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2023-185 PO 20240181- Curtius Plumbing & Mechanical Inc
!Ft, - t j Purchase Order: . Fiscal YearPage: o - . 1,�, � � B City of Ashland Ear, , E fT t 4i�, ___---_ __ __-,-,...---__.y="1.- -.4,7 ."..,17-:,..e"- -,3,-......... 14,I -- ATTN: Accounts Payable Purchase =� L 20 E. Main L Ashland, OR 97520 Order# 20240181 T Phone: 541/552-2010 , ' r - O Email: payable@ashland.or.us . V \ , . , ' ' H C/O Facilities Maintenance Div, , N CURTIUS PLUMBING AND MECHANICAL INC. , I 90.North Mountain Ave 1896 DELTA WATERS ROAD p Ashland, OR 97520 " : MEDFORD, OR 97504 0 • - Phone: 541/488-5358 ' R T Fax: 541/552.2304 / 00 _ e_. ei][ i=s- =�a8"=I)= :4rz5 1 E4i-1yi1I ,,,t -�'1."" t- t=` -`_ 3s F £ I €gz� '�.' _. � — _ ._ David Arnold - ;�a -i-=5 �=7 � j =._-�t _ L 3 - mIiic1� ,- _ = � LLST ; i ji ttree ": -- _ 10/30/2023 8140 FOB ASHLAND OR/NET30 Cit 'Accounts Pa able - -.=17',-4.--- __-0=:� 7:-:s �_. ;:=`fir s 4 ,_P �' ,--ir*` � �.i= 3� 1 JEn3 I_ -'- i`e= l=; .- On-call Plumbing Services ' . • 1 On-call`plumbing and mechanical services - . 1.0 $5,000.00 $5,000.00 Goods and Services Agreement($35,000 or less) , Completion date: June 30,•2024 ' Project Account: • ***************GL SUMMARY** ************* ; 088400 602400.V $5,000 I , r �� 5 , ms# .` . 0 by: Date: if <A Authorized Signatur ;=. 'it 5 000.00 FORM #3 y‘ - ‘.,',I ' '''''ii: ce-__ ('' -0 ( _.1.1 . e CITY OF ( ASHLAND A request f®r a Purchase Order �� REQUISITION Pate of request: 8/24/2023 Required date for delivery: Vendor Name Curtius Plumbing and Mechanical Address,City,State,Zip 1896 Delta Waters_Rd,Medford, OR 97504 Contact Name&Telephone NumberAiq . _ 541-857-8988 Email address SOURCING METHOD .. • ❑ Exempt from Competitive Bidding 0 Invitation to Bid 0 Emergency ❑ Reason for exemption: Date approved by Council: 0 Form#13;Written findings and Authorization O 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# O Verbal/Written quote(s)or proposal(s) 0 Request for Qualifications(Public Works) 0 State of Washington Date approved by Council: Contract# —(Attach copy of council communication) 0 Other governmentagency 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 _ ❑ (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 O 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 SERVICES • Total Cost • Plumbing and Mechanical Services FY24 as needed . Item # Quantity Unit . Description of MATERIALS Unit Price Total Cost • • • ❑ Per attached quotelproposal TOTAL COST Project Number: -_ _ _ Account Number: 088400-602400 $5;000.00 `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 bate Support-Yes/No By signing this requisif•• • I certi that the C.•s p clic y,tracting requirements have been satisfied. Employee: III i� / DepartmentHead: Ib.29.23 .,I to orgr-• .an$5,000) • Department Manager/Supervisor: City Manager: (Greatr thy$35,000) Funds appropriated for current fiscal year: / NO I �' ® Finarnce Director-(Equal to reafer than$5,000) V�i V `• Comments: Form#3-Requisition . - .,.../ ...k,641.,,,,A;:t«,,,,.",742/•. :'-'2.t.1:t.r,,,,,;/,;:'.4",,,!r4,', It:•,-,..'.,.p'-,ir r:r '..,...t.',7.'4V;...) %,.., -.,....'N,i,,.;,.-',,,-„,,,,,mv.ti.t,"1.-%,A,,,,..t;,,-.4 r-,,:"tz,„,..,cct,i,A,. .., ,.?..,,,,...,..•,&,,,-,-,.-..e.,,,,,i1A..er,,,,,c-.--itg,t.t. .... .. ..-,*44:,.,-,0,f,',4,,, , ',, ..,.••=,,.,.,4 as,,,, ,... , ,I.. ,',..r :. 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' f 's Plumbing -•: 0 ' ••:• • , -.: : -•,--,, .-.•• t• • ...•-.: „ ., ::,:, :',•,‘..-..',1.,.....,', ' ••••;:..- •-,..-.•. ,.,•":.: ''_.).:••••,,-,,,..t,:t.-4:ir,..,--.;•,?.,..; t.0•,,,,,,,,,,:t,::,.‘.:•,....,.c,. - • " •• •-•••-,-- •••,•• - •.• ••-••••••- Please set up new vendor for a P0. ... ---, . . . . Karialin-(icli.1)•\01iOln-,:fy#1)OsingSpepllallst -: : .:.. . • . .. . , . . .. , , • . . . .. .. „., , .. . • .. . , , ., ., .: , :, • : , . ,- . -- ., • "• , , , . . . . ,, . •.. ,. ..„,... : . -..., . . ' . ' • • ' r., , .. ' ' , . . . ..4 r. , ,. ' ' •: 1 ''• i • . . .., ' ' . , , . ,. , , • • •I , { ', • ' \ • , , , ,...,' ". ' I• • . „ ' . ' ,, .. • ' ,‘, , , ' ' I. { ' .' .1, • • Irp City of Ashland Purchasing Office 90 North Mountain Avenue,Ashland,Oregon 97520 541A88.5354 I TTY 800.735.2900 • Kari_olson(aashland.or.us This email transmission is official business of the City of Ashland,and it is'subject to Oregon Public Records Law for disclosure and retention.If you have received this message in error,please contact me at 541.488.5354,. • • Z , GOODS AND SERVICES AGREEMENT ($35,000 OR LESS) PROVIDER: Curtius Plumbing and Mechanical CITY OF PROVIDER'S • ASHLAND CONTACT: Ted Curtius 20 East Main Street Ashland, Oregon 97520 ADDRESS: 1896 Delta Waters Road Telephone: 541/488-5587 Medford, OR 97504 • Fax: 541/488-6006 PHONE: 541-857-8988 This Goods and Services Agreement (hereinafter "Agreement") is entered into by and between the City of Ashland, an Oregon municipal corporation (hereinafter "City") and Curtius Plumbing and Mechanical, (a domestic/foreign business corporation) ("hereinafter "Provider"), for water station cooler demolition and installation at 1175 E. Main Street and bottle filler demolition and installation of bottle filler at 1295 Oak Street. 1. PROVIDER'S OBLIGATIONS 1.1 Provide water station repair, demolition, and installation 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 maybe authorized except in the same manner as herein provided for authority to exceed the maximum compensation. The services defined • and described in the "SUPPORTING DOCUMENTS" shall hereinafter be collectively referred to as "Work." 1.2 Provider shall obtain and maintain during the term of this Agreement and until City's final acceptance of all Work received hereunder,a policy or policies of liability insurance including commercial general liability insurance with a combined single limit, or the equivalent, of not less than $2,000,000 (two million dollars)per occurrence for Bodily Injury and Property Damage. 1.2.1 The insurance required in this Article shall include the following coverages: • Comprehensive General •or Commercial General. Liability, including personal injury, contractual liability,and products/completed operations coverage; and • Automobile Liability. 1.2.2 Each policy of such insurance shall be on an "occurrence" and not a "claims made" form, and • shall: • Name as additional insured "the City of Ashland, Oregon, its officers, agents and employees" with respect to claims arising out of the provision of Work under this • Agreement; • Apply to each named and additional named insured as though a separate policy had been issued to each, provided that the policy limits shall not be increased thereby; • Apply as primary coverage for each additional named insured except to the extent that two or more such policies are intended to "layer" coverage and, taken together, they provide total coverage from the first dollar of liability; • Provider shall immediately notify the City of any change in insurance coverage Page 1 of 6: Goods and Services Agreement between the City of Ashland and Curtius Plumbing and Mechanical • • 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 solicitations either by competitive bidding or negotiation made,by Provider -for work to be performedunder 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 beseen by all employees. 1.7 Assignment: Provider shall not assign this Agreement or subcontract any portion of the Work to be providedhereunder without the prior written consent of the City. Any attempted assignment or subcontract without written consent of the City shall be void. Provider shall be fully responsible for the acts or omissions of any assigns or subcontractors and of all persons employed by them,and the approval 'by the City of any assignment or subcontract shall not create any contractual relation between the assignee or subcontractor and the City. 2. CITY'S OBLIGATIONS 2.1 City shall pay Provider the hourly rates effective 1.0/12/23 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$5,000.00(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 Curtius Plumbing and Mechanical • 3. GENERAL PROVISIONS 3.1 This is a non-exclusive Agreement. City is not obligated to procure any specific amount of Work from Provider and is free to procure similar types of goods and services from other providers in its sole discretion. 3.2 Provider is an independent contractor and not an employee or agent of the City for any purpose. 3.3 Provider is not entitled to, and expressly waives all claims to City benefits such as health and disability insurance,paid leave, and retirement. 3.4 This Agreement embodies the full and complete understanding of the parties respecting the subject matter hereof. It supersedes all prior agreements,negotiations,and representations between the parties, whether written or oral. 3.5 This Agreement may be amended only by written instrument executed with the same formalities as this Agreement. 3.6 The following laws of the State of Oregon are hereby incorporated by reference into this Agreement: ORS 279B.220, 279B.230 and 279B.235. 3.7 This Agreement shall be governed by the laws of the State of Oregon without regard to conflict of laws principles. Exclusive venue for litigation of any action arising under this Agreement shall be.in the Circuit Court of the State of Oregon for Jackson County unless exclusive jurisdiction is in federal court, in which case exclusive venue shall be in the federal district court for the district of Oregon. Each party expressly waives any and all rights to maintain an action under this Agreement in any other venue, and expressly consents that, upon motion,of the other party, any case may be dismissed or its venue transferred,as appropriate, so as to effectuate this choice of venue. 3.8 Provider shall defend,save,hold harmless and indemnify the City and its officers,employees and agents from and against any and all claims, suits, actions, losses, damages, liabilities, costs, and expenses of any nature resulting from, arising out of, or relating to the activities of Provider or its officers, employees, contractors, or agents under this Agreement. 3.9 Neither party to this Agreement shall hold the other responsible for damages or delay in performance caused by acts of God,strikes, lockouts,accidents,or other events beyond the control of the other or the other's officers, employees or agents. 3.10 If any provision of this Agreement is found by a court of competent jurisdiction to be unenforceable, such provision shall not affect the other provisions, but such unenforceable provision shall be deemed modified to the extent necessary to render'it enforceable, preserving to the fullest extent permitted the intent of Provider and the City set forth in this Agreement. 3.11 Deliveries will be F.O.B destination. Provider shall pay all transportation and handling charges for the Goods.Provider is responsible and liable for loss or damage until final inspection and acceptance of the Goods by the City. Provider remains liable for latent defects,fraud, and warranties. • 3.12 The City may inspect and test the Goods. The City may reject non-conforming Goods and require Provider to correct them without charge or deliver them at a reduced price, as negotiated. If Provider does not cure any defects within a reasonable time, the City may reject the Goods and cancel this Page 3 of 6: Goods and Services Agreement between the City of Ashland and Curtius Plumbing and Mechanical • 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 12, 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 Curtius Plumbing and Mechanical 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 Depai tnient •• 20 E.Main Street Ashland, OR 97520 Phone: (541)488-5350 . If to Provider: Curtius Plumbing and Mechanical • Attn: Ted Curtius 1896 Delta Waters Rd. . . . . ' Medford, OR97504 Phone: 541-857-8988 • 8. WAIVER OF BREACH One or more waivers or failures to object by either party to theother'sbreach 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 . Page 5 of 6: Goods and Services Agreement between the City of Ashland and Curtius Plumbing and Mechanical (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: Curtius Plumbing and Mechanical(PROVIDER): By: -��.• f By: i.A.Qfif -tit'. Yer:1 Signage 50sT- auQ.Y Kimberly Britt Printed Name Printed Name pv. -1C_ t L Ot2eur.7 Administrative Project Controller Title Title Co . 2A. 21 October 23,2023 Date Date (W-9 is to be submitted with this signed Agreement) Purchase Order No. Page 6 of 6: Goods and Services Agreement between the City of Ashland and Curtius Plumbing and Mechanical August 21, 2023 (revised 10/12/2023) • Curtius Plumbing and Mechanical 1896 Delta Waters Rd. Medford, Ore. 97504 541-857-8988 Oregon# 134304/California#578557/Washington#CURTIPM798LQ Quote for City Of Ashland 1175 E. Main —Water Cooler/Bottle Filler $ 850.00. 1 — Demolish and dispose of existing water cooler 2 — Modify drain and water supply.as needed to accept new water cooler a— Install new water cooler/bottle filler/filter provide by Owner 1295 Oak St— Bottle filler 1 — Demolish existing water cooler and install Owner supplied $ 3,600.00 Water cooler/bottle filler/filter. Repair wall and paint All above exclude electrical work if required Thank you, Ted Curtius • i • www.saif.com • ■ • • sa� work. Life. Oregon. Oregon Workers' Compensation • Certificate of Insurance • Mail to: • Certificate holder: • CURTIUS PLUMBING AND MECHANICAL INC CITY OF ASHLAND 1896 DELTA WATERS RD 20 EAST MAIN ST MEDFORD, OR 97504-4705 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 Curtius Plumbing and Mechanical Inc SAIF Corporation 1896 Delta Waters Rd SAIF Corporation Medford, Or 97504-4705 • • Issued 10/17/2023 Limits of liability Policy 909113 Bodily Injury by Accident • $1,000,000 each accident Period 10/01/2023 to 10/01/2024 Bodily Injury by Disease $1,000,000 each employee . Body Injury by Disease $1,000,000 policy limit • Description of operations/locations/special items Water station cooler demolition and installation at 117 5 E. Main Street and bottle filler demolition and installation of bottle filler at 1295 Oak Street. 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 • ACGPRD • DATE(MM/DG/YYYY) CERTIFICATE OF'LIABILITY INSURANCE 10/19,2023 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 HOT 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 an this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCERNAME CT CLIENT CONTACT CENTER FEDERATED MUTUAL INSURANCE COMPANYPHONE FAX HOME OFFICE:P.O.BOX 328 (AIC,No,Eat):888-333.4949 (AIC,No):507-446-4664 OWATONNA,MN 55060 AIL • ADDRESS:CLIENTCONTACTCENTER(aFEDINS.COM INSURERS AFFORDING COVERAGE NAIC V INSURER A:FEDERATED RESERVE INSURANCE COMPANY 16024 • INSURED 358.691-4 INSURER B: CURTIUS PLUMBING AND MECHANICAL,INC INSURER C: 1896 DELTA WATERS RD MEDFORD,OR 97504-4705 INSURER D: INSURER E: • INSURER F: • - COVERAGES CERTIFICATE NUMBER:216 REVISION NUMBER;0 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, pp FFFF ll TR TYPE OF INSURANCE IANDSRL SUB1R POUCY NUMBER IMMIODIYYYYYI I frdM�I)1yy YYYY1 LIMITS • X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 • CLAIMS-MADE n OCCUR pEEAMoAEOaENTED PREMISES $100,000 _ I MED EXP(Arty one person) EXCLUDED A Y Y 9353730 05/09/2023 I 05/09/2024 PERSONAL&PDV INJURY ' $1,000,000 GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 X POLICY DEO? n LOC PRODUCTS 6 COMP/OP AGG $2,000,000 OTHER: AUTOMOBILE LIABILITYCOMBI�ED SINGLE UMI $1,000,000 {Ea au den@ X ANYAUTO _ BODILY INJURY(Per Perawr) _ A OWNED AUTOS ONLY SAC,}JEOIJLED Y N 9353730 05/09/2023 05/09/2024 pBODILYpINJURY(Per Accident) HIRED AUTOS ONLYgI01T0.SWONEy RIPo aEddon9ANAGE X UMBRELLA LIAB X OCCUR , EACH OCCURRENCE $5,000,000 A EXCESS LIAR CLAIMS-MADE Y N 9353731 05/09/2023 05/09/2024 AGGREGATE $5,000,000 DED (RETENTION WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN PER STATUTE I ?HER ANY PROPRIETORIPARTFIERI EXECUTIVE C E.L EACH ACCIDENT OFFICER/MEMBER EXCLUDED? N/A luendarnry In NH) E.L DISEASE CA EMPLOYEE If yes,describe:Mu ' DESCRIPTION OF OPERATIONS below E.L DISEASE•POLICY LIMIT . • • • DESCRIPTION OF OPERATIONS I LOCATIONS(,VEHICLES(ACORD 101,Add/oral Remarks Schedule,may be attached If more space Is required( SEE ATTACHED PAGE • • CERTIFICATE HOLDER CANCELLATION 358-691 216 0 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED • CITY OF ASHLAND 20 E MAIN ST BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN • ASHLAND,OR 97520-1814 ACCORDANCE WITH THE POLICY PROVISIONS. • • AUTHORIZED REPRESENTATIVE • O 1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo ire registered marks of ACORD • • 1 • • • • AGENCY CUSTOMER ID:358-691.4 Acf7RD LOC#: ADDITIONAL REMARKS SCHEDULE Page 1 of 1 • AGENCY NAMED INSURED FEDERATED MUTUAL INSURANCE COMPANY CURTIUS PLUMBING AND MECHANICAL,INC 1896 DELTA WATERS RD POLICY NUMBER MEDFORD,OR 975044705 SEE CERTIFICATE#216.0 CARRIER NAIC CODE EFFECTIVE DATE:SEE CERTIFICATE#216.0 SEE CERTIFICATE#216.0 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM„ FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF UABIUTY INSURANCE RE: CITY OF ASHLAND 1175 E MAIN STREET, ASHLAND OR 97520 & 1295 OAK STREET, ASHLAND OR 97520, SUBJECT TO THE TERMS AND CONDITIONS OF THE POLICY, ADDITIONAL INSURED ALSO INCLUDES: THE CITY OF ASHLAND, OREGON, ITS OFFICERS, AGENTS AND EMPLOYEES. THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED ON GENERAL LIABILITY SUBJECT TO THE CONDITIONS OF THE ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS (FORM BI ENDORSEMENT. THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED SUBJECT TO THE CONDITIONS.OF THE ADDITIONAL INSURED BY CONTRACT ENDORSEHENT FOR BUSINESS AUTO LIABILITY. INSURANCE PROVIDED BY THE GENERAL LIABILITY COVERAGE IS PRIMARY AND NONCONTRIBUTORY OVER OTHER INSURANCE. GENERAL LIABILITY CONTAINS A WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) - AUTOMATIC ENDORSEMENT FOR REASONS OTHER THAN NON-PAYMENT OF PREMIUM, DAYS NOTICE WILL BE PROVIDED TO THE CERTIFICATE HOLDER IN THE EVENT THAT THE ISSUING COMPANY CANCELS THE POLICY BEFORE THE EXPIRATION DATE OF THE POLICY. 1 • • • ACORD 101(2008101) 8 2008 ACORD CORPORATION.All rights reserved. The ACORD name and logo are registered marks of ACORD THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED BY CONTRACT ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE PART With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. A. WHO IS AN INSURED for"bodily injury"and "property damage"liability is amended to include: Any person or organization other than a joint venture, for which you have agreed by written contract to procure bodily injury or property damage"auto" liability insurance arising out of operation of a covered "auto"with your permission. However,this additional insurance does not apply to: (1) The owner or anyone else from whom you hire or borrow a covered "auto". This exception does not apply if the covered "auto"is a "trailer"connected to a covered"auto"you own. (2) Your "employee". if the covered "auto" is owned by that "employee" or a member of his or her household. (3) Someone using a covered "auto" while he or she is working in a business of selling, servicing, repairing, parking or storing."autos" unless that business is yours. (4) Anyone other than your "employees", partners (if you are a partnership), members (if you are a limited liability company), or a lessee or borrower or any of their "employees", while moving property to or from a covered "auto". (5) A partner (if you are a partnership), or a member (if you are a limited liability company) for a covered"auto"owned by him or her or a member of his or her household. B. The coverage extended to any additional insured by this endorsement is limited to, and subject to all terms, conditions, and exclusions of the Coverage Part to which this endorsement is attached. In addition, coverage shall not exceed the terms and conditions that are required by the terms of the written agreement to add any insured, or to procure insurance. C. The limits of insurance applicable to such insurance shall be the lesser of the limits required by the agreement between the parties, or the limits provided by this policy. D. Additional exclusions. The insurance afforded to any person or organization as an insured under this endorsement does not apply: 1. To"loss"which occurs prior to the date of your contract with such person or organization; 2. To "loss" arising out of the sole negligence of any person or organization that would not be an insured except for this endorsement. 3. To "loss" for any leased or rented "auto" when the lessor or his or her agent takes possession of the leased or rented "auto"or the policy period ends, whichever occurs first. Includes copyrighted material of Insurance Services Office, Inc. with its permission. CA-F-127(03-03) Policy Number: 9353730 Transaction Effective Date:05/09/2023 • COMMERCIAL GENERAL LIABILITY CG 20 01 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY -• OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART. " PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART • The following is added to the Other' Insurance (2) You have,agreed in writing in a contract Condition and supersedes any provision to 'the or agreement that this insurance would be contrary: _ primary and would not seek contribution Primary And Noncontributory Insurance from any other insurance available to the This insurance is primary to and will not seek additional insured. contribution from any other insurance available to • an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance;and • • • • • • • • • • © Insurance Service s Office,,Inc.,2018 " Page 1 of 1 CG 20 01 12 19 Policy Number: 9353730 . : Transaction Effective Date:05/09/2023 COMMERCIAL GENERAL LIABILITY CG 24 53 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) - AUTOMATIC " This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART ELECTRONIC DATA LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART DESIGNATED SITES POLLUTION'LIABILITY LIMITED COVERAGE PART DESIGNATED SITES PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART • UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV -Conditions: We waive any right of recovery against any person or organization, because of any payment we make under this Coverage Part, to whom the insured has waived . its right of recovery in a written contract or . agreement. Such waiver by us applies only to the extent that the insured has waived its right of recovery • against such person or organization prior to loss. - • • • • • © Insurance Services Office, Inc., 2018 Page 1 of 1 CG 24 53 12 19 • Policy Number: 9353730 Transaction Effective Date:05/09/2023 • THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ' ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS (FORM B) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: City of Ashland 20 E Main St Ashland, OR 97520-1814 • (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of"your work"for that insured by or for you. Job or Project: See IL-F-40-00028 • r _ Insured: Curtius Plumbing and Mechanical, Inc 1896 Delta Waters Rd Medford, OR 97504-4705 • Includes copyrighted material of Insurance Services Office, Inc., with its permission. CG-F-64(06-19) Policy Number: 9353730 Transaction Effective Date: 10/19/2023 (CG 20 10 11-85) IL-F-40-00028 Extension Endorsement Any coverage provided by this endorsement 'applies only to City of Ashland 1175 E Main Street, Ashland OR 97520 & 1295 Oak Street, Ashland OR "97520 . Subject to the terms and conditions of the policy, additional insured also includes: the City. of Ashland, Oregon, its officers, agents and employees. 1 • • • • • • • • • IL-F-40-00028 (06-10) Policy Number: 9353730 Transaction Effective Date: 10/19/2023 • Water Install X3 Company Point of Phone Date of On Site Quote Quote Proposals Notes Results Name Contact Number Contact Visit Submitted Amount Hukills Alondra 734 9000 08-Aug 09-Aug 10-Aug Justice 964 Install Provided Water Station Did Not Accept WWTP 3990 Install Provided Water Station -Includes Wall Repair&Paint Did Not Accept Police 2367 Install Provided Ice Machine Project Cancelled Curtius Ted 857 8988 16-Aug 17-Aug 21-Aug • Justice 850 Install Provided Water Station Accepted WWTP 2730 Provide/Install Water Station No Wall Repair Needed Did Not Accept WWTP 3600 Install Provided Water Station Includes Wall Repair&Paint Acceptec11111.11MMIN Police • 3750 Provide&Install Ice Machine Project Cancelled Police 850 Install Provided Ice Machine Project Cancelled Accurate Di 773 3035 16-Aug 03-Oct AW Ice Machine Greg 23-Aug 30-Aug 11-Sep JC&WWTP Water Stations Justice .1735 Install Provided Water Station Did Not Accept WWTP 2570 Install Provided Water Station Includes Drywall Repair/No Paint Did Not Accept Police 10,415 Provide&Install Ice Machine Project Cancelled • • • •