HomeMy WebLinkAbout2002-170 Contract - Liberty NW Insurance ITY OF ASHLAND PERSONAL SERVICES CONTRACT FOR SERVICES LESS THAN $25,000
CITY OF ASHLAND, (CITY) CONSULTANT: Liberty Northwest
20 East Main Street John Graham, Sr. Loss Prevention Consultant
Ashland, Oregon 97520
Address: 9250 Town Centre Drive
Telephone: (541) 488-6002
, OR 97504
Medford
FAX: (541) 488-5311 Telephone: (541) 772-1931
FAX: 541 773-8105
13. BEGINNING DATE: 911102 13. COMPLETION DATE: 911103
114. COMPENSATION: Services will be billed at $100.00/hour plus 30 minute travel time to work site. Not To Exceed $6,000.
11. SERVICES TO BE PROVIDED: City facilities inspections per OSHA requirements for safety committee inspections. Services provided will include
a write-up of inspection findings and recommendations to the City.
ADDITIONAL TERMS: None.
CITY AND CONSULTANT AGREE:
1. All Costs by Consultant: Consultant shall, at its own risk and expense, perform the personal services described above and, unless otherwise specified, furnish all labor,
equipment and materials required for the proper performance of such service.
2. Qualified Work: Consultant 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 service 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.
3. Completion Date: Consultant shall start performing the service under this contract by the beginning date indicated above and complete the service by the completion
date indicated above.
4. Compensation: City shall pay Consultant for service 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.
5. Ownership of Documents: All documents prepared by Consultant pursuant to this contract shall be the property of City.
6. Statutory Requirements: ORS 279.312, 279.314, 279.316 and 279.320 are made part of this contract.
7. Living Wage Requirements: If the amount of this contract is $15,345 or more, Consultant is required to comply with chapter 3.12 of the Ashland Municipal Code by
paying a living wage, as defined in this chapter, to all employees performing work under this contract and to any subcontractor who performs 50% or more of the service
work under this contract. Consultant is also required to post the attached notice predominantly in areas where it will be seen by all employees.
8. Indemnification: Consultant 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 iryury resulting in death), or damage (including loss or destruction) to
property, of whatsoever nature arising out of or incident to the performance of this contract by Consultant (including but not limited to, Consultant's employees, agents, and
others designated by Consultant to perform work or services attendant to this contract). Consultant 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.
9. Termination: This contract may be terminated by City by giving ten days written notice to Consultant and may be terminated by Consultant should City fad substantially
to perform its obligations through no fault of Consu itant
10. Independent Contractor Status: Consultant is an independent contractor and not an employee of the City. Consultant shall have the complete responsibility for the
performance of this contract Consultant shall provide workers' compensation coverage as required in ORS Ch 656 for all persons employed to perform work pursuant to this
contract. Consultant is a subject employer that will comply with ORS 656.017.
1110. Assignment and Subcontracts: Consultant 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 shag 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 shat not create any contractual relation between the assignee or subcontractor and
city.
CONSULTANT: LIB TY ORTHWEST INS. CORP
BY ert L. Horton
Title: r. Account Executive
CITY OF AS LAND:
BY
OR Cit ministrator
BY
Finance Director
Date
Fed. ID # 93-0824674
DATE: 9/12/02
Date
CONTENT REVIEW: (City Dept. Head) Date:
Purchase Order # Acct. No.:
(for City purposes only)CITY OF ASHLAND PERSONAL SERVICES CONTRACT <$25,000 (70RMS\contract for personal services)(rev'd 9/01)
Certificate of Insurance
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
IS NOT AN INSURANCE POLICY AND DOES NOT AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED.
Libff ty -
This is to certify that 1 Vol Ll lW?'"` "
LIBERTY NORTHWEST INS. COMPANIES A Liberty Mutual Company
c/o DAN RYAN P.O.Box 4355
ONE LIBERTY CENTRE Portland, Oregon 97208-4555
PORTLAND, OR 97232
(503)239-5800
is, at the date of the certificate, insured by the Company under the policy(ies) listed below. The insurance afforded by the listed pohcy(ies) is subject
to all their terms, exclusions and conditions and is not altered by any requirement, term or condition of any contract or other document with respect
to which this certificate may be issued.
EXPIRATION
TYPE OF POLICY DATE POLICY NUMBER LIMITS OF LIABILITY
COVERAGE AFFORDED UNDER W.C. LAW LIMIT OF LIABILITY--COVERAGE B
OF FOLLOWING STATES
B]. b
0 O '
r 0 0
Ate
dent
,
WORKER'S 1/01/03 1 #5722 OREGON =5 00,00M
COMPINSATION B.Lb 5 0 0, 0 0 ?h
plwee
MARMME COVERAGE-FOLLOWING STATES LIMIT OF LIAB.-MARrITME COVERAGE
GENERAL UABILIrY-Commercial General
General Aggregate
$
ED Liabilty (Occurence)
Products Comp/OPS Aggregate $
Owner's and
Personal & Advertising Injury
$
El Contractor's Protective
Each Occurence $
?
Fire Damage (Any one fire) $
Medical Expense (Any one person) $
AUTOMOBILE LIABILITY
? Any Auto CSL $
? All owned Autos Bodily Injury (Per Person) $
? Scheduled Autos Bodily Injury (Per Accident) $
? Hued Autos
Property Damage
$
? Nan-owned Autos
? Garage Liability
OTHER
LOCATION(S) OF OPERATIONS & JOB # (IF APPLICABLE) DESCRIPTION OF OPERATIONS .
oss Prevention Services
City of Ashland, Oregon i
C. hn Graham, Sr. Loss Prevention Cnslt
?fy of AghlAnd PprsonnI Spryirpq Cntrrt
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,
DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER
THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 3 0
CANCELLATION: ._
NAMED BELOW, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY
KIND UPON THE COMPANY, OR REPRESENTATIVES.
MAILED 70.
CITY OF ASHLAND (CITY)
20 EAST MAIN STREET
ASHLAND, OR 97520
CERTIF / Version 1.0
LNW 3004L 11197
AUTHO D REPRESENTATIVE
9/12/02- Medford, OR
DATE ISSUED OFFICE
PO 03718
(541) 488-5300
VENDOR: 000099 SHIP TO: City of Ashland
LIBERTY NORTHWEST INSURANCE (541) 488-6002
ONE LIBERTY CENTRE 20 E MAIN STREET
LOSS PREVENTION DEPT ASHLAND, OR 97520
PORTLAND, OR 97232-2038
FOB Point: Req. No.:
Terms: Net 30 days Dept.: ADMINISTRATION
Req. Del. Date: 09/01/2002 Contact: Tina Gray
Special Inst: Confirming? No
BLANKET PURCHASE ORDER
City Facilities inspectons per OSHA , ; ~:== : ,=,,, :;; ,; = 6,000;00
requirements for safety committee
include a write-up of inspection
City.
Not to exceed $6,000.00
StaA date: 09/01/2002
' ~ C°~D!etion ;date~ 0910112003
SUBTOTAL 6,000.00
BILL TO: Account Payable T~ 0.00
20 EAST MAIN ST FREIGHT 0.00
541-552-2010 TOTAL 6,000.00
ASHLAND, OR 97520
E 710.01.02.00.604100 6,000.00
Authorized Signature VENDOR COPY