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HomeMy WebLinkAbout2025-122 AGRMT Civil West Engineering Services Inc. ASHLAND ., rw' it IPersonai Services Agreement City Information Consultant Information City of Ashland 'Firm Name: Civil West Engineering Services Inc a Verdanta Attn: Karl Johnson Contact: Manny (Ramos 20 East Main Street Address: 830 O'Hare Parkway, Suite 102 Ashland, Oregon 97520 Medford, 4R 97504 Phone:(541)488-5587 Phone: (541)266-8601 Email kari.johnsone@ashlandoregon.gov Email: rPrnf } @CiWiIW .n ' i Contract Summary i Procurement Method: direct Completion Date: 06/30/2026 $ 75,000.00 not to exceed Contract Amount: ti Description of services: Provide On-Call Inspection Services Verdantas-2025 Rate Schedule 10/14/25 Supporting Documents: Dated: lns.Cert E&Q, Auto,Add. insured Dated: 10/14/25 Workers Comp. Cert Dated: 10/14/25 W9 Dated. 1/3/25 J This Personal services Agreement (hereinafter"Agreement") is entered into by and between the City of Ashland, an Oregon municipal corporation (hereinafter "City") and the Consultant listed i under Consultant Information above„ ("hereinafter "Consultant"), for the services listed under Description of Services and Supporting Documents as noted in the Contract summary above. In the event of conflict between provisions of the Supporting Documents, the Supporting Documents shall be given precedence in the order listed above. 1 This Agreement, the Exhibits and the Supporting Documents shall be construed to be mutually complementary and supplementary wherever passible. 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 exhibits or supporting documents. The Consultant's initials [ MR 1 herein signify acknowledgment and agreement to this provision, if applicable, or if not sign "N/A". j 1 Consultant's services are collectively referred to in this Agreement as the ""Work,," i Page 1 of 8 Personal Services Agreement Between the City of Ashland and Civil West Engineering Servi NOW THEREFORE, in consideration of the mutual covenants contained herein, the City and Consultant hereby agree as follows: 1. Effective Date and Duration: This Agreement shall become effective on the date of execution on behalf of the City, as set forth below (the "Effective Date"), and unless sooner terminated as specifically provided herein, shall terminate upon the City's affirmative acceptance of Consultant's Work as complete and Consultant's acceptance of the City's final payment therefore, but not later than the Completion Date listed under the Contract Summary in the table one page one of this agreement. 1.1. Time is of the essence. Time is of the essence for Consultant's performance of each and every obligation and duty under this Agreement. City, by written notice to Consultant of default or breach, may at any time terminate the whole or any part of this Agreement if Consultant fails to provide the Work called for by this Agreement within the time specified herein or within any extension thereof. 2. Compensation: City shall pay Consultant the sum listed as the "Contract Amount" under the Contract Summary on page one of this document as full compensation for Consultant's performance of all Work under this Agreement. In no event shall Consultant's total of all compensation and reimbursement under this Agreement exceed the Contract Amount without the express, written approval from the appropriate Department Head or City Manager. Payments shall be made within thirty(30)days of the date of receipt by the City of Consultant's invoice. Should this Agreement be terminated prior to completion of all Work, payments will be made for any phase of the Work completed and accepted as of the date of termination. 3. Consultant Obligations: 3.1. Independent Contractor Status. Consultant is an independent contractor and not an employee of the City for any purpose. Consultant shall have the complete responsibility for the performance of this Agreement. Consultant shall provide workers' compensation coverage as required in ORS Chapter 656 for all persons employed to perform Work pursuant to this Agreement. Consultant is a subject employer that will comply with ORS 656.017. 3.2. Qualified Work. Consultant has represented, and by entering into this Agreement now represents, that all personnel assigned to the Work to be performed under this Agreement are fully qualified to perform the services to which they will be assigned in a skilled manner and, if required to be registered, licensed, or bonded by the State of Oregon, are so registered, licensed, or bonded. 3.3. Assignment. Consultant shall not assign this Agreement or subcontract any portion of the Work without the written consent of City. Any attempted assignment or subcontract without written consent of City shall be void. Consultant 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 City of any assignment or subcontract of the Work shall not create any contractual relation between the assignee or subcontractor and City. Page 2 of 8 Personal Services Agreement Between the City of Ashland and Civil West Engineering Servi 3.4. Work Performance Obligation. Consultant shall, at its own risk, perform the Work described in the Description of Services and in the Supporting Documents and, unless otherwise specified in this Agreement, furnish all labor, equipment, and materials required for the proper performance of such Work. 3.5. Certification. Consultant agrees to and shall sign the certification attached hereto as "Exhibit C" and incorporated herein by this reference. 4. Insurance: Consultant shall, at its own expense, maintain the following insurance: 4.1. Worker's Compensation. Worker's Compensation insurance in compliance with ORS 656.017, which requires subject employers to provide Oregon workers' compensation coverage for all their subject workers. 4.2. Workers' Compensation Exemption. If applicable, Consultant affirms and certifies that it is exempt from providing Workers' Compensation per ORS 656.027. Exemption criteria: Enter criteria here or delete if not applicable Consultant initials if exempt: NSA Date: 4.3. Professional Liability insurance with a combined single limit, or the equivalent, of not less than $2,000,000 (two million dollars) per occurrence. This is to cover any damage caused by error, omission or negligent acts related to the Work to be provided under this Agreement. 4.4. 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, Death, and Property Damage. 4.5. Automobile Liability insurance 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 Damage, including coverage for owned, hired or non-owned vehicles, as applicable. 4.6. Notice of cancellation or change. There shall be no cancellation, material change, reduction of limits or intent not to renew the insurance coverage(s)without thirty(30)days' prior written notice from the Consultant or its insurer(s)to the City. 4.7. Additional Insured/Certificates of Insurance. Consultant shall name the City of Ashland, Oregon, and its elected officials, officers and employees as Additional Insureds on any insurance policies, excluding Professional Liability and Workers' Compensation, required herein, but only with respect to Consultant's services to be provided under this Agreement. The consultant's insurance is primary and non-contributory. As evidence of the insurance coverages required by this Agreement, the Consultant shall furnish acceptable insurance certificates prior to commencing the Work under this Agreement. The certificate will specify all of the parties who are Additional Insureds, Insuring Page 3 of 8 Personal Services Agreement Between the City of Ashland and Civil West Engineering Servi companies or entities are subject to the City's acceptance. If requested, complete copies of insurance policies; trust agreements, etc. shall be provided to the City. The Consultant shall be financially responsible for all pertinent deductibles, self-insured retentions, and/or self-insurance. 5. Termination: 5.1. Mutual Consent. This Agreement may be terminated at any time by the mutual consent of both parties. 5.2. City's Convenience. This Agreement may be terminated by City at any time upon not less than thirty (30)days' prior written notice delivered by certified mail or in person. 5.3. For Cause. City may terminate or modify this Agreement, in whole or in part, effective upon delivery of written notice to Consultant, or at such later date as may be established by City under any of the following conditions: • If City funding from federal, state, county or other sources is not obtained and continued at levels sufficient to allow for the purchase of the indicated quantity of services; or • If federal or state regulations or guidelines are modified, changed, or interpreted in such a way that the services are no longer allowable or appropriate for purchase under this Agreement or are no longer eligible for the funding proposed for payments authorized by this Agreement; or • If any license or certificate required by law or regulation to be held by Consultant to provide the services required by this Agreement is for any reason denied, revoked, suspended, or not renewed. 5.4. For Default or Breach. Either City or Consultant may terminate this Agreement in the event of a breach of the Agreement by the other. Prior to such termination the party seeking termination shall give to the other party written notice of the breach and its intent to terminate. If the party committing the breach has not entirely cured the breach within fifteen (15) days of the date of the notice, or within such other period as the party giving the notice may authorize in writing, then the Agreement may be terminated at any time thereafter by a written notice of termination by the party giving notice. 5.4.1. Default: The Consultant shall be in default of this Agreement if Consultant: 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 attempts to assign rights in, or delegate duties under, this Agreement. Page 4 of 8 Personal Services Agreement Between the City of Ashland and Civil West Engineering Servi 5.5. Obligation/Liability of Parties. Termination or modification of this Agreement pursuant to subsections 5.1, 5.2, or 5.3 above shall be without prejudice to any obligations or liabilities of either party already accrued prior to such termination or modification. However, upon receiving a notice of termination (regardless of whether such notice is given pursuant to subsection 5.1, 5.2, 5.3, or 5.4 of this section, Consultant shall immediately cease all activities under this Agreement, unless expressly directed otherwise by City in the notice of termination. Further, upon termination, Consultant shall deliver to City all documents, information, works-in-progress and other property that are or would be deliverables had the Agreement been completed. City shall pay Consultant for Work performed prior to the termination date if such Work was performed in accordance with this Agreement. 5.6. The rights and remedies of City provided in this subsection are not exclusive and are in addition to any other rights and remedies provided by law or under this Agreement. 6. Indemnification: Consultant hereby agrees to defend, indemnify, save, and hold City, its officers, employees, and agents harmless from any and all losses, claims, actions, costs, expenses, judgments, or other damages resulting from injury to any person (including injury resulting in death), or damage (including loss or destruction) to property, of whatsoever nature arising out of or incident to the performance of this Agreement by Consultant (including but not limited to, Consultant's employees, agents, and others designated by Consultant to perform Work or services attendant to this Agreement). However, Consultant shall not be held responsible for any losses, expenses, claims, costs, judgments, or other damages, caused solely by the gross negligence of City. 7. Consultant's Compliance with Tax Laws: Consultant represents and warrants to the City that: Consultant shall comply with all Oregon tax laws, including but not limited to ORS 305.620, ORS 305.380(4), and ORS Chapters 316, 317, 318, in addition to any rules, regulations, charter provisions, or ordinances that implement or enforce any of the foregoing tax laws or provisions and any tax provisions imposed by a political subdivisions of the State of Oregon. 8. Living Wage Requirements: If the amount of this Agreement is $26,429.65 or more, Consultant 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. Consultant is also required to post the notice attached hereto as "Exhibit B" predominantly in areas where it will be seen by all employees. 9. 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, by mailing using registered or certified United States mail, return receipt requested, postage prepaid, or by electronically confirmed at the addresses set forth on page one of this agreement with a copy to; Page 5 of Personal Services Agreement Between the City of Ashland and Civil West Engineering Servic City of Ashland — Legal Department 20 E. Main Street Ashland, Oregon 97520 Phone: (541) 488-5350 10. General Provisions: 10.1. Ownership of WorklDocuments: All Work, work product, or other documents produced in furtherance of this Agreement belong to the City, and any copyright, patent, trademark proprietary or any other protected intellectual property right shall vest in and is hereby assigned to the City. 10.2. Non-appropriations Clause - Funds Available and Authorized: City has sufficient funds currently available and authorized for expenditure to finance the costs of this Agreement within the City's fiscal year budget. Consultant understands and agrees that City's payment of amounts under this Agreement attributable to Work performed after the last day of the current fiscal year is contingent on City appropriations, or other expenditure authority sufficient to allow City in the exercise of its reasonable administrative discretion, to continue to make payments under this Agreement. In the event City has insufficient appropriations, limitations or other expenditure authority, City may terminate this Agreement without penalty or liability to City, effective upon the delivery of written notice to Consultant, with no further liability to Consultant. 10.3. Statutory Requirements: The following laws of the State of Oregon are hereby incorporated by reference into this Agreement: ORS 2798.220, 2798.230 and 2798.235. 10.4. Nondiscrimination: Consultant 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 any Work under this Agreement when employed by Consultant. Consultant agrees to comply with all applicable requirements of federal and state civil rights and rehabilitation statutes, rules and regulations. Further, Consultant 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. 10.5. Governing Law: 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 Page 6 of Personal Services Agreement Between the City of Ashland and Civil West Engineering Servi 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. 11. 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. Consultant, 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 7 of 8 Personal Services Agreement Between the City of Ashland and Civil West Engineering Servi 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 in a single document. City of Ashland: Civil West Engineering ServConsultant) By: J�2 Ce CL Sabrina Cotta, City Manager 10/15/2025 Signature Manuel Ramos Date Printed Name Rogue Valley Regional Manager Title Purchase Order No. 10/14/2025 Date (W--9 is to be submitted with this signed Agreement) APPROVED AS TO FORM: City Attorney Date Page 8 of 8 Personal Services Agreement Between the City of Ashland and Civil West Engineering Servi 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 in a single document. City of Ashland: Civlll West Engineering Sery c i onsultant)fir By: Sabrina Cotta, City Manager Signature Manuel! Ramos Date Printed Name Rogue Valley Regional Manager Title Purchase Order No. 10/14/2025 Date (OL-_9 is to be submitted with this signed Agreement) APPROVED AS TO FORM: NO y, 4-o V City Attorney Date Page 8 of 8 Personal Services Agreement Between the City of Ashland and Civil West Engineering Servi Ashland,Cilty of City of Ashiand LIVIN�G ALL employers described below must comply i WAGEi with City of Ashland laws regulating payment of aliving aM1 • per hour, effective June 30, 2025�. t The Living Wage is adjusted annually every wo qlaetl June 30 by the Consumer Price Index. f I - a project or portion of the 401K, and IRS eligible business of their employer, if cafeteria plans (including the employer has ten or more childcare) benefits to the employees, and has received employee's amount of wages. For all hours worked under a financial assistance for the service contract between their project or business from the ➢ Notes For temporary and part- employer and the City of City of Ashland over$27,163. time employees, the Living Wage does not apply to the Ashland if the contract y> If their employer is the City of first 1040 hours worked in any exceeds$27,163 or more. Ashland, including the Parks calendar year. For more f For all hours worked in a and Recreation Department. details, please see Ashland � � month,if the employee spends Municipal Code SectionIn calculating the living wage, 3.12.0K 50%or more of the employee's time in that month working an employers may add the value of health care, retirement, i i i For additional' Call the Ashland' City Managers office at 541-488-6002 or write to the City Manager,. City Hall, 20 East Main Street, Ashland, OR 97520, or visit the City's website at_ ashland.or.us. Notice to Employers: This notice must be pasted in areas where it can be seen by all employees. A 1 TV or Exhibit C Certifications/Representations: Consultant, by and through its authorized representative, under penalty of perjury, certifies that (a) the number shown on the attached W-9 form is its correct taxpayer ID (or is waiting for the number to be issued to it and (b) Consultant is not subject to backup withholding because: (i) it is exempt from backup withholding, or (ii) it has not been notified by the Internal Revenue Service (IRS)that it is subject to backup withholding as a result of a failure to report all interest or dlividliends, or (iiii) the IRS has notified it that it is no longer subject to backup withholding. Consultant further represents and warrants to City that: (a) it has the power and authority to enter into this Agreement and perform the Work, (b) the Agreement, when executed and delivered, shall be a valid and binding obligation of Consultant enforceable in accordance with its terms, (c)the work under the Agreement shall be performed in accordance with the highest professional standards, and (d) Consultant is qualified, professionally competent, and duly liicensed (if applicable) to perform the Work. Consultant also certifies under penalty of perjury that its business is not in violation of any Oregon tax laws, it is an independent contractor as defined in the Agreement, it is authorized to do business in the State of Oregon, and Consultant has checked four or more of the following criteria that apply to its business. X (1) Consultant carries out the work or services at a location separate from a private residence or is in a specific portion of a private residence, set aside as the location of the business. X (2) Commercial advertising or business cards or a trade association membership are purchased for the business, X (3) Telephone listing is used for the business separate from the personal residence listing. X (4) Labor or services are performed only pursuant to written contracts. X (5) Labor or services are performed for two or more different persons within a period of one year. X (6) Consultant assumes financial responsibility for defective workmanship or for service not provided as evidenced by the ownership of performance bonds, warranties eJors and omission (professional liability) insurance or liability insurance relatin t6lthe Wor services to be provided. 11"'o 1005-l"I'll Consultant's sio'6ture Z10 Date Page 1 of 1: Exhibit C Date: 10/14/2025 (Subject to annual increases of no more than 3% on the first of January of each year) Verdantas-2025 Rate Schedule(Legacy OWES) STAFF/ITEM Bill Rate Professional Services Senior Consultant 1 $220 Senior Consultant 11,AVP,Principal $248 Senior Consultant 111,VP,Sr.Principal $292 Project Manager $180 Senior Project Manager $200 Staff Scientist/Geologist 1 $116 Staff Scientist/Geologist 11 $132 Staff Scientist/Geologist 111 $140 Scientist/Geologist $156 Senior Scientist/Geologist,Principal,Sr.Principal $180 Staff Engineer/Architect 1 $120 Staff Engineer/Architect 11 $136 Staff Engineer/Architect 1111 $144 Engineer/Architect $160 Senior Engineer/Architect,Principal,Sr,Principal $192 Senior Surveyor $168 Survey Crew Member $72 Survey Crew Chief $96 Survey Crew $168 CAD/GIS/Data Management Senior Project Designer $148 Project Designer $132 CAD Designer 1 $116 CAD Designer 11 $128 CAD Technician 1 $100 CAD Technician 11 $112 CAD Technician 1111 $120 Senior GIS Analyst $168 GIS Analyst 1 $120 GIS Analyst 11 $128 G6 Technician 1 $100 GIS Technician 11 $116 Senior Data Manager $148 Data Manager $132 Support Technician 1 $84 Technician 11 $9�2 Technician Ill $100 Senior Technician $108 Administrative/Technical Editor/Project Coordinator 1 $76 Administrative/Technical Editor/Project Coordinator H $100 REIIMBURSABLES Mileage Survey Equipment GIS Data Collection Unit Lodging,meals as required for travel Technology Charge TBP Reproduction,Printing,Shipping,Etc. Lab Fees Subconsultants Expert Witness Support Expenses Form W-9 Request for Taxpayer Give form to the (Rev.March 2024) Identification Number and Certification requester. Do not Department of the Treasury Go to www.irs.gov/FormW9 for instructions and the latest information. send to the IRS. Revenue Service Before you begin.For guidance related to the purpose of Form W-9,see Purpose of Form,below. 1 Name of entity/individual.An entry is required.(For a sole propr€etor or disregarded entity,enter the owner's name online 1,and enter the business/disregarded entity's name on line 2.) National EC Services, Inc. 2 8uslness name/disregarded entity name,if different from above. Verdantas LLC C15 3a Check the appropriate box for federal tax classification of the entity/individual whose name is entered on Sine 1.Check 4 Exemptions(codes apply only to Nonly one of the following seven boxes. certain entities,not individuals; a see instructions on page 3): c ❑ Individual/sole proprietor ❑/ C corporation ❑ S corporation ❑ Partnership ❑ Trust/estate 0 ❑ LLC.Enter the lax classification(C=C corporation,S=S corporation,P=Partnership) Exempt payee code(if any) 5 CL o Note:Check the"LLC"box above and,in the entry space,enter the appropriate code(C,S,or P)for the tax 4 classification of the LLC,unless it is a disregarded entity.A disregarded entity should instead check the appropriate Exemption from Foreign Account Tax o box for the tax classification of its owner. Compliance Act(FATCA)reporting C ❑ other(see instructions) code(it any) N/A 0. n 3b If on line 3a you checked"Partnership"or"Trust/estate,"or checked"LLC"and entered"P'as its tax classification, (Applies to accounts maintained v and you are providing this form to a partnership,trust,or estate in which you have an ownership interest,check outside the Unified Sfafes.) ythis box if you have any foreign partners,owners,or beneficiaries.See instructions . . . . . . ❑ w5 Address(number,street,and apt.or suite no.).See Instructions. Requesters name and address(optional} 5400 Limestone Road 6 City,state,and ZIP code Wilmin on, DE 19808 7 List account number(s)here(optional) Taxpayer Identification Number(TIN) Enter your TIN in the appropriate box.The TIN provided must match the name given on line 1 to avoid s°clat security number backup withholding.For individuals,this is generally your social security number(SSN). However,for a - M resident alien,sole proprietor,or disregarded entity,see the instructions for Part 1,later.For other entities,it is your employer identification number(EIN).If you do not have a number,see Now to get a or TIN,later. Employer Identification number Note;If the account is in more than one name,see the instructions for line 1.See also What Name and Number To Give the Requester for guidelines on whose number to enter. M84 - 5 1 0 1 7 1 5 9 8 0 Certification Under penalties of perjury,I certify that: 1.The number shown on this form is my correct taxpayer identification number(or I am waiting for a number to be issued to me);and 2. 1 am not subject to backup withholding because(a)I am exempt from backup withholding,or(b)I have not been notified by the Internal Revenue Service(IRS)that I am subject to backup withholding as a result of a failure to report all interest or dividends,or(c)the IRS has notified me that I am no longer subject to backup withholding;and 3.1 am a U.S.citizen or other U.S.person(defined below);and 4.The FATCA code(s)entered on this form(if any)indicating that I am exempt from FATCA reporting is correct. Certification instructions.You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return.For real estate transactions,item 2 does not apply.For mortgage interest paid, acquisition or abandonment of secured property,cancellation of debt,contributions to an individual retirement arrangement(IRA),and,generally,payments other than interest and dividends,you are not required to sign the certification,but you must provide your correct TIN.See the instructions for Part 11,later. Sign signature of Here U.S.person Date 1/3/25 General Instructions New line 3b has been added to this form.A flow-through entity is required to complete this line to indicate that it has direct or indirect Section references are to the Internal Revenue Code unless otherwise foreign partners,owners,or beneficiaries when it provides the Form W-9 noted. to another How-through entity in which it has an ownership interest.This Future developments.For the latest information about developments change is intended to provide a flow-through entity with information related to Form W-9 and its instructions,such as legislation enacted regarding the status of its indirect foreign partners,owners,or after they were published,go to www.irs.gov/FormW9. beneficiaries,so that it can satisfy any applicable reporting requirements.For example,a partnership that has any indirect foreign What's New partners may be required to complete Schedules K-2 and K-3.See the Partnership Instructions for Schedules K-2 and K-3(Form 1065). Line 3a has been modified to clarify how a disregarded entity completes this line.An LLC that is a disregarded entity should check the Purpose of Form appropriate box for the tax classification of its owner.Otherwise,it should check the"LLC"box and enter its appropriate tax classification. An individual or entity(Form W-9 requester)who is required to file an information return with the IRS is giving you this form because they Cat.No.10231X Form W-9(Rev.3-2024) VERDALL-01 RJONES ACQRQ' DATE(MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 10/14/2025 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: Ames r Gough PHONE No,Ex*(703 827-2277 FAx 703 827-2279 8304 Greensboro Drive ) (Arc,Ney.( )_ Suite 980 E-MAIL ESS:admin@amesgough.cam McLean,VA 22702 INSURER(SI AFFORDING COVERAGE NAIC Y INSURER A:Allied World Assurance Company U.S. Inc. 19489 INSURED INSURER B:Transportation Insurance Company A(XV) 20494 Civil West Engineering Services,Inc. INSURERC:Continental Casualty Company(CNA)A.XV 20443 PO Box 1589 INSURERD-Allied World Surplus Lines Insurance Co.A+XV 24319 Coos Bay,OR 97420 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 SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTRD M D M D A X COMMERCIAL GENERALLIABILtTY 1,000,000 EACH OCCURRENCE CLAIMS-MADE OCCUR 0313.8888 6130/2025 6/30/2026 DAMAGE TO RENTED 300,000 —PREMISE TO urrenca S X Contractual Liab. 25,000 IAED EXP An one arson PERSONAL&ADV INJURY S 110001000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JECT LOC PRODUCTS-COMPIOP AGG $ 2,000,000 t -J OTHER: STOP GAP S 1,000,400 B AUTOMOBILE LIABILITY EOMBIN QO SINGLE LIMIT $ 1,000,000 �d X ANY AUTO 6080642405 6/30/2025 6/30/2026 BODILY INJURY Per rson S OWNED SCHEDULED AUTOS ONLY AUTOS BOO€LY INJURY Per accident S HIRED NON-OWNED OPERTY DAMAGE ��PR AUTOS ONLY AUTOS ONLY Per accdent S A X UMBRELLA LIA13 X OCCUR EACH OCCURRENCE $ 10,000,000 EXCESS LIAR CI-M S-MADE 0313-8889 6/30/2025 6f3012026 AGGREGATE 10,000,000 DED X RETENTION s 10,000 C WORKERS COMPENSATION X STATUTC,,,,, OH AND EMPLOYERS LIABILITY 6080642422 6/30/2025 6130/2026 1,000,000 ANY PROPRIETORIPARTNEPJFXECUTIVE Y 1 N E.L.EACH ACCIDENT $ OFF10ERpAEMBER EXCLUDED? N!A (Mandatory in NH) E.L-DISEASE-EA EMPLOYE S 1,000,000 If yes,describe under 1,000000 DESCRIPTION OF OPERATIONS belq7 E.L.DISEASE-POLICY LIMIT p Professional Llab. �111113,1116 6/3012025 6/30/2026 Per Claim/Aggregate 10,000,000 DESCRIPTION OF OPERATIONS!LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Cyber Liability Policy#B0572MR25ACZ9(Insurer:Canopius)—612/2025 -6/30/2026—$10,000,000 Per Claim/Aggregate Drone Liability Policy#UA02363465(insurer:USA1G Insurance Group)—6/30/2025—6/3012026-$10,000,000 Per Occurrence/Aggregate City of Ashland Is included as additional Insured with respect to General Liability,Automobile Liability and Umbrella Liability when required by written contract.General Liability includes Additional insured coverage for On-Going&Completed Operations as required by written contract.General Liability, Automobile Liability and Umbrella Liability are primary and non-contributory over any existing Insurance and limited to liability arising out of the operations of SEE ATTACHED ACORD 101 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Ashland ACCORDANCE WITH THE POLICY PROVISIONS. 20 E Main Street Ashland,OR 97520 AUTHORIZED REPRESENTATIVE ACORD 25(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID:VERDALL-01 RJONES LOC#: 1 A��V ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMEDINSURED Ames &Gough Civil West Engineering Services,Inc. PO Box 1589 POLICY NUMBER Coos Bay,OR 97420 SEE PAGE 1 CARRIER . NAIC CODE EE PAGE 1 .SEE P 1 EFFECTIVE DATE:SEEPAGE1 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORN 25 FORM TITLE: Certificate of Llabllit Insurance Description of Operations/LocationsNehicles: the named insured and when required by written contract.General Liability,Automobile Liability, Umbrella Liability and Workers Compensation policies include a waiver of subrogation in favor of the additional insured where permissible by state law and when required by written contract,30-day Notice of Cancellation will be Issued on the General Liability,Automobile Liability,Workers Compensation and Professional Liability policies in accordance with policy terms and conditions. ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD