteners and. Includes screw pack for 1 3/k"(44mm)and 2'/<" sex bolts(SNB) (57mm)thick metal or wood doors Mechanical options (Optional 425 SNB available,see page 64 for quantities) -2 Double cylinder • -251 Double cylinder with security indicator . AX Accessible device • GBK Glass bead kit • PN • Pneumatic latch retraction• QM Quiet mechanical SNB Sex bolts Accessories SEC Security screws WH Weep holes • 299 Strike XP Extra protection Ships standard. - optional strikes available. Dogging feature • • ..I; I - Hex key dogging standard • .i Dogging options CD Cylinder dogging / CD-CX Chexit cylinder dogging • 1 CDS! Cylinder dogging with security indicator • f�f Hex key dogging HDSI Hex dogging with security Indicator :��� Comes standard on SD Special center case dogging 98/99 rim exit devices. LD Less dogging DI • Dogging Indicator • CI Cylinder dogging Indicator • i Strikes 299—Dull black 6 • Von Duprin • 98.99 Series ' Trim options Trim functions . Von Duprin protects your investment by empowering you to adapt with flexible solutions and modular options.The 98/99 Series features numerous trim options to serve your different needs. Designed with flexibility in mind, our solutions offer ease of adding new options as they are developed. With Von Duprin, you can be confident that as the needs of your facility change, our products can be upgraded easily to meet your needs, especially as the mechanical and electronic technology converge. Von Duprin's versatile design enables you to add functionality to existing devices in a cost-effective way, . protecting your.investment well into the future. A variety of device trim lock type functions such as key lock and unlock, latch bolt retraction with key and no cylinder designs for an "always operable" function are available in levers, knobs, latches, thUmbpiece and thumbturn designs. . EO No outside trim OT Dummy trim NL Night latch \ • Exit only 'ri ■ Pull when dogged'(not • Key retracts latchbolt ` recommended for fire • Rim and 1 1/4"mortise i device) cylinder NLOP Night Latch TP Thumbpiece/a TPBE Thumbpiece, I • Key retracts latchbolt, ■ Key locks and unlocks blank escutcheon k escutcheon always • operable(no cylinder, pull required • Rim and 1' "mortise ■ Blan cylinder use with DT trim) • L Lever LDT Lever,dummy trim LNL Lever,night latch K Knob KDT Knob,dummy trim KNL Knob,night latch ( ■ Key locks and unloc • Pull when dogged ■ Key retracts latchbolt ■ Rim and 11/a"mortise • Rim and 11/:"mortise cylinder cylinder ■ Handed,reversible ■ Handed,reversible lever lever 0�tD^j • Electrified lever l • operation available LSE' Lever,blank TL Turn lever TLBE Turn lever,blank escutcheon • Key locks and unlocks escutcheon f ( KBE Knob,blanktrim) • Blank escutcheon always escutcheon (use with DT ■ ■ 1�/a mortise cylinder operable(no cylinder,use • Always operable • with DT trim) (no cylinder) TLOP Turn Lever, HL Hospital latch a • optional pull , fl ■ Key locks and unlocks . ■ 1 Y<"mortise cylinder Eti r- C . 30 • Von Duprin • 98/99 Series Trim options - 996 trim . n 1` on • II -----. ] i . . id . • \\ ((..._ , • . r. , iiii .j ........._1 ' . ' Trim description • - .,......j Nomenclature 996E0 9961.' 996E-NL' 996E-8E' 996E-DT Trim function Exit only plate Lever Lever-night latch Lever blank Lever dummy trim escutcheon• • Function description Exit only plate Key locks and Key retracts latch Always operable, Pull when dogged unlocks bolt no cylinder ANSI function 01 08 -03 14 • 02 • • Device cornpat(bllity . 98/99 Rim/Rim-F a M a a a In o XP98/XP99 Rim/Rim-F • 111, • a a 0 • a • la 98/9927/27-F ® M a M ., 0 98/9947/47-F a • . ■ a a rw 98/9947WDC/WDC-F, a a • a ■ ■ 98/9948/48-F a • ® a ■ a 98/9949/49-F q A ! a lr 98/9950WDC/50WDC-F a a a I 98/9952r i t - t . t t t 98/9957/57-F a >i a ' a a 98/9975/75-F ■ a a • a a. Oimenstans - Escutcheon plate size 2 3/<"x10 3/_"x r7/32"(70 x 273 x 21 mm) Pull center to center — — — — — Projection — 21/0(73mm) 27/e"(73mm) 27/e"(73mm) 2%/e"(73mm) Handing — Handed/reversible Handed/reversible Handed/reversible Handed/reversible Cylinder type Rim or vertical device — Rim Rim • — — Mortise lock device — 1'/<"mortise 1'/<"mortise — •Specify RN if used for rim and vertical devices...AA for mortise device.Example.995L-RN or 9961.-M. t . t Default trim Is 252E/1.-8E.Must be ordered as EP when paired with other trims(ordered separately). 4 •• • • • 32 • Von Duprin • 98/99 Series • Ttim options .990 trim : • ( 1 . r I Trim description • Nomenclature Trim function 990E0 990DT 990NL' Dummy trim latch 990TP' 990TP-BE' Exit only plate Thumbpiece Thumbpiece blank escutcheon Always operable, no cylinder Function description Exit only plate Pull when dogged Key retracts Key locks latch bolt and unlocks • ANSI function 01 02 03 05 15 Device compatibility • 98/99 Rim/Rim-F ' Si ® ■ ■ ■ • XP98/XP99 Rim/Rim-F ■ ■ ■ i ■ 98/9927/27-F ■ ■ ■ • ■ ■ • 98/9947/47-F ■ •■ � ■ ■ ■ • 98/9947WDC/WDC-F ■ ■ ■ ■ ■ 98/9948/48-F ■ ■ ■ ■ 11• 98/9949/49-F ■ • • 911 ■ ■ 98/9950WDC/50WOC-F ■ . ■ ® ■ • ■ 98/9952t 98/9957/57-F ■ ■ . ■ , I • 98/9975/75-F ■ ■ ■ I I Dimension Escutcheon plate size Pull center to center 3"x 14 Via"x"/ (76 x 360 x 2mm) — S'/x°(140mm) 5'/i'(740mm) 5'/:"(140mm) •5'/x"(140mm) Projection — 2"(51mm) 2"(51mm) 2"(51mm) 2"(51mm) Handing Cylinder type Rim or vertical device — . — Rim Rim — • Mortise lock device — — - 1'/,"mortise 1'/,"mortise — 'Specify RN if used for rim and vertical devices.M for mortise device.Example.990NL-RN or 990NL-M. f Default trim Is 252L/L-BE.Must be ordered as 50 when paired with other trims(ordered separately). 1 • 34 • Van Duprin • 98/99 Series LCN® Surface mounted closer 4.110 Series Overview The 4110 is LCN's best performing heavy duty closer with an adjustable spring and possible hold-open point beyond 140 degrees, meeting ADA requirements.Backed by a 30 year warrantyl,the cast Iron body and all weather fluid offer versatility in high traffic applications. Cylinder 4111(6)-3071 Cast iron cylinder assembly Handing Sizing Handed Adjustable spring size 1-5,or sized 6 Includes patented Green Dial . 4111(adjustable from size.l to 5) . 4116(Size 6;DEL,SHCUSH or HCUSH arm not.available) . • Available cylinder options DEL Delayed action cylinder . AVB Advanced variable backcheck Mounting Parallel arm(push side) ' ■ , ALLEGION" ADVAD00-01 DREED ACOREYDATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 7/30/2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION'ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). • PRODUCER NAME: Insurance Marketplace 1998 Sky Park Drive#100 jac°°,"r o,Ext):(541)779-0177 (Nc, No):(541)772-8235 • Medford,OR 97504 ADnRIEss:debbie@insmarket.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A':Nationwide Assurance Company 10723 INSURED INSURER B:SAIF Corporation 36196 Advanced Door&Hardware INSURER C: 1180 Crater Lake Ave INSURER D: Medford,OR 97504 INSURER E: •- INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY1 IMM/DD/YM) LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR ACP7596346705 12/2/2022 12/212023 DAMAGE TO RENTED $ 100,000 X PREMISES(Ea oaurrence) MED EXP(Any one person) I S 10,000 PERSONAL 8 ADV INJURY I$ 1,000,000 GEN'LAGGREGATE LIMIT APPLIESPER: GENERAL AGGREGATE I$ 2,000,000 X POLICY jgCT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER:General Aggregate $ COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY _(Ea accident) S ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWWNED ' PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) $ A X UMBRELLA UAB X OCCUR EACH OCCURRENCE $ 2,000,000 EXCESS LIAB .CLAIMS-MADE ACP7596346705 12/2/2022 12/2/2023 AGGREGATE $ 2,000,000 I DED RETENTION$ B WORKERS COMPENSATION X PERTUT ORH AND EMPLOYERS'LIABILITY 775207 11/1/2022 11/1/2023 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE YY" N f A E.L.EACH ACCIDENT $ OFFICER/MEMBFFR EXCLUDED? (Mandatory m N ) E.L.DISEASE-EA EMPLOYEE$ 1'000'000 If yes,describe under 1,000,000 • DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ • • • DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached it more space Is required) City of Ashland,Oregon,its officers,agents and employees with respect to claims arising out of the provision of work under this agreement are additional insured - • CERTIFICATE HOLDER CANCELLATION • SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City •of Ashland THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 90 N Mountain Ave Ashland,OR 97520 • AUTHORIZED REPRESENTATIVE Gaut LW ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD • • • COMMERCIAL GENERAL LIABILITY NCG 72 46 01 20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - AUTOMATIC STATUS FOR • OTHER PARTIES WHEN REQUIRED IN WRITTEN CONSTRUCTION AGREEMENT - INCLUDING ONGOING OPERATIONS. • This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART • 0 �' A. Section II —Who Is An Insured is amended to service, maintenance or repairs) to be include as an additional insured: performed by or on behalf of the o Ongoing Operations additional insured(s)at the location of the 0 1. Any person or organization for whom you are covered operations has been completed: o performing operations when you and such person or. or organization have agreed in writing in• a b. that operation of"your work°out of which contract or agreement that such person or the injury or damage arises has.been put organization be added as an additional insured on to its intended use by any person or your policy;and organization other than another contractor or subcontractor engaged in 2. Any other person or organization you are required performing operations for a principal as a to add as an additional insured under the contract part of the same project. or agreement described in Paragraph 1.above. B. Section II —Who Is An Insured is amended to Such person(s)or organization(s) is an additional include as an additional insured: • insured only with respect to liability for "bodily injury", "property damage" or "personal and Products—Completed Operations ••Y� advertising injury"caused, in whole or in part,by: Any person or organization with whom you have a. Your acts or omissions;or agreed in writing in a contract or agreement that b. The actss or omissions of those acting on such person or organization be added as an yourcbehalf, additional insured on your policy with respect to in the performance liability for "bodily injury" or "property damage" • • your ongoing operations for caused, in' whole or in part, by "your work" the additional insured. performed for such person- or organization and However, the Insurance afforded . to such ' included in the "products-completed operations additional insured described above: hazard". a. Only applies to the extent permitted by However, the insurance afforded to such law;and additional insured described above: b. Will not be broader than that which you a. • Only applies to the extent permitted by -13 o are required by the contract or agreement law;and to provide for such additional insured. b. Will not be broader than that which you A person's or organization's status as an are required by the contractor agreement additional insured for ongoing operations ends 'to provide for such additional insured. when your operations for the person or C. With respect to the insurance afforded to these o organization described in Paragraph 1, above are. additional insureds,this insurance does not apply completed. to "bodily,injury", "property damage" or"personal co With respect to insurance afforded to these and advertising injury"arising out of the rendering E additional insureds for ongoing operations, this insurance does not apply to "bodily injury" or "property damage'occurring after: a. All work, including material, parts or equipment furnished in' connection with such work, on the project (other.than NCG 72 46 01 20 Includes copyrighted material of Insurance Services Office,Inc with its permission. Page 1 of 2 • • NCG 72 46 01 20 • of, or the failure to render, any professional 1. Required by the contract or agreement described architectural, engineering or surveying services, in Paragraph AA.or Paragraph B.; or ' including: 2. Available under the applicable Limits of Insurance 1. The preparing,approving, Cr failing to prepare shown in the Declarations; or approve, maps, shop drawings, opinions, whichever is less. reports, surveys, field orders, change orders This endorsement shall not increase the or drawings and specifications;or applicable Limits of Insurance shown in. the 2. Supervisory, inspection, architectural or Declarations. engineering activities. E. With respect to the insurance afforded to these This exclusion applies even if the claims against additional insureds, the following is added to any insured allege negligence or' other Section IV — Commercial General Liability wrongdoing in the supervision, hiring, Conditions, Condition 4. Other Insurance and• employment, training or monitoring of'others by supersedes any provision to the contrary: that insured, if the"occurrence"which caused the Primary And Noncontributory Insurance "bodily injury" or "property damage", or the This insurance is primary to and will not seek offense which caused the "personal and advertising injury", involved the rendering of, or contribution from any other insurance the failure to render, any professional available to an additional insured under your architectural, engineering or "surveying services. policy provided that: • (1) The additional insured is a -Named D. With respect to the insurance afforded to these Insured under such other insurance;and additional insureds, the following is added to (2) You have agreed in writing in a contract Section III--Limits Of Insurance: or agreement that this insurance would • The most we will pay on behalf of the additional be primary and would not seek contribution from any other insurance insured is the amount of insurance:' , available to the additional insured. All terms and conditions of this policy apply unless modified by this endorsement. • ' I Page 2of 2 Includes copyrighted material of Insurance Services Office,Inc with its permission. NCG 72 46 01 20 COMMERCIAL GENERAL LIABILITY NCG 74 71 1216 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CONTRACTORS ENHANCEMENT ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Lost Key Coverage (4) Personal property in the care 1. Under Section I — Coverages, Coverage A custody,or control of the insured: Bodily Injury And Property Damage - (a) For storage or sale at premises Liability, coverage is extended to include the you own,rent,or occupy,or following: (b) While being transported by any rn If a customer's master or grand key, aircraft, "auto", 'or watercraft' rel excluding electronic key card, is lost, owned or operated by or rented damaged, or stolen while in your care, to or loaned to any insured. o custody, or control we will pay the cost of c. The coverage provided bythis c replacing the keys, including the master lock endorsement oes not aply to"property o and all keys used in the same lock,the cost of damage": ra adjusting locks to accept the new keys, or the (1) Arising out of the disappearance or cost to replace the locks,whichever is less. loss of use of personal property;or 2. Limit of Insurance-For the purpose of this (2) Included in the "products-completed coverage the most we will pay is$10,000 per p occurrence: operations hazard". B. Voluntary Property Damage 2. Limit of Insurance-The most we will pay for loss arising out of any one"occurrence"is 1. Under Section I — Coverages, Coverage A $5,000. Bodily Injury And Property Damage Liability, coverage is extended to include the following: 3. Deductible-Our obligation to pay for a Al Your est,we will for " covered loss applies only to the amount of Kiaci yo requpay "property damage loss in excess of$250. Kt to properly of others caused by you and while in your possession, arising out of your business We will pay the deductible amount to effect operations and occurring during the policy period. settlement of any claim or"suit'and upon notification having been taken you shall 2. Limit of Insurance—For the purpose of this promptly reimburse us for the deductible as coverage the most we will pay is$1,500. has been paid by us. C. Non-Owned Watercraft _ This insurance is primary to any expanded 2 Under Section I — Coverages, Coverage A damage coverage provided by a separate c Bodily Injury And Property Damage Liability, endorsement attached to this policy,and it will 73 2. Exclusions Exclusion g. Aircraft, Auto Or supplant any deductible in said endorsement. m Watercraft Paragraph(2)(a)is replaced with: E. Damage To Premises Rented To You o (a) Less than 51 feet long;and 1. Section I—Coverages, Coverage A Bodily D. Expanded Property Damage Coverage Injury And Property Damage Liability, the 1. For the purposesof this endorsement only: last paragraph of 2. Exclusions is replaced with: Section I — Coverages, Coverage A If Damage Bodily Injury And Property Damage To Premises Rented To You is noto x Liability, 2.. Exclusions, Exclusion j. otherwise excluded, Exclusions c. through n. w Damage To Property is amended as follows: do not apply to damage by fire, lightning, W explosion, smoke, or sprinkler leakage.to a. Paragraphs(3),(5),and(6)are deleted in premises while rented to you or temporarily their entirety. occupied by you with permission of the b. Paragraph(4)is deleted in its entirety and owner. A separate limit of insurance applies replaced with: ,. to this coverage as described in Section Ili- Limits Of Insurance. NCG 74 71 1216 Includes copyrighted material of Insurance Services Office,Inc..with Its permission. Page 1 of 4 , NCG 74711216 2. Under Section III Limits Of Insurance, be added as an additional insured on your Paragraph 6.is replaced with: policy during'the policy period shown in the 6. Subject to 5. above, the Damage To 'Declarations. iPremises 'Rented To You Limit is the The person or organization added as an most we will pay under Coverage A for insured by this endorsement is an insured damages because of "property damage" only for liability due to: to any one premises, while rented to you, a. Lessors of Leased Equipment with or in the case of damage by fire,.lightning, respect to their liability for"bodily injury", explosion, smoke or sprinkler leakage, "property damage",or"personal and while rented to you or temporarily advertising injury",caused in whole or in' occupied by you with permission of the part by your maintenance,operation or owner. The limit is increased to use of equipment leased to you by such $1,000,000. ' person(s)or organization(s). This insur- 3. Under Section IV - Commercial General ance does not apply to any"occurrence" Liability Conditions, Condition 4. Other which takes place after the equipment Insurance, b. Excess Insurance (1)_(a) (ii) lease expires.' is replaced with: , . However,' their status 'as additional (ii) That is Fire, Lightning; Explosion, insured under this policy ends when their Smoke, or. Sprinkler leakage lease,contract, or agreement with you for insurance for premises rented to you such leased equipment expires. or temporarily occupied by you with b. Managers or Lessors of Premises with permission of the owner. respect to liability arising out of the F. Supplementary Payments ownership,maintenance,or use of that part of the premises you own,rent,lease, Under Section I — Coverages, Supplementary or occupy. Payments — Coverages A and B Paragraphs This insurance does not apply to: 1.b. and 1.d.are replaced with: b. Up to $2,500 for cost of bail bonds _ (1) Any "occurrence" which takes place required because of accidents or traffic after you cease to be a tenant in that law violations arising out of the use of any Premises. vehicle to which the Bodily Injury Liability (2) Structural alterations, new con- Coverage applies. We do not have to struction or demolition operations , furnish these bonds. ' performed by or on behalf of the , d. All reasonable expenses incurred by the person or organization. insured at our request to assist usin the However, their status as additional investigation or defense.of the claim or ' insured under this policy ends when you "suit°, including actual loss of earnings up cease to be a tenant of such premises. to $500 a day because of time off from C. State or Political Subdivision—Permits work. Relating to Premises—with respect to G. Newly Formed And Acquired Organizations the following hazards for which the state or Under SECTION II —,WHO IS AN INSURED poisubdivision has issued a permit t or authorization in connection with Paragraph 3.a.is replaced with: premises you own,rent or control and to a. Coverage under this provision is afforded • ' which this insurance applies: only until the 180'h-day after you acquire (1) The existence, maintenance, repair, or form the organization,or the end of the construction, erection, or removal of policy period,whichever is earlier, ' advertising signs, awnings, canopies, H. Additional Insured — Automatic Status When. . cellar entrances, coal holes, Required In An Agreement Or Contract With driveways, manholes, marquees, You hoist away openings,sidewalk vaults, Section II —Who Is An Insured is amended to. street banners, or decorations and include: similar exposures;or 1.. Any person(s)'or organization(s) described in (2) The construction,erection,or removal Paragraphs'a. — d. below with whom you of elevators;or have agreed in writing in'a contract or written (3) If coverage provided to the additional agreement that such person or organization insured is required by a contract or agreement the insurance afforded to Page 2 of 4 Includes copyrighted material of Insurance Services Office,Inc.,with Its permission. NCG 74 71 12 16 NCG 74 71 12 16 such additional insured will not'be location of the covered operations , • broader than that which you, are , has been completed;or required by the contract or agreement (b) That portion of"your work"out of • to provide for such additional insured. which the injury or damage arises • This insurance does not apply to: has been put to its intended use (1) "Bodily injury" or "property damage" by any person or organization or "personal or advertising injury" other than another contractor or arising.out of operations performed subcontractor - engaged in for the state or municipality;or performing operations for a (2) "Bodily injury" or °property damage" principal as a part of the same included within the ' "products- project. ' completed operations hazard". However, a person or organization's However, such state or political status as additional insured under this policy ends when your operations for • subdivision's status as additional insured under this policy ends when the permit that additional insured are completed. • MI ends. .With respect to the insurance afforded to such d. Owners, Lessees, or Contractors with additional insureds a. — d. described above o respect to liability for "bodily injury' the following is added to the Section III — , o "property damage" or "personal and Limits Of Insurance: o advertising injury" caused, in whole or in If coverage provided to the additional insured M part,by o is required by a contract or agreement, the in most we will pay on behalf of the additional -4• (1) Your acts or omissions;or N insured is the amount of insurance: (2) The acts or omissions ofthose acting 1. Required by the contract or agreement;or on your behalf; 2. Available under the applicable Limits of in the performance of your ongoing Insurance`shown in the Declarations; operations performed for that whichever is less. additional insured, whether the work is performed by you or on your This endorsement shall not increase the behalf. applicable Limits of Insurance shown in the The insurance does not apply to: Declarations. ta. However,_ the insurance afforded to such (1) "Bodily injury", "property damage", or "personal and advertising injury additional insureds a.—d.described above: arising out of the rendering of or the • 1. Only applies to the extent permitted by failure to render any professional law;and architectural, engineering, or survey 2. Will not be broader than that which you services,including: are required by the contract or agreement (a) The preparing, approving, or to provide such additional insured. z failing to prepare or approve. I. Aggregate Limit Per Project , maps, shop drawings, opinions, Under Section III — Limits Of Insurance The m reports, surirey, field orders, paragraph is added to Paragraph following9 Ph 2: 0 change orders, or drawings and ospecifications:or The General Aggregate Limit under Section III -< (b) Supervisory, inspection, archl- Limits Of Insurance applies separately to each of ,, tectural or engineering activities. your construction projects away from premises (2) "Bodily injury" or "property damage" owned by or rented to you. occurring after. J. Knowledge Of An Occurrence °� (a) All work, including materials, Under Section IV — Commercial General o parts, or equipment furnished in Liability Conditions, the following is added to CD co with.such work,on the Condition 2. Duties In The Event Of project (other than service, Occurrence,Offense,Claim Or Suit: maintenance or repairs) to be e. Knowledge of an occurrence, offense, claim, performed by or on behalf of the or suit by an agent or employee of any additional insured(s) at the • ' insured shall not in itself constitute knowledge of the insured unless you, a partner, if you are NCG 74 71 12 16 Includes copyrighted material of Insurance Services Office,Inc.,with Its permission. Page 3 of 4 • N •. • NCG 74 71 1216 a partnership; or an executive officer or , If required by a written contract executed prior to insurance manager, if you are a corporation loss, we waive any right of subrogation we may receives such notice of an occurrence, have against '. the contracting person or offense, claim or suite from the agent or organization because of payments we make for employee. , injury or damage arising out of your ongoing f. The requirements in Paragraph b. will not be operations or"your work" done under a contract considered breached unless there is with that person or organization and included in' knowledge of occurrence as outlined in the°products-completed operations hazard". Paragraph e.above. M. Liberalization - K. Unintentional Failure To Disclose Hazard Unser Section IV — Commercial General Under Section IV — Commercial General Liability Conditions, the following condition is Liability Conditions, - ' Condition 6. added: Representations the following paragraph is 10.,Liberalization • added: If we revise this coverage form to provide d. Your failure to disclose all hazards or prior more coverage without additional premium °occurrences° or offenses existing.as of the charge,your policy will automatically provide inception date of the policy shall not prejudice the additional coverage as of the day the the coverage afforded by this policy provided revision is effective in your state. such failure to disclose all hazards or prior H. Broadened Bodily Injury Definition (Mental. "occurrences or offenses is not intentional.• Anguish) This provision does not affect our right to collectadditional premium or exercise our Under Section •V — Definitions, Definition 3. right of cancellation or non-renewal. "Bodily Injury"is replaced with: L. Waiver Of Subrogation 3. "Bodily injury" means physical injury, Under Section IV - Commercial General sickness,or disease to a person and if arising Liability Condition, 8. Transfer Of Rights Of out of the foregoing, mental anguish, mental Recovery Against Others To Us, the following injury, shock, or humiliation, Including death at any time resulting therefrom. paragraph is added: All terms and conditions of this policy apply unless modified by this endorsement. . • •• • • Page 4 of 4 Includes copyrighted material of Insurance Services Office,Inc.,v'ith its permission. NCG 74 71 1216 •4 Alo ate. • • CI CW A02 10 11 • • • CERTIFICATE OF INSURANCE . • • This certificate is issued for informational purposes only. It certifies that the policies listed in this document have been issued to the Named Insured. It does not grant any rights to any party nor can-it be used, in any way,to modify coverage provided by such policies. Alteration of this certificate does not change theterms,exclusions or conditions • of•such policies. Coverage is subject•to the provisions of the policies, including any exclusions or conditions,regard- • less of the provisions of any other contract,such as between the certificate holder and the Named Insured.The limits shown below are the limits provided at the policy inception.Subsequent paid claims may reduce these limits. • Certificate Holder.' • Named Insured: . CITY OF ASHLAND • DARYL KREUTZER 20 E MAIN ST 2990 FAR WEST AVE ASHLAND, OR 97520-1814 • MEDFORD OR 97501-1586 • • • Automobile liability • InsurerNarrie: Allstate Insurance Company • " Policy Number. 048817641 • • X 1—Any Auto 2—Owned Autos Only 3—Owned Priv.Pass.Autos Only • 4—Owned Autos Other Than Priv. 4 5—Owned Autos Subject to No 6—Owned Autos Subject to a Compulsory UM Law Pass.Autos Only Fault • X ,7.—Specifically Described Autos l _8—Hired Autos Only • 9—Non-owned Autos Only • Policy Effective Date: 04-21-2023 Policy Expiration Date: 04-21-2024 • • Limits Of $ 2,000,000 Combined Single Limit(each accident) • Insurance: • SI Per Person . BI Per Accident • PD PerAccident Description of Operations/Locations/Vehicles/Endorsements/Special Provisions • • • Interested Party Type: ADDITIONAL INSURED - OTHER THIS CERTIFICATE DOES NOT GRANT ANY COVERAGE OR RIGHTS TO THE CERTIFICATE HOLDER. . • • IF THIS CERTIFICATE INDICATES THAT THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED,THE POLICY(IES) MUST EITHER BE ENDORSED OR CONTAIN SPECIFIC LANGUAGE PROVIDING THE CERTIFICATE HOLDER WITH ADDITIONAL INSURED STATUS.THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED ONLY TO THE EXTENT INDICATED IN SUCH POLICY LANGUAGE OR ENDORSEMENT. • Producer: • • DAVID W MARTIN Authorized Representative: • • ,Date:09-21-23 • • .,Includes copyrighted material of Insurance Services Office, Inc.,with its permission • • • Eml4"3 CI CW A021011 • Allstate Insurance Company Page 1 of 1 • Insured Full Copy • • • • • .