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HomeMy WebLinkAbout2024-139 AGRMT - John Michael Stevenson Construction +j CIIV 0 r Goods and Services Agreement City Information Contractor Information City of Ashland Firm Name: John Michael Stevenson Constructiorh Attn: Cathy Crocker Contact: Mike Stevenson 90 N. Mountain Ave. Address: 2191 Hill Way Ashland, Oregon 97520 Medford, OR 97504 Phone: (541) 552-2359 Phone: (541) 941-6177 Email: Cathy.crocker@ashland.or.us Email: stevenson.roq@gmail.com Contract Summary Procurement Method: Small Completion Date: 06/30/2025 Contract Amount: $ 11,950.00 Description of Services: Installation of railing and gates at APD & Courts Supporting Documents: Rate Sheet/Quote Dated: 10/04/2024 W-9 Dated: 0344 Cert. of Insurance Dated: Agreement: Dated: by//I ` This Goods and Services Agreement (hereinafter "Agreement") is entered into by and between the City of Ashland, an Oregon municipal corporation (hereinafter"City") and the Contractor listed under Contractor Information above, (hereinafter "Contractor"), for the services listed under Description of Services and the Supporting Documents as noted in the Contract Summary above. 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 the Supporting Documents, th Supporting Documents shall be given precedence in the order listed above.The Contractor's initials 3-herein signify acknowledgment and agreement to this provision, if applicable, or if not sign "N/A". The goods and services defined and described in the Supporting Documents shall hereinafter be collectively referred to as "Work." Page 1 of 8: Goods and Services Agreement between the City of Ashland and JMS Construction 1. Term and Termination 1.1. 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 the Completion Date indicated in the Contract Summary on page one of this Agreement unless sooner terminated as provided in Subsection 1.2. 1.1. Time is of the essence. Time is of the essence for Contractor's performance of each and every obligation and duty under this Agreement. City, by written notice to Contractor of default or breach, may at any time terminate the whole or any part of this Agreement if Contractor fails to provide the Work called for by this Agreement within the time specified herein or within any extension thereof. 1.2. Termination 1.2.1. The City and Contractor may terminate this Agreement by mutual agreement at any time. 1.2.2. 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. 1.2.3. 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. 2. Compensation 2.1. City shall pay Contractor the sum listed as the "Contract Amount" in the Contract Summary on page one of this Agreement as provided herein as full compensation for the Work as specified in the supporting documents. 2.2. In no event shall Contractor's total of all compensation and reimbursement under this Agreement exceed the "Contract Amount" listed in the Contract Summary without express, written approval from the appropriate Department Head or City Manager. Contractor acknowledges that any work delivered, or expenses incurred without authorization as provided herein is done at Contractor's own risk and as a volunteer without expectation of compensation or reimbursement. 3. Contractor's Obligations 3.1. Performance. Provide the goods or services as set forth in the Supporting Documents attached hereto and, by this reference, incorporated herein. 3.2. Nondiscrimination. Contractor 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 Contractor. Contractor agrees to comply with all applicable requirements of federal and state civil rights and rehabilitation statutes, rules and regulations. Further, Contractor 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 Page 2 of 8: Goods and Services Agreement between the City of Ashland and JMS Construction business enterprise certified under ORS 200.055, in awarding subcontracts as required by ORS 279A.110. 3.3. Subcontractor Notification. In all solicitations either by competitive bidding or negotiation made by Contractor 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 Contractors of the Contractor's obligations under this Agreement and Title VI of the Civil Rights Act of 1964 and other federal nondiscrimination laws. 3.4. Living Wage Requirements. If the amount of this Agreement is $26,429.65 or more, Contractor 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. Contractor is also required to post the notice attached hereto as "Exhibit A" predominantly in areas where it will be seen by all employees. 4. Contractor's Compliance with Tax Laws 4.1. Contractor represents and warrants to the City that: 4.1.1. Contractor shall, throughout the term of this Agreement, including any extensions hereof, comply with: • All tax laws of the State of Oregon, including but not limited to ORS 305.620 and ORS chapters 316, 317, and 318; • Any tax provisions imposed by a political subdivision of the State of Oregon applicable to Contractor; and • Any rules, regulations, charter provisions, or ordinances that implement or enforce any of the foregoing tax laws or provisions. 4.1.2. Contractor further certifies that contractor is not in violation of any Oregon tax laws referenced in ORS 305.380(4). 4.2. Tax Compliance Breach. Contractor'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 Contractor'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. 5. Insurance. Contractor 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 Each policy of such insurance shall be on an "occurrence" and not a "claims made" form, and shall include: 5.1. Commercial general liability -- with a combined single limit, or the equivalent, of not less than $2,000,000 (two million dollars) per occurrence and $3,000,000 (three million dollars) in the aggregate for Bodily Injury and Property Damage. Page 3 of 8: Goods and Services Agreement between the City of Ashland and JMS Construction 5.2. Commercial Automobile Liability — with a combined single limit, or the equivalent of not less than $2.000.000 (two million dollars) for each accident for Bodily Injury and Property Demage, including coverage for owned, hired and non-owned vehicles. 5.3. Additional forms: (See Attached) 5.4� Worker's Compensation. Contractor aho||` 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. As evidence ofthe insurance required by this Agreement, the Contractor shall furnish an acceptable insurance certificate prior to commencing any Work with limits not less than $500,000. 5.4.1. |f applicable, Contractor affirms and certifies that itisexempt from providing Workers' Compensation per ORS 05O.O27. Exemption criteria: Contractor initials ifexempt: Date: _°__-----_ � 0. Additional Insured/Certificates mfInsurance. The Contractor shall name the City ofAshland, (]n*gon` along with its elected officia|a, ofDoaro, and employees, as Additional Insureds on all insurance policies (excluding Professional Liability and Workers' Compensation) necessary for this Agreement. This inclusion applies solely to the services provided by the Contractor under this Agreement. The Contractor's insurance must be primary and non-contributory. Before commencing work, the Contractor must provide acceptable insurance certificates as proof of the required coverage. These certificates must specify all parties included as additional |noureda, treating each named and additional nomad insured as if they were covered under separate policies, without increasing policy limits. Insuring companies orentities must be accepted by the City. Upon request, the Contractor must provide complete copies of insurance policies and trust agreements to the City.Additionally,the Contractor must provide an endorsement naming the City, its officers, employees, and agents as additional insureds by the Effective Date of this Agreement, accompanied by approved oertifioatn(a) ofinsurance. 7. Indemnity. Contractor shall defend, save, hold harmless and indemnify the City and its officers, employees and agents from and against any and all c|oims, suits, actions, |000eo. damages, |iobi|itieo, ooate' and expenses of any nature resulting from, arising out of, or relating to the activities of Contractor or its officers, employees, contractors, or agents under this Agreement. 8. Notice Whenever notice is required or permitted to be given under this Aonaement, such notice shall be given in writing to the other party by personal de|ivery, by sending via a reputable commercial overnight courier, or by mailing using registered or certified United States nnai|, return receipt requested, postage prepaid, to the addresses set forth above with a copy to: CityufAeh|and— Luga| Deportment 20 E. Main Street Ashland, Oregon S7520 Phone: (541) 488-5350 Page 4ofO: Goods and Services Agreement between the City of Ashland and JMGC»»aUu»b»» 6. Remedies 6.1. In the event Contractor 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: 6.1.1. Termination of this Agreement. 6.1.2. Withholding all monies due for the Work that Contractor has failed to deliver within any scheduled completion dates or any Work that have been delivered inadequately or defectively. 6.1.3. Initiation of an action or proceeding for damages, specific performance, or declaratory or injunctive relief. 6.1.4. 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. 6.2. Default: The Contractor shall be in default of this Agreement if Contractor: commits any material breach or default of any covenant, warranty, certification, or obligation under the Agreement; institutes an action for relief in bankruptcy or has instituted against it an action for insolvency; makes a general assignment for the benefit of creditors; or ceases doing business on a regular basis of the type identified in its obligations under the Agreement; or, without written authorization by the City, attempts to assign rights in, or delegate duties under, this Agreement. 6.3. Liability Limitation. In no event shall City be liable to Contractor for any expenses related to termination of this Agreement or for anticipated profits. If previous amounts paid to Contractor exceed the amount due, Contractor shall pay immediately any excess to City upon written demand provided. 7. General Provisions 7.1. Non-exclusive Agreement. City is not obligated to procure any specific amount of Work from Contractor and is free to procure similar types of goods and services from other Contractors in its sole discretion. 7.2. Independent Contractor Status. Contractor is an independent contractor and not an employee or agent of the City for any purpose. 7.3. Statutory Requirements. The following laws of the State of Oregon are hereby incorporated by reference into this Agreement: ORS 2798.220, 27913.230 and 27913.235 7.4. Assignment. Contractor 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. Contractor 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. Page 5 of 8: Goods and Services Agreement between the City of Ashland and JMS Construction 7.5. Force Majeure. 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. 7.6. Deliveries F.O.B destination. Contractor shall pay all transportation and handling charges for the Goods. Contractor is responsible and liable for loss or damage until final inspection and acceptance of the Goods by the City. Contractor remains liable for latent defects, fraud, and warranties. 7.7. Goods Rejection. The City may reject non-conforming Goods and require Contractor to correct them without charge or deliver them at a reduced price, as negotiated. If Contractor does not cure any defects within a reasonable time,the City may reject the Goods and cancel this Agreement in whole or in part. This paragraph does not affect or limit the City's rights, including its rights under the Uniform Commercial Code, ORS Chapter 72 (UCC). 7.8. Goods Warranty Representation. Contractor 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. Contractor shall transfer all warranties to the City. 7.9. 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. 7.10. Jurisdiction.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. 7.11. Severance. 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 Contractor and the City set forth in this Agreement. 8, Merger. This agreement and the attached exhibits constitute the entire understanding and agreement between the parties. No waiver, consent, modification or change of terms of this agreement shall bind either party unless in writing and signed by both parties. Such waiver, consent, modification or change, if made, shall be effective only in the specific instance and for the specific purpose given. There are no understandings, agreements, or representations, oral or written, not specified herein regarding this agreement. Contractor, by signature of its authorized representative, hereby acknowledges that he/she has read this agreement, understands it, and agrees to be bound by its terms and conditions. Page 6 of 8: Goods and Services Agreement between the City of Ashland and JMS Construction ~ ' | i WITNESS WHEREOF, the parties have executed this Agreement in their respective names by their duly authorized representatives as of the dates indicated below. This Agreement may be executed in two counterparts, each of which shall be deemed an original,with equal force and effect as if executed ina single document. CITY OF ASH JMG Construction (CgNTRACTOR): By By: Signature Signature � Printed Name ' Printed Name Date Title Date Purchase Order No. � 0W-9 istobe submitted with this signedAo | APPROVED ASTg FORM: City Attorney | � ' ! � | / Page 7of8: Goods and Services Agreement between the City of Ashland and JMGConohuoUon • 1 OREGON G' "Ity of Ashland LIVING wwAU" E • per hour, effective June 30, 2024. The Living Wage is adjusted annually every June 30 by the Consumer Price Index. portion of the business of of health care, retirement, their employer, if the 401 K, and IRS eligible employer has ten or more cafeteria plans(including employees, and has received childcare) benefits to the ➢ For all hours worked under a financial assistance for the employee's amount of wages. service contract between their project or business from the employer and the City of City of Ashland over ➢ Note: For temporary and Ashland if the contract $26,429,65; part-time employees, the exceeds$26,429.65 or more. Living Wage does not apply ➢ If their employer is the City of to the first 1040 hours worked ➢ For all hours worked in a Ashland, including the Parks in any calendar year. For month, if the employee and Recreation Department. more details, please see spends 50%or more of the Ashland Municipal Code employee's time in that month ➢ In calculating the living wage, Section 3.12.020. working on a project or employers may add the value . 1 Call the Ashland City Manager's office at 541-488-6002 or write to the City Manager, City Nall, 20 East Main Street, Ashland, OR 97520, or visit the City's website at vvvvvv.ashland,or.us. Notice to Employers: This notice must be posted in areas where it can be seen by all employees. . I T V O F MIKESTE-01 APAYNE ACORL7µ' CERTIFICATE OF LIABILITY INSURANCE D TE 12/17/2024Y) 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 CONTACT NAME: Insurance Lounge LLC PHONE (A/C,No,Ext): (541)479-4975 (A/c,No):(866) 573-8657 E-MAIL ADDRESS:supp ortl..nnlnsuranceloung e.com INSURERS AFFORDING COVERAGE NAIC# INSURERA:Continental Casualty Company 20443 INSURED INSURER B:LibertyMutual Mike Stevenson dba: Modern Renovations INSURERC:RLI Ins Co PO BOX 1396 INSURER D: MEDFORD,OR 97501-0104 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD MMIDD/YYYY MMIDD/YYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR C6984220141 4/7/2024 4/7/2025 DAMAGE TO RENTED 100,000 X X PREMISES Ea occurrence $ MED EXP(Any oneperson) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X JECT1:1 LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 Ea accident $ ANY AUTO AZG68468730 12/18/2024 12/18/2025 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY X AUTOS BODILY INJURY Per accident $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ Uninsured Limit $ 300,000 C X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 EXCESS LIAB CLAIMS-MADE GXS0020253 12/4/2024 12/4/2025 AGGREGATE $ 2,000,000 DED X RETENTION$ 0 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Balnaket additional insured when required by written contract or agreement,primary and non-contributory,waiver of subrogation per attached form CNA9758 (04/20). 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 ty ACCORDANCE WITH THE POLICY PROVISIONS. 90 N Mountain Ave Ashland,OR.97520-2014 Ashland,OR 97520 AUTHORIZED REPRESENTATIVE 4a4.e11,/ ,u� ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CNA BEST CHOICE CONTRACTOR PROGRAM Schedule of Applicable Forms Policy Number: C6984220141 I. Policy Level Forms applicable to all Coverage Parts: Form Number Form Title CNA9791 1 XX (03-2022) Common Policy Declarations CNA97912XX (04-2020) Schedule of Applicable Forms CNA97904XX (04-2020) Economic and Trade Sanctions Condition CNA98620XX (04-2020) Rejection of Certified Acts of Terrorism Coverage IL 00 17 1 1/98 Common Policy Conditions IL 01 42 09/08 Oregon Changes - Domestic Partnership IL 02 79 09/08 Oregon Changes - Cancellation and Nonrenewal II. Additional Forms Applicable to Commercial General Liability Coverage Part Form Number Form Title CNA9821 1 XX (04-2020) Application CNA97913XX (04-2020) Commercial General Liability Coverage Part Declarations CG 00 01 04/13 Commercial General Liability Coverage Form CG 03 00 01/96 Deductible Liability Insurance CG 21 06 05/14 Exclusion - Access or Disclosure of Confidential or Personal Information and Data-related Liability - With Limited Bodily Injury Exception CG 21 32 05/09 Communicable Disease Exclusion CG 21 34 01/87 Exclusion - Designated Work CG 21 46 07/98 Abuse or Molestation Exclusion CG 21 53 01/96 Exclusion - Designated Ongoing Operations CG 21 54 12/19 Exclusion - Designated Operations Covered By a Consolidated (Wrap-up) Insurance Program CG 21 65 12/04 Total Pollution Exclusion With A Building Heating, Cooling and Dehumidifying Equipment CG 22 43 04/13 Exclusion - Engineers, Architects or Surveyors Professional Liability CG 22 79 04/13 Exclusion - Contractors - Professional Liability CNA97539XX (04-2020) Changes in Commercial General Liability CNA97544XX (04-2020) Exclusion - Earth Movement CNA97587XX (03-2022) Blanket Additional Insured - Owners, Lessees or Contractors CNA97660OR (04-2020) Representations - Oregon CNA97663XX (04-2020) Exclusion - Bodily Injury To Employees - Absolute CNA97671 XX (04-2020) Exclusion - Open Roof CNA97699XX (04-2020) Exclusion - Condominiums, Townhouses, Time-Shares and Tracts CNA97703XX (04-2020) Limitation of Coverage to Described Operations CNA97732XX (04-2020) Amended Definitions - Employee, Leased Worker and Temporary Worker CNA97774XX (04-2020) Exclusion - Unlicensed Contractors CNA97780XX (03-2022) Independent Contractors CNA97786XX (04-2020) Amendment - Other Insurance Condition CNA97838XX (04-2020) Exclusion - Prior Completed or Abandoned Work CNA97847XX (04-2020) Continuous or Progressive Injury and Damage Exclusion CNA97891 XX (04-2020) Employment-Related Practices Exclusion Endorsement CNA97894XX (04-2020) Exterior Finish System Products/Completed Operations Property Damage Exclusion Endorsement CNA97895XX (04-2020) Fungi / Mold / Mildew /Yeast / Microbe Exclusion Endorsement CNA97905XX (04-2020) Asbestos Exclusion Endorsement CNA97965XX (04-2020) Lead Exclusion Endorsement CNA97971 XX (04-2020) Exclusion - Silica or Respirable Dust CNA9803OXX (04-2020) Exclusion - Punitive Damages CNA98031 XX (04-2020) Exclusion - Sexual Action IL 00 21 04/98 Nuclear Energy Liability Exclusion CNA97892XX (04-2020) Exclusion of Certified Acts of Terrorism Endorsement CNA97898XX (04-2020) General Aggregate Limit - Per Project Endorsement CNA97912XX (4-2020) Page 1 of 2 Copyright CNAAII Rights Reserved. CNA BEST CHOICE CONTRACTOR PROGRAM Schedule of Applicable Forms Policy Number: C6984220141 III. Additional Forms Applicable to Commercial Inland Marine Coverage Part Form Number Form Title CNA97915XX (04-2020) Commercial Inland Marine Coverage Part Declarations CNA97916XX (04-2020) Small Tools Floater Coverage Form CM 00 01 09/04 Commercial Inland Marine Conditions CNA988890R (04-2020) Oregon Changes - Definitions CNA99954XX (10-2020) Communicable Disease Exclusion Endorsement IL 01 39 12/22 Oregon Changes IL 09 53 01/1 5 Exclusion of Certified Acts of Terrorism CNA97912XX (4-2020) Page 2 of 2 Copyright CNAAII Rights Reserved.