Loading...
HomeMy WebLinkAbout2008-134 Contract - Univar USA CITY OF ASHLAND CONTRACT FOR PURCHASE OF GOODS AND SERVICES , Contract made this Ashland ("City") and 7th day of Univar USA. Inc. Mav , 2008, between the City of ("Contractor"). City and Contractor agree: 1. Contract Documents: This contract is made as a result of an Invitation to Bid issued by City entitled "INVITATION TO BID" for CHEMICALS FOR THE WASTE WATER TREATMENT PLANT. Bid No. #2008-101. Contractor was awarded the bid as the lowest responsible bidder on Mav 7.2008 . In the event of any inconsistencies in the terms of this contract, the contract documents defined in the invitation to bid and Contractor's bid, this contract shall take precedence over the contract documents which shall take precedence over the bid. 2. Scope: Contractor shall produce and deliver the goods and services described in the contract documents within the time prescribed in the contract documents. The following exceptions, alter- ations or modifications to the contract documents are incorporated into this contract: 3. Price and Payment: City shall pay Contractor the following prices for the following chemicals: Chemical #1 Sodium HVDochlorite (Northstar) Estimated usage - March to November - 1 ,200 Gallons Delivery charge: N/ A $4.06/Gallon Chemical #3 Sodium Hvdroxide (Northstar) Estimated usage - March to November - 12,800 Lbs Delivery charge: N/ A " $0.7313/Lb Chemical #4 Sodium Bisulfite (Northstar) Estimated usage - March to November - 17,000 Lbs Delivery charge: N/ A $0.7744/Lb Chemical #7 Calcium HVDochlorite (PPG) Estimated usage - March to November - 1 ,200 Lbs Delivery charge: $65.00 FSC $1.90/Lb 4. Terms: The contract terms will begin on July 1,2008 and expire on June 30,2009. This contract may be extended annually for two additional fiscal years, for a total of three years, if mutually agreed upon by both parties. 5. This contract may be cancelled by either party with 30-days written notice. BY ~t.U-l{.A 0_ S' ature CITY OF ASHLAND BY ~e ~berg ~ / Finance Director CORPORATE OFFICER ~ hr,wl'\t1~e1 ^" c. l ~ P""-1""h, Print Name BY Title: "^ '4.,,; ,; r'~ 150ft e-. AI i 5r+ Fed 10 # t\, - 1-;A-1~ ~~ epartment Hyad Oat ~/5L08 Coding ~~ ~ ~ / 'f tfltfl ~. C r GtflZ::; Purchase Order CJc(i3 6 6 PAGE 1 of 1 - BID FORM/CONTRACT ADDENDUM TO CITY OF ASHLAND CONTRACT FOR PURCHASE OF GOODS AND SERVICES Addendum made this 7th day of May. 2008, between the City of Ashland ("City") and Univar USA. Inc. ("Contractor"). Recitals: A. On May 7. 2008, City and Contractor entered into a "City of Ashland Contract for the Purchase of Goods and Services (further referred to in this addendum as lithe agreement") . B. The parties desire to amend the agreement to include insurance requirements that will apply to the contractor and transport carrier if different then contractor. City and Contractor agree to amend the agreement in the following manner: 1 . 1. Insurance. Contractor shall at its own expense provide and maintain the following insurance: a. Worker's Comoensation insurance in compliance with ORS 656.017, which requires subject employers to provide Oregon workers' compensation coverage for all their subject workers b. General Liabilitv insurance with a combined single limit, or the equivalent, of not less than $1,000,000 for each occurrence for Bodily Injury and Property Damage. It shall include contractual liability coverage for the indemnity provided under this contract. c. Automobile Liabilitv insurance with a combined single limit, or the equivalent, of not less than $1,000,000 for each accident for Bodily Injury and Property Damage, including coverage for owned, hired or non-owned vehicles, as applicable. d. Notice of cancellation or chanae. There shall be no cancellation, material change, reduction of limits or intent not to renew the insurance coverage(s) without 30 days' written notice from the Contractor or its insurer(s) to the City. e. Additional Insured/Certificates of Insurance. Contractor shall name The City of Ashland, Oregon, and its elected officials, officers and employees as Additional Insureds on any insurance policies required herein but only with respect to Contractor's services to be provided under this Contract. As evidence of the insurance coverages required by this Contract, the Contractor shall furnish acceptable insurance certificates prior to commencing work under this contract. The certificate will specify all of the parties who are Additional Insureds. Insuring 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 Contractor shall be financially responsible for all pertinent deductibles, self-insured retentions and/or self-insurance. 2. Except as modified above the terms of the agreement shall remain in full force and effect. CONTRACTOR: BltY "M~~I ~t. 5 .tl\lL'l"^ ~f'e~i..li~ CITY OF ASHLAND: BY ~J ~~ ;~~/Jror Date Fed. 10 # '11 - 13tt-1" ~ '7 OR Social Security # CONTENT REVIEW:~ \ ;b~ ~l I / d (City ept. Head) Date: 7 7 L/) ~ Purchase Order # C ~ g 0 G DATE M.4\'1 \~, ")...00 CO Acct. No.: ~'7 ~ C& (1 tJ-{) Addendum to City of Ashland Contract for Purchase of Goods and Services, Page 1 of 1, ---..r,--" --- ".,. ,..'"....'t'.;,;'~.,;-> "'.,..,""...;.-;......,...,:.,."..,,'.'... ACORDTM ,,<, ,.-."._:.~.~.,,., ''''~h''''.~, ',' C.........;.~'li,..,;....~. ~.."-',<, 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. INSR A LTR INS PRODUCER . . Aon R1Sk SerVlces Central, Inc. fka Aon Risk Services, Inc. of PA One Liberty place 1650 Market Street Suite 1000 philadelphia PA 19103 USA PHONE. 866 283-7122 FAX- 847 953-5390 INSURED UNIVAR USA INC 500 108th Avenue NE, Suite 2200 Bellevue WA 98004-5580 USA TYPE OF INSURANCE POLICY NUMBER A ~E~~:~~ENERAL LIABILITY CLAIMS MADE [!] OCCUR X SIR: $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: ~ POLICY D ~ 0 LOC 2802979 Tms CERTIFICATE IS ISSUED AS A MAnER 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 NAIC # 19445 19429 23817 .. Q,l ! III Q,l ~ ... .. Q,l ~ 'is := INSURER A: INSURER B: National union Fire Ins Co of pittsburgh Insurance Company of the State of PA Illinois National Insurance Co INSURER c: INSURER D: INSURER E: ;~~~,,;~~:,;.. j,.'~~:,;' POLICY DA1'E(MM\DD\YY} 03/01/08 POLICY EXPIRATION DATE(MM\DD\YY} 03/01/09 LIMrrS EACH OCCURRENCE S3 ,000 ,000 noo,ooo S3,ooo,Ooo .-t 00 . S3,ooo,ooo 0 ~ . S3,OOO,Ooo 00 N 0 0 ,... '" S5,OOO,Ooo 0 Z ~ C-' c 1: Q,l u PERSONAL &: ADV INJURY GENERAL AGGREGATE PRODUCTS. COMPIOP AGG A AUTOMOBILE LIABILITY 4806890 03/01/08 ANY AUTO Truckers Li abi 1i ty (AOS A 4806891 03/01/08 ALL OWNED AUTOS Truckers Liability (MA) A SCHEDULED AUTOS 4806892 03/01/08 Truckers Liability (VA) HIRED AUTOS NON OWNED AUTOS A ANY AUTO EXCESS /UMBRELLA LIABILITY ~ OCCUR 0 CLAIMS MADE BE7235031 DOEDUCflBLE KJRETENTlON S5oo,Ooo B A :~~~~~~~ON AND AOS 1591222 ANY PROPRIETOR I PARTNER I EXECUTIVE CA OH OR" WA OFFlCERlMEMBER EXCLUDED? 1591223 If yes, describe under SPECIAL PROVISIONS WI below c OTHER 03/01/09 03/01/09 03/01/09 BODILY INJURY ( Per penon) COMBINED SINGLE LIMIT (Ea 1ICCident) BODILY INJURY (per lICCideal) PROPERTY DAMAGE (per 1ICCident) AUTO ONLY. EA ACCIDENT OTHER THAN AUTO ONLY: EAACC AGG 03/01/08 EACH OCCURRENCE AGGREGATE 03/01/08 03/01/08 03/01/09 03/01/09 $1,000,000 = $1,000,000 = $1,000,000 Iii ~ it ~ ji; ... c..- ~ ;!i llI:::..l! 8i ~ r:- ifi ~~sP.-......- ~j~/~ . - E.L EACH ACCIDENT E.L DISEASE-EA EMPLOYEE E.L DISEASE-POUCY LIMIT DESCRIPTION OF OPERATIONSILOCA TIONSlVEHICLESlEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS RE: Bid #2008-101 & Bid 2oo8-102~ superfloc N-300 LMWi' Calcium H~pochlorite; caustic soda;. sodium Hypochlorite; SBS; Location: Portland. City OT Ashland and all emp oyees are lncluded as Additional Insured on the General Liability and Automobile Liability Policies with respect to written contract. univar is self-insured for physical City of Ashland Attn: Kari Olson 90 N. Mountain Avenue Ashland OR 97520 USA ~. SHOULD ANY OF TIlE ABOVE DESCRIBED POLlClES.BE CANCElLED BEFORE TIlE EXPIRATION DATE TIlEREOF, TIlE ISSUING INSURER WIlL ENDEAVOR TO MAIL 30 DAYS WR1TI'EN NOTICE TO TIlE CERTIFICATE HOlDER NAMED TO TIlE LEFT. BUT FAILURE TO 00 so SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON TIlE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ). Attachment to ACORD Certificate for UNIVAR USA INC The terms, conditions and provisions noted below are hereby attached to the captioned certificate as additional description of the coverage afforded by the insurer(s). This attachment does not contain all terms, conditions, coverages or exclusions contained in the policy. INSURER INSURED UNIVAR USA INC 500 108th Avenue NE, Suite 2200 Bellevue WA 98004-5580 USA INSURER INSURER INSURER ADDITIONAL POLICIES INSURER If a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate fonn for policy limits. ADD'L POLICY NUMBER POLICY POLICY INSR INSRD TYPE OF INSURANCE POLICY DESCRImON EFFECTIVE EXPIRATION LIMITS LTR DATE DATE AUTOMOBILE LIABILITY 4806893 03/01/08 03/01/09 Combined A Convnercial Auto single LiRli S5 ,000 ,000 4806894 03/01/08 03/01/09 A Convne rci a 1 Auto 4806895 03/01/08 03/01/09 A Convne rei a 1 Auto WORKERS COMPENSATION 1591221 03/01/08 03/01/09 B FL 1591224 03/01/08 03/01/09 C TX DESCRIPTION OF OPERATIONSILOCATIONSlVEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS damage to their vehicles. Certificate No : 570028460481 .. -.- --...-----.- --.---- --- --- -------- ---.. --- -- ----.- ..._ ___.._._ 0- ._____ ..... ENDORSEMENT FOR MOTOR CARRIER ,QUelES OF INSURANCE FOR PUBUC LIABILITY UNDER SECTIONS 21 AND 30 OF THE MOTOR CARRIER ACT OF 1180 Issued to lftlVAR USA.. INe Form Approved all. No. 2125-0074 of 6100 CARILLON PT KIRKLAND. WA 98033-7357 ~ of FeruarY 2008 Dilled at 101 HUDSON STREET JERSEY CITY NJ 07302 Amending Policy No. CA 48O-88-SIO ~DIIe this ~ Name of Insurance Company, Telephone Number L.212.) 770-7DOO CcuItIrIignId by, The Policy to which thll endorHmerc is attached provides primary or excau lnaurance. . IndIc.aed by ..~.., for the Nmlta I25JThil insurance II primary and the company Ihall nat be liable far amounIIln exceu of S 6 000 000 for each accident UThiS inlUrance II UIC8SI and the compMy IhaII not be Mable for Mlounta In excesl of $ for HCh accident In excess d the undertying Imlt of $ for -=II ac:cident. Whenever required by the Federal HIgI1wly Admlniltration (FHWA) or the Interstate Cammerce Commission (ICC). the company ag.... to furnish the FHWA or the Ice I dupllcata of laid policy and all .. endOrAlMrU. The company allo ...... upon telaphone r.quat by an authorized representative of the FHWA or the Ice. to verify that the policy . in force al of. pertlcullr date. Clnc.lIation of thil endcnemMt may be effected by the company or thlln..... by giving (1) ~ (35) days notice in wrDIg to the other party (said 3e days notice to commence from the dIIe the noUce Is milled. proof of mIIIng IhIII be IUfIIcient proof of notice), and (2) lithe lnaured . subject to the ICC'I jurisdiction, by Pf'O'Iiding thirty (30) days notice to the lee (said 30 days notice to commence from the date the notice . r8C8iv8d by the ICC at .. oKlClln W.hington. D.C.). DEFINITIONS AI USED IN THIIINDORIIIIINT ACCIDENT Includel continuo.. or r8pMted expoIlft to condIIons damage, or deItruction of ....1 resources arlU1g out of the accidan- which result In bodily injury. property dam.. or ..wonmental dIm- tal dilchllp. ditpernI. ,.... 01 MCIIPIlnto or upon the find, at- . which the Insured neIher mcpected nor Intended moIphe.... waIercoune, or body of....... d any GOIMIOdIty ~pcHtIId by a motor c:arriw. Thil shaJllncluda the COlt of rwnoval and the COlt of ...-.ry me...... taken to mlninlze or mligllle damage to human MaIh, the natanl environment. "h, sheIfIIh. and wild.. PROPERlY DAMAGE me-. dlmage to or IoIs of &De of__1e properly. MOTOR VEHICLE means a "nd vehicle. machine, truck. tractor. trai1- er, or Mmitraller prapeIIed or drawn by mechanical power and UNCi on a highway far transporting property, or any combination thereof. BODilY INJURY mea", lr1ury to the body, slckneaa. or dlleue to any person, including ct.. rwullng from any of tMH. ENVIRONMENTAL RESTORATION means ...tlution for the 101.. PUBLIC LIA8IUTY m..... I8bIIty for bodly Injury. property dam- .. and envIror........ .-oration. The insurance policy to which this ~ II attached provides automObIle "billy luurlnce end IIlmned to iliUM complanee by the insured. within 1M Imits ....ed henIin, a. . motor carrier of property, with SectIonI 29 and 30 cI the MoIDr Carrier Ad. of 1980 and the rulel and Mgulltlona of the F..... Hlghwly Admlnlatrltlon (FHVVA) and the Interstate Commerce Commiuion (Ice). or violation ttweaf. .....u ntIeve the company tram IIabIIly or from the payment of lIlY tInII judgment, wIhkt the 1mb of labllly herein . deIcribed, irNIpective of the financial concItion, Insolvency or b-*nIptcy of the lnIured. However, alii term~, conditions. and Imi-TtaIIanIln the poICy to which the IncIorIImerC IIIlt1ch1d shall... main In fuI farce and effect. blnclng ~ the insInd and the COII'IplIny. The InIunId IIgI8U to r81rnburse the company for InV pay- ment macIIlPi the company on ICcount of any accIdem. clUn, or suit IrwoIvIng a breach of the tenna of the policy, and far.., pay- ment .... the CGIIIPMY would not have been obligated to make WI- der the PIWIIJona of the policy ucapt for the .....nt gontalned In thiI endonemn In conalderation of the prMIium atated In the policy to which this en- dorsement IIl1bched, the In.... (lhe company) agl'Hl to PII)'. wllhln the 1mb of "billy descri)ed .... any final Judgment recovenMt agalnlt the Insured for public aabllly f8IUItIng flam negIgenoe In the operation, maintenance or use of motor vehleln IUbject to the fInan. ciaI responsIMlity reqWlMtenta of Sections 29 and 30 of lhe Motor CarrIer At;t of 1880 reg8ldlesa of whether or not _ch motor vehicle il speciftcally dwaibed In the poley and whether or noasuch negJi. gence occura on any route or in My territory authorlzecl to be Ierved by tha Insured or eIIewh... Such In..,rance .11 atrarded. for pub- lic liability, does not apply to Injury to or death of the lnsUNd's em- The limb of the company's IIabIly for the amoulU pracrIbed In ployeea while engageclln the COUrH of their employment, or property this ~ent apply .....teIy. to each accident. and any p8y- transported by the insured. deslgnal8d u cargo. It II uncIeratood and ment under the policy becaUM of MY one ac:cldent ...... not operate agreed that no condition, provision, stipulation. or imitation contU1ed to reduce the IIabIIty of the company for the payment of final judg. In the policy, this endorsement. or any other endonement thereon, merdI ....ding from any other IlCCIdea The Motor Carrier Ad. of 1880 AIqUireIlmb offtnanclal responllblty according to the type of carriage and commodity tr8nsported by the motor carrier. It is the MOTOR CARRlER'S obligation to obtain the f'tICIURd 1mb of financial .,onaibilly. THE SCHEDULE OF UMITS SHOWN ON THE REVERSE SIDE DOES NOT PROVIDE COVERAGE. The limits .hown In the lChedule .. for Infonnallon purpaua onI'i. Form MeS" It II further Wldlrltoocf and agrwd that, upon failure of the company to pay any InaI judgment recovered against the inlured . provided hnln the judgment CNdIor may IMIntaIn an aGIIon in any COUIt of compet8~ jurildk:tion egainlt the company to compel.uch payment . IQl8r) UNFORM PfUNTIIG" SUPPLy, ttC. 1IC1_ (Ed. S-eI) Type of Carriage (1) For-hire (In i1terstate or foreign commerce) . . (2) For-hire and Private (In Interstate. foreign, or i1trastate commerce). (3) For-hire and Private (In interstate or foreign convnerce: In any quantity) or (In Intrastate commerce: in bulk only). (4) For-hire and Private (In interstate or foreign commerce). SCHEDULE OF UMITS Public UablUly ComlllOdlty T.....ported Mlnlmwn In.urance Property (nonhazardous). $ 750,000 Hazardoul IUbstances, as defined in 49 CFR 171.8, trMaported in cargo tanks, portable tanka, or hopper-type vehlclea with capacitiea in ... of 3,500 water gallonl: or In bulk Divisions 1.1. 1.2, and 1.3 materials; any quan- IIty of Division 2.3 Hazard Zone A or Dlvlaion 8.1. Packing Group 1, Hazard Zone A material; in bulk Division 2.1 or 2.2; or highway route controlled quantities of a Class 7 materiel.. defined in 48 CFR 173.403. 5,000,000 Oil listed In 49 eFR 172.101; haurdoUl materlall and hazardous substances deftned In 49 CFR 171.8 and IIted in 49 CFR 172.101, but not mentioned In (2) above or (4) below. 1,000,000 Any quantity of DIvialon 1.1, 1.2 or 1.3 material; any quan- tity of . Divlllon 2.3, Huard Zone A. or Division 8.1, Packing Group 1, Hazard Zone A materi8t or highway rou18 controlled quantltie. of a Cia.. 7 material a. defined In 49 CFR 173.403. 5,000,000 Note: The type of carrilge Dated under nwnbera (1), (2), and (3) applies to vehicle. with a gross vehicle weight rating of 10,000 pounds or more. The type of cantage listed under number (4) Ippllel to II vehicles with a gross vehicle weight rating of Ie.. than 10,000 pounds. SCHEDUle OF UMITS Pubic LIIblllty For-hlre motor canters of passengers operItiIg In Interstate or foreign commerce Vehicle Seating Capacity MInImum I..urance (1) Any vehicle with a seating capacity of 18 pauengers or more. (2) Any vehicle with a seating capacity of 16 peuengera or Ie... .. -~_. a._._a......_ -. -..-- --.- ...- --...__... _..__ ..__ __ .._._ ._. _..__. _ ... _._____ _a _ ENDORSEMENT FOR MOTOR CARRIER POUCIES OF INSURANCE FOR PUBLIC L1ABIUTY UNDER SEcnONS 28 AND 30 OF THE MOTOR CARRIER ACT OF 18.0 1.1ued to UNIVAR USA INe Form Approved OMI No. 2121-0074 of 8100 CARILLON PT. KIRKLAND WA H033-73S7 ~ of FeblUMl 2008 Dated at 101 HUDSON S~. JERSEY CITY NJ 07SQ2 thI. 2" Amending Policy No. CA 48Q.88-91 Effective olte 0310112008 T:::'~peWi =U~SRE~U~--/.~~ ThePolcy"'_lhIsond_Is_~prlnwyor_~. ~ I2SJThi. inlurance is prinary and the COInPMY 1h8l1 not be liable for amounta In .... of S 5 000.000 for each accident Una Insurance II excell and the com~ny Ihd not be IIIbIe for amounts In UCIII of $ for each accident In UCla of the undlrlying 11m. of $ for uctI accident. Whenever required by the Federal Highway Administration (FHWA) or the Interltate Commerce Commlnion (ICe), the can.." IgI8H to fumllh the FHWA or the ICC a dupbte of uid policy and 811 ita endorHmenll. The company Ilia ...., upon f8Iephone teqUllt by an authorized repreHntatlve of the FHWA or the ICC. to verfy that thl policy II In foice . of a pertlcullr dete. Cancellation of thiI endorHmlnt m8y be eIrected by the CGmJ)My or the InIUNd by giving (1) thirty.Iw (35) dap notice In writing to the other party (said 35 days notice to commence from the date the notice II m8led. proof of mailing Ihd belUfllcient proof of naIIce), Ind (2) If.... iIIIIINd .IUbject to the ICO'I jurlldlctlon. by providing thirty (30) dayI notice to the ICC (MId 30 daya notJca to cammence from the date the notice II recMd by the ICC at Itl afflce In Wahlngton. D.C.). ....J DEFlNmONl AI USED .. THIS ENDORSEMENT ACCIDENT Includel contInuoua or ,.pelted .....,. to conditions dim.. or deltructIon of nat&n1...oUIWI ...Ing out of the acdden- which ...ulln bodily ir$Uy, property clam..." or environmental dn- till dllcharge, cIIperuI, ....... or IIcape Into or upon the land. It- age which the In.. ......r expecIed nor Inlended 1IIOIphIre, --=aura, or body of "WI of.., canamodlty tranIported by a malar carrier. Thlllhalllncluda the COlt of rwnoval Ind the COlt cf MCIUIfy meaures taIc8n to mlr*nize or mitigate damage to tun.. ....... the natul'lll environment. fiIh. lheIIfIIh. and wIIlIIIit. PROPERTY DAMAGE means dam. to or l01I cf UII of tlnglbIe property. MOTOR VEHICLE meanl a land whicIe, machine, truck, tractor, iraI- ere or ..-nltraller propeIed or drawn by mechanical power and used on a highway for transporting property. Of any cambiMtIon theNof. BODILY INJURY means Injury to the body. Iickn.... or d...... to any pe..on, Inckldlng death resulting from any of theM. ENVIRONMENTAL RESTORAnoN IMInII'IIlItuUon for the lon, PU8UC LIAIIUTY me.. IIabIity for bodily ""IY. PIQPIIty dwn- age. and envinnnental fIItorItion. The insurance poley to whlc:h thIIendcnMlent fa attached ~ automobile liability Insurance and II amended to ...... c:ompIiance by the Inlured. within thelmlll ItnKt ........ . . motor CIn'IIr of property, with Sections 29 and 30 oftlle Motor Carrier Act of 1880 and the rules and reguIItlons of the Federal Highway Adminlltration (FHWA) and the In........ Commerce Cammlllion (lCC). In consideration of the premium 1t8ted In the policy to which this en- donem.,t II attached. the IMurer (the campany) 11II.... to ~, wthln the 11mb of "billy delcrtbed herein. any trill judgment recovered agaInlt thl '..ufld for public; IiabIlty ....,lIIng fram negligence In the operation. maintenance or use d motor whIdes aubject to the flnan- cllI reaponll)lIty requlreme_ of Section8 29 and 30 of the Motor CarrIer NA. of 1880 NIl.... of whIIw or not each motor vehicle is speclically deIcrIbed In the policy and wheth. or not such neg1i- gence occurs on any route Of In lAY tenIory authoriad to M IIrvecI by the Inaured or elMWhere. Such Intnnee _ 1I1ffon1ed. for pub- lic liability, does not apply to Injury 10 or death of.... Inlurad'1 em- ployees while _"Ned In the cou,.. of their amplayment. or praperty transported by .... Inaured. dellgnaIed . cargo. It " uncleratood and agreed that no concItIon. provision, 1*,,1atton. or limitation cam.Ined In the poUc:y. thll endorsement. or any other endcnement theNOn, or violation thereof, ...11 ..u.v. the company from IiIIbIty or from the payment of any ftnII jUdgm... wII*\ the IImIIa of IiabQy herein cIeIcrtbed. imtIpectlve of tile IInIncIaI condIIon, InIoIvency or bar*ruptcy of tile inauNd. Howwr, all terma. condIJonl, and tin!- tItionstn the policy to which the ~ II attached ..... .. mail In ful foD and etrect . blndklg bItwaen thllnlurecland the eompany. The InIUR1d ag....1D relmburle the campany for any pay- ment made by the company on ICCaIft 01 any acc:ident. claim.. or lUll InvoIeIq a bleach of the tennI of the pot_. and for any pay- ment that the cam~ would not have been obIgated to mllel un- der the prcwtalanl of the policy -=apt for the agr88lMnt contained In this endorIemelt It " further understood and ag,.... that. upon falu,. of the company to pay any flnll judgment recovered against the InIUNd a provided herIIn the judgment cncIltor mllY mUDin an ac:IIon in any court of competM1t JurlldlcIIon against the company to compellUCh payment The 1mb of the company-. llabilty for the amcudl prescribed In this endorIM\ent ..",ey 1II*atIIY. to each ICClIcIIN. and My pay- ment under the poIlq bICIu. cI any one accident thai not operate to reduce the IIabiay of the company far the peyment of final judg- menta IelUIing fram any other accident. The Motor Carrier Act of 1UO nMlufrea 11mb of ftnancIaIlWPOnIIbIIy ICCOIdmg to .. type of carriage and commodity tranIpoIted by th. mDtor c:.m.r. It Is the MOTOR CARRIER'S obIgation to obtain the requRd 1mb of 1nIncIa118lJM)nllllty. THE SCHEDULE OF UMITS SHOWN ON 1lE REVERSE Sa: DOES NOT PROVIDE COVERAGE. The limits shown in the schedule a,. for in~n..atiran pu,.. en,. Form MCS-80 pur) UNIFORM PRINTING & SUPPlY.1NC. 1IC1~ (Ed. 3-86) Type of Canlage (1) Foroohlre (In Interstate or foreign commerce) . (2) For-hire and Private (In Interstate, foreign, or intrastate commerce). (3) For-hire and Private (In interstate or foreign commerce: In any quantity) or (In intrutIte commerce: in bulk only). (4) For-hlre and Private (In Interstate or foreign commerce). SCHEDULE OF LIMITS PubUc UIlblntv Commodity T.....ported "nlmum .......nce Property (nonhazardous). $ 760,000 Hazardous substances, 8S defined in 49 CFR 171.8, transported In cargo tanka, portable tanks, or hopper-type vehiclea with clpec:itiea in exceaa of 3,500 water galon8; or in bulk DIvision. 1.1, 1.2, and 1.3 m8terIII8: any quan- tity of Dlviaion 2.3 Hazard Zone A or DNilion 8.1, Packing Group 1, Hazard Zone A mlterial; In bulk Division 2.1 or 2.2; or highway route controlled quantities of a CIaa 7 material II defined In 49 CFR 173.403. 5,000,000 01 lilted in 49 CFR 172.101: hazardous IMteriaII and hazardous aubetancea defined In 49 CFR 171.8 and listed In 49 CFR 172.101, but not menloned In (2) 8bove or (4) below. 1,000,000 Any quantity of Dlvlllon 1.1, 1.2 or 1.3 malerial; any quan- tity of a Division 2.3, Hazard Zone A, or Division 6.1. Pecking Group 1. Hazard Zone A m81.....; or highway route controled quantities of a Class 7 meteri8I a. defined In 49 CFR 173.403. 5,000.000 Note: The type of carriage Ii8ted under numbers (1), (2). and (3) applies to vehicles with a grosl vehicle weight rIti\g of 10.000 pounds or more. The type of carriage Bsted under number (4) appl.. to all vetKies with 8 gross vehicle weight rating of leas than 10.000 pound.. . SCHEDULE OF UMITS Public Uablllty For-hlre motor carriers of pasaenge,.. opet1lting In i1terstate or foreign commerce Vehicle Seating Capacity Minimum Insurance (1) Any vehicle with a seating capacity of 18 PMlengell or more. (2) Any vehicle with a Beating capadty of 16 panenge... or I.... ENDORlI!MENT FOR MOTOR CARRIER POUCE8 OF INSURANCE FOR PUBLIC UABlUTY UNDER SECTIONS 21 AND ~O OF THE MOTOR CARRIER ACT Of 1'80 Islued to UNIVAR USA INC Fonn Approved 0118 No. 2126-0074 at 8100 CARILLON PT ICIRKLAND WA 98033-7357 dly of Februarv 2008 Dated at 101 HUDSON STREET JERSEY CITY NJ 07302 this 29" Amending Policy No. CA 480.&8-92 EfJective oate O3IOtI2D08 Nameofl_Coonpooy ~UNIOtiFnlEINSlIWCeCOllPANY ~~. .'.- . ~-f:. ___ _,.. T_ N_UW 77O-!!!!!L ~ Irt -!-- --' J~:J..~~~ ~ The Policy to which this endorsement illttacMd provides primary or a:eu Insurance, _indicated by -101", for the Imits 1hcMri. ICJThIs Insurance is primary 8I\d the company Iha. not be lilbll for amountlln exceIl 01 S 5 ODD 000 far each aCCIdent UThls NUf1nC:8 II excess and the company lhall not be IIbIe for amountlln IXICeII of S for Nett acddtnt in excesl of the undeftying lima of $ for each ac:cideM. Whenever required by the Fed.,.1 Highway Administration (FHWA) or thllnlerstate CoIIIrmeI'Ce Commllllon (Ice). the compeny ag.... to fumIIh the FHWA or the ICe a duplicele of said policy ... .. its endcnernentI. The COfn.-.y ~ IgrMI, upon telephone rwquest by an IUthorizled reprn.-etatNe of the FHVVA or the ICe, to v.rify that the potq II in bee ..of a particu_ .... Cancellation 01 thIt endOl'l-.nt may be decled by.... COIIII*1Y or the inlurwd by giW1g (1) thirty-fiw (35) .. noUcIln writing to.... other p..ty (said 35 days notice to commence from the dlle the nota II m.... proof 01 mlllno aMII be IUfflcieIt proof of notice). and (2) If the insured ilsubjec:t to the ICC's jurtldlction, by pnMding thirty (30) clays notice to the ICC (Aid 30 daya notice to commence from the cia. the noIIce .. ~ by the Ice at its office in W.hington. D.C.). ' DEFINITIOHI AI WED IN nil ENDORSlEMENT ACCIDENT IncIudaI continuoul or repealed upoaure to condllfonl damage. or dIItructIon of natlnl ~ arising out of the ICCiden- which result In bodily Injury. property Urnage, or anvironmental dim. ... dllchllp" dIIperuI, ....... or IlClpe Into or upon the lind, at- age which the Inlured neither expected nor Intended ........., ........rae, or body of...., of any cammodIty "-peNd by a motor cwrIer. This IhIIII tncIud8 the COlt of removal and the COlt of......ry rneaMnI tlk8n to minimize or mltlgale dim. to ~ ....h. the Mlural environma. fiIh, "'h, II'\d wildlife. PROPERTY DAMAGe mea.. daagelo or Ian 01 u.. of tangIJIe praperty. MOTOR VEHICLE melna IIMd vehicle, machine, truck. tracIor. trill- -, or .....Itra.... prapeIIed or dl'llWf1 br mechanical paww II1d UHd on I highway for tranlPOf1lng prgpeIty, or any combination therwof. BODILY INJURY mea.. i"'ry to the body, 11ckneI1, or dIIeIIe to any p81"1Oft, including delllh resulting from any of theM. ENVIRONMENTAL RESTORATION mnna ratltutJon for the loll, PUaIC LlABLITY meanslilbillty for bodily injury. property dam- ., and emlnnnental NItcnUon. The Inaur8nce policy to Which this endarHment 18 IttIlched pravid8I aut0m0biie labllIy insurance and Is amended to auure complance by the insand, wIIhln the .mltl stated haMln, U a mator carrier of property, wIIh Sectlona 29 and 30 01 the Motor Canter Act of 1980 and the ruIu and reguletfons of the Feder8' HIghwBy AdmfniIntian (FHWA) and the Interstate Commerce Commission (ICe). or violation tMMof, shall relieve the company flam IIebaty or from the payment of 11ft final JudgmeN, within the 1mb of liability herein dHcrIMNI, inespecttve of the flnMciaI condllon, inIohMncy or bankruptcy afthe Inaw'ed. However, aU tenna, oondIIona, and lini. tations In the paley to which the encIcnement II attached .... re- main in fuI farce and e<<ect . binding ...... the InIUIed and the comPMY. TllBInIured agrIU to rMnbUrMlhe cam'*'Y for any pay- ment made .., the con'IPIftY on lcaount of any ICCIdent, cIUn, or lUll 1nvoMng. -.ch of the tlrml of the pollet, and for 11ft ~ ment that the aampany would nat have been obIgIled to make &11- der the provIIionI of the poley except for the IgIWTIent contained In thll..~t In conlkWation of the prM11urn Ilated In the poley to which thII .. dol'HfMl1t is attached, the lnaurer (the GOmpuy) ....10 ~. ..... thelinita of Milly _cribecI her8in. my final judgment IKGVenId aglinlt the InIwed for public Iiabi8y .-..1tIng from neglgeuoe In the operation, maintenance or use of motor vehiclu lubJect to the Inan- dal ....pontiblt)' ,.quirements of SeeIIona 29 and 30 of the Malor C.m.r Act of 1980 regardless of whether or not each malor whicIe II speclficaly described In the polley and whether or not such negli- gence OCCUI'I on any route Of' In any terrltory authorized to be MMd by the insured or .......... Such insuranc. . II afforded. for pub- lic lilbility, does not apply to I"wy to or death of the InIUr8d'l em- The Imltt of.. company'11abIity for the IInOUIU ~ In pIoyees whit engaged In the course of their employment. or praperty thll ~ apptj lepll'ltet{. to each ac:c:ldn. and any pay- transported by the lnIured, deligMled .. cargo. It Is underItood and rnent under'" poley because of any one acddent IhII not operata agreed that no condition, provIaion, 1~1Iion, Of' IIrnlation contained to ntduce the WIIay of the company far the payment of final judg- In the policy, this endOlMnHtnt, Of any other endorsement thereon. menta _uIIiIrJg tom ""I other eccicIeIL The Motor CarrIer Ad of 1980 NqUIrelIimIta of financial ~ 8CCOIding to the type of CMiage and commodity transported by the motor carrier. It Is the MOTOR CARRIER'S obligation to obtain the rlquild ImIII rI hncIaI......-,. THe SCHEDUlE OF lIMITS SHOWN ON THE REVERSE SIDE DOES NOT PROVIDE COVERAGE. "fM, IIml1e ehown In the cchedule are for lnIonnatlan purpo... only. PonD uet.1O It .. further ~ and .... that, upon .... of the company to PlY any ftnII judgment ~ apinIt the ill..... u pnMd8d herIln the juIJgmem CHditor may maintain In ICtlon In any court of competR jurildiction againat the comp8ny to compel such paYll*ll (Over) UNFORM PRINTING & SUPPLy, Me. MC1122a (Ed. 3.) Type of CalTlage (1) For..,lre (In interstate or foreign commerce) . (2) For...,ire and Private (In irterat8te, foreign, or Intrastate commerce). (3) For-hlre and Private (In interstate or foreign commerce: in any quantity) or (In Intrastate commerce: in bulk only). (4) For-hlre and Private (In tnterstate or foreign commerce). ........ ... ... .-... I' ..-- SCHEDULE OF UMITS Public Uabillty Commodity Tran.ported Minimum lnaurance Property (nonhazardous). $ 750.000 Hazardous substances, 88 defined in 49 CFR 171.8, transported In cargo tanka, portable tanka. or hopper-type vehicles with capecltiea in excelS of 3,500 water gallons: or In bulk Dlvlslonl 1.1. 1.2, and 1.3 materials; any quan- tity of Division 2.3 Hazard Zone A or Division 6.1. Picking Group 1, Hazard Zone A material; in bulk Dlvilion 2.1 or 2.2; or highway route controlled quanllllel of 8 Clasa 7 material al defined In 49 CFR 173.403. 5.000,000 OiIlsted in 49 CFR 172.101: hazardous materials and hazardoullubltancel delned in 48 CFR 171.8 and u.ted in 49 CFR 172.101., but not mentioned In (2) above or (4) below. 1,000,000 Any quantity of Dlvlalon 1.1. 1.2 or 1.3 mat8ria1: any quan- tily of a DivllIon 2.3, Hazard Zone A, or DlviIion 6.1, Pecking Group 1, Hazard Zone A material; or highway route controhd quantitiea of a Clan 7 mat.rial .1 defined in 49 CFR 173.403. 5.000,000 Note: The type of carriage lilted under numbers (1), (2). and (3) appliel to vehicles with 8 grosl vehicle weight retlng of 10,000 POUndl or more. Thelype of carriage listed under number (4) apples to al vehicles tMth a gl'Oll vehicle weight rating of IeI8 than 10,000 pound.. SCHEDULE OF UMITS Public Liability For-hlre motor carriers of paaaengera operati1g In Interstate or foreign commerce v..... SeatIng CapacIty Minimum ....urane. (1) Any vehicle with a seating capacity 0'18 passengers or more. (2) Arty vehicle with a seating capacity of 15 paasengers or leu. CITY RECORDER Page 1 / 1 r., CITY OF ASHLAND 20 E MAIN ST. ASHLAND, OR 97520 (541) 488-5300 DATe 7 n /2008 I I PQi,Nt..1MSER 08386 VENDOR: 000191 UNIVAR USA INC, ACCT#146175 FILE #56019 LOS ANGELES, CA 90074 SHIP TO: Ashland WWTP (541) 488-5348 1295 OAK STREET ASHLAND, OR 97520 FOB Point: Terms: Net 30 days Req. Del. Date: Speciallnst: Req. No.: Dept.: PUBLIC WORKS Contact: David Gies Confirming? No >. ....i. .... ...Unit , Q,.enpti()rl l.JmtPJ~ice ~iPttQe > ,.....i .. 1.00 Load WWT Chemicals, Invitation to Bid 2,509.60 2,509.60 2008-1 01 Sodium Hydroxide (270 Gallon/Load) Price per pound $0.7313, Approximately 12.71 Lbs per Qallon, Delivery chO: N/A 2.00 Load Sodium Bisulfite (270 Gal/Load) 2,299.97 4,599.94 Price per pound $0.7744, Approximately 11.00 Ibs per oallon, Delivery cho: N/A 7.00 Load Sodium Hypochlorite (350 Gal/Load) 1,421.00 9,947.00 Price per oallon $4.06, Delivery chO: N/A SUBTOTAL 17 056.54 BILL TO: Account Payable TAX 0.00 20 EAST MAIN ST FREIGHT 0.00 541-552-2028 TOTAL 17,056.54 ASHLAND, OR 97520 Ac:cquotN..uno.1' f'rOjectNUlllber Am()IJnt .. Account Numtier ProjeetNiJr'I'd:t"r Amourit E 675 08 1 9 .00 60 1 50C 1 7.056 54 ~ .:4.- - ~ed !:'fnf-m1f VENDOR COpy for a CITY OF ASHLAND REQUISITION FORM THIS REQUEST IS A: D Change Order(existing PO # Dale of Request: l~t~?F~ Required Dale of DeliverylService: I" I Vendor Name Address City, State, Zip Telephone Number Fax Number Contact Name i/ /II V It I? uSt9 ..rye " SOLICITATION PROCESS Small Procurement o Less than $5,000 o Quotes (Optional) Reauest for ProDosal (Copies on file) SDeCia11 ExemDt o Written findings attached o Quote or Pro sal attached Emeraencv o Written findings attached o Quote or Pro sal attached Intermediate Procurement o (3) Written Quotes (Copies attached) o Copy of contract attached o Contract # Invitation to Bid (Copies on file) Description of SERVICES Osed rlJ c/eqfIL "'1P;,i~Q'1l-s, Total Cost o Per attached PROPOSAL Item # Quantity I ~ 7 Unit /oaof L f; ads 'Description of MATERIALS S ~ a!,v,..., fA I'D )(lcI e (,< ? 1) 'Ci / 5ocOcI~ 13,.>u!.f,f/::.. (;;}O a/ ~ 5tJ 1(./ ^"- 0 c h 0 (',-Ie Unit .Price Total Cost /0 qe/S c2 SOl. faD '"I ~;) 99.~7 ~tj~/.OO ~ StJ9t&O Lf;597.9Y ~9Lj7.0o o Per attached QUOTE Project Number _ _ _ _ _ _ . _ _ _ Account Number~li.Qt.Ltt .tl.Q~OLSj).1J It Items and services must be charged to the appropriate account numbers for the financials to ref/ect the actual expenditures accurately. By signing this requisition form, I celtify that the information provided above meets the City of Ashland public contracting requirements, and the documentation can ~rovided uTquest. ~ . A_ Employee Signature: {)~ g~ SupervisorlDept.HeadSignature: ~'J1tu.Q ~ G: Finance\Procedure\AP\Forms\B_Requisition form revised.doc Updated on: 412912008 -----------TTr.