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Home My WebLink About2001-048 CONT Addendum - Mountain Branch Tree Svc VENDOR: 004140 MOUNTAIN BRANCH TREE SERVICE 35 SW EASTERN AVENUE GRANTS PASS, OR 97526 CITY OF ASHLAND 20 E MAIN ST. ASHLAND, OR 97520 (541) 488-5300 SHIP TO: Ashland Fire Department (541) 482-2770 455 SISKIYOU BLVD ASHLAND, OR 97520 FOB Point: Terms: Net Req. Del. Date: 5[8/01 Special Inst: Req. No.: Dept: PUBLIC WORKS contact: Keith Woodley Confirming? No BLANKET PURCHASE ORDER within the City of Ashland under the- on sp~ifie~ wH~lan_d_p~3~ls. Work- specifi~tions provided bY ~hland- Beg date: May 14, 2001- Not to exceed $10,000- I ~lllllll '1 IIIIIIIIIIII IIII1~11 .......... ~ ..... ..... ,"['['" "1 I I I1' :::::::::::::::::::::::::::::::::::::: I III ' '"'1 I['1'1 Ii Iii'["['[' "'1 ' "'1 ]! [ ri ~l~ll SUBTOTAL 10,000.00 alLLmO: Account Payable TAX 0.00 20 ~ST MAIN ST FREIGHT 0.00 541-552-2010 TOTAL 10,000.00 ASHLAND, OR 97520 E 670.08.29.00.604160 10,000.00 VENDOR COPY VENDOR: 004140 MOUNTAIN BRANCH TREE SERVICE 35 SW EASTERN AVENUE GRANTS PASS, OR 97526 CITY OF ASHLAND 20 E MAIN ASHLAND, OR 97520 (541) 488-5300 SHIP TO: Ashland Fire Department (541) 482-2770 455 SISKIYOU BLVD ASHLAND, OR 97520 FOB Point: Terms: Net Req Del. Date: 5/8/01 Special Inst: Req. No.: Dept: PUBLIC WORKS contact: Keith Woodley Confirming? NO BLANKET PURCHASE ORDER within the City of Ashland under the~ on specified wildland parcels. Work- specifications provided by Ashland- Beg date: May 14, 2001~ Not to exceed $10,000~ SUBTOTAL 10,000.00 BILL TO: ACCOUnt Payable ~AX 0.00 20 EAST MAIN ST FREIGHT 0.00 541-552-2010 TOTAL 10,000.00 ASHLAND, OR 97520 ;~ACC0Unt Numbe~[~? ~* fL~Amount~',~.~, ~~~A~OO~ NOmbe¢ ?~¢ ArnbUnt~ 670 08 29.00 604160 10,00Q00 VENDOR COPY ITY OF ASHLAND CONTRACT FOR WORK LESS THAN $25,000 .31'I'Y~ OF ASHLAND (CITY) .~0 East Main Street ~,shland, Oregon 97520 telephone: (541) 488-5350 :AX: (541) 488-5311 CONTRACTOR: Address: Telephone: FAX: Mountain Branch Tree Service 35 SW Eastern Avenue Grants Pass, OR 97526 (541) 955-7153 :)ATE OF AGREEMENT: May 8, 2001 BEGINNING DATE FOR WORK: May14, 2001 .3OMPENSATION: Rates to be determined for each COMPLETION DATE: December 31, 2001 3arcel. Total contract work not to exceed $10,000.. · /VORK TO BE PROVIDED: Complete wildfire fuels reduction work within the City of Ashland under the Wildland-Urban nterface Grant Program on specified wildland parcels. Work will be completed in accordance with specifications 3rovided by Ashland Fire & Rescue. ~,DDITIONAL TERMS: ;ITY AND Contractor AGREE: 1. All Costs by Contractor: Contractor shall, at its own risk and expense, perform the work described above and, unless otherwise specified, furnish all labor, equipment and materials required for the prober performance of such work. 2. Qualified Work: Contractor has represented, and by entering into this contract now represents, that all personnel assigned to the work required under this contract are fully qualified to perform the work to which they will be assigned in a skilled and workerlike manner and, if required to be registered, licensed or bonded by the State of Oregon, are so registered, licensed and bonded. Contractor shall also procure and maintain a current City of Ashland business license. 3. Comeletion Date: Contractor shall start performing the work under this contract by the date indicated above and complete the work by the completion date indicated above. 4. Comoensation: City shall pay Contractor for work performed, including costs and expenses, the sum specified above. Once work commences, invoices shall be prepared and submitted by the tenth of the month for work completed in the prior month. Payments shall be made within 30 days of the date of the invoice. Should the contract be prematurely terminated payments will be made for work completed and accepted to date of termination. Compensation under this contract, including all costs and expenses of Contractor, is limited to $25,000.00 and City shall not be obligated to pay any sum in excess of $25,000.00 unless a separate written contract is entered into by City. 5. Ownership of DocumentS: All documents prepared by Contractor pursuant to this contract shall be the property of City. 6. StatutqrY R~quirements: ORS 279.312, 279.314, 279.316 and 279.320 are made part of this contract. 7. Indemnification: Contractor agrees to defend, indemnify and save City, its officers, employees and agents harmless from any and all losses, claims, actions, costs, expenses, judgments, subrogations, or other damages resulting from injury to any person (including injury resulting in death,) or damage (including loss or destruction) to propeA'y, of whatsoever nature arising out of or incident to the performance of this contract by Contractor (including but not limited to, Contractor's employees, agents, and others designated by Contractor to perform work or services attendant to this contract.) Contractor shall not be held responsible for any losses, expenses, claims, subrogations, actions, costs, judgments, or other damages, directly, solely, and approximately caused by the negligence of City. 8. Termination: This contract may be terminated by City by giving ten days written notice to Contractor and may be terminated by Contractor should City fail substantially to perform its obligations through no fault of Contractor. 9. Indeoendent Contractor Status: Contractor is an independent contractor and not an employee of the City. Contractor shall have the complete responsibility for the performance of this contract. Contractor shall provide workers' compensation coverage as required in ORS Ch 656 for all persons employed to perform work pursuant to this contract and prior to commencing any work, Contractor shall provide City with adequate proof of workers' compensation coverage. Contractor is a subject employer that will comply with ORS 656.017. 10. Insurance: Contractor shall, at its own expense, at all times during the term of this agreement, maintain in force a comprehensive general liability policy including coverage for contractual liability for obligations assumed under this Contract, blanket contractual liability, products and completed operations, owner's and contractor's protective insurance and comprehensive automobile liability including owned and non-owned automobiles. The liability under each policy shall be a minimum of $500,000 per occurrence (combined single limit for bodily injury and property damage claims) or $500,000 per occurrence for bodily injury and $100,000 per occurrence for property damage. Liability coverage shall be provided on an "occurrence" not "claims" basis. The City of Ashland, its officers, employees and age0ts shall be named as additional insureds. Certificates of insurance acceptable to the City shall be filed with City's Risk Manager prior to the commencement of any work by Contractor under this agreement. These certificates shall contain provision that coverages afforded under the policies can not be canceled and restrictive modifications cannot be made until at least 30 days prior written notice has been given to City. A certificate which states merely that the issuing company "will endeavor to mail" written notice is unacceptable. 11. Assi(3nment and Subcontracts: Contractor shall not assign this contract 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. 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 City of any assignment or subcontract shall not create any contractual relation between the assignee or subcontractor and City. CONTRACTOR: DATE ~'-'- /~:~ -- ~',/ Fed. ID, ~{~ O...~R Social Security # g"? ~ _/, ,f - ?,~17 ~ CITY OF ASHLAND: or Finance BY City Administrator DATE ~/~//o{ CONTENT REVIEW: ~ (City Dept. Head) DATE:~/'~.f iE .~.~'~ I ' Purchase Order, ! .4CORD. CE::RTIFI::CA Ei::::OF::::iLIABfEiI:: iiINSiU NC B[ i iiiii DATE<M DD :...~ .... ................................ 05/22/01 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE House of Insurance HOLDER. THIS CERTIFICATE DOES NOTAMEND, EXTEND OR 243 SW "J" Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Grants Pass OR 97526 COMPANIES AFFORDINGCOVERAGE Shirley Varga COMPANY A Northwest Pho.eNo. 541-479-2667 FaxNo. 541-479-2669 Insurance Co INSURED COMPANY B COMPANY Jacob Bergquis t C 35 SW Eastern Ave COMPANY Grants Pass OR 97526 D 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. CO TYPE OF INSURANCE POLICY NUMBER P(~ICY EFFECTIVE POLICY EXPirATION LIMITS LTR DATE (MM/DD/YY) DATE (MM~3D/YY) GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP/Dp AGG $ :!:!:i I CLAIMSMADE [----] OCCUR PERSONAL&ADVINJURY $ OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) $ MED EXP (Any one person) $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANYAUTO ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY $ NON~)WNED AUTOS (Pst accident) PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND I TORY LIMITS EL EACH ACCIDENT $ 100000 A THEPEOPRIETOR/ [] INCL 502700-010 12/20/00 01/01/02 EL DISEASE - POLICY L~MIT $ 500000 OFFICERS ARE:IXI EXCL EL DISEASE- EA EMPLOYEE $ 100000 OTHER DESCRIPTION OF OPERATiONS/LOCATIONS/VEHICLES/SPECIAL ITEMS 0000000 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE 10 DAYS WRITrEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Cit~, of Ashland 20 1~ M~in St, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIASILITY Ashlanct O1~ 9 ? 520 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE AC~:~S: ~;t~SSi::::i:i: i:i:i:i:i: :i :::::::::::::::::::::::::::::: ::::i:::::i:i:i:::i:i:i ii iiiiiiiiii [iiiiiiiii ii ii !i!i!ii: iiiiiiiiii iii iiiiiiiiii iiii:i:i:i :i~~!,i,.%'.~:~l~pi~e~l~;~ ACORD. CERTIFICATE OF LIABILITY INSURANCE I DATE,.O ', 05/22/2001 PRODUCER Mcfall General Agency 6443 SW Beaverton-Hillsdale Hwy Portland, OR 97221 503 297-8151 taRED MOUNTAIN BRANCH TREE SERVICE JACOB BERGQUIST 35SW EASTERN AVE. GRANTS PASS, OR 97526 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE ~NSURER~ COLONY INS. CO. INSURER B~ INSURER C: INSURER D~ COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NO]%NITHSTANDING 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 TOALL THE TERMS, EXCLUSIONS AND CONDiTiONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN R~ BY PAID CLAIMS. GENERAL LIAB~rY EACH OCCURRENCE $1 ~ 0 0 0 · 0 0 0 J CLAMS Y~DE ~ OCCUR MED EXP (~ a~e p~) sBXCLUDED A MP413943 12-17-00 12-17-01 PERSON~&AOV~NJURY $1, 000, 000 GENERALAGC~EOATE $1,000,000 (F~ acc~em) $ GARAGE UABII. FFY AUTO ONLY. EAACClDENT tOCCUR ~] CLNMS MADE AGGREGATE $ CERTIFICATE HOLDER J J ,eaon',oN~ INEUREO; CITY OF ASHLAND 20 E. MAIN ST. ASHLAND, OR 97520 SHOULD ANY OF THE ABOVE DESCRIBED POLICJEB BE CANCELLED BEFORE THE EXPIRATION ACORD 25-S (7/97) e ACORD CORPORATION 1988