HomeMy WebLinkAbout2012-076 Contract - Northwest Door Controls & Glass Contract for GOODS AND SERVICES Less than $25,000
CITY OF CONTRACTOR: Northwest Door Controls & Glass
ASHLAND CONTACT: Jay Hardgraves
20 East Main Street
Ashland, Oregon 97520 ADDRESS: 1367 Redwood Avenue, Grants Pass, OR 97527
Telephone: 541/488-6002
Fax: 541/488-5311 TELEPHONE: 541-476-7598
DATE AGREEMENT PREPARED: April 4, 2012 FAX: 541-476-9464
BEGINNING DATE: Aril 11, 2012 COMPLETION DATE: Ma 30, 2012
COMPENSATION: $3,955.00 per proposal attached as Exhibit C.
GOODS AND SERVICES TO BE PROVIDED: Contractor to provide and install new door with ADA operator at
the Senior Center located at 1699 Homes Avenue x Walker per proposal attached as Exhibit C.
ADDITIONAL TERMS: An advance payment of$1,000 will be made to the contractor per Bruce Dickens,
Park Superintendent. Workers' Compensation is being waiv ecause the contractor does not have
employees and will be performing all the work himself. itial
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 otherwise specified, furnish all labor, equipment and
materials required for the proper performance of such work.
2. Qualified Work: Contractor has represented, and by entering into this contract now represents, that 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 27913.220, 2796.225, 27913.230, 2796.235, 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 of this contract
is $18,890 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, claims, subrogations, 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:
Contract for Goods and Services Less than$25,000, Revised 06/30/2011, Page 1 of 5
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 law or under this contract.
e. Obligation/Liability 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 deliverables 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.110 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 shall 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 QRF status pursuant to
the QRF Rules or loses any license, certificate or certification that is required to perform the work or to qualify as a
QRF if Contractor has qualified as a QRF 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 all their subject workers
b. General Liability 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 Applicable for each occurrence for Bodily Injury and Property
Damage. It shall include contractual liability coverage for the indemnity provided under this contract.
C. Automobile Liability insurance with a combined single limit, or the equivalent, 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 change. 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 insurers to
Contract for Goods and Services Less than$25,000, Revised 06/30/2011, Page 2 of 5
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 contractor's insurance is primary and non-contributory. 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.
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 THIS 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
CONDITIONS.
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 Council or 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; City of As nd
By By r7/�
Si Lure Department Head
Print 144me Print Name
f)OA1PO _ q;L/(Z
Title Date
W-9 One copy of a W-9 is to be submitted with ® �
the signed contract. Purchase Order No.
Contract for Goods and Services Less than$25,000, Revised 06/30/2011, Page 3 of 5
I
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, and (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) 1 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.
X' (2) Commercial advertising or business cards or a trade association membership are
purchased for the business.
_>r' (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) 1 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.
C tractor (Date)
Contract for Goods and Services Less than $25,000, Revised 06/30/2011, Page 4 of 5
MAR-22-2012 13:21 From:NW Door Controls 15414769464 To:5414885314 Paee:1�1
BID'(service and materials)
Date: 3/ 20 /2012 NORTHWEST DOOR CONTROLS & GLASS
Job Number; 1367 Redwood Avenue, Grants pass, OR 97527
541 476-7598 fax 541 476-9464
CCB#78602
TO: City Of Ashland
Bruce Dickenson
541 552-2252
Fax 488-5314
We are pleased to submit the following bid'
Job Description: New door with ADA operator
Homes Ave x walker
Ashland, OR
SERVICE and MATERIALS
QUANTIT DESCRIPTION Total
U.S. Aluminum 250 series storefront door and frame, dark
bronzc anodized finish, with clear insulated glass , door
Ito be offset pivot swing out complete with panic'"-exit
device, weather strip and threshold.
_Record USA 6100 series ADA swing door operator, full
r function micz'oprocessor driven door operator Complete
surface mount , with standard push arm, push plate knowing
act activation and sin a e.
Installed $ 3 , 955 . 00
-Electrical powes., 120 V, 15 A circuit required,•
not included, supplied at additional expense.
Price valid until: 30 Days
Authorized signature date .
From:Jeanette Simmons FaXID:HART INSURANCE Page 2 of 4 Date:4/172012 04:26 PM Page:2 of 4
_l'--`44 9NWDOOR OF ID:JS
'44c'°RO CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD YYY
04117112
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 pollcyjles) must be endorsed. If SUBROGATION 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 541-479-5521 NAME:
Hart Insurance 541.474-1890 PHOFE
P.O. BOX 1240 IC No E : AIC No:
Grants Pass,OR 97528 EMAIL
Hart Insurance Agency ADDRESS:
INSURER(S)AFFORDING COVERAGE NAIC r
INSURERA:American Hallmark Ins Co of TX 43494
INSURED Jahard Inc Dba: INSURER B:Sentinel Ins Co 22357
Northwest Door Controls&
Glass INSURER C:
1367 Redwood Avenue INSURER D:
Grants Pass,OR 97527 INSURER E:
INSURER F
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.
INSR TYPE OF INSURANCE ABBLISUm POLICY EFF POLICY XP
LTR POLICY NUMBER MMOD fMM0DfYYfY - LIMRS
GENERAL LIABRITY EACH OCCURRENCE $ 1,000,00
A X COMMERCIAL GENERAL JASIUTY X 44CL437041 03/31/12 03131113 PREMISES(Ea occurrence) $ 100,00
CLAIMS-MADE OCCUR MED EXP(Any one person) $ 5,000
PERSONAL&ADV INJURY $ 1,000,00
GENERAL AGGREGATE $ 2,000,00
GEN•L AGGREGATE LIMIT APPLIES PER. PRODUCTS-COMP/OP AGG $ 2,000,00
X I POLICY PRO- LOD $
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 500,00
Ea accident) $
B ANY AUTO 52UECVZ1744 03/31/12 03/31113 BODILY INJURY(Per person) $
ALL OWNED X SCHEDULED
AUTOS AUTOS BODILY INJURY(Per accident) $
HIRED AUTOS NON-OWNED PROPERTY DAMAGE $
AUTOS Per accident
S
UMBRELLA LIAR IOCCUR EACH OCCURRENCE $
EXCESS UAB CLAIMS-MADE AGGREGATE $
DED RETENTION$ $
WORKERS COMPENSATION WC STATU- OTH-
AND EMPLOYERS'LMBILITY
YIN EF
ANY PROPRIETOP PARTNEP.IEXECUTIVE E.L.EACH ACCIDENT $
OFFICERR,IEMBER EXCLUDE04 F-1 NIA
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $
If yes,desalDe under
DESCRIPTION OF OPERATIONS belmv E.L.DISEASE-POLICY LIMIT $
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Adach ACORD 101 Additional Remarks Schedule,If more zones Is required)
Policy includes blanket additional insured per form MP9767 10/10 attached.
CERTIFICATE HOLDER CANCELLATION
CITYASH
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, N0710E WILL BE DELIVERED IN
City of Ashland ACCORDANCE WITH THE POLICY PROVISIONS.
Public Works Dept. AUTHORIZED REPRESENTATNE
Ashland,OR 97520 E. Main Street Hart Insurance Agency
IJ 1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD
From:Jeanette Simmons FaxID:HART INSURANCE Page 3 of 4 Date:4117/2012 04:26 PM Page:3 of 4
General Liability Additional Coverages
The following Additional Coverages are added to the COMMERCIAL GENERAL LIABILITY COVERAGE FORM.
A.Blanket Additional Insured Coverage
1. SECTION II—WHO IS AN INSURED of the COMMERCIAL GENERAL LIABILITY COVERAGE FORM is amended
to include as an insured any person or organization(referred to as Additional Insured)whom you are required to add
as an Additional Insured on this policy under:
a.A written contract or agreement;and
b.Where a certificate of insurance showing that person or organization as an additional insured has been issued
c.When the written contract or agreement and certificate of insurance are currently in effect or becoming in effect
during the term of the policy and executed prior to the"bodily injury,""property damage,"or"personal and advertising
injury."
2.The insurance provided to the Additional Insured is limited as follows:
a.The Additional Insured is only an additional insured for.
(1)"Bodily injury,""property damage,"or"personal and advertising injury"caused in whole or in part by negligent acts
or omissions of the Named Insured or anyone directly or indirectly employed by the Named Insured or for whose acts
a Named Insured may be liable.
(2) Liability arising out of your ongoing operations for the Additional Insured by or for you.A person's or organization's
status as an insured under this coverage ends when your operations for that insured are completed.
b.The Limits of Insurance applicable to the Additional Insured are those specified in the written contract or
agreement but not more than the Limits of Insurance specified in the Declarations for this policy.The Limits of
Insurance applicable to the Additional Insured are inclusive of and not in addition to the Limits of Insurance shown in
the Declarations for the Named Insured.
3. In addition to the other exclusions applicable to Section I,Coverages A.,B.and C.of the 1
COMMERCIAL GENERAL LIABILITY COVERAGE FORM,the insurance provided to the Additional Insured does not
apply to:
a. "Property damage"to:
(1) Property owned, used,occupied by,loaned or rented to the Additional Insured;
(2) Property in the care,custody or control of the Additional Insured or over which the Additional Insured are for any
purpose exercising physical control;or
(3)"Your work"performed for the Additional Insured.
b. "Bodily injury,""property damage,"or"personal and advertising injury"arising out of an archilect's, engineer's or
surveyors rendering or failure to render any professional services for you,for the Additional Insured or for others,
including,but not limited to:
(1)The preparing,approving or failure to prepare or approve maps,drawings,opinions, reports,surveys,change
orders, designs or specifications;or
(2)Supervisory, inspection or engineering services.
c."Bodily injury"or'property damage*occurring after:
(1)All work, including materials, parts or equipment furnished in connection with such work,on the project(other than
service,maintenance or repairs)to be performed by or on behalf of the additional insured at the site of the covered
operations has been completed;or
(2)That portion of"your work"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 performing operations for a
principal as a part of the same project.
4. SECTION IV—COMMERCIAL GENERAL LIABILITY CONDITIONS, Paragraph 4.Other Insurance, is amended to
add the following subparagraph:
d.Additional Insured's Other Insurance As Excess Insurance
To the extent required by an"insured contract,"this insurance is primary on behalf of the Additional Insured; and any
other insurance maintained by the Additional Insured is excess and not contributory with this insurance. If the
"insured contract"does not require this provision,then Paragraph a.above will apply..
B. Mobile Equipment Broadened Coverage
V.121(1)of the COMMERCIAL GENERAL LIABILITY COVERAGE FORM is replaced by the following:
(1) Equipment designed primarily for:
(a)Snow Removal;
(b) Road maintenance, but not construction or resurfacing;or
(c)Street cleaning.
Except the above provisions do not apply to self-propelled vehicles of less than 1,000 pounds gross vehicle weight
which are not intended for use on a highway.
C.Aggregate Limit Per Project
MP 97 67 10 10 Includes copyrighted material of Insurance Services Office,Inc.and Page 1 of 2
American Association of Insurance Services,Inc.,with their permission
From:Jeanette Simmons FaxID:HART INSURANCE Page 4 of 4 Date 411712012 04:26 PM PageA of 4
,
The General Aggregate Limit under SECTION III—LIMITS OF INSURANCE of the COMMERCIAL GENERAL
LIABILITY COVERAGE FORM applies separately to each of your projects away from premises owned by or rented to
you. Page 22 of 25 Includes copyrighted material of Insurance Services Office, Inc.and MP 97 67 10 10 American
Association of Insurance Services,Inc.,with their permission D. Blanket Waiver Of Transfer Of Rights Of Recovery
Against Others To Us
The Transfer Of Rights Of Recovery Against Others To Us Condition(SECTION IV—COMMERCIAL GENERAL
LIABILITY CONDITIONS)is amended by the addition of the following:
We waive any right of recovery we may have against any person or organization to whom you by written contract or
written agreement have waived your own right or recovery for loss caused by that person or organization because of
payments we make for injury or damage arising out of your ongoing operations or"your work"done under a written
contract or written agreement with that person or organization and included in the"products-completed operations
hazard"
This provision does not apply unless the written contract or written agreement has been executed prior to the
"occurrence"or offense giving rise to the"bodily injury"or"property damage."
E.Voluntary Property Damage Coverage
1.We will,at your request,pay but not defend any claim for"property damage"to the property of others otherwise
excluded under A.2.j.(4), (5)and(6)of the COMMERCIAL GENERAL LIABILITY COVERAGE FORM provided that:
a. Such"property damage"takes place while such property is in your care,custody or control,or is property of others
over which you,for any purpose, are exercising or have exercised physical control;and
b. Such"property damage"takes place away from any premises you own, rent or lease; and
c. Such"property damage"takes place within the"coverage territory"and during the policy term; and
d. Such"property damage"takes place only during your operations that are known to us, are scheduled on the policy
and for which a premium has been charged.
2.The insurance under this additional coverage does not apply to"property damage"to property:
a. Held by you for servicing, repair,storage or sale at premises owned by,rented or leased to you;
b.While being transported by or caused by the ownership,maintenance,operation,use,'loading or unloading"of any
"auto,'watercraft or aircraft;or '
c. Owned or occupied by or rented to you.
3. Deductible This additional coverage will apply only to that amount of any loss in each"occurrence"that exceeds
$500.The terms of the policy with respect to your duties in the event of"occurrence,"claim or"suit"and the
Company's right to investigate, negotiate and settle any claim or"suit"apply irrespective of the application of the
deductible amount of$500.
We may pay any part or all of the deductible amount of$500 to effect settlement of any claim or"suit"Upon
notification of the action taken,you must promptly reimburse us for such part of the deductible amount as has been
paid by us.
4. Limits of Liability
The Limit of Liability for this additional coverage shall not exceed$2,500 for each"occurrence"and is the limit of the
Company's liability for all damages on account of each claim or"suit"covered herein.The annual aggregate Limit of
Liability is$2,500 and is, subject to the above provisions respecting each claim,the total limit of the Company's
liability for all damages.
5.Settlement
In the event of loss covered by this additional coverage,you shall, if requested by us, replace the property or furnish
the labor and materials necessary for repairs thereto at actual cost to you,excluding prospective profit or overhead
charges of any nature.Any property so paid for or replaced shall, at our option,become the property of the Company.
Payment hereunder shall not constitute an admission of liability of you or,except as stated herein, of the Company.
MP 97 67 10 10 Includes copyrighted material of Insurance Services Office, Inc.and Page 2 of 2
Amercan Association of Insurance Services,Inc.,with their permission
Page 1 / 1
' 6
CITY RECORDER
Ashland Park Commission DATE . PO NUMBER
20 E MAIN ST. 5/1/2012 00093
ASHLAND, OR 97520
(541)488-5300
VENDOR: 003911 SHIP TO:
NORTHWEST DOOR CONTROLS & GLAS
1367 REDWOOD AVENUE
GRANTS PASS, OR 97527
FOB Point: Req.No.:
Terms: net Dept.:
Req.Del. Date: contact: Bruce Dickens
Special[net: Confirming? NO
%:•Quanb .i
Unit ,. .,� + " Description `'--- > Unit Price Ext.Price
Contractor to provide and install new 3,955.00
door with ADA operator at the Senior
Center located at 1699 Homes Avenue (x
Walker) per attached contract/proposal.
Contract for Goods & Services
Beginning date: April 11, 2012
Completion date: May 30, 2012
Insurance required/On file
i
Note: $1000.00 advance payment for
materials authorized by Bruce Dickens,
Parks Superintendent(Included in
contract)
SUBTOTAL 3 955.00
BILL TO: TAX 0.00
FREIGHT 0.00
TOTAL 3,955.00
;Account NumtieF Project Numtier ""'Amount Account Number .Project Number 1. Amount
E 211.12.02.06.60211 Q 3,955.00
AuthorizeVSignature �z--- VENDOR COPY
FORM #3 CITY OF
A rl que5� , fOr G Ptir�:iaas 5,�f°i9e
ASHLAND
REQUISITION Date of request:
Required date for delivery
Vendor Name Oft W,&.if 1cor (b-nfyy1.5 iC4Cc-S
Address,City,State,Zip j-6Le-7 ken(,Lwn Mel �.Seun P/155�0p�9752- .
Contact Name&Telephone Number
Fax Number � z__ !t16, 75CIT _�� s� �1u•rr/�y�Q� ��
SOLICITATION PROCESS
❑ Exempt from Competitive Bidding ❑ Ememencv
❑ Written Findings(Form attached) ❑ Invitation to Bid (Copies on file) ❑ Written findings attached
❑ Quote or Proposal attached Date approved by Council: ❑ Quote or Proposal attached
�] Small Procurement Cooperative Procurement
/Less than$5,000 ❑ Request for Proposal (Copies on file) ❑ State of Oregon
Note:Total contract amount,including any Date approved by Council: Contract#
amendments may not exceed$6,000 El Contract of Washington
Intermediate Procurement ❑ Sole Source Contract#
GOODS&SERVICES ❑ Written Findings(Form attached) ❑ Other government agency contract
$5,000 to$100.000 ❑ Quote or Proposal attached Agency
❑ .(3)Written quotes attached Contract#
PERSONAL SERVICES ❑ Special Procurement ❑ Intergovernmental Agreement
$5.000 to$75.000 ❑ Wdtten Findings(Form attached) Agency
❑ Less than$35,000,by direct appointment. ❑ Quote or Proposal attached Contract#
_ - - — ---Date approved b Council: - -- -
❑ 3 tA7ittedpro i7salsattached ` "_ Datea rovedfi-Councl:- - -- -- - pp y
Description of SERVICES Total Cost
Item # Quantity Unit Description of MATERIALS Unit Price Total Cost
a 1
❑ Per attachedquotelproposal TOTALCOSTtz
Project Number______-___ Account Number___-__-__-__-______
AccountNumbey2l 1-.1 (X400 Account Number___•__•
'Expenditure must be charged to the appropriate account numbers for the financials to accurately reflect the actual expenditures.
IT Director in collaboration with department to approve all hardware and software purchases:
IT Director Date
By signing this requisition form,I certify that the information provided above satisfies the City's public contracting requirement en the documentation can be
provided upon request.
Employee Signature: Department Head Signature: '
Additional signatures(if applicable):
Funds appropriated forcurrent fiscal year., YES / NO
Finance Director Date
Comments:
G:FinanceTrocedureIAMomisTorm#3-Requisition.doc Updated on:8/2412011