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Home My WebLink About2005-070 PO-Brotherton Pipeline CITY OF CONTRACTOR: Brotherton Corporation ASHLAND CONTACT: Michael Cantrell 20 East Main Street ADDRESS: 11 Frontage Road, PO Box 73:3, Gold Hill, Ashland, Oregon 97520 Oregon 97525 Telephone: (541) 488-6002 FAX: (541) 488-5311 TELEPHONE: (206) 270 0450 54 I - <6'~) S - 7 0 tc z DATE AGREEMENT PREPARED: May 9, 2005 FAX: {LOe) 270-;'1.149 5'11- &S~- /L~r BEGINNING DATE: May 9,2005 COMPLETION DATE: June 17, 2005 COMPENSATION: $7,880.00. Per proposal dated 05/02/2005 SERVICES TO BE PROVIDED: Bore under Hwy 66 and install 1-4" and 2-2" conduits. Provide and install 575 vault and tie-in to existing conduit ADDITIONAL TERMS: Contract for WORK less than $25,000 CITY AND Contractor AGREE: 1. All Costs bv 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 proper 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 must also maintain a current City business license. 3. Completion 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. Compensation: 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. Statutory Requirements: ORS 279C.505, 279C.515, 279C.520, and 21'9C.530 are made part of this contract. 7. Livinq Waqe Requirements: If the amount of this contract is $15,964 0" more, and Contractor is not paying prevailing wage for the work, Contractor must 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 work under this contract. Contractor must post the attached notice predominantly in areas where it will be seen by all employees. 8. 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 otrer 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 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. 9. 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. 10. Independent 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 sl1all provide workers' compensation coverage as mquired 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 656.0'17. 11. 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 sinl~le 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 agents shall be named as additional insureds. Contractor shall submit certificates of insurance acceptable to the City with the signed contract prior to the commencement of any work under this agreement. These certificates shall contain provision that coverages afforded under the policies cannot be canceled and restrictive modifications cannot be made until at least 30 days prior written notice has been given to City. Each certificate of insurance shall provide proof of required insurance for the duration of the contract period. 12. Assiqnment 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 emissions ef any assigns O~ subcontractors and of all persons err.p!oyed by therT:, and the approval by City cf tiny assignment or subcontract shall not create any contractual relation between the assignee or subcontractor and City. :~N~ ~ Signature 7J)L~k~e / {bA)f~e II Print Name TITLE~eel'e. hu-~ DATE 5 /; ^-/ t/S I ' CITY OF ASHLAND: BY ~ -~~OR OR BY DATE CITY ADMINISTf~ATOR c' / ~ ~ I 2-3 lor CCB# 93- //l:,lL'l /.~ 3't<Jtk:rk~ ~lkJrd_:t{ iJrJ , /tJk'1z2 DATE /'1 /, //j /1'./ '{ 1,/1/"",./ t {.7 /.'{ ---:: /~ DEPARTMENT HEAD CONTENT REVIEW FederallD # CCB Name ACCOUNT # ... -.., I'" r ... " ( City of Ashland - Business License # B L - rJtJO '-f I J..." PURCHASE ORDER # (for City purposes only) ~7 >< Insurance Certificates and a compieted IRS VV-9 form must be submitted with signed contract. Revised 4-27-05 0;:;:23/2005 11:19 FAX 541 474 1209 - --.--' HART INSURANCE GRANTS PS _.- _.. -.---'- --- I \4]002 -- - ------ CERTIFICATE OF LIABIL:ITY INSURANCE D~TE tIoWIODNYY'f) I ~ORD... CSR TS \ 9BROTPI OS/23/05 JDUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION C)NLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE .rt Insurance HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 0, Box 1240 ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. :-ants Pass OR 97528 hone: 541-479-5521 Fax:541-474-1890 INSURERS AFFORDING COVeRAGE NAIC# JURED INSURER A: M~illCAN sTUEB iNS~cE <;:0 INSURER B: SAIF CORP Brotherton Pi~eline, Inc. IN:,URER c: J)\MES RIVER I:NS CO 11 Soutb Fron age Road IN:5URER D: Gold Hill OR 97 25 IN SURER E: rHE POLICIES O~ IN3U~NCE LISTED BEL.OW HAVE. BEEN IsSUEO TO THE INSURED NAMED ABOVE FOR THE POI,.ICY' pERIOD INDICATED. N01WITH5TANDING ANY' REQUIREMENT, TERM OR CONDIIION OF ANY CONTRACT OR OIHER DOCUMENT WITH RESf'ECTTO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAT PERTAIN, TH~ INSURANCE AFFORDED ay THE POLICIES DESCRIBED HEREIN 15 SUBJECT TC ALL THE TERMS, EXCLUSIONS AND CONDI1\ON::; OF SUCH POLICIES. .AGGREGATE LlMliS SHOWN M.AY HAVE SEEN REDUCED BY PAID CLAIMS. ~~ T1PE OF INSIJRANCE POLICY' NUMBER PD~',!~ lMM/DrltvY)- I Pg~!fEY(~rlrlft~~N LIMITS ~NERAL LIABILITY EACH ocCuRRENCE $ LJA1v\AI,;t: I U K\;;N I t:u I COMMERCIAL GENERAL LIABILITY PREMISES (Ee o=r~nc.e) ~ \ CLAIMS MADE 0 OCCUR MED EXP (Any cng pf!rnon) 3; I ~ERSONAl & AOV INJURY !i \--- ~'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S PRODUCTS. COMF/OP AGG $ h nPRO- n pOLICY' JECT LOC ~UTOMOeILE UAalUTY COMBINEiO SINGLE LIMIT ~ $1,000,000 A ~ ANY' AUtO 01CG569568 06/10104 06/10/05 (EOI 3Cddenl) ALL OWNED AUTOS BODILY INJUR1' ~ $ SCHEOIJI,.ED AuTOS (Pf!r person) 1- HIRED AUraS BOOll Y' INJURY - 5\ NON-OWNED AuTOS (Per accidMI) f--~ f--- PROPEIHY DAMAGE $ (Per acddQnl) ~RAGe LIABILITY AUTO ONLY. 5AAC':IOENT s : I ANY AUTO OTHER THAN EA ACe s 1---; i I AUTO ONLY; AGG $ ! r;xCESSIUM8R!;.LLA LIABILITY EACH OCCURRENCE $ 1000000 C ~ OCCUR D CLAIMS MADE 00009169 03/31/05 06/10/06 AGGREGATE $ 1000000 $ \;=\ DEDUCTIBLE S X R.ETENTION s10000 S WORKEf?S COMPENSATION AND l~ ~IATU- I m- X lORY LIMITS B EMPLOYERS' LIA91UTf 810614 10/01/04 10/01/05 E.I.. EACH AcclDErn s 500000 ANY PROPRIE.TORlPARTNEAJEXECUTI"E OFFICERlMEMBER EJ:G1.UDED? E.L. DISEASE - EA '~MPLOYEE s 500000 If Y"~' describe under E.L. DISEASE - PQLlCY L.IMIT $ 500000 SPE.CIAL PROVISIONS below OTH~R I : I DfOSCRIPTION OF OPJ;RATIONS I LOCATIOPCS I VEHICLES I EXC1..USION5 ADDED Bf E~DOR5EM~NT I SPECIAL PROVISIONS OVERAGES C:t'I'Y OF ASH~ PUBLIC WORKS DEP~ CARRIE 20 E. MAIN ST ASH~ OR 97520 CANCELLATION CITYASf.[ S~OULD ANY OF THE ~eOVE DESCRIBJ;O POUCIE6 BE 'CANCELLED BEFORE TtiE EXPIRATION DATE THEREOF. HIE 16SUING IPCSUP.ER wlL.L ENDEAVOR. TO MAIL ~ DAfS WR.ITTEN NOTICE TO THE Cep.nFICAIE HOLDfiR NAMED TO THE~, BUT fAILURE 10 rlO sO SHALL IMP05i:. NO 09UOA.TION OR LIAS OF ~ THE IN5URER., ITS AGEIUS OR P.~RE5eNTATIV!;5, AUTHORIZED R!;PP.~ CERTIFICATE HOLDER aAR'I' INS ~ ACORD CORPORATION 1986 ACORD 25 (1001/08) rA' CITY OF ASHLAND 20 E MAIN ST. ASHLAND, OR 97520 (541) 488-5300 CITY RECORDER'S COI?Y [ PO ~5~~~EI1 Page 1 /1 DATE 5/23/2005 VENDOR: 008118 BROTHERTON PIPELINE CORPORATIO 11 S FRONTAGE ROAD PO BOX 738 GOLD HILL, OR 97525 SHIP TO: Ashland Electric Department (541 ) 488-5354 90 N MOUNTAIN ASHLAND, OR 97520 FOB Point: Terms: Net Req. Del. Date: 5/9/2005 Speciallnst: Req. No.: Dept.: ELECTRIC Contact: Scott Johnson Confirming? No . Quanti Unit Price Ext. Price BLANKET PURCHASE ORDER Bore,uriaerHWY66andinstaU 1-4" and .....~-2H?pnduits.. Pro\lid~ ~ndisnt~!l5~5 vald.tandtie~intoexjsting:COndrllt. 7,880.00 I Contract for WORK Services .. Beginning. date: . May 9 ,2005 Completion date: June 17, 2005 Insurance required/Onfile BILL TO: Account Payable 20 EAST MAl N ST 541-552-2028 ASHLAND, OR 97520 SUBTOTAL TAX FREIGHT TOTAL 7 880.00 0.00 0.00 7,880.00 E 690.11.18.00.70410 AccountNumber . 7 880.00 ~ ~ ~-y;s~ Aut r' eaSlgnature VENDOR COpy A request for a Purchase Order REQUISITION FORM CITY OF A~)HLAND Date of Request: 05-04-2005 THIS REQUEST IS A: o Change Order(existing PO # Required Date of Delivery/Service: I Vendor Name: Address: City, State, Zip: Phone: Fax Number Deliver Location Rrnthprtnn r.nrrnr::ltinn 11 Frnnt::lgp. Rn::lrl I P () Rnx 71R Gold Hill Oregon 975?5 541-855-7075 541-855-7284 Services Only h ~ tv?' tf:?~-#5__o~ ~~/ qsL~.~~ ~. t'l ;--'-"'p ~~ 92-l ~~ ~ p - /7'- & ~ '.otal Cost Description Boring under Hwy 66 and installing 1-4" and 2-2" conduits. Provide and install 1- 575 vault and tie-in to existing conduit. $ 7,,880.00 o Less than $5000 Solicitation F'rocess: o Exempt 3 Written Quotes (copies attached) o Sole Source 0 Invitation to Bid (copies on file) o Hequest for Proposal (copies on file) Project Number 000054,999 Account Number 690.11,18,00,704100 *Please attach the Original signed contract and Insurance certificate. Materials Only Item # Quantity Unit Description Unit Cost Total Cost ~ Project Number Account Number - - - --- -- -- ------ Employee Signature~ ~ Supervisor/Dept. Head Signature: NOTE: By signing this requisition form, I certify that the above request meets the City of Ashland Solicitation Process requim when necessary. *Please attach the quotes. ( ( ~/ G: Finance\Procedure\AP\Forms\8 _Requisition form Updated on:07/15102