HomeMy WebLinkAbout2010-162 Proposal - Chown Security
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PROPOSAL
SMS Access Control Additions
Access Control System
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Date:
August 11, 2010
Prepared for
CITY OF ASHLAND
20 E MAIN ST
ASHLAND, OR 97520
Job address:
THE SERVICE CENTER
90 N MOUNTAIN
ASHLAND, OR 97520
C/O DALE PETERS
541-552-229 Office
541-552-230 Fax
petersd@ashland.ar.us
Proposal # . 145039
Proposal price is good for 30 days.
We are pleased to offer you the following quotation for you consideration.
Sub Total
additions
deductions
Grand Total
$ 6,388.26
$
$
$ 6,388.26
Lead-time:
4-6 weeks for materials
Please feel free to contact us with any questions.
Prepared by:
Jason McCauley
(541) 915-5975
iasonm(1ilchown.com
~~
Approval int.
Portland
333 N.W. 16th Avenue
Portland, OR 97209
local: 503.243.6500
Fax: 503.243.6519
Mailing Address:
P.O. Box 2888
Portland, OR 97208
Toll Free: 800.547.1930
Fax; 800.758.7654
City of Ashland-Quote--B.I0.10
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SYSTEM EQUIPMENT/SOFTWARE/HARDWARE
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Door 1 Room 137 (Head End)
Add Reader Interface, reuse existing reader, electric strike, and power supply
Door 2 Room 13S (Dock Entry)
New mullion mount reader, Electric strike, MOV, Reader Interface, power suppiy, battery backup.
Door 3 Room 138 (IT Help Desk)
Add Reader Interface, reuse existing reader, electric strike, and power supply
Door 4 - (IT Programmers)
New mullion mount reader, electric strike, MOV, Reader interface, power supply, battery backup
New Schlage storeroom lock, Chown to resue existing cylinder.
Installation, electrical labor, permits, programming included.
Approval into
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Responsibilities / Acceptance
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Chown Security:
1) Supply all equipment proposed.
2) Install all equipment proposed.
3) Verify operation.
CITY OF ASHLAND
1) Provide access to all dosets and other necessary areas during installation times.
2) Provide 120VAC to power supply location.
Approved by:
Date:
P.O.#
This proposal shalf be void able, at our option, unless accepted and delivered to us within sixty (60) days afthe date hereof This proposal is the
property of Chown Security. It is not for publication and is issued expressly on the condition that it is not to be copied, reprinted or reproduced in
any manner; nor is it to be disclosed to any third party, either wholly or in part, without the express written consent of Chown Security.
Portland
333 N.W. 16th Avenue
Portland, OR 97209
Local: 503.243.6500
Fax: 503.243.6519
Mailing Address:
P.O. Box 2888
Portland, OR 97208
Toll Free: BOO.547.1930
Fax: 800. 75B. 7654
City of Ashland:,Quote-B.10.10
CITY OF
ASHLAND
Memo
DATE:
TO:
FROM:
RE:
12 AUGUST, 2010
Mike Morrison/Mike Faught! Martha Bennet! Finance Department
Dale Peters
Security Improvements in City Buildings
Background: This purchase is for continued improvements to the overall security of city
buildings and properties. Over the past several years we have made improvements within the Police
Department, City Hall, Community Development, and Electric Department. The equipment and
software we have chosen is provided by CHOWN HARDWARE. The software is the Schlage SMS
software. Chown Hardware is located in Portland, OR and they are the Southern Oregon Dealer and
Installer for the equipment compatible with the Schlage SMS software. This software is expandable
. and can be use in all city owned facilities.
Procurement Procedure: AMC 2.50.090 Section F. Sole Source Procurements - A public
contract in which the department head finds in writing that there is only one provider of a product or
service of the quality and type required available.
Sole Source Procurements shall be awarded in accordance with ORS 2798.075 and all other
applicable provisions of the law.
We ask that this be treated as a sole source. We have contacted Ingrersoll Rand also in the Seatlle-
Portland area and they do not want to compete with CHOWN and they do not have the Service
Technicians available in Southern Oregon to support this project.
MAINTENANCE DEPARTMENT
90 N. Mountain Ave
Ashiand, Oregon 97520
petersd.ashland.or.us
Tel: 541-552-2292
Fax: 541-552-2304
TTY: 800-735-2900
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CI TY OF CONTRACTOR: Chown Security
ASHLAND CONTACT: Jason McCauley (541) 915-5975
20 East Main Street
Ashland, Oregon 97520 ADDRESS: 333 NW 16th Avenue, Portland, OR 97209
Telephone: 541/488-6002
Fax: 541/488-5311 TELEPHONE: (503) 243-6500
DATE AGREEMENT PREPARED: Sentember 3,2010 FAX: (503) 243-6519
BEGINNING DATE: SeDtember 15, 2010 COMPLETION DATE: October 30, 2010
COMPENSATION: $6,388.26 - Per attached orooosal # 145039, dated Auaust 11, 2010
GOODS AND SERVICES TO BE PROVIDED: Access control hardware to be provided and installed on four
doors (Room #137/Headend, #135/Dock entry, #13811T help desk, and #4I1T Programmers) and connected to
SMS Svstem Der attached Drooosal.
ADDITIONAL TERMS:
NOW THEREFORE, pursuant to AMC 2.50.090 and after consideration of the mutual covenants contained herein the
CITY AND CONTRACTOR AGREE as follows:
1. All Costs by Contractor: Contractor shall, provide all goods as specified above and shall at its own risk and
expense, perform any work described above and, unless othervvise 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 any 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 worker-like 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 provide all goods in accordance with the standards and specifications, no later
than the date indicated above and start performing the work under this contract by the beginning date indicated
above and complete the work by the completion date indicated above.
4. Compensation: City shall pay Contractor for the specified goods and for any work performed, including costs and
expenses, the sum specified above. 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, unless a
separate written contract is entered into by the City.
5. Ownership of Documents: All documents prepared by Contractor pursuant to this contract shall be the property of
City.
6. Statutory Requirements: ORS 279B.220, 279B.225, 279B.230, 279B.235, ORS Chapter 244 and ORS 670.600 are
made part of this contract.
7. Living Wage Requirements: If contractor is providing services under this contract and the amount 01 this contract
is $18,703 or more, Contractor is required to comply with chapter 3.12 of the Ashland Municipal Code by paying a
living wage, as defined in this chapter, to all employees performing work under this contract and to any subcontractor
who performs 50% or more of the work under this contract. Contractor is also required to post the notice attached
hereto as Exhibit B 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 other 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, ciaims, sub rogations, actions, costs,
judgments, or other damages, directly, solely, and proximately caused by the negligence of City.
9. Termination:
a. Mutual Consent. This contract may be terminated at any time by mutual consent of both parties.
b. City's Convenience. This contract may be terminated at any time by City upon 30 days' notice in writing
and delivered by certified mail or in person.
c. For Cause. City may terminate or modify this contract, in whole or in part, effective upon delivery of
written notice to Contractor, or at such later date as may be established by City under any of the following
conditions:
i. If Citv fundino from federal, state, countv or other sources is not obtained and continued at levels
Contract for GOODS AND SERVICES Less than $25,000
Contract lor Goods and Services Less than $25,000, Revised 07/28/2010, Page 1 015
sufficient to allow for the purchase of the indicated quantity of services;
ii. If federal or state regulations or guidelines are modified, changed, or interpreted in such a way
that the services are no longer allowable or appropriate for purchase under this contract or are
no longer eligible for the funding proposed for payments authorized by this contract; or
iii. If any license or certificate required by law or regulation to be held by Contractor to provide the
services required by this contract is for any reason denied, revoked, suspended, or not renewed.
d. For Default or Breach.
i. Either City or Contractor may terminate this contract in the event of a breach of the contract by
the other. Prior to such termination the party seeking termination shall give to the other party
written notice of the breach and intent to terminate. If the party committing the breach has not
entirely cured the breach within 15 days of the date of the notice, or within such other period as
the party giving the notice may authorize or require, then the contract may be terminated at any
time thereafter by a written notice of termination by the party giving notice.
ii. Time is of the essence for Contractor's performance of each and every obligation and duty under
this contract. City by written notice to Contractor of default or breach, may at any time terminate
the whole or any part of this contract if Contractor fails to provide services called for by this
contract within the time specified herein or in any extension thereof.
iii. The rights and remedies of City provided in this subsection (d) are not exclusive and are in
addition to any other rights and remedies provided by iaw or under this contract.
e. Obliqation/Liabilitv of Parties. Termination or modification of this contract pursuant to subsections a, b, or
c above shall be without prejudice to any obligations or liabilities of either party already accrued prior to such
termination or modification. However, upon receiving a notice of termination (regardless whether such notice is
given pursuant to subsections a, b, c or d of this section, Contractor shall immediately cease all activities under
this contract, unless expressly directed otherwise by City in the notice of termination. Further, upon termination,
Contractor shall deliver to City all contract documents, information, works-in-progress and other property that are
or would be deliverabies had the contract been completed. City shall pay Contractor for work performed prior to
the termination date if such work was performed in accordance with the Contract.
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.
11. Non-discrimination Certification: The undersigned certifies that the undersigned Contractor has not discriminated
against minority, women or emerging small businesses enterprises in obtaining any required subcontracts.
Contractor further certifies that it shall not discriminate in the award of such subcontracts, if any. The Contractor
understands and acknowledges that it may be disqualified from bidding on this contract, including but not limited to
City discovery of a misrepresentation or sham regarding a subcontract or that the Bidder has violated any
requirement of ORS 279A.11 0 or the administrative rules implementing the Statute.
12. Asbestos Abatement License: If required under ORS 468A.710, Contractor or Subcontractor shall possess an
asbestos abatement license. . ,
13. Assignment and Subcontracts: Contractor shall not assign this contract or subcontract any portion of the work
without the written consent of City. Any attempted assignment or subcontract without written consent of City shall be
void. Contractor shall be fully responsible for the acts or omissions of any assigns or subcontractors and of all
persons employed by them, and the approval by City of any assignment or subcontract shall not create any
contractual relation between the assignee or subcontractor and City.
14. Use of Recyclable Products: Contractor shali use recyclable products to the maximum extent economically feasible
in the performance of the contract work set forth in this document.
15. Default. The Contractor shall be in default of this agreement if Contractor: commits any material breach or default of
any covenant, warranty, certification, or obligation it owes under the Contract; if it loses its ORF status pursuant to
the ORF Rules or loses any license, certificate or certification that is required to perform the work or to qualify as a
ORF if Contractor has qualified as a ORF for this agreement; institutes an action for relief in bankruptcy or has
instituted against it an action for insolvency; makes a general assignment for the benefit of creditors; or ceases doing
business on a regular basis of the type identified in its obligations under the Contract; or attempts to assign rights in,.
or delegate duties under, the Contract.
16. Insurance. Contractor shall at its own expense provide the following insurance:
a. Worker's Compensation insurance in compliance with ORS 656.017, which requires subject employers to
provide Oregon workers' compensation coverage for ail their subject workers
b. General Liabilitv insurance with a combined single limit, or the equivalent, of not less than Enter one:
$200,000, $500,000, $1,000,000, $2,000,000 or Not Appiicable for each occurrence for Bodiiy 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 equivaient, of not less than Enter one:
$200,000, $500,000, $1,000,000, or Not Applicable 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 chanqe. There shall be no cancellation, material change, reduction of limits or
intent not to renew the insurance coveraqe(s) without 30 davs' written notice from the Contractor or its insurerls\ to
Contract lor Goods and Services Less than $25,000, Revised 07/28/2010, Page 2 015
the City.
e. Additional Insured/Certificates of tnsurance. 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 contractor's insurance is primary and non-contributory. The certificate will specify all of the
parties who are Additional Insureds. Insuring companies 0/ 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 responsibleror all pertinent deductibies, self-insured retentions and/or self-
insurance.
17. Governing Law; Jurisdiction; Venue: This contract shall be governed and construed in accordance with the laws
of the State of Oregon without;resort to any jurisdiction's conflict of. laws, rules or doctrines. Any claim, action, suit or
proceeding (collectively, "the claim") between the City (and/or any other or department of the State of Oregon) and
the Contractor that arises from or relates to this contract shall be brought and conducted solely and exclusively within
the Circuit Court of Jackson County for the State of Oregon. If, however, the claim must be brought in a federal
forum, then it shall be brought and conducted solely and exclusively within the United States District Court for the
District of Oregon filed in Jackson County, Oregon. Contractor, by the signature herein of its authorized
representative, hereby consents to the In personam jurisdiction of said courts. In no event shall this section be
construed as a waiver by City of any form of defense or immunity, based on the Eleventh Amendment to the United
States Constitution, or otherwise, from any claim or from the jurisdiction.
18. THIS CONTRACT AND ATTACHED EXHIBITS CONSTITUTE THE ENTIRE AGREEMENT BETWEEN THE
PARTIES. NO WAIVER, CONSENT, MODIFICATION OR CHANGE OF TERMS OF THIS CONTRACT SHALL
BIND EITHER PARTY UNLESS IN WRITING AND SIGNED BY BOTH PARTIES. SUCH WAIVER, CONSENT,
MODIFICATION OR CHANGE, IF MADE, SHALL BE EFFECTIVE ONLY IN THE SPECIFIC INSTANCE AND FOR
THE SPECIFIC PURPOSE GIVEN. THERE ARE NO UNDERSTANDINGS, AGREEMENTS, OR
REPRESENTATIONS, ORAL OR WRITTEN, NOT SPECIFIED HEREIN REGARDING THtS CONTRACT.
CONTRACTOR, BY SIGNATURE OF ITS AUTHORIZED REPRESENTATIVE, HEREBY ACKNOWLEDGES THAT
HE/SHE HAS READ THIS CONTRACT, UNDERSTANDS IT, AND AGREES TO BE BOUND BY ITS TERMS AND
CONDITtONS.
19. Nonappropriations Clause. Funds Available and Authorized: City has sufficient funds currently available and
authorized for expenditure to finance the costs of this contract within the City's fiscal year budget. Contractor
understands and agrees that City's payment of amounts under this contract attributable to work performed after the
last day of the current fiscal year is contingent on City appropriations, or other expenditure authority sufficient to allow
City in the exercise of its reasonable administrative discretion, to continue to make payments under this contract. In
the event City has insufficient appropriations, limitations or other expenditure authority, City may terminate this
contract without penalty or liability to City, effective upon the delivery of written notice to Contractor, with no further
liability to Contractor.
20. Prior Approval Required Provision. Approval by the City of Ashland Councilor the Public Contracting Officer is
required before any work may begin under this contract.
21. Certification. Contractor shall sign the certification attached hereto as Exhibit A and herein incorporated by
reference. .
Contractor: (). , ,M .
By~~
Signature
hlA1Ck.oWv\
Print Name
rVfc) iLJ-
Titie
City of Ashland ~
By 'N\~~ CL
Department Head
-
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Print Name
10-/3 - ,It:)
Date
W-9 One copy of a W-9 is to be submitted with
the signed contract.
Approved as to form:
Legal Department
Date
Purchase Order No.
tfJ &1770
Contract lor Goods and Services Less than $25,000, Revised 07/28/2010, Page 3 015
,'. .
EXHIBIT A
CERTIFICATIONS/REPRESENTATIONS: Contractor, under penalty of perjury, certifies that (a) the
number shown on the attached W-9 form is its correct taxpayer ID (or is waiting for the number to be
issued to it and (b) Contractor is not subject to backup withholding because (i) it is exempt from
backup withholding or (ii) it has not been notified by the Internal Revenue Service (IRS) that it is
subject to backup withholding as a result of a failure to report all interest or dividends, or (iii) the IRS
has notified it that it is no longer subject to backup withholding. Contractor further represents and
warrants to City that (a) it has the power and authority to enter into and perform the work, (b) the
Contract, when executed and delivered, shall be a valid and binding obligation of Contractor
enforceable in accordance with its terms, (c) the work under the Contract shall be performed in
accordance with the highest professional standards, a.nd (d) Contractor is qualified, professionally
competent and duly licensed to perform the work. Contractor also certifies under penalty of perjury
that its business is not in violation of any Oregon tax laws, and it is a corporation authorized to act on
behalf of the entity designated above and authorized to do business in Oregon or is an independent
Contractor as defined in the contract documents, and has checked four or more of the following
criteria:
. /" (1) I carry out the labor or services at a location separate from my residence or is in a
specific portion of my residence, set aside as the location of the business.
""" (2) Commercial advertising or business cards or a trade association membership are
purchased for the business.
;/ (3) Telephone listing is .used for the business separate from the personal residence listing.
,/ (4) Labor or services are performed only pursuant to written contracts.
""". (5) Labor or services are performed for two or more different persons within a period of one
year.
/ (6) I assume financial responsibility for defective workmanship or for service not provided
as evidenced by the ownership of performance bonds, warranties, errors and omission
insurance or liability insurance relating to the labor or services to be provided.
~
f<">j4/IQ
(Date)
Contractor
Contract for Goods and Services Less than $25,000, Revised 07/28/2010, Page 4 of 5
. .'
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PROPOSAL
SMS Access Control Additions
Access Control Svstem
Prepared for
CITY OF ASHLAND
20 E MAIN ST
ASHLAND, OR 97520
job address:
THE SERVICE CENTER
90 N MOUNTAIN
ASHLAND, OR 97520
Date: August 11, 2010
C/O DALE PETERS
541-552-229 Office
541-552-230 Fax
petersd@ashland.or.us
Proposal # 145039
Proposal price is good for 30 days.
We are pleased to offer you the following quotation for you consideration.
Sub Total
additions
deductions
Grand Total
$ 6,388.26
$
$
$ 6,388.26
Lead-time:
4-6 weeks for materials
Please feel free to contact us with any questions.
Prepared by:
Joson McCauley
(541) 915-5975
iasonm(ii)chown.com
~~
Approva/ int.
Portland
333 N.W. 16th Avenue
Portland, OR 97209
Local: 503.243.6500
Fax: 503.243.6519
Mai"lingAddress:
P.O. Box 2888
Portland, OR 97208
Toll Free: 800.547.1930
fax: 800.758.7654
dty of AshJand-Quote-8.10.10
.
20f2
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SYSTEM EQUIPMENT/SOFTWARE/HARDWARE
-' ,-' . .~.: :;I'":,~~.'~,;"~,,, ",rt~~ ~,~",~,'-t."""", -... ,~ .'r",r ~ ,_ ,~'. ,'; '\:,"';:";;.,1~",~' ....,~'V'<li"
; , :;;:< :.,f" ~tJl',.':<I:;:':J
Door 1 Room 137 (Head End)
Add Reader Interface, reuse existing reader, electric strike J and power supply
Door Z Room 13S (Dock Entry)
New mullion mount reader, Electric strike, MOV, Reader Interface, power supply, battery backup
Door 3 Room 138 (IT Help Desl<)
Add Reader Interface, reuse existing reader, electric strike, and power supply
Door 4 - (IT Programmers)
New mullion mount reader, electric strike, MOV} Reader interface, power supply, hattery backup
New Schlage storeroom lock, Chown to resue existing cylinder.
Installation, electrical labor, permits, programming included.
Approval into
l'.!'-".-,:"';":;'-":--
Responsibilities / Acceptance
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Chown Security:
1) Supply all equipment proposed.
2) Install all equipment proposed.
3) Verify operation.
CITY OF ASHLAND
1) Provide access to all closets and other necessary areas during installation times.
2) Provide 120VAC to power supply location.
Approved by:
Date:
P.O.#
This proposal shall be void able, at our option, unless accepted and delivered to us within sixty (GO) days of the date hereof. This proposal is the
property of Chown Security. It is not for publication and is issued expressly on the condition that it is not to be copied, reprinted or reproduced in
any manner; nor is it ta be disclosed to any third party, either wholly or in part, without the express written consent of Chown Security.
'>
Portland
333 N.W.16th Avenue
Portland, OR 97209
Local: 503.243.6500
Fax: 503.243.6519
Mailing Address:
P.O. Box 2888
Portland, OR 97208
Toll free: 800.547.1930
Fax: 800.758.7654
City of Ashland:-o.uote-8.10.10
,. .
ACORD. CERTIFICATE OF LIABILITY INSURANCE OPID JC I DATE (MMlDDIYYYY)
CHOWN-3 04/16/10
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Fullerton & Company HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P. O. Box 29018 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Portland OR 97296-9018
Phone: 503-274-6511 Fax:503-274-6524 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: SAIF Corooration
INSURER B:
x,n 1, Inc. INSURER c:
C 0 Xenium Resources
7401 sw Washo Ct S#200 INSURER 0:
Tua1atin OR 97062
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 PAlO CLAIMS.
LTR NSR TYPE OF INSURANCE POLICY NUMBER ~J'mf,y'W P8k~CEYt~rXh'1tJ!,.~N LIMITS
~NERAL LIABILITY EACH OCCURRENCE $
COMMERCIAL GENERAL LIABILITY PREMISES Ea occurence\ ,
I CLAIMS MADE D OCCUR MED EXP (Anyone person) ,
"- PERSONAL & ADV INJURY ,
~ GENERAL AGGREGATE ,
n'l AGG~nE ~~~ APnS PER: PRODUCTS. COMP/OP AGG ,
POLICY JECT LOC
~TOMOBILE LIABILITY COMBINED SINGLE LIMIT ,
ANY AUTO (Eaaccident)
"-
"- ALL OWNED AUTOS BODILY INJURY
,
SCHEDULED AUTOS (Per person)
"-
"- HIRED AUTOS BODILY INJURY
$
NON.QWNED AUTOS (Per accident)
"-
~ PROPERTY DAMAGE ,
{Per accident)
RGE LIABILITT AUTO ONLY. EA ACCIDENT ,
ANY AUTO OTHER THAN EA ACC ,
AUTO ONLY: AGG ,
OESSIUMBRELLA LIABILITY EACH OCCURRENCE ,
OCCUR D ClAIMS MADE AGGREGATE ,
$
R DEDUCTIBLE ,
RETENTION , ,
WORKERS COMPENSATION AND X I TORY LIMITS 1 IOER
A EMPLOYERS' LIABILITY 949996 01/01/10 01/01/11 '1,000,000
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L EACH ACCIDENT
OFFICER/MEMBER EXCLUOED? E.L DISEASE. EA EMPLOYE $1,000,000
~PE~I~~~V~~r~~s below E.L DISEASE - POLICY LIMIT '1,000,000
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
As respects the operations of Chown, Inc. 333 NW 16th Ave, Portland OR,
97209, CHen t #950928
CERTIFICATE HOLDER
CANCELLATION
CITYASH SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPlRATIO
City of Ashland DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN
Purchasing Representative NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
Kari Olson
90 North Mountain IMPOSE NO OBLIGATION OR lIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
Ashland OR 97520 REPRESENTATIVES.
I r\ORLZr,REPRE(!TA~
I ( \, '", .
ACORD 25 (2001/08)
@ACORD CORPORATION 1988
ACORDm CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDDlYYYY)
9/21/2010
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGA TIQN IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER NAME~"' Bambi Brown, CIC
USI Northwest I rlJgNJo E,n, 503.295.8312 I fffc. Nol' 610.362.8189
700 NE Multnomah, Suite 1300 I iDMDA~~ss: bambi.brown@usi.biz
Portland, OR 97232 CUSTOMER In #, CHOWNINC
503 224-8390 INSURER(S) AFFORDING COVERAGE HAle I
INSURED INSURERA: Employers Fire Insurance Campan 20648
Chown, Inc. INSURER B :
POBox 2888
Portland, OR 97208 INSURER C :
INSURER 0 :
INSURER E :
INSURER F :
Client#. 325772
CHOWNINC
COVERAGES
CERTIFICATE NUMBER.
REVISION NUMBER.
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
~N,.;.R TYPE OF INSURANCE POLrCY NUMBER P3~Jg;;~ P3~:8;;~~\ LIMITS
A GENERAL LIABILITY 7190119540001 ~3/01/2010 03/01/2011 EACH OCCURRENCE $1 000000
f- ~~~MISES lEa o~~rr"'ence\
X COMMERCIAL GENERAL LIABILITY $1,000,000
I CLAIMS-MADE ~ OCCUR MED EXP (Anyone person) $10,000
~ WA Stop Gap Included PERSONAL & ADV INJURY $1,000,000
I- GENERAL AGGREGATE $2,000,000
~'L AGG~T~~E LIMIT APnSIPER: PRODUCTS. COMP/OP AGG $2,000,000
X POLICY ~rR.,: LOC $
A AUTOMOBILE LIABILITY 7190119540001 03/01/2010 03/01/2011 COMBINED SINGLE LIMIT $1 000000
F (Eaaccidenl)
~ ANY AUTO BODILY INJURY (Per person) $
f- ALL OWNED AUTOS BODILY INJURY (Per accident) $
f-- SCHEDULED AUTOS PROPERTY DAMAGE
$
c.l' HIRED AUTOS (Per accident)
e-! NON-OWNED AUTOS $
$
A UMBRELLA LIAS f1 OCCUR 7190119540001 r3/01/2010 03/01/2011 EACH OCCURRENCE $5 000 000
I-
EXCESS UAB CLAIMS-MADE AGGREGATE $5 000 000
I- DEDUCTIBLE $
X RETENTION !. 0 $
WORKERS COMPENSATION WC STATU- : I IgJH-
AND EMPLOYERS' UABILlTY V,"
ANY PROPRlETORlPARTNERlEXECUTIV8 N1A E.L. EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED?
(Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $
II yes, describe under E.L. DISEASE - POLICY LIMIT $
DESCRIPTION OF OPERATIONS below
I I
DESCRIPTION OF OPERATIONS J LOCATIONS /VEHICLES (AttaCh ACORD 101, Additional Remarks Schedule, if more space is required)
The City of Ashland and its elected officials, officers and employees are named additional insureds per
form VCG 205 02105 attached.
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Ashland ACCORDANCE WITH THE POLICY PROVISIONS.
AUn: Karl Olson
901 N. Mountain Avenue AUTHORIZED REPRESENTATIVE
Ashland, OR 97520 \ l\ .. I
1l1988.2009 ACORD CORPORATION. All rights reserved.
ACORD 25 (2009/09) 1 of 1
#S4802371/M4675559
The ACORD name and logo are registered marks of ACORD
P23JA
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
@VANTAGE FOR GENERAL LIABILITY
COWMERCIAL GENERAL LlABIUTY COVERAGE FORM
This endorsement modifies insurance premed under the follovving:
The following schedule lists the coverage extensions provided by this endorsement. Refer to the individual provi-
sions to determine the extent of your coverage.
SCHEDULE OF COVERAGE EXTENSIONS
1. Additional Insured - Broad Form Vendors
2. Additional Insured - by Contract, Agreement or
Permit relating to:
o Work performed by you
o Premises you own, rent, lea~e or occupy
o Equipment you lease
3. Aggregate Limit Per Location
4. Blanket Waiver of Subrogation
5. Bodily Injury Redefined. Mental Anguish
6. Broadened Named Insured
7. Broadened Property Damage
o Borrowed Equipment
o Customers' Goods
o Use of Elevators
8. Broadened Property Damage Rented Premises
9. Coverage Territory - Worldwide
10. Duties in Event of Occurrence, Claim or Suit
11. Expected or Intended Injury (PD)
12. Incidental Medical Malpractice
13. Medical Payments
14. Mobile Equipment Redefined
15. Newly Acquired or Formed Organizations
16. Non-Qwned Aircraft
17. Non-Owned Watercraft
18. Personal and Advertising Injury
19. Product Recall Expense
20. Supplementary Payments Increased Limits
1. ADDmONAL INSURED - BROAD FORM VENDORS
Section 11- Who Is An Insured is amended to include as an additional insured any person(s) or organization(s)
(referred to below as vendor) with whom you agreed in a written contract or agreement to provide insurance,
but only with respect to "bodily injury" or "property damage" arising out of "your products" which are distributed
or sold in the regular course of the vendor's business, subject to the following additional exclusions:
8. This provision 1. does not apply to:
(1) "Bodily injury" or "property damage" for which the vendor is obligated to pay damages by reason of the
assumption of liability in a contract or agreement. This exclusion does not apply to liability for damages
that the vendor would have in the absence of the contract or agreement;
(2) Any express warranty unauthorized by you;
(3) Any physical or chemical change in the product made intentionally by the vendor;
(4) Repackaging, except when unpacked solely for the purpose of inspection, demonstration, testing or the
substitution of parts under instructions from the manufacturer, and then repackaged in the original
container;
(5) Any failure to make such inspections, adjustments, tests or servicing as the vendor has agreed to make
or normally undertakes to make in the usual course of business, in connection with the distribution or
sale of the products;
(6) Demonstration, installation, servicing or repair operations, except such operations performed at the
vendor's premises in connection with the sale of the product;
(7) Products which, after distribution or sale by you, have been labeled or relabeled or used as a container,
part or ingredient of any other thing or substance by or for the vendor; or
(8) "Bodily injury" or "property damage" arising out of the sole negligence of the vendor for Its own acts or
omissions or those of its employees or anyone else acting on its behalf. However, this exclusion does
not apply to:
(a) The exceptions contained in Subparagraphs 4. or 6.; or
(b) Such inspections, adjustments, tests or servicing as the vendor has agreed to make or normally un-
dertakes to make in the usual course of business, in connection with the distribution or sale of the prod-
ucls.
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(9) Any person or organization if the "products-completed operations hazard" is excluded either by the pro-
visions of the Coverage Form ;)r by endorsement.
b. This insurance does not apply to any insured person or organization, from whom you have acquired such
products, or any ingredient, part or container, entering into, accompanying or containing such products.
2. ADDITIONAL INSURED - CONTRACT, AGREEMENT OR PERMIT
8. Section" - Who Is An Insured is amended to include as an additional insured any person(s) or organiza-
tion(s) with whom you agreed in a written contract, written agreement or permit to provide insurance such
as is afforded under this Coverage Part, but only with respect to liability for "bodily injury", "property dam-
age" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or
omissions of those acting on your behalf:
1. In the performance of "your work" for the additional insured(s) at the location designated in the contract,
agreement or permit; or
2, In the maintenance, operation or use of equipment leased to you by such person(s) or organization(s),
or
3. In connection with premises you own, rent, lease or occupy.
This insurance applies on a primary or primary and non-contributory basis it that is required in writing by the
contract, agreement or permit.
b. The insurance provided to the additional insured herein is limited. This insurance does not apply:
1. Unless
(a) the written contract, agreement or permit is currently in effect or becomes effective during the term
of this policy; and
(b) the contract or agreement was executed or permit issued prior to the "bodily injury", "property dam-
age", or "personal and advertising injury";
2. To any person or organization included as an insured under the Additional Insured - Broad Form Ven-
dors provision of this endorsement;
3. To any person or organization included as an insured by an endorsement issued by us and made part
of this Coverage Part;
4. To any person or organization if the "bodily injury", "property damage", or Mpersonal and advertising in-
jury" arises out of the rendering of or failure to render any professional architectural, engineering or
surveying services by or for you including:
(a) The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports,
surveys, field orders, change orders or drawings and specifications; or
(b) Supervisory, inspection, architectural or engineering activities.
5, To any:
(a) Lessor of equipment after the equipment lease expires; or
(b) Owners or other interests from whom land has been leased; or
(c) Managers or lessors of premises if:
(1) The "occurrence" takes place after you cease to be a tenant in that premises; or
(2) The Moodily injury", "property damage", "personal and advertising injury" arises out of structural
alterations, new construction or demolition operations performed by or on behalf of the man-
ager or lessor.
6, To "bodily injury, or Mproperty damage" occurring after:
(a) All work on the project (other than service, maintenance or repairs) to be performed by or on be-
half of the additional insured at the site of the covered operations has been completed; or
(b) That portion of Myour workM out of which the injury or damage arises has been put to its intended
use by any person or organization other than another contractor or subcontractor engaged in per-
forming operations for a principal as part of the same project.
c. Limns of Insurance applicable to the additional insured are those specified in the contract, agreement or
permit or in the Declarations of this policy, whichever is less, and flx the most we will pay regardless of the
number of:
1. Insureds;
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VCG 205 0205
2. Claims made or "suits" brought; or
3. Persons or organizations making claims or bringing "suits",
These Limits of Insurance are inclusive of and not in addition to the Limits of Insurance shown in the Decla-
rations.
3. AGGREGATE LIMIT PER LOCATION
a. Under Section III - Limits of Insurance, the General Aggregate Limit applies separately to each of your
"locations" owned by or rented or leased to you.
b. Under Section V - Definitions, the following definition is added:
"Location" means premises involving the same or connecting lots, or premises whose connection is in-
terrupted only by a street, roadway, waterway or right-of-way of a railroad.
4. BLANKET WAIVER OF SUBROGATION
Section IV - Transfer of Rights of Recovery Against Others to Us Condition is amended to add the following:
We will waive any right of recovery we may have against any person or organization because of payments we
make for injury or damage arising out of your ongoing operations done under a written contract or agreement
with that person or organization and included in "your work" or the "products-completed operations hazard",
This waiver applies only to persons or organizations with whom you have a written contract, executed prior to
the "bodily injury" or "property damage". that requires you to waive your rights of recovery.
5. BODILY INJURY REDEFINED - MENTAL ANGUISH
Under Section V the definition of "bodily injury" is replaced by the following:
"Bodily injury" means bodily injury, sickness, or disease sustained by a person, including mental anguish or
death resulting from any of these at any time.
6. BROADENED NAMED INSURED
Section 11- Who Is An Insured is amended to include as an insured the following:
Any organization which is a legally incorporated entity in which you own a financial interest of more than 50
percent of the voting stock on the effective date of this endorsement will be a Named Insured until the 180th day
or the end of the policy period, whichever comes first, provided there is no other similar insurance available to
that organization.
The insurance afforded herein does not apply to any entity which is also an insured under another policy or
would be an insured under such policy but for its termination or the exhaustion of its limits of insurance.
7. BROADENED PROPERTY DAMAGE - BORROWED EQUIPMENT, CUSTOMERS' GOODS AND USE OF
ELEVATORS
The insurance for "property damage" liability is subject to the following:
8. The Damage To Property exclusion under Section I Coverage A is amended as follows:
1. The exclusion for personal property in the care, custody or control of the insured does not apply to
"property damage" to equipment you borrow while at a job site and provided it is not being used by
anyone to perform operations at the time of loss.
2. The exclusions for
(a) Property loaned to you;
(b) Personal property in the care, custody or control of the insured; and
(c) That particular part of any property that must be restored, repaired or replaced because -"your
work" was incorrectly performed on it
do not apply to "property damage" to "customers' goods" while on your premises nor do they apply to
"property damage" arising from the use of elevators at premises you own, rent, lease or occupy.
Subject to the Each Occurrence Umit, the most we will pay for "property damage" to "Customers'
Goods" is $25,000 per "occurrence".
b. Under Section V - Definitions, the following definition is added:
"Customers' Goods" means goods of your customer on your premises for the purpose of being:
1. Repaired; or
2. Used in your manufacturing process.
c. The insurance afforded by this provision is excess over any other valid and collectible property insurance
(including any deductible) available to the insured whether such insurance is primary, excess, contingent or
VCG 205 02 05 Includes copyrighted material of Insurance SeMces Oflk;e, Inc. Page 3 of 7
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on any other basis. Any payments by us will follow the Other Insurance - Excess provisions in the COM-
MERCIAL GENERAL LIABILITY CONDITIONS.
~. BROADENED PROPERTY DAMAGE - RENTED PREMISES
a. In the Damage To Property exclusion under Section I Coverage Po. the exclusion for ~property damage" to:
Property you own, rent or occupy;
does not apply to real property you rent or temporarily occupy with permission of the owner.
b. In Section 111- Limits Of Insurance, the Damage To Premises Rented To You Limit is amended as follows:
Subject to the Each Occurrence Limit, $500,000 is the most we will pay under Coverage A for damages
because of "property damage" to anyone premises while rented to you or occupied by you with permission
of the owner. It any amount other than $500,000 is shown in the Declarations as the Damage To Premises
Rented To You limit, the amount shown in the Declarations will replace $500,000 as the Limit of Insurance
provided for this coverage.
c. The insurance afforded by this Provision 8. is excess over any other valid and collectible property insurance
(including any deductible) available to the insured whether such insurance is primary, excess, contingent or
on any other basis. Any payments by us wilt follow the Other Insurance - Excess Insurance provisions in the
COMMERCIAL GENERAL LIABILITY CONDITIONS.
9. COVERAGE TERRITORY - WORLDWIDE
The definition of ~coverage territory" is replaced by the following:
ftCoverage territory" means anywhere. However, the insured's responsibility to pay damages must be
determined in a settlement we agree to or in a "suit" on the merits brought within the United States of
America (including its territories and possessions), Puerto Rico or Canada.
10. DUTIES IN THE EVENT OF OCCURRENCE, OFFENSE, CLAIM OR SUIT
Section IV - Duties In The Event Of Occurrence, Claim or Suit is amended by adding the following paragraphs:
a. The requirements that you must
1. notify us of an "occurrenceft offense, claim or "suit.. and
2. send us documents concerning a claim or "suit'"
apply only when such "accident.. claim, "suit.. or "loss" is known to:
1. You, if you are an indMdual;
2. A partner, if you are a partnership;
3. An executive officer of the corporation or insurance manager, if you are a corporation; or
4. A manager, if you are a limited liability company.
b. The requirement that you must notify us as soon as practicable of an "occurrence" or an offense that may
result in a claim does not apply it you report an "occurrence" to your workers compensation insurer which
later develops into a liability claim for which coverage is provided by this policy. However, as soon as you
have definite knowledge that the particular "occurrence" is a liability claim rather than a workers compensa.
tion claim, you must comply with the Duties In The Event Of Occurrence, Offense, Claim Or Suit Condi-
tion.
11. EXPECTED OR INTENDED INJURY (PROPERTY DAMAGE)
The Expected Or Intended Injury exclusion under Coverage A Bodily Injury and Property Damage is
replaced by:
"Bodily injury" or "property damage" expected or intended from the standpoint of the insured. This exclusion
does not apply to "bodily injury" or "property damage" resulting tram the use of reasonable force to protect
persons or property.
12. INCIDENTAL MEDICAL MALPRACTICE - EMPLOYED PHYSICIANS, NURSES, EMT'S AND PARAMEDICS
a. Under Section 11- Who Is An Insured the paragraph that excludes an employee or volunteer worker as in.
sured for "bodily injury" or "personal and advertising injury'" aFising out of his or her providing or failing to
provide professional health care services does not apply to a physician, dentist, nurse, emergency medical
technician or paramedic employed by you if you are not engaged in the business or occupation of providing
medical, paramedical, surgical, dental, x-ray or nursing services.
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b. The insurance afforded by this provision is excess over any other valid and collectible insurance whether
such insurance is primary, excess, contingent or on any other basis. Any payments by us will follow the
Other Insurance - Excess Insurance provisions in the COMMERCIAL GENERAl UABILITY CONDITIONS.
13. MEDICAL PAYMENTS -INCREASED UMITS AND TIME PERIOD
a. In the Insuring Agreement under Coverage C Medical Payments, the requirement that expenses are in-
curred and reported to us within one year of the date of the accident is changed to three years.
b. The Medical Expense Limit is $10,000 per person or the amount shown in the Declarations as the Medical
. Expense Limit. whichever is greater.
c. This provision 13. does not apply if Coverage C . Medical Payments is otherwise excluded either by the
provisions of the Coverage Form or by endorsement.
14. MOBILE EQUIPMENT - SELF-PROPELLED SNOW REMOVAL, ROAD MAINTENANCE AND STREET
CLEANING EQUIPMENT
The following is added to the "mobile equipment" definition:
Vehicles maintained primarily for purposes other than the transportation of persons or cargo that are self-
propelled vehicles of less than 1,000 pounds gross vehicle weight with the following types of permanently
attached equipment will be considered "mobile equipmenf':
a. Snow removal;
b. Road maintenance, but not construction or resurfacing; or
c. Street cleaning.
15. NEWLY FORMED OR ACQUIRED ORGANIZATIONS
Under Section II - Who Is An Insured, the time period limitation for newly acquired or formed organizations is
replaced by:
Coverage under this provision is afforded only until the end of the current policy period.
16. NON.QWNED AIRCRAFT
a. The Aircraft, Auto Or Watercraft exclusion under Coverage A Bodily Injury And Property Damage
liability does not apply to an aircraft that is:
1. Hired, chartered or loaned with a paid crew; and
2. Not owned by any insured.
b. The insurance afforded by this provision 16. is excess over any other valid and collectible insurance
Oncluding any deductible or Self Insured Retention) available to the insured. whether such insurance is pri-
mary, excess, contingent or on any other basis. Any payments by us will follow the Other Insurance - ex-
cess Insurance provisions in the COMMERCIAL GENERAL LJABIUTY CONDITIONS.
17. NON.QWNED WATERCRAFT
8. Section II . Who Is An Insured is amended to include as an insured for any watercraft that is covered by
this policy, any person who, with your expressed or implied consent, either uses or is responsible for the use
of a watercraft. However. no person or organization is an insured with respect to:
1. "Bodily injury" to a co-"employee" of the person operating the watercraft; or
2. "Property damage" to property owned by, rented to. in the charge of or occupied by you or the em-
ployer of any person who is an insured under this provision.
b. In the exception to the Aircraft, Auto Or Watercraft exclusion under Coverage A Bodily Injury And Prop-
erty Damage Liability, the limitation on the length of a watercraft is Increased to 51 feet.
c. The insurance afforded by this provision 17. is excess over any other valid and collectible insurance
(including any deductible or Self Insured Retention) available to the insured, whether such insurance is pri-
mary, excess, contingent or on any other basis. Any payments by us will follow the Other Insurance - Ex-
cess Insurance provisions in the COMMERCIAL GENERAL LIABILITY CONDITIONS.
18. PERSONAL AND ADVERTISING INJURY
The following is added to the definition of "personal and advertising injury":
Discrimination because of race, color, creed, national origin, age, sex or physical disability, where insurance
therefore is not prohibited by law, but only if such discrimination is:
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a, not done intentionally by or at the direction of:
(1) the insured; or
(2) any executive officer, director, stockholder, partner or member of the insured staff; and
b, not directly or indirectly related to the employment, prospective employment or termination of employment
of any person or persons by any insured.
The insurance afforded under this provision does not apply to fines or penalties, or that portion of any award or
judgment caused by trebling or multiplication of actual damages under state or federal law.
This provision does not apply if Coverage B - Personal and Advertising Injury Liability is otherwise excluded
either by the provisions of this Coverage Form or by any endorsement.
19. PRODUCT RECALL EXPENSE
a. With respect to this Provision 19., the Recall Of Products, Work Or Impaired Property exclusion under
Coverage A Bodily Injury And Property Damage Liability is deleted.
b. The following is added to Section 111- Limits Of Insurance section;
1. The Limits of Insurance shown in the Product Recall Schedule and rules below fIX the most we will pay
regardless of the number of
(a) Insureds;
(b) "Covered recalls" initiated; or
(c) Number of "your products" recalled.
2. The Product Recall Aggregate Limit is the most we will reimburse you for the sum of all "product recall
expenses" incurred for all "covered recalls" initiated during the policy period.
3. Subject to 2. above, the Each Product Recall Limit is the most we will reimburse you for the sum of all
"product recall expenses" arising out of anyone "covered recall" for the same defect or deficiency.
Products Recall Schedule
Limits of Insurance
Product Recall Aggregate
Limit
Each Product Recall Limit
$50,000
$25,000
The Limits of Insurance for this coverage apply separately to each consecutive annual period and to any
remaining period of less than 12 months, starting with the beginning of the policy period shown in the Decla-
rations, unless the policy period is extended after issuance for an additional period of less than 12 months.
In that case, the additional period will be deemed part of the last preceding period for the purposes of de-
termining the Limits of Insurance.
c, The following is added to the Duties In The Event Of Occurrence, Offense, Claim Or Suit provision
under Section IV - Conditions:
You must see to it that the following are done in the event of an actual or anticipated ~covered recall~ that
may result in "product recall expense";
1. Give us prompt notice of any discovery or notification that "your product~ must be withdrawn or recalled. In-
clude a description of "your product" and the reason for the withdrawal or recall;
2. Cease any further release, shipment, consignment or any other method of distribution of like or similar
products until it has been determined that all such products are free from defects that could be a cause of
loss under this insurance;
3. As often as may be reasonably required, permit us to inspect ~your product" that demonstrates the need for
the ~covered recalr and permit us to examine your books and records. Also permit us to take damaged and
undamaged samples of "your products" for inspection, testing and analysis; and permit us to make copies
from your books and records;
4. Send us a signed, sworn, proof of loss containing the information we requested to settle the claim. You
must do this within 60 days after our request. We will supply you with the necessary forms; and
5. Permit us ta examine any insured under oath, while not in the presence af any other insured and at such
times as may reasonably be required, about any matter relating to this insurance or your claim, including an
insured's books and records. In the event of an examination, an insured's answers must be signed.
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d. The following definitions are added to the Definmons Section:
1. "Covered recall" means a recall made necessary because the insured or a government body has deter-
mined that a known or suspected defect, deficiency, inadequacy or dangerous condmon in ''your productft
has resulted in or will result in "bodily injury" or "property damage".
2. "Product Recall Expense" means:
(a) The following necessary and reasonable expenses you incur exclusively for the purpose of recalling
''your product":
(1) For communications, including radio or television announcements or printed advertisements
including stationery, envelopes and postage;
(2) For shipping the recalled products from any purchaser, distributor or user to the place or places
desjgnated by you;
(3) For remuneration paid to your regular "employees" tor necessary overtime;
(4) For hiring additional persons, other than your regular "employees";
(5) Incurred by "employees., including transportation and accommodations;
(6) To rent additional warehouse or storage space; or
(7) For disposal of "your products", but only to the extent that specific methods ot destruction other
than those employed tor trash discarding or disposal are required to avoid "bodily injurf or
"property damage" as a result of such disposal, but
"product recall expenses" does not include costs of regaining your market share, goodwill, revenue or profit.
(b) "Product Recall Expense" does not include any expenses resulting from:
(1) Failure of any product to accomplish its intended purpose;
(2) Breach of warranties of fitness, quality, durability or performance;
(3) Loss of customer approval, or any cost incurred to regain customer approval;
(4) Redistribution or replacement of "your product" which has been recalled by like products or substi-
tutes;
(5) Caprice or whim of the insured;
(6) A condition likely to cause loss of which any insured knew or had reason to k.now at the inception of
this insurance; and
(7) Recall of "your products" that have no known or suspected defect solely because a known or sus-
pected detect in another of "your products. has been found
20. SUPPLEMENTARY PAYMENTS -INCREASED LIMITS
In the SUPPLEMENTARY PAYMENTS - Coverages A and B provision:
8. The limit for the cost of bail bonds is amended to $2,500; and
b. The limit for reasonable expenses incurred by the "insured" is amended to $500 a day.
VCG 205 02 05
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r~'
CITY OF
ASHLAND
20 E MAIN ST.
ASHLAND, OR 97520
(541) 488-5300
CITY RECORDER.
Page 1/1
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~~DATE~1:!~~;3;~
8/30/2010
,!:r%'P.01NOMBER~
09770
VENDOR: 000687
CHOWN SECURITY, CHOWN INC DBA
POBOX 2888
PORTLAND, OR 97208
SHIP TO: Ashland Building Maintenance
(541) 488-5358
90 N MOUNTAIN AVENUE
ASHLAND, OR 97520
FOB Point:
Terms: Net 30 days
Req. Del..Date:
Speclallnst:
Req. No.:
Dept:
Contact: Dale Peters
Confirming? No
ilEfauantiiY.m ~fu-rilfl;.r rr4~~Tj~~}~~~~,~g~'I[jir~f1H7J.I~Oescrm~Irffy;;'D::mr{~t~,~~J~f~~~}fii~D~r(~;E~~ ffiUnWPcrice~ lII'EXtlP.rice5HLill
Install access control hardware on four
doors and connect to SMS system,
Per attached proposal dated 08/11/2010
6,388.26
ASHLAND, OR 97520
_...ccount[Niiiiil5er_ - .P.i'Ojec(NumlierAm ~Amouot I!WAccountINUiiiB'~ D!ilfP.i'OjectlNU'iifI5e!c
E 410.08.24.00.70410 6388.26
SUBTOTAL
TAX
FREIGHT
TOTAL
6388.?"
0.00
0.00
6,388.26
BILL TO: Account Payable
20 EAST MAIN ST
541-552-2028
H--:J.
t ~-- 'li/;/CJ
Authori ed Signature
VENDOR COPY
A request for a Purchase Order
REQUISITION FORM
CITY OF
ASHLAND
Date of Request:
11 AUG 2010
THIS REQUEST IS A:
D Change Order(existing PO #
Required Date of Delivery/Service:
ASAP
Vendor Name
Address
City, State, Zip
Telephone Number
Fax Number
Contact Name
CHOIIIIN ~Fr.IIRITV
33~NW 1 RTH A VF
PORTI ANIJ OR 97?09
800-547-1930
JASON MCCAULEY 541-915-5975
SOLICITATION PROCESS
Small Procurement ~ Sole Source D Invitation to Bid
D Less than $5,000 D Written lindings attached (Copies on file)
D Quotes (Optionai) D Quote or Proposal attached
CooDerative Procurement D Reauest lor Proposal
D State of OR/WA contract (Copies on file)
Intermediate Procurement D Other government agency contract D Soociall Exempt
D (3) Written Quotes D Copy of contract attached D Written findings attached
(Copies attached) D Quote or Prooosai attached
D Contract # D Emeraencv
D Written findings attached
D Quote or Proposal attached
Description of SERVICES
J4C!.CE>~ =^""~<- HqrQ)'-"'I9RJE ern. ~"R...
fIj .s~ SY.s'n=fr/
Per attached PROPOSAL
Item #
Quantity
Unit
Description of MATERIALS
Unit Price
Total Cost
D Per attached QUOTE
~
u~~
1r-.4- '--'-- ~ _
~11/6
Project Number __n__ - ___
Account Number 41 0-QS-24-Qo-7041 00
'Items and services must be charged to the eppropriate accounl numbers for the financials to reffecl Ihe aclual expendilures accuralely.
By signing this requisition form, I certify that the information provided above meets the City of Ashland public contracting requirements,
and the documentation can be provided upon request.
Employee SignatCUre:"-. ~~----.. SupervisoriDepl. Head Signature: ~c.J ~
~ G: FinanceIProcedureIAPlForms\8_Reauisition form revised.doc
Updated on: 8/1112010