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Home My WebLink About2004-227 Contract - LTM IncCONTRACT This Contract, made and entered into this 8th day of September, 2004, by and between the CITY OF ASHLAND, a municipal corporation, hereinafter called the "Owner," and LTM of , hereinafter called the "Contractor"; WITNESSETH: The Contractor, in consideration of the sum to be paid him by the Owner and of the covenants and agreements herein contained, hereby agrees at his own proper cost and expense to do all the work and furnish all the materials, tools, labor, and all appliances, machinery, and appurtenances for construction of AIRPORT IMPROVEMENTS AT ASHLAND MUNICIPAL AIRPORT, to the extent of the Proposal made by the Contractor, datecl the 15th day of July,2004, all in full compliance with the Contract Documents referred to herein. The BIDDING REQUIREMENTS, including the signed copy of the Proposal, the CONTRACT FORMS, the CONDITIONS OF THE CONTRACT, the SPECIFICATIONS, and the DRAWINGS, which con sist of 27 sheets entitled "AIRPORT IMPROVEMENTS," dated June 2004, are hereby referred to and by reference made a part of this Contract as fully and completely as if the same were fully set forth herein and are mutually cooperative therewith. In consideration of the performance of the work as set forth in these Contract Documents, the Owner agrees to pay to the Contractor the amount bid in the Proposal as adjusted in accordance with the Contract Documents, or as otherwise herein provided, and to make such payments in the manner and at the times provided in the Contract Documents. The Contractor agrees to complete the work within the time specified herein and to accept as full payment hereunder the amounts computed as determined by the Contract Documents and based on the said Proposal. The Contractor agrees to remedy all defects appearing in the work or developing in the materials furnished and the workmanship performed under this Contract for a period of 1 year after the date of acceptance of the work by the Owner, and further agrees to indemnify and save the Owner harmless from any costs encountered in remedying such defects. It is agreed the time limit for completion of the Contract, based upon the Proposal, shall be 90 cal,endar days from the "Notice to Proceed" date. In the event that the Contractor shall fail to complete the work within the time limit or the extended time limit agreed upon, as more particularly set forth in the Contract Documents, liquidated damages shall be paid at the rate of $500.00 per day. Sundays and legal holidays shall be excluded in determining days in default. Attorney Fees: In the event that any suit, action, or arbitration is brought by the parties arising out of this Agreement, the prevailing party shall recover such reasonable attorney fees as shall be set by the trial court and any court of appeal. IN WITNESS WHEREOF, we, the parties hereto, each herewith subscribe the same th}.~ B.~d. ay of $*4'r~~ A.D., 2004. ~,~, M Incorporated TITLE g:t ~t,~ uc,~ p I ~.r::c 'o~o~ , APPROVED AS TO FORM: x~~.~.~ //A~t~ ,,~ BY ~/ //~ITLE Xor-O ner DAVID A. hfiDTLYNG Vice President of Contracting ASHLO002 Contract 6eneral Contractors August 16t 2004 City of Ashland 5! Winbum Way Ashland, OR 97520 Attn; Paula Brown & .lim Olson Ashland Municipal Airport ]:mprovements Subject: Revised Bid Pridng Dear Paula, Herein, find LTIVl's revised bid schedule and proposed contract amount of $ 850,8:17.50. This revised pridng reflects adjustments due to the following: 1. L-ITl Markup % 2. Deletion of ]obsite lab referenced in specs 3. Deletion of sweeping time in bid, (assumes City sweeper to perform any and all sweeping requirements) 4. Deletion of 4 days of Asphalt Plant QC person. O'his individual woul!d be them as part of paving operations on other ITM Hedford Airport project. AC Paving here would need to be scheduled to coincide with this.) 5. DeleUon of asphalt mix design. Assumes ability to transfer over mix: design from existing Medford Airport project. 6, Revision of aggregate base specification to P208. Reduction in pdc~: assumes rock is suitable as it sits on the ground at the Quality Rock pit, Gradations have .been run and material is in spec. 7. Adjustment to bid item #17 & #17A tiedown modificaUon budgeted costs to complete this work. Also attached, is LTM's quantity spreadsheet with the revised pdcing indudled which we feel is representative of what .the project requires, based on these plans. The projected contract amount based on this is $ 796,367.S0. Please contact' me at 732-2715 if you have any questions. Sincerely, Dave Ross ~~..,~ LTM, Inc.- Hedford Division . Chief Estimator P.O. BOX 1145 ,MEDFORD, OREGON 97501 Administration (541) 779-6304 -Construction & Asphalt Operations (541) 770-2960 · Read), Mix Concrete (541) 779-2303 Trucking, Sand & Gravel (541) 732-2740 · The Concrete Store (541) 282-0656 * OR COB #56603 · C:SLB #567735 wa are an equaJ opportunity employer. www. ltminc.com LII"I--L..UI'III'r,I"IL.I .I.I',IU I"dX.D,qJ. IDO,q,q. DOr I-II/~] /ID ZUUt..I II :/--1""'3 I"'. U~' ,., ,....~ ,,...,,~ ~':"og~,.., ,..., : .. I ~ I · r~. .-., o o i~ ,l~ - . .... ~°°° ~ ,=, --, ,,,., ,,,~,g!~ '"' -'-' ' ' ' ' ,~ ;--- """i"' ~'°- i,,'°''':''~ ' .- o~o o,o AE~-~o o ,~,~o ~,.., ..j~ .,. ,~.,, ,,.,;,.., ,-- ..., .., I,,.,. ,=., "" ° "" "' '"" ~ ':" ~,~ -~ gl-I- '-",-"'!~i ~ ,g,~,,' .... ~ . ' i i ! ! Liberty Mutual Insurance Company Bond No. 905-042-563; Travelers Casualty and Surety Company of BOIqD NO. America - Bond No. 1(}4353568 AMOUNT: $3,424.00 IQ,lOW ALL MEN BY THESE PKF_,SElq'rS, ~a_ LTM~ Incorporated of. P- O. Box 1145, Medford, OR 97501 hereinatt~ called ~he CONTRACTOR (hSndpal), .ayutLiberty Mutual Insurance Company and Travelers.* , a corporation duly orga_n'm~d and eX~sti~g under amd by virtue of thc lax~s of the SM ofMassachusetts and Connecticut . he~einst~er called t~e SURETY, mad aa~orized t~ transact busings within the ISRate of Oregon as SUR.EI3(, are held and rarely bound unto City of Ashland a~ OWhrER (Obtigee), in the sum o~ Seven Hundred Ninety Six Thousand Three Hundred Seventy_ Six and 50/100ths*********************************** DOLLARS ($796,376.50*************************** lax~! money of ~c U~6~ed Sm~-s of Am~a, for ~ payment of which, walt aud ~uly be made Xo EO~rl'RACTOK a~d t~e SU'~TY b~d t~em~elve~ and each of thc~ hca-s, cxeoutor% ax~n~s~mtoya, sue~ea~o.,% a~ assigns, joiafly and-~we~y, K~y by ~ese preaeat~ ~ fol~owa: * Casualty and Surety Company of America TI-IE COlqDITION OF IHE ABOVE OBLIGATION IS SUCH TItAT: Wt-IE.KEAS. ~e CONTRACTOK has ex, outed and entered into a ~ Co~raet he~,to atlached, with lhe O~IEK. dasd ,2004, for AIRPORT IMPRO~$ AT ASKLAND ~CIPAL A1RPO~KT. 31OW,'I'HERF_~ORE, ifthe CONTRACTOR shall ia all fixings perform alt fl~e terms and conditions of~e witlfin and foxegoing Contract as provided in.the Conlmcr Documents tn b~ by such CONTRACTOR perfmmed, and shall honor ~fll claims for defective work made within 1 year a/tar ~he aompl~on and acceptance'of the :fxn'egoiag Contract, a~d shal] pa), over, make good, and reimburse ~o the owlq~ all lo~s or d~ge which the owlq'F~ Inay suztain by re~ol~ offai]ul~ or default on the l:m't of CONTRACTOR, ~ea this obli~a~ion ~all be void; o~ervrise it shall be and r~ain in full form and effect. PROVIDED, HOWEVER, fhat ~e SURETY, fox value received, hereby sfip~dates md agrees ~atno ~ ~on of time, alterafimh or addition ~o fha ram~ ortho Contact Documeats Grin the work to be pefforraad thexeundex, shall in any way aff~et its obligatioa an this bond. ad it does hexeby waive notice of any such change, ex'temion of time, alteration, or addition to the terms of the Contra~ Documents. IN WITNESS WHEKEOF, the above parties boundM togextler have ~ecuted ~ ~ent ~ 3rd day ~ September ,2004, ~c ~e ~ ~o~ $~ of~ c~o~ p~~g h~o ~ed ~d those pr~ ~y ~ed by ~ ~d~ed ~mmfive, p~t to ~~ of ~ go~ body. CONIRACTOPc LTM, Incorporated Liberty Mutual Insurance Company and SURETY: ~~mpany of America(S~a]) P~ricia C. Boyd, Attorne~Fact - APPROVED AS TO FORM: OWNER Da~e NOTE; The SLO~TY named on thl~ bond ,hall be one who is licensed to conduct business in the .~taet where the projec~ is located All bonds signed by an agent must be accompanied by a certified copy of the authority to ac2 for the SUR~TY ~t the time of the signing orf rhix bond. ASI-ILO002 Performance Bond KNOW ALL MEN BY ~$£ PRF.3Eb~S, 1t~ LTM~ Incorporated Liberty Mutual Insurance Company Bond No. 905-042-563 Travelers Casualty and Surety Company BOND NO0f America - Bond No. 104353568 AMOUNY: $3,424.00 ...... ~-P. O. Box 1145, Medford, OR 97501 h~rdaz/~er ~tlled the CO~CTOR ~~), ~ Libe~y Mum~ ~sur~ce Comply ~d Travele~ * a co~o~on d~y ~~d ~ e~ ~ ~d by ~e of~e ~ of~e ~ o~assachus~s ~d Connecticut, he~r c~ed ~ S~, ~d au~~ to ~ct ~ess ~ ~e ~ of O~gon m S~~, ~e held ~d ~y bo~d ~o City of Ashl~d ~ O~ (ObI~), ~ ~e sm oE Seven Hundred N~ay Six Thousand Th~c Hundred Sevent~ Sh. ~d 50/100ths****************************************** DOL~ ($796,376.~*******************), ~ money of ~e U~ ~ of ~~, for ~e pa~ ~ ~, w~ ~d ~ly be ~de ~ ~ O~ CO~~OK ~d ~a S~~ b~d ~e~elve~ ~d each of ~ h~, ~~, ~~o~ ~c~~ md ~ j~y ~d screwy, ~ ~ thee pr~ ~ fo~w~: * C~u~ty ~d Su~y Company of ~edca THE CONDITION OF TI-~ A~OVE OBLIGATION IS SUCH ~T: ~, ~e CO~CTOK ~s exe~d ~d ~d ~ a ce~ Co~ h~o ~~ ~ ~e O~ dasd ~ 2004, for ~ORT ~~~$ AT A8~~ ~I~ ~OR~. If CONTRACTOR shall mak~ aE paymems as r~quirexl by ~e ~ ~d con~ of~e ~ ~d ~go~g Con~ ~ weU ~ ~ o~ p~~ for ~ ~d s~ ~e~ ~ come.on ~ ~e ~~e of ~ ~~ ~~ ~y co~m~ l~ or stam~ mech~ics lien ~ av~k, ~ ~ ob~ ~ be void; ~e il shaR ~ ~d ~n ~ ~l fo~ ~ ! PROVIDED, HOWEVE1K, that no final ~ttk-mcnt betw~ the OWHE~ arid the CONTRACTOK sh~ abridge the right of any baaeficiary hereunder, whose claim may be uasa~fied. PROVIDED, FUKTHEK, fl~ ~he SURETY. far value ~c~ h~e~ ~ula~ ~d ~m ~ ~ ch~% ~ioa of~, a~a~ ~ ~d~ ~ ~e ~ of ~e ~~ Do~~ ~ ~ ~ ~ ~ ~ p~~ ~der, ~ ~ ~ ~y ~ ~ ob~ on ~s h~ ~ ~ does h~ w~e n~ce of ~ cboe, e~n of~e, ~o~ ~ a~ion to ~ t~ of ~ C~ct Do~en~. WITNESS WHEKEO1a, the above parti~ bounded t~g~th~r hax~ ~~ ~ ~~ fids 3rd d~ Of September ,2004, ~e n~e ~d ~o~e s~ ~ each c~e p~ be~ h~ ~ ~d ~ ~~ ~y s~ by i~ ~d~s~ ~s~five, p~s~t to au~ ofi~ g~~ bo~. CONTRACTOi~ LTM, Incorporated Liberty Mutual Insurance Company and elers Casualty and S rety Company of America Patricia C. Boyd, AttorneY-- 'Xc~ API~ROVED AS TO ~FORM: OWNER Date NOTE: The 5UREIT named on this bond shall be one who it licensed to conduct busfnezs in the ,tate where the proJecx is located, and named in the mtrrent li~ of Companies Holding Certificat~ of .4uthority ax i~ceptnble 5urdits on Federal Bond~ and as Acceptable-t~rin.mring Companies, ar publlslatd in Cir~lar 570 (amsnded) b~ rht Audit Staff Bureau oJ'Jccounts. U.S. Treasury Department. Alt bonds 6~F~ed by an agtmt must be accompanied by o cert~ed copy of the authority to act for the ~ at th~ tin~ ~f tht ~£gm'ng of this bored ASI-ILO002 Payment Bond THIS POWER OF ATTORNEY IS NOT VALID UNLESS IT IS PRINTED ON RED BACKGROUND. ] 0893 25 This Power of Attorney limits the acts of those named herein, and they have no authority to bind the Company except in the manner and to the extent herein stated. LIBERTY MUTUAL INSURANCE COMPANY BOSTON, MASSACHUSETTS POWER OF ATTORNEY KNOW ALL PERSONS BY THESE PRESENTS: That Liberty Mutual Insurance COmpany (the "cOmpany"), a MaSsachuSetts mutual insurance company, pUrsuant to and by authority of the By-law and Authorization hereinafter set forth, does hereby name, constitute and apPoint MARGIE JOHNSON, ANNE'I'rE J, CANTU, PATRICIA C, BOYD, MNDA SHADDON, JERRY D, BALDING, JACKIE ANDERBERG, DANA BRINKLEY, ALL OF THE CITY OF SPRINGFIELD, STATE OF OREGON ........ ,.,... ............... ,, .......... ,..,, ..................................... ,, ........ , ............................ , .................................... · . Il I Ill Il .......I.I.. · I .. · .. I.... I I ....I. I '!1 I II il I .. I I .!Ill[ i .III · · Il ..i /.i. Ill. Il III .. · I ..., · .. I I. I · III Ill I .l!l i.. /I. I Il l. l. Ii .!!j I ....... I Ill Il Ill Ill il Ill II .Ill Ill .. I ... · I ...III I I... I I .... , each individually if there be more than one named, its true and lawful attorney-in,fact to make, execute, seal, acknowledge and deliver, for and on its behalf as surety and as its act and deed anyand att undertakings bondsl recognizances and other surety Obligations in the penal sum not exceeding FIFTY MILLION AND ************************** 50 O, ***** DOLLARS ($ ,00 ,000-.00 ) each, and the execution of such undertakings, bonds, recognizances and other surety obligations, in purSuance of these preSents, shall be as binding Upon the Company as if they had been duly signed by the president and attested bY the secretary of the ComPanY in their own proper persons. That this power is made and executed pursuant to and by authority of the following By-law and Authorization: ARTICLE XVl - Execution of Contracts: Section 5. Surety Bonds and Undertakings. Any officer or other official of the company authorized for that purpose in writing by the chairman or the president, and subject to such limitations as the chairman or the president may prescribe, shall appoint such attorneys-in-fact, as may be necessary to act in behalf of the company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such attorneys-in- fact, subject to the limitations set forth in their respective powers of attorney, shall have full power to bind the company by their signature and execution of any such instruments and to attach thereto the seal of the company. When so executed such instruments shall be as binding as if signed by the president and attested by the secretary. By the following instrument the chairman or the president has authorized the officer or other official named therein to appoint attorneys-in-fact: Pursuant to Article XVl, Section 5 of the By-laws, Timothy C. Mulloy, an official of Liberty Mutual Insurance Company, is hereby authorized to appoint such attorneys-in-fact as may be necessary to act in behalf of the company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. All Powers of Attorney attested to or executed by Timothy C. Mulloy in his capacity as an officer or official of Liberty Mutual Insurance Company, whether before, on or after the date of this Authorizaticn, including without limitation Powers of Attorney attested to or executed as Assistant Secretary of Liberty Mutual Insurance Company, are hereby ratified and approved. That the By-law and the Authorization set forth above are true copies thereof and are now in full force and effect. IN WITNESS WHEREOF, this Power of Attorney has been subscribed by an authorized officer or official of the Company and the corporate seal of Liberty Mutual Insurance Company has been affixed thereto in Plymouth Meeting, Pennsylvania this 12th day of August , 2002 LIBERTY MUTUAL INSURANCE COMPANY COMMONWEALTH OF PENNSYLVANIA COUNTY OF MONTGOMERY ss Timot~ C. Mulle-y~ssista-nt Secr,~ary ~ On this 12th day of August , 2002,,, before me, a Notary Public, personally came Timothy C. Mulloy, to me known, and acknowledged that he is an official of Liberty Mutual Insurance Company; that he knows the seal of said corporation; and that he executed the above Power of Attorney and affixed the corporate seal of Liberty Mutual Insurance Company thereto with the authority and at the direction of said corporation. -- IN TESTIMONY WHEREO'F~ I h~,~h~eunto subscribed my name and affixed my notarial seal at Plymouth Meeting, Pennsylvania, on the day and year first above written. · ;:' - _ . ' "".'!;'.'..' ':'~' ~otary Public CERTIFICATE I, the undersigned, Assist~i~'~8~'a~'~'~.~'~ty Mutual Insurance Company, do hereby certify that the original power of attorney of which the foregoing is a full, true and correct copy, is in full force and effect O~"'th'e'd~(~'0f this certificate; and I do further certify that the officer or official who executed the said power of attorney was one of the officers or officials specially authorized by the chairman or the president to appoint attorneys-in-fact as provided in Article XVI, Section 5 of the By-laws of Liberty Mutual Insurance Company. This certificate and the above power of attorney may be signed by facsimile or mechanically reproduced signatures under and by authority of the following vote of the board of directors of Liberty Mutual Insurance Company at a meeting duly called and held on the 12th day of March, 1980. VOTED that the facsimile or mechanically reproduced signature of any assistant secretary of the company, wherever appearing upon a certified copy of any power of attorney issued by the company in connection with surety bonds, shall be valid and binding upon the company with the same force and effect as though manually affixed. IN TESTIMONY WHEREOF, I have hereunto subscribed my name and affixed the corporate seal of the said company, this 3rd day of_ September , 2004. . ,: ~. ×. Hee, Assistant Secretary LTM, INCORPORATED PERFORMANCE/PAYMENT BONDS CITY OF ASH]LAND NOTICE FROM SURETY REQUIRED BY AIRPORT IMPROVEMENTS TERRORISM RISK INSURANCE ACT OF 2002 In accordance with the Terrorism Risk Insurance Act of 2002 (referred to hereinafter as the "Act"), this disclosure notice is provided for surety bonds on which one or more of the following companies is the issuing surety: Liberty Mutual Insurance Company; Liberty Mutual Fire Insurance Company; LM Insurance Corporation; .The First Liberty Insurance Corporation; Liberty Insurance Corporation; Employers Insurance Company of Wausau (formerly "EMPLOYERS INSURANCE OF WAUSAU A Mutual Company"); Peedess Insurance Company; and any other company that is a part of or added 1:o the Liberty Mutual Group for which surety business is underwritten by Liberty Bond Services (referred to collectively hereinafter as the "Issuing Sureties"). NOTICE FORMS PART OF BOND This notice forms part of surety bonds issued by any one or more of the Issuing Sureties. DISCLOSURE OF PREMIUM The premium attributable to any bond coverage for "acts of terrorism" as defined in Section 102(1)of the Act is Zero Dollars ($0.00). DISCLOSURE OF FEDERAL PARTICIPATION IN PAYMENT OF TERRORISM LOSSES The United States will reimburse the Issuing Sureties for ninety percent (90%) of any covered losses from terrorist acts certified under the Act exceeding the applicable surety deductible. LMIC-6539 2/03 TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA TRAVELERS CASUALTY AND SURETY COMPANY FARMINGTON CASUALTY COMPANY Hartford, Connecticut 06183-9062 POWER OF ATTORNEY AND CERTIFICATE OF AUTHORITY OF ATTORNEY(S)-IN-FACT KNOW ALL PERSONS BY THESE PRESENTS, THAT TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA, TRAVELERS CASUALTY AND SURETY COMPANY and FARMINGTON CASUALTY COMPANY, corporations duly organized under the laws of the State of Connecticut, and having their principal offices in the City of Hartford, County of Hartford, State of Connecticut, (hereinafter the "Companies") hath made, constituted and appointed, and do by these presents make, constitute and appoint: Patricia C. Boyd, Jackie Anderberg, Dana Brinkley, Nichole Russell, of Medford, Oregon, their true and lawful Attorney(s)-in-Fact, with full power and authority hereby conferred to sign, execute and acknowledge, at any place within the United States, the following instrument(s): by his/her sole signature and act, any and all bonds, recognizances, contracts of indemnity, and other writings obligatory in the nature of a bond, recognizance, or conditional undertaking and any and all consents incident thereto and to bind the Companies, thereby as fully and to ~;he same extent as if the same were signed by the duly authorized officers of the Companies, and all the acts of said Attorney(s)-in-Fact, pursuant to the authority herein given, are hereby ratified and confirmed. This appointment is made under and by authority of the following Standing Resolutions of said Companies, which Resolutions are now in full force and effect: VOTED: That the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President, any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary may appoint Attorneys-in-Fact and Agents to act for and on behalf of the company and may give such appointee such authority as his or her certificate of authority may prescribe to sign with the Company's name and seal with the Company's seal bonds, recognizances, contracts of indemnity, and other writings obligatory in the nature of a bond, recognizance, or conditional undertaking, and any of said officers or the Board of Directors at any time may remove any such appointee and revoke the power given him or her. VOTED: That the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company, provided lahat each such delegation is in whting and a copy thereof is filed in the office of the Secretary. VOTED: That any bond, recognizance, contract of indemnity, or writing obligatory in the nature of a bond, recognizance, or conditional undertaking shall be valid and binding upon the Company when (a) signed by the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary, or (b) duly executed (under seal, if required) by one or more Attorneys-in-Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by one or more Company officers pursuant to a written delegation of authority. This Power of Attorney and Certificate of Authority is signed and sealed by facsimile (mechanical or printed) under and by authority of the following Standing Resolution voted by the Boards of Directors of TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA, TRAVELERS CASUALTY AND SURETY COMPANY and FARMINGTON CASUALTY COMPANY, which Resolution is now in full force and effect: VOTED: That the signature of each of the following officers: President, any Executive Vice President, any Senior Vice President, any Vice President, any Assistant Vice President, any Secretary, any Assistant Secretary, and the seal of the Company may be affixed by facsimile to any power of attorney or to any certificate relating thereto appointing Resident Vice Presidents, Resident Assistant Secretaries or Attorneys-in-Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and any such power of attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding upon the Company in the future with respect to any bond or undertaking to which it is attached. (11-00 Standard) puolg '~ela~oaS }uels!ss¥ uosueqor 'IN p:x£ s!ql !poleQ 'ln~!l~ouuoo jo olelS 'p~ojl~eH jo ~l!O otO u! '~uedmoD oql jo oo~O omoH aql le poIeaS pug pou~t!S ELVDIAI.I.}t~tD llneaJla/'D aUelN o!lqnd/uelON 900~ '0~: eunf' soJldxa UOISSlLULUO0/[~ · jooJoql suo!lnlosokI 2u!puel$ oql Japun o~t. jjo .iOUdS!q jo huoqlne iq suo~mo~oo o~ jo ~et[oq uo luom~su[ p~es o~ polnooxo oqs/oq le~ pue '.SleOS OlmO~O3 qons o~e lUOm~lSU~ p~es oqi ol pox~ s~os oql le~ '.suoDmo~oo p~ jo s~os o~ s~o~ oqs/oq le~ '.lUO~l~ OAOqe Oql pamooxo q~q~ pug m paq~sop suo[lm~o~ oql 'A~OD XlqVflSVD MO&D~~fl pu~ A~OD X&~flS tiNY AlqVflSVD ~q~A~l 'VD~~ Ainp om Xq Su~oq 'oqa 'n:~o~ om ol ~OSd~OH& '~ ~DHO~D ome~ XlleUOSJod om oJojoq g00E 'l~Jdv jo Xep pu~ s~ql no luap!seJd e3!A Jo!ues uosdtuoql '/Vt efJoaD AlqVdl~OD A,LqVflSVD NO.LD/qlI~HV& AIqVdlAIOD AJ.~tHflS OlqV A&'IVflSVD SHWI~AV~LL VDIH314/V AO ANVdlAIOD A.L~IHflS filqV A&qVflSV3 G'dOA£HVH AO ,k.kNflOD P-~oJ~mH 'SS { JflDIiD~INNOD AO ~A.V~LS Travelers One Tower Square Hartford, CT 06183 LTM, INCORPORATED PERFORMANCE/PAYMENT BONDS CITY OF ASHLAND AIRPORT IMPROVEMENTS IMPORTANT DISCLOSURE NOTICE OF TERRORISM INSURANCE COVERAGE On November 26, 2002, President Bush signed into law the Terrorism Risk Insurance Act of 2002 (the "Act"). The Act establishes a short-term program under which the Federal Government will share in the payment of covered losses caused by certain acts of international terrorism. We are providing you with this notice to inform you of the key features of the Act, and to let you know what effect, if any, the ACt will havE: on your premium. Under the ACt, insurers are required to provide coverage for certain losses caused by international acts of terrorism as defined ir~ the ACt. The ACt further provides that the Federal Government will pay a share of such losses. Specifically, the Federal Government will pay 9(;1% of the amount of covered losses caused by certain acts of terrorism which is in excess of Travelers' statutorily established deductible for that year. The Act also caps the amount of terrorism-related losses for which the Federal Government or an insurer can be responsible at $100,000,000,000.00, provided that the insurer has met its deductible. Please note that passage of the Act does not result in any change in coverage under the attached policy or bond (or the policy or bond being quoted). Please also note that no separate additional premium charge has been made for the terrorism coverage required by the Act. The premium charge that is allocable to such coverage is inseparable from and imbedded in your overall premium, and is no more than one percent of your premium. Facsimile Transmittal Sheet MARSH An ,MAg: Company From: Jean Stephaaie To: Phone: Fax: Date: 07-Sep-04 Attention: Time: 04:46 PM Company: CITY OF ASHLAND 541-488-6006 Message: COPY ATrACHED OF REQUESTED CERTIFICATE FOR YOUR RECORDS. IF YOU HAVE ANY QUESTIONS PLEASE GIVE ME A CALL AT 612/692-7724. RF_13ARDS, JEAN STEPHANIE The information contained in this facsimile message is cor~qdenttal, may be prtwleged, and is intended for the use of the individual or entity named above. If you, the reader of this message, are not the intended reciPient, the agent, or employee responsible for delivering this information to the tm!ended recipient, you are expressly prohtbtted from copying, dtsserntnattng, distributing, or tn any other way umng any of the information contained in this facs.tmile message. '[HIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICA'rE HOLDER OTHER 'THAN THOSE PROVIDED IN THE POLICY. THIS CERTIFICATE DOES NOTAMEND , EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED HEREIN. PRODUCER Marsh USA Inc. 333 South 7th Street, Suite 1600 Minneapolis, MN 55402-2400 J43750--BR30- INSURED LTM INCORPORATED P.O. BOX 1145 MEDFORD, OR 97501 COMPANY ZURICH AMERICAN INSURANCE CO. LOAN NUMBER EFFECTIVE DATE (MM/DDNY) o1/ol/o4 IPOLICY NIJMBER MCP 37045OO-O2 EXPIRATION DATE (MMIDD/YY) CONT. UNTIL TERM INATED 01/01/05 ~F CHECKED THIS REPLACES PRIOR EVIDENCE DATED: LOCATION I DESCRIPTION COVERAGE IS PROVIDED AS RESPECTS THE ASHLAND MINICIPAL AIRPORTAIP PROJECT NO. 3-41-0002-06 L'I~ JOB #04341 WITH A PROJECT VALUE OF $796,367.50 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE uS'rED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED, NOTWI'rHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO V~-IICH THE CERTIFICATE MAY BE ISSUED OR MAY PERT.NN, THE INSURANCE AFFORDED BY THE POLICIES LISTED HEREIN IS SUBJECT TO ALL THE TERMS, CCNDITIONS AND EXCLUSIONS OF SUCH POLICIES. MMITS SHOWN MAY HAVE BEEN REDUCED BY PAiD CLAIMS. COVERAGES ! PERI LS / FORMS AMOUNT OF INSURI~JCE ($) DEDUCTIBLE "All Risk" Blanket Real and Personal Property per Policy Form Boiler and Machinery Limit Leased/Rented Contractor's Equipment Builder's Risk/Installation (See Attached) *Deductibles apply to all coverages except: Earthquake, Flood and Winclstorm, which have higher deductibles. Business Income, Rental Income and Extra Expense are subject to a 72 hour deductible any one occurrence. 25,000,000 15,000,000 1,000,000 '25,000 '25,000 '25,000 SHOULD ANY OF THE POLICIES LISTED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL 46 DAYS WRI'I-FEN NOTICE TO THE CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR THE ISSUER OF THIS CERTIFICATE. NAME lIND ADDRESS CITY OF ASHLAND A'I-rN: JIM OLSON 20 EAST MAIN STREET ASHLAND, OR 97520 NATURE OF INTEREST ~ MORTGAGEE ~-~ LOSS PAYEE ADDITION;AL INSURED (OTHER) MARSH USA INC. m' Jean Stephanie ~ ~~ ......................................................... I Marsh USA Inc. CO~ANY 333 South 7th Street, Suite 1600 Minneapolis, MN 55402-2z100 E COMP,ANY F J43750-BR30- IHSURED C(DNiP,a~NY LTM INCORPORATED P.O. BOX 1145 G MEDFORD, OR 97501 COM P,N~,IY H BUILDERS RISK COVERAGE DURING COURSE OF CONSTRUCTION SUBJECT TO POLICY TERMS AND CONDITIONS. Any one Building, Structure or Project - $10,000,000 Limit (Deductible $25,000) except, Transmission and Distribution Lines Work - $2,500,000 (Deductible $25,000) Paving, Decking of Bddges - $t 0,000,000 Limit (Deductible $25,000) Flood - $100,000 except for High Hazard: $500,000 Building, $500,000 Contents and 15 Day Waiting Period for Time Element Earth Movement - Umit: $50,000,000 - 2.5% Dedu~ble subject to a minimum of$100,000 California Earth Movement - Limit: $10,000,000 -5% Deductible subject to a minimum $250,000 CITY OF ASHLAND Aq-rN: JIM OLSON 20 EASTMAIN STREET ASHLAND, OR 97520 MARSH USA I~lC. BY Jean Stephanie Facsimile Transmittal Sheet MARSH An AMIC Company From: Jan Sutton To: Phone: Fax: Date: 07-Sep-04 Attention: Time: 04:02 PM Company: CITY OF ASHLAND 541-488-6006 Message: The information contCaned tn this facstmde message ts cor~fidenttal, may be privileged, and ts ~ntcnded for the use of the individual or entity named above. If you, the reader of this message, are not the intended rectptent, the agent, or employee responstble for deltvert~g this information to the tni!ended recipient, you are expressly prohibited from copying, disseminating, distributing, or tn any other way using any of the information contained tn thts facs.tmtte message. PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS Marsh USA Inc. NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN 'THOSE PROVIDED IN THE 333 South 7th Street, Suite 1600 POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND O1~', ALTER THE COVERAGE Minneapolis, MN 55402-2400 AFFORDED BY THE POLICIES DESCRIBED HEREIN. COMPANIES AFFORDING COVERAGE COMPANY J43750-LTM-GAX-90 A ZURICH AMERICAN INS. CO. INSURED COMPANY LTM INCORPORATED B AEGIS PO BOX 1145 MEDFORD, OR 97501 cOMPANY C LIBERTY MUTUAL FIRE INSURANCE COMPANY COMPANY D THIS IS TO C~RTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSIJRED NAMED HEREIN FOR THE POL CY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT W~TH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AnlD EXCLUSIONS QF SUCI-I POLICIES. AGGREGATE LIMITS .~HOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO POLICY EFFECTIVE POLICY EXPIRATION TYPE OF INSURANCE POLICY NUMBER LIMITS LTR DATE {MMIDD/YY) DATE (MMIDD/YY) A GENERAL UABILITY GLO2978839-04 01/01/04 101/01/05 GENERAL AGGREGATE! $ 2,000,000 X COMMERCIAL GENERAL LIABILITY PRODUCTS- COMPIOP AGG $ 2,000,000 ~ I CLAIMSM,aOE ~-~ OCCUR pIER,..<:IONAL&ADVINJURy OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE X ~ FIRE DAMAGE (Any one fire) $ 1,000,000 AGGREGATE MED EX]= (Any me per=~) $ 10,000 A ~JTOMOaa. E LU~ILITY BAP2978840-04 01/01/04 01/01/05 COMBINED SINGLE LIMIT , A X ANY AUTO TAP3374182-434 01/01/04 01/01/05 ALL OWNED AUTOS BODILY INJJRY SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) X Physical Damage ~O~ERTy DAMAGE GARAGE LIABILITY AUTO ONLY- EA ACCIDENT ANY AUTO OTHER THAN AUTO ONLY'. I EACH ACCIDENT AGG R ~.'~ ATE a EXCESS LIABILITY X0259A1A04 01/01/04 01/01/05 EACH OCCURRENCE i$ 5,000,000 I UMBRELLA FQRM ~laims-First-Made Excess Policy' AGGREGATE iS 5,000,000 X OTHER THAN UMBRELLA FORM 'Re{TO Date 11/01/86' $ C WORKERS COMPENSATION AND V~2-641-005097-024 01/01/04 01/01/05 X T(3RY LIMITS ER EMPLOYERS' LIABILITY C WA2-64D-005097-0 t 4 01/01/04 01/01/05 EL EACH ACCIDENT C THE PROPRIETOR/ ~-~ INCL WC2-641-005097-034 01/01/04 01/01/05 EL DISEA..CJE-POLICY LIMIT $ 1,000,000 PARTNERS/EXECUTIVE CFFICERS~WE: EXCt_ Includes 'Stop-Gap" EL DISEA..<:JI=-EACH EMPLOYEE $ 1,000,000 OTHER WORKERS COMPENSATION IS EXCLUDED FROM ADDITIONAL INSURED WORDING DESCR$>TION OF OPERATIONSILOCATIONSIVEHICLESISPECII)J. ITEMS RE: ASHLAND MUNIClPAL AIRPORT AlP PROJECT NO. 3-41-0002-436 (LTM JOB #04341 ). CITY OF ASHLAND AND THE FEDERAL AVIATION ADMINISTRATION ARE INCLUDED AS ADDITIONAL INSUREDS AS REQUIRED BY VVRITTEN CONTRACT. ~I-IOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFC~E THE EXPIRATION DATE THEREOF THE INSURER AFFORDING COVERAGE VMLL E~ N~JL ...__j~.~ DAYS WRITTEN NOTICE TO THE CITY OF ASHLAND GE~TI~CA~ H~_De. N~O HER~ ~~ ATTN: JIM POLSON 20 E. MAIN STREET ASHLAND, OR 97520 . MARSH USA INC. aY: Jan D, Sutton ~:!-~t!~I:. ~: :::~:~:::::i:!:..'- ................................................................................... :: ............. YAI. ID A~ OF.:::::09/ 7104 ~:-:-:-:.:-:-:-:-:-:.:-:-:-:~-:--'-:-.'-:+:-: ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: .............. ::::: ::::::::::::: ~L{ DATE (MM/DD/YYYY) ACORD. CERTIFICATE OF LIABILITY INSURANCEswmqs-°P'r)~ 09124104 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 NOT AMI-'ND, EXTEND OR 243 SW "J" Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Grants Pass OR 97526 Phone: 541-479-2667 Fax: 541-479-2669 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA: American States Insurance Co. 19704 INSURER 8: Swanson Electric Sam~_y &l-M~--ry224- Swanson INSURER C: PO Box Merlin OR 97532 INSURER D: INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN:~P. ~DD'L POLICY EFFECTIVE POLICY EXPIRATION -- LTR ,NSRE TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YY, DATE (MM/DD/YY) LIMITS GENERAL LIABILITY EACH OCCURRENCI-_- $ i ~ 000,000 I UAMAG[ I O MEN I EU X COMMERCIAL GENERAL LIABILITY 01CE88307550 01/01/04 01/01/05 PREUlSES(Eaoccurence) $ 200,000 CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ 10 ~ 000 PERSONAL &ADV INJURY $ I ~ 000 / 000 _ GENERAL AGGREGATE $ 2,0 0 0,0 0 0 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 I POLICY[--] PRO- -- JECT [ LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT A X ANYAUTO 01CE883075-50 01/01/04 01/01/05 (Eaaccident) $1,000,000 ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGF (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EAACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR L~ CLAIMS MADE AGGREGATE $ $ I DEDUCTIBLE $ RETENTION $ $ , WC STATU- I OTH- WORKERS COMPENSATION AND TORY LIMITSI ER EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E'L' EACH ACCIDENT $ -- OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ If yes. describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Added as additional Insureds with respects to the work being done as follows: Ashland Airport Improvement Project No. 00-18 AIP Project #3-41-0002-06 CERTIFICATE HOLDER CITYOFA City of Ashland 27 1/2 N Main Street Ashland OR 97520 ACORD 25 (200il08) CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATETHEREOF, THEISSUINGINSURERWILLENDEAVORTOMAIL 10 DAYSWRITTEN NOTICE TO THE CERTIFICATE HO~.DER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGA~,,ON OR~t/TY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENT~ ~" AU T H O R~_.~ P R E/~_ TATIVE /.- __ L.___]-.~/ '"-- -- ~ ACORD CORPORATION 1988 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE POLICY. THIS CERTIFICATE DOES NOT AMEND , EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED HEREIN. PRODUCER Marsh USA Inc. 333 South 7th Street, Suite 1600 Minneapolis, MN 55402-2400 J43750--BR30- INSURED LTM INCORPORATED P.O. BOX '~i45 MEDFORD, OR 97501 COMPANY ZURICH AMERICAN INSURANCE CO. LOAN NUMBER POLICY NUMBER MCP 3704500-02 EFFECTIVE DATE (MM/DD/YY) EXPIRATION DATE (MM/DD/YY) CONT. UNTIL 01/01/04 01/01/05 TERMINATED IF CHECKED THIS REPLACES PRIOR EVIDENCE DATED: LOCATION / DESCRIPTION COVERAGE IS PROVIDED AS RESPECTS THE ASHLAND MINICIPAL AIRPORT AlP PROJECT NO. 3-41-0002-06 LTM JOB #04341 WITH A PROJECT VALUE OF $796,367.50 C O V ERAG E INFORMATION :;T;hiscertificate s U persedes and:replaces a~y prev iouslY:issuedce;~ificate: for the pOliCy period noted be Iow. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES LISTED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. COVERAGES / PERILS / FORMS AMOUNT OF INSUFIANCE ($) DEDUCTIBLE 25,000,000 "All Risk" Blanket Real and Personal Property per Policy Form Boiler and Machinery Limit Leased/Rented Contractor's Equipment Builder's Risk/Installation (See Attached) *Deductibles apply to all coverages except: Earthquake, Flood and Windstorm, which have higher deductibles. Business Income, Rental Income and Extra Expense are subject to a 72 hour deductible any one occurrence. i 5,000,000 1,000,000 *25,000 ~25,000 *25,000 SHOULD ANY OF THE POLICIES LISTED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL 45 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES OR THE ISSUER OF THIS CERTIFICATE. NAME AND ADDRESS CITY OF ASHLAND ATTN: JIM OLSON 20 EAST MAIN STREET ASHLAND, OR 97520 NATURE OF INTEREST MORTGAGEE ADDITIONAL INSURED --~ LOSS PAYEE (OTHER) MARSH USA INC. BY Jean Stephanie ~ ~'-:~ ; PRODUCER Marsh USA Inc. 333 South 7th Street, Suite 1600 COMPANY Minneapolis, MN 55402-2400 E J43750--BR30- INSURED LTM INCORPORATED P.O. BOX 1145 MEDFORD, OR 97501 DATE (M MID D/YY) 09/07/04 COMPANIES AFFORDING COVERAGE COMPANY F COMPANY G COMPANY H TEXT BUILDERS RISK COVERAGE DURING COURSE OF CONSTRUCTION SUBJECT TO POLICY TERMS AND CONDITIONS. Any one Building, Structure or Project-- $10,000,000 Limit (Deductible $25,000) except, Transmission and Distribution Lines Work -- $2,500,000 (Deductible $25,000) Paving, Decking of Bridges -- $10,000,000 Limit (Deductible $25,000) Flood - $100,000 except for High Hazard: $500,000 Building, $500,000 Contents and 15 Day Waiting Period for Time Element Earth Movement- Limit: $50,000,000 - 2.5% Deductible subject to a minimum of $100,000 California Earth Movement- Limit: $10,000,000 - 5% Deductible subject to a minimum $250,000 C E RTIFICATE HOLDER CITY OF ASHLAND ATTN: JIM OLSON 20 EAST MAIN STREET ASHLAND, OR 97520 MARSH USA INC. BY Jean Stephanie ~ ~,..,.:~ ,; CITY OF ASHLAND 20 E MAIN ST. ASHLAND, OR 97520 (541 ) 488-5300 CITY RECORDER'S COPY l 10/18/2004 I 05510 Page 1 / 1 VENDOR: 000100 LTM INC P O BOX 1145 MEDFORD, OR 97501 SHIP TO: Ashland Public Works (541 ) 488-5587 51 WINBURN WAY ASHLAND, OR 97520 FOB Point: Terms: Net 10th of Month Req. Del. Date: Special Inst: Req. No.: Dept.: PUBLIC WORKS Contact: Paula Brown - Airport Confirming? Yes Construction ~ervices ~ the Airport 7~,367.00 .... ::..~:~,~:~ -~+~ ~ ~ ....................... . AlP ~3~ 1-0002-04 ~ :.....~-~ wash[ack, and beac~ regl~ement; . BID Stad date: October 3, 2004 ~,. ~ :~;~ ....~ . .~.,..~ SUBTOT~ 79~,387.00. BILL TO: Account Payable T~ 0.00 20 EAST MAIN ST FREIGHT 0.00 541-552-2028 TOT~ 796,367.00 ASHLAND, OR 97520 r i i ~ ................................................... ~ E 280.08.00.00.704200 796,367.00 ~ '~~~Au ~rize~ -~/~~4'~ Slgnatut'e ~ VENDOR COPY PROJECT ACCOUNTING WORKSHEET ,CITY OF LAN D PROJECT NUMBER (YEAR XX) I PROJECT TITLE PROJECT DESCRIPTION 20001 ]Ashland Airport Improvement Project Reconstruction and rehabilitation of runway and taxiway, south,end; Installation of MIRL lighting, Construction of a airplane washrack. Department Project Manager Department Head BUDGET INFORMATION Identify fiscal year / potential splits Identify Funding Codes and Funding Code names DESIGN Engineer Name PO COST .100 Public Works Engineerin~l James Olson Paula Brown 20o. I 20051 280.08.00.00.704 David Evans &Associates 5946 $ 121,017.95 CONSTRUCTION contractor name PO budget estimate bid / contract total Contingency changes total CONSTRUCTION MANAGEMENT engineer name PO budget estimate bid / contract total changes total PERMIT COSTS (Building Dept) budget estimate final costs .120 .150 .170 LTM Incorporated $ 756,863.50 $ 796,367.00 REQUISITION Department Public Works Vendor LTM INC PO BOX 1145 MEDFORD OR 97501 Account No. 280.08.00.00.704~1~0'/ CITY OF -AS H LAN ID Date October 5, 2004 No. PW - I?T 2005 Requested Delivery Date ASAP Deliver To JIM OLSON Via (* Note: Please allow approximately two(2) weeks for delivery on items not generally c. ailed in stored, and approximately two (2) months on printing jobs.) Item No. Quantity Unit Description Use of Purchasing Office Only Unit Price Total Price PO No. Construction Services for the Airport Improvement Project No. 00-18 AIP #3-41-0002-04 $ 796,367.00 Taxiway rehabilitation, MIRL lighting, washrack, and /n~ t~ beacon replacement. TOTAL $ 796,367.00 Bm/RFP / EXEMPT: ' Bid' Contract Start Date: October3, 2004 c°ntract Completion Date: ce:°nf=fle: I mS' l: · .NO ¢ct Nol 0048 Job No. Unit No. I hereby certify that the above items are necessmy for the operation of this department and are budgeted~pL~A ~'~" =rized Person Issued By Date Received By G:Pubwrks~eng~dept-admin~engineer~oroject\00-18 LTM Requisition 10 04.xls