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HomeMy WebLinkAbout2024-003 PO 20240232 - AAA Absolute Air Authority' City of Ashland :Accounts Payable 2OEMain . Aohland'OR8752O 0� Ennocpoyao|egooU|onU.ocua' u AAA ABGOLUTE'A|RAUTHORITY 1870VV8TEVyARTAVE K8EDFORD'DR075D1 CITYACCORDER _ Purchase NL Order Fiscal Year 2024- P000 1of: 1 / C/O Facilities Maintenance Div 8ONorth Mountain Ave Ashland, ORQ752D Phonm:541/48B-5358 Fax:541/552,23O4 Cathy Crocker On -call HVAC Services Goods and Services Agreement ($35,000 or less) Completion date: June 30, 2024 Project Account: GL SUMMARY Authorized Signature FORM #3 a qCITY -OF Uv A request for a Purchase Ord r '07— ?'7 /— - ASH LAN D REQUISITION Date of request: 12/13/23 Required date for delivery: Vendor Name /� Absolute Air Authority Address, City, State, Zip 1670 West Stewart Ave., Medford, OR 97501 Contact Name & TelephoneNumber Email address Carla Tyber, 541-708-1311, Carla Tryber <caria as absoluteairauthorityllc.com> SOURCING METHOD ❑ Exempt from Competitive Bidding ❑ Invitation to Bid Date approved by Council: ❑ Emergency ❑ Form #13, Written findings and Authorization ❑ Reason for exemption: ❑ AMC 2,50 _ (Attach copy of council communication) ❑ Written quote or proposal attached • , ❑ Written quote or proposal attached _(If council approval required, attach copy of CC ® Small Procurement ❑ Request for Proposal Cooperative Procurement Not exceeding $5,000 Date approved by Council: ❑ State of Oregon ® Direct Award _(Attach copy of council communication) Contract # ❑ Verbal/Written quote(s) or proposal(s) ❑ Request for Qualifications (Public Works) ❑ State of Washington Date approved by Council: Contract # _ Attach copy of council communication ❑ Other government agency contract Agency Intermediate Procurement ❑ Sole Source GOODS & SERVICES ❑ Applicable Form (#5, 6, 7 or 8) Contract # Greater than $5,000 and less than $100,000 ❑ Written quote or proposal attached ❑ Form #4, Personal Services $5K to $75K Intergovernmental Agreement Agency ❑ (3) Written bids and solicitation attached PERSONAL SERVICES Date approved by Council: ❑ 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 City Administrator. AMC 2.50.070(4) ❑ Less than $35,000, by direct appointment ❑ Special Procurement ❑ (3) Written proposals & solicitation attached ❑ Form #4, Personal Services $5K to $75K ❑ Form #9, Request for Approval ❑ Written quote or proposal attached ❑ Annual cost to City exceeds $25,000, Council approval required. (Attach copy of council communication) Date approved by Council: Valid until: Date Description of SERVICES Total Cost HVAC on -call services as needed for FY24 $ 5,000.00: Item # Quantity Unit Description of MATERIALS Unit Price Total Cost $ 0 $0.00 $ 0 $0.00 $ 0 $0.00 ❑ Per attached quote/proposal Project Number: - _ _ Account Number: 088400-602400 TOTAL COST $,510Q0:00 *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: 1TDirector Date Support-Yes/No By signing this requi ' ' 1 ce ify that th i y's lic c acting requirements have been satisfied. Employee: Department Head: (Equal to or gr ter than $5,000) Department Manager/Supervisor: City Manager: (Greater than $35,p90 Funds appropriated for current fiscal year:OYES NO `� ell Finance Director- (Equal to or greater than $5, 000) Date Comments: Form #3 - Requisition Abs 6 ui Ali r Authori ty 1670 West Stewart Ave., Medford, OR 97501 541-708-1311 City of Ashland Rate Sheet On Call Service Rate $ 125..00 After Hours Rate' $187.50 Mileage Charge $1.00 per mile after 15 miles. Maintaining Units $ 125 hourly plus materials Installs will be bid for review. Any questions regarding these rates please feel free to contact Carla Tyber 541-951-9234 or. Brian Linschoten 541-210-2424. 08/18/2023 GOODS AND SERVICES AGREEMENT ($35,000 OR LESS) PROVIDER: ` Absolute Air Authority C. i T Y Of PROVIDER'S ASH LAND CONTACT: Carla Tyber 20 East Main Street Ashland, Oregon 97520 ADDRESS: 1670 West Stewart Ave, Telephone: 541/488-5587 Medford, OR 97501 Fax: 541/488-6006 PHONE: 541-708-1311 This Goods and Services Agreement (hereinafter "Agreement") is entered into by and between the City of Ashland, an Oregon municipal corporation (hereinafter "City") and Absolute. Air Authority, (a domestic/foreign business corporation) ("hereinafter "Provider"), for HVAC services. 1. PROVIDER'S OBLIGATIONS 1.1 Provide on -call HVAC services 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 $2,00( 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 hurnediately notify the City of any change in insurance coverage • Provider shall supply an endorsement naining the City, its officers, employees and agents as additional insureds by the Effective Date of this Agreement; and • Be evidenced by a certificate or certiticates'of such insurance approved by the City. Page 1 of 6: Goods and Services Agreement between the City of Ashland and Absolute Air Authority 1.3 Provider shall, at its own expense, maintain Worker's Compensation Insurance in compliance with ORS 656.017, which requires subject employers to provide workers' compensation coverage for all of its subject workers. .1.4 Provider agrees that no person shall, on the grounds of race, color, religion, creed, sex, marital status, familial ,status or domestic partnership, national origin, age, mental or physical disability, sexual orientation, gender identity or source of income, suffer discrimination in the performance of this Agreement when employed by Provider. Provider agrees to comply with all applicable requirements of federal and state civil, rights and rehabilitation statutes, rules and regulations. Further, Provider agrees not to discriminate against a disadvantaged business enterprise, minority -owned business, woman -owned business, a' business that a service -disabled veteran owns or an emerging small business enterprise certified under ORS`200.055, in awarding subcontracts as required by ORS 279A.110. 1.5 In all solicitations either by competitive bidding or negotiation made by Provider for work to be performed under a "subcontract, including procurements of materials or leases of equipment, each potential subcontractor or supplier shall be notified by the Providers of the Provider's obligations under this Agreement and Title VI of the Civil Rights Act of 1964 and other federal nondiscrimination laws. 1.6 Living Wage Requirements: If the amount of this Agreement is $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 8/18/2023 as specified in the SUPPORTING DOCUMENTS. 2.2 In no event shall Provider's total of all compensation and reimbursement under this Agreement exceed the sum of $5,000 (this is maximum, not to exceed amount of ENTIRE Agreement) without express, written approval from the City official whose signature appears below, or such official's successor in office. Provider expressly acknowledges that no other person has authority to order or authorize additional Work which would cause this maximum sum to be exceeded and that any authorization from the responsible official must be in writing. Provider further .acknowledges that any Work delivered or expenses incurred without authorization as provided herein is done at Provider's own risk and as a volunteer without expectation of compensation or reimbursement. 3. GENERAL PROVISIONS 3.1 This is anon -exclusive Agreement. City is not obligated to procure any specific amount of Work from Provider and is free to procure similar types of goods and services from other providers in its sole discretion. Page 2 of 6: Goods 'and Services Agreement between the City of Ashland and Absolute Air Authority 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 fonnalities 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-confonning Goods and require Provider to correct them without charge or deliver them at a reduced price, as negotiated. If Provider does not cure any defects within a reasonable time, the. City may reject the Goods and cancel this Agreement in whole or in part. This paragraph does not affect or limit the City's rights, including its rights under the Uniform Commmercial Code, ORS Chapter 72 (UCC). 3.13 Provider .represents and warrants that the Goods are new, current, and fully warranted by the manufacturer. Delivered Goods will comply with SUPPORTING DOCUMENTS and be free from defects in labor, material and manufacture. Provider shall transfer all warranties to the. City. Page 3 of 6: Goods.and Services Agreement between the City of Ashland and Absolute Air Authority 4. SUPPORTING DOCUMENTS 4.1 The following documents are, by this reference, expressly incorporated in this Agreement, and are collectively referred to in this Agreement as the "SUPPORTING DOCUMENTS:" The Provider's complete written Rate Sheet dated August 18, 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 immediatelyany 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. 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: Page.4 of 6: Goods and Services Agreement between the City of Ashland and Absolute Air Authority 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 I.. ,..-- ... If to Provider: Absolute Air Authority Attn: Carla Tyber 1670 West Stewart Ave Medford, OR 97501 541-708-1311 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 305.620 and ORS chapters 316, 317, and 318; (ii) Any tax provisions imposed by -a political subdivision of the State of Oregon applicable to Provider; and (iii) Any rules, regulations, charter provisions, or ordinances that implement or enforce any of the foregoing tax laws or provisions. 9.1.2 Provider, for a period of no fewer than six (6) calendar years preceding the Effective Date of this Agreement, has faithfully complied with: (i) All tax laws of the State of Oregon, including but not limited to ORS 305.620 and ORS chapters 316, 317, and 318; (ii) Any tax provisions imposed by a political subdivision of the State of Oregon applicable to Provider; and (iii) Any rules, regulations, charter provisions, or ordinances that implement or enforce'any of the foregoing tax laws or provisions. 9.2 Provider's failure to comply with the tax laws of the State of Oregon and all applicable tax laws of any political subdivision of the State of Oregon shall constitute a material breach of this Agreement. Further, any violation of Provider's warranty, as set forth in this Article 9, shall constitute a material breach of this Agreement. Any material breach of this Agreement shall entitle the City to terminate this. Agreement and to seek damages and any other relief available under this Agreement, at law, or in equity. Page 5 of 6: Goods and Services Agreement between the City of Ashland and Absolute Air Authority r 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: By: ��- ) a�gnazure Stoi Printed Name PuP-A-tL-- Title Date Purchase Order No. Absolute Air Printed Name V Title Date VIDER): (W-9 is to be submitted with this signed Agreement) Page 6 of 6: Goods and Services Agreement between the City of Ashland and Absolute Air Authority AAAABSO-01 DREED CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) si2si2o23 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 CO ACT NA Hi hstreet Insurance Services West Inc. 1998 Sky Park Drive #100 - Medford, OR 97504 PHONE FAX A/c, No, Ext : (541) 779-0177 ac, No :(541) 772-8235 AD06se debbie.reed@highstreetins.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: U.S. Specialty Insurance Co 29599 INSURED INSURER B : INSURER C : AAA Absolute Air Authority Llc INSURER D : 1670 W Stewart Ave Medford, OR 97501 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: RFVISIAN NI IMRFR- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE •AFFORDED BY THE. POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXPLTR 7/27/2024 LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE [XI OCCUR X X U23AC106774-05 7/27/2023 EACH OCCURRENCE $ 1,000,000 DAMAGETORBEccEo e $ 100,000 MED EXP (Any oneperson) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY El jPCOT Fx] LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS pp AUOS ONLY AUTOSNLY i COac den SINGLE LIMIT $ , BODILY INJURY (Per person) $ BODILY INJURY Per accident $ PROPERTY DAMAGE Per accdent $ $ A UMBRELLA LAB EXCESS LIAB X OCCUR I CLAIMS -MADE U23AC106774-05 7/27/2023 7/27/2024 1AGGREGATE EACH OCCURRENCE $ 1,000,000 X $ DED I I RETENTION $ General Aggrega $ 1,000,000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY ICER/PMRIIETO�RR/EXCLUDED? ECUTIVE ❑ (lulandate In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A IPER OTH- STATUTE E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) City of Ashland Is additional Insured City of Ashland 20 E Main St Ashland, OR 97520 ACORD 25 (20161031 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE QM-L etq 0)1988-2015 ACORD CORPORATION_ All rinhtc racorvorl The ACORD name and logo are registered marks of ACORD POLICY NUMBER: U23AC106774-05 COMMERCIAL GENERAL LIABILITY HCS 040 0610 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY AND BLANKET WAIVER'OF SUBROGATION This endorsement modifies insurance provided under the following: I COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETEb OPERATIONS LIABILITY COVERAGE PART A. PRIMARY AND NON-CONTRIBUTORY TO OTHERINSURANCE With respect to any person or organization that is an additional insured under this Coverage Part, the following is . added to paragraph 4. of SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS: If you have agreed in writing in a contract or agreement thatrthis insurance is primary and non- contributory relative to an additional insured's own insurance, then this insurance is primary and we, will not seek contribution from that other insurance. For the purpose of this endorsement, the additional insured's. own insurance means insurance on which the additional insured is a Named Insured. When this endorsement is attached, to the policy it supersedes all other insurance conditions within., HCS 040 0610 13 B. WAIVER OF SUBROGATION — BLANKET Under SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS, The Transfer ' Of Rights Of Recovery Against Others To Us Condition is amended by the addition of the following: We waive any right of recovery we may have against any person or organization because of payments we make for injury or damage arising out of: a. Your ongoing operations; or' b. "Your work" included in the "products - completed operations hazard". However, this waiver applies only when you have agreed in writing to waive such rights of recovery in a contract or agreement, and only if the contract or agreement: a. Is in effect or becomes effective during the term of this'policy; and b. Was executed prior to loss. Includes copyrighted material of Insurance Services Office, Inc., with Its permission. Page 1 of 1 POLICY NUMBER: U23AC106774-05 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Of Any person or organization for whom you are performing operations during the policy period when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II - Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability, for "bodily injury",. "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. B. With respect to the insurance afforded to these additional insureds,' the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with, such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of .'the covered operations has been completed; or 2. That portion of "your work" 'out of which the injury or damage arises . has been put to its intended use by any person or .organization other than another contractor or subcontractor engaged, in performing operations for .a principal as a part of the same project. CG 20 10 07 04 0 ISO Properties, Inc., 2004 Page 1 of 1 ❑ POLICY NUMBER: U23AC106774-05 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the.following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) I Location And Description Of Completed Or Organization(s): Any person or organization, when you and such parties have agreed in writing in a contract or agreement pertaining to "your work" performed during the policy period. This additional insured coverage does not apply to "excluded residential construction". "Excluded residentialconstruction" means: a) the ground -up construction of any building whose units will be individually owned and titled; and, b) "your work" performed on the, conversion of any . building into a condominium or townhome. Information required to complete this Schedule, if not shown above will. be shown in the Declarations Section II Who Is An Insured is amended to include as an additional insured .the person(s) or organization(s) shown in the Schedule, but. only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described .in the schedule of this endorsement performed for that additional insured and included 'in the "products - completed operations hazard". CG 20 37 07 04 0 ISO Properties, Inc., 2004 Page 1 of 1 I �1 ACoOR H CERTIFICATE OF LIABILITY INSURANCE DATE 3MIDDfY3 ) 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 IN URED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terns 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 endorsoment s . PRODUCER CONTACT JAMES NOLAN NAME: NOLAN FAMILY INS. ! ALLSTATE PHONE 541-773.4530 FAX -- -- __ _(A[C, No.Ext): I (A'C No)= 1046 COURT ST. E-MAIL ADDRESS: INSURERS) AFFORDING COVERAGE NA1C 8 MEDFORD, OR 97501 INSURER A: ALLSTATE 541-773-4530 . _ INSURED INSURER B • r INSURER C : AAA ABSOLUTE AIR AUTHORITY INSURER D : 1670 W STEWART AVE 1NSURERE: I MEDFORD, OR 97501 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. INS ( TYPE OF INSURANCE AD USINSOPOLICY NUMBER I M CYEFF I M UDCO EXP LIMITS I�IpCOMMERCIAL GENERAL LIABILITY i_ CLAIMS -MADE I OCCUR —f I EACH OCCURRENCE i S I OAMAGE1 REHTEO I I_PREMISESE94 occurrenco)_ I S MED EXP (Any one person) PERSONAL & ADV INJURY Ij S I GENLAGGREGATE LIMIT APPUESPER RPOLICY ❑ JECTT 17 LOC OTHER GENERAL AGGREGATE I S PRODUCTS-COMPIOPAGG I $ Is A �OMOBILELIABILnY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON-0WNED I I HIRED AUTOS AUTOS X 111 X I 648751360 03123l2023 I 103l2312024 ��E<i aBrXidunU INGLELIMIT I S 1,000,000 BODILY INJURY'(Per person) IS BODILY INJURY (Per acddenl) Is ' PROPERTYDAMAGE Is tPpc a cddantl �IS UMBRELLA LlAB ' I OCCUR I EACHS AGGREGATE I $ EXCESS LIAS Ir—Ij CLAIMS -MADE HRETENTIONS i l I s WORKERS COMPENSATION I STATUTE I i OT I ER AND EMPLOYERS' LIABILITYYINY / N OFFICERIMEMBEREXCLUDED7 (Mandatory In NH) N/A I E.L EACH ACCIDENT S E.L.O DISEASE - EA EMPL� YEE( S lder II yes, dascnbe molder-0 I DESCRIPTION OF OPERATIONS babes I I E.L. DISEASE •POLICY LIMIT $ I ( I 1 I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. Additional Remarks Schedule. may he attached If more spa" Is requhad) CITY OF ASHLAND 20 E MAIN ST ASHLAND, OR 97520 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD AAAARSO-01 IN:TA N.4:1N .�CORO� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 12/18/2023 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()es) 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 CONTACT NAME: PHONE FAX (A/C, No, Ext): (A/C, No): AP Intego Insurance Group, LLC 1601 Trapelo Rd Suite 280 Waltham, MA 02461 A DRIEss: support@apintego.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: National Specialty Insurance Company 22608 INSURED INSURER B : INSURER C : AAA Absolute Air Authority LLC INSURER D : 1670 W Stewart Ave Medford, OR 97501 INSURER E INSURER F : COVFRAr,FS CFRTIFICATF NIIMRFRs . RF_VISION NIIMBFR- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ANDDL SUER WVD POLICY NUMBER POLICYEFF POLICY EXPLTR LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP An oneperson) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY1:1 JECT LOC OTHER: GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ $ AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS AUTOS ONLY AUOTOS ONLY EOMaBII tlEeDtSINGLE LIMIT $ BODILY INJURY Perperson) $ BODILY INJURY Per accident $ Pe�acc"gt AMAGE $ $ UMBRELLA LIAB EXCESS LIAB CLAIMS -MADE EACH OCCURRENCE $ HOCCUR AGGREGATE $ DIED I I RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below . N / A NXT9H4PRPY-01-WC 10/4/2023 10/4/2024 X S TATUTE EERH E.L. EACH ACCIDENT 500,000 $ E.L. DISEASE - EA EMPLOYEE $ 500,000 E.L. DISEASE - POLICY LIMIT 1,000,000 $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) City of Ashland 20 E. Main St Ashland, OR 97620 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED l2N` ACORD 25 (2016/03) @ 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD