HomeMy WebLinkAbout2012-189 Contract - Village Arborist Contract for GOODS AND SERVICES Less than $25,000
C I T Y OF CONTRACTOR: The Village Arborist
ASHLAND CONTACT: August Schilling
20 East Main Street
Ashland, Oregon 97520 ADDRESS: 280 Mead Street, Ashland, OR 97520
Telephone: 541/488-6002
Fax: 541/488-5311 TELEPHONE: 541-292-0767
DATE AGREEMENT PREPARED:August 27,2012 FAX:
BEGINNING DATE: August 29, 2012 COMPLETION DATE: September 28, 2012
COMPENSATION: Job #1 - $375.00, Job #2 - $3,100.00
GOODS AND SERVICES TO BE PROVIDED: Contractor to perform two jobs. Job #1 —One tree removal and
debris at Ashland Municipal Airport, Job #2 —45 Trees to be pruned of deadwood and mistletoe at Oak Knoll
Golf Course. Per proposal attached as Exhibit C. Tree Pruning List is attached as Exhibit D.
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 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, 27913.225, 27913.230, 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 of this contract
is $19,494 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. Citv'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 06/30/2012, Page 1 of 5
i. If City funding from federal, state, county or other sources is not,obtained and continued at levels
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 Liabilitv 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
Contract for Goods and Services Less than$25,000, Revised 06/30/2012, Page 2 of 5
intent not to renew the insurance coverage(s)without 30 days'written notice from the Contractor or its insurer(s) to
the City.
e. Additional Insured/Certificates of Insurance. Contractor shall name The City of Ashland, Oregon, and its
elected officials, officers and employees as Additional Insureds on any insurance policies required herein but only
with respect to Contractor's services to be provided under this Contract. As evidence of the insurance coverages
required by this Contract, the Contractor shall furnish acceptable insurance certificates prior to commencing work
under this contract.The 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 Ashla
By lG�. By (/'
// Signature 41 \ Department Head
Print Name Print Name
pw.tic r/ulillaa�./6a/%?�
Title Date
j
W-9 One copy of a W-9 is to be submitted with
the signed contract. Purchase Order No. ����/�� /�� -Y O
Contract for Goods and Services Less than$25,000, Revised 06/30/2012, Page 3 of 5
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.
(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.
J� (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.
Joa v ?ot Z
Contractor (Date)
Contract for Goods and Services Less than$25,000, Revised 06/30/2012, Page 4 of 5
H. Specific Tree List
The specific list of trees to be pruned under contract is enclosed. 46 trees are on the list
including a removal.
PRICE QUOTATION FORM
o
Ashland Parks and Recreation Department
340 So. Pioneer St. Ashland, Or. 97520
Phone (541) 488-5340 Fax(541) 488-5314
RE: Tree Pruning for Ashland Parks & Rec.
The undersigned vendor declares that plans and specifications have been examined, the site(s)
have been visited, and such investigation has been made as is necessary to determine the character
of the materials and the conditions to be encountered in the work, and that if this price quotation is
accepted, the undersigned vendor will contract with the Ashland Parks and Recreation Department for
the work involved and will provide the necessary equipment, materials, tools, apparatus, and labor, in
accordance with plans and specifications on file at the Department office under the following conditions:
1. It is understood that all work will be performed for a lump sum price and that for said lump sum
price all services, materials, labor, equipment, and work necessary to complete the project in
accordance with the specifications shall be furnished. If there is an increase in the amount of work
to be covered by the lump sum price, it shall be computed on a basis of"extra work" for which an
increase in payment will be earned, and, if there is a decrease in the lump sum payment, it shall be
made only as a result of negotiation between the undersigned and the Department. Furthermore,
it is understood that any estimate with respect to time, materials, equipment or service which may
appear in the specifications, is for the sole purpose of assisting the undersigned in checking their
own independent calculations and that at no time shall the undersigned attempt to hold the
Ashland Parks and Recreation Department, any Department employee, or any other person, firm,
or corporation responsible for any errors or omissions that may appear in any estimate.
2. In addition to the proposal form, the vendor shall submit the following items:
1. Proof of International Society of Arboriculture Certification.
2. Three (3) references as stated in the "Instruction to Vendors". (if required-see p.3)
3. Three (3)jobs as stated in the "Instruction to Vendors".(if required-see p.3)
4. Proof of Contractor's and/or Landscape Contractor's license.
5. Proof of insurance needs to be on file before work commences.
PROPOSAL AND SPECIFICATIONS PAGE 7
Tree Pruning in Lithia Park 7/31/2012
3. The vendor shall commence the work after receiving a notice to proceed, no earlier than August
20, 2012, and shall complete all work no later than September 14, 2012.
4. The Ashland Parks and Recreation Department reserves the right to accept or reject any or all
proposals deemed in its best interest. Without limiting the generality of the foregoing, any
proposal which is incomplete, obscure, or irregular may be rejected.
5. Price quotation per specifications for pruning per specifications for Ashland Parks& Rec.:
45 trees on list for a total cost of: $ /3,
"Ititf9t--FGO'15zgfet �G`� (�v Vii^ Dollars and 97° cents
1 Tree Removal on list for a total cost of $
�►CC� (�i r7v�cQ(�cQ SeU�� y Dollars and n ° cents
The foregoing price includes all labor, materials, equipment, overhead, profit, insurance and all other
incidental expenses to cover the finished work of the several kinds called for. The price quotation is to
be shown in both words and figures.
Firm Name of Vendor
•-Tkc �J I? �J 2f�L Aft � L L �-
Az� f�G
'Autho ized Signature of Vendor
Date State of ncorporation - if applicable
PROPOSAL AND SPECIFICATIONS PAGE 8
Tree Pruning in Lithia Park 7/312012
EXHIBIT'
Tree Pruning List U /
Aug . 2012
TREE SPECIES LOCATION SCOPE OF WORK
1 . Ashland REMOVAL & Cleanup
Fraxinus Municipal
angustifolia Airport
Narrowleaf Ash
2 . Oak Knoll end of Deadwood
Quercus kelloggii course
3 . OKGC Deadwood
Mistletoe
Quercus garryana
4 . OKGC Deadwood
Mistletoe
Quercus garryana
5 . OKGC Deadwood
Mistletoe
Quercus garryana
6 . OKGC Deadwood
Mistletoe
Quercus garryana
7 . OKGC Deadwood
Mistletoe
Quercus garryana
8 . OKGC Deadwood
Mistletoe
Quercus garryana
9 . OKGC Deadwood
Mistletoe
Q. kelloggi
10 . • OKGC Deadwood
Mistletoe
Quercus garryana
11 . OKGC Deadwood
Mistletoe
Quercus garryana
12 . OKGC Deadwood
Mistletoe
Quercus garryana
13 . OKGC Deadwood
Mistletoe
Quercus garryana
14 . OKGC Deadwood
Quercus garryana Mistletoe
15 . OKGC Deadwood
Mistletoe
Quercus garryana
16 . OKGC Deadwood
Mistletoe
Quercus garryana
17 . OKGC Deadwood
Mistletoe
Quercus garryana
18 . OKGC Deadwood
Mistletoe
Quercus garryana
19 . OKGC Deadwood
Mistletoe
Quercus garryana
20 . OKGC Deadwood
Mistletoe
Quercus garryana
21 . OKGC Deadwood
Mistletoe
Quercus garryana
22 . OKGC Deadwood
Mistletoe
Quercus garryana
23 . OKGC Deadwood
Mistletoe
Quercus garryana
24 . OKGC Deadwood
Mistletoe
Quercus garryana
25 . OKGC Deadwood
Mistletoe
Quercus garryana
26 . OKGC Deadwood
Mistletoe
Quercus garryana
27 . OKGC Deadwood
Mistletoe
Quercus garryana
28 . OKGC Deadwood
Mistletoe
Quercus garryana
29 . Quercus garryana OKGC Deadwood
Mistletoe
30 . OKGC Deadwood
Mistletoe
Quercus garryana
31 . OKGC Deadwood
Mistletoe
Quercus garryana
32 . OKGC Deadwood
Quercus garryana Mistletoe
33 . OKGC Deadwood
Mistletoe
Quercus garryana
34 . OKGC Deadwood
Mistletoe
Quercus garryana
35 . OKGC Deadwood
Mistletoe
Quercus garryana
36 . OKGC Deadwood
Mistletoe
Quercus garryana
37 . OKGC Deadwood
Mistletoe
Quercus garryana
38 . OKGC Deadwood
Mistletoe, raise canopy
Quercus garryana over turf
39 . OKGC Deadwood
Mistletoe
Quercus garryana
40 . OKGC Deadwood
Mistletoe
Quercus garryana
41 . OKGC Deadwood
Mistletoe
Quercus garryana
42 . OKGC Deadwood
Mistletoe, raise canopy
Quercus garryana over plum
43 . OKGC Deadwood
Mistletoe
Quercus garryana
44 . OKGC Deadwood
Mistletoe, raise canopy
Quercus garryana over pine
45 . Gleditsia OKGC Deadwood
triacanthos inermis Raise canopy
46 . Quercus kelloggii OKGC Deadwood
Mistletoe,prune for
light clearance
www.salf.mm
OREGON WORKERS COMPENSATION + S11
CERTIFICATE OF INSURANCE corporation
The policy of insurance listed below has been issued to the insured named below for the
policy period indicated. The insurance afforded by the policy described herein is subject to
all the terms, exclusions and conditions of such policy.
POLICY NO. POLICY PERIOD ISSUE DATE
981419 01/01/2012 to 01/01/2013 08/27/2012
INSURED: BROKER OF RECORD:
THE VILLAGE ARBORIST LLC PAUL VOLZ INSURANCE AGENCY INC
THE VILLAGE ARBORIST 450 SISKIYOU BLVD #5
280 MEADE ST ASHLAND, OR 97520
ASHLAND, OR 97520
LIMITS OF LIABILITY:
Bodily Injury by Accident $500,000 each accident
Bodily Injury by Disease $500,000 each employee
Body Injury by Disease $500,000 policy limit
DESCRIPTION OF OPERATIONS/LOCATIONS/SPECIAL ITEMS:
IMPORTANT:
The coverage described above is in effect as of the issue date of this certificate. It is subject to change
at any time in the future.
This certificate is issued as a matter of information only and confers no rights to the certificate holder.
This certificate does not amend, extend or alter the coverage afforded by the policies above. This
certificate does not constitute a contract between the issuing insurer, authorized representative or
producer and the certificate holder.
AUTHORIZED REPRESENTATIVE
3r9ge!P f>
President and CEO
400 High Street SE
Salem,OR 97312
P:800.285.8525
F:503.373.8020
08/28/2012 11: 56 5414884215 PAUL VOLZ INS PAGE 01/01
AGO� DaTE(MMroonwYl
CERTIFICATE OF LIABILITY INSURANCE 8/28/2012
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 195UING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the CeNficate holder Is an ADDITIONAL INSURED,the Volicytles) must De endorsed. If SUBROGATION IS WAIVED,sUD)ect m
the terms and conditions of the policy,certain Policies.nay mqutn an endorsement A statement on this CoAtficats does not confer rights to the
Certificate holder In lieu of Such endoryemenGa)-
PRODUCPA NAME;
Paul W Volz Insurance Agency N 541-482-8463 aDNA541-488-4215
450 Siskiyou Blvd Ste 5 ADORE t
Ashland OR 97520 INSURER(*) ARroamma coV "E Nast
INSURER A:FARMERS INSURANCE EXCHANGE
INSURED AUGUST SCHILLING INSURER B:
THE VILLAGE ARBORIST LLC INSURER C:
280 MEADE ST INSURER D:
ASHLAND, OR 97520 INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POUCIES,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.
e TYPE OF INSURANCE MR rrvD POLICY NUMBER D LIMBS
GENERAL LIABILITY EACH OCCURRENCE S
COMMERCIAL GENERAL UABIUTY PREMISES S
CLAIMS-MADE 7 OCCUR MED EXP(Arty ens parsoN S
PERSONAL S AOV INJURY $
GENERAL AGGREGATE S
GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS•COMP/DP AGG $
POLICY 71°pG LOC $LIMIT AUTOMOBILE LIABILITY Ea AW4409fiti S 1,000,000
='A=ED OA-30-13 BODILY INJURY(Per parser) S
AU OS SCHEDULED 03505-BO-93 BODILY INJURY(FW SOCklent) $
A AUTOS X ABC g
HIRED AUTOS AUTO$ Per anddml
s
UMBRELLA LAS OCCUR EACH OCCURRENCE I
EXCESS U" CLAIMS-MADE AGGREGATE $
DED RETENTIONS I $
WORKERS COMPENSATION T HV IM� ETM
AND EMPLOYERS'LIABILITY YIN
ANY %(epRETOA/pAA1NAl1l¢ECUi1VE E.L.EACH ACCIDENT S
OFFICERMEeaEa IXCLUPEInv ❑ NIA
(Menmo,y In AAI EL.DISEASE•EA ENIPLOYE1.$
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DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $
DESCRIPRON OF OPERATIONS I LOCATIONS I VEHICLES (Assah ACORD 101.Addidmel Ra ft Srhed e,if mare epece is req,alred)
CERTIFICATE HOLDER CANCELLATION
CITY OF ASHLAND SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
90 N MOUNTAIN AVE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ASHLAND OR 97520 ACCORDANCE WITH THE POLICY PROVISIONS,
ATTN: XARIANN OLSON
FAX: 541-488-5320 AUTHORIZED REPRESENTATIVE
Path w Vo IL
®1988-2010 ACORD CORPORATION. All rights reserved.
ACORD28(2010/08) The ACORD name and logo are registered marks of ACORD
08/28/2012 11:15 5414884215 PAUL VOLZ INS PAGE 01/01
A�R� CERTIFICATE OF LIABILITY INSURANCE DA7E/28120I12
Delz9 zB12
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELYAMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURE11I AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT.If the certificate holder is an ADDITIONAL INSURED,the policy(Les)roust be endorsed.N SUBROGATION IS WANED,subject to
the terms and conditions of the policy,certain poficles may require an endorsement.A statement on this certificate does not corder rights to the
certificate holder in lieu of such enclorsemon s.
PRODUCER CONTACT
NAME:
PAUL VOLZ INSURANCE AGENCY INC
Arc No Ex1: My.No;
450 SISKIYOU BLVD,STE 5 E IL
ADDRESS:
INSURERS)AFFORDeIG COVERAGE NNCi
ASHLAND OR 97520 NsuRrRA: NORTHFIELD INSURANCE COMPANY
INSURED INSURER B;
THE VILLAGE ARBORIST LLC INSURER C:
280 MEADE STREET INSURER D:
INSURER E
ASHLAND OR 97520 INSURERE
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.NOTMTHSTANDING 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.
LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MMIODM'YY MIDD LIMTS
GENERAL UABILRY EACH OCCURRENCE S 500,600.
J COMMERC AL GENERA LABILRY PREMISES Eao cU70M. $ 100,000.
CLAIMSMADE ❑V OCCLR NED ExP(Any one pent,) $ 5,000.
A WS124644 11/09/11 111.09112 PERSONAL AADV INJURY 5 500,000.
GENERALAGGREGATE $ 1,000,000.
GEN'L AGGREGATE LIMIT APPLIES PEA. PRODUCTS-COMPIOPAGG $ 1,000,000.
POI.ICV 7 EC7-F LOC I a LIMIT $ITY AUTO (Ea ccroarp $NAUW
BODILY INJURY(Perperean) $
ALL OWNED SCHEDULED
AUTOS AUTOS BODILY INJURY(Ppl accldeN) $
HIREDAUrOS NOOSVJNED FRO=da��' GE i
S
UMBRELIA I" OCCUR EACH OCCURRENCE $
E%CESS LIAR
HCLAIMB-MADE AGGREGATE 6
DED RETENTION $ S
WORKERS COMPENSATION AND TORYLIMITB ER
r!WLOYERS'LNBaTTY YIN
MYPROPPIETOWEXECLITVE ❑ E.L.EAC14ACCIDEW S
OFFICER/MEMBER E D NIA
(Mandatory In NH) E DISEASE-EA EMPLOYEE $
Ir y",dBscnbe Under
DESCRIPTICN OF OPERATIONS Debw E,L,DISEASE-POLICY LIMIT i
DESCMPnON OF OPERATIONS I LOCATIONS I VEKICLES(Attach ACORD 101,AdrBeonal R.madr Seh.d,A.,Itmer.spat.Is r.RUlr.d)
TREETRIMMER
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BB CANCELLED BEFORE
CITY OF ASHLAND THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELWERED N
ATTN: KARIANN OLSON ACCOROANCB WITH THE POLICY PROVISIONS.
90 N MOUNTAIN AVE AUTKORII REPRESENTATIVE
ASHLAND OR 97520
L(-
®1869-2010 AC WD CORPORATION.All rights reserved
ACORD 25(2010105) The ACORD name and logo are registered marks ofACORD
1 Page 1 1
CITY REC-ir" R /
Ashland Park Commission DATE PO NUMBER
20 E MAIN ST. 8/30/2012 00142
ASHLAND, OR 97520
(541)488-5300
VENDOR: 001798 SHIP TO:
VILLAGE ARBORIST, LLC, THE
280 MEADE STREET
ASHLAND, OR 97520
FOB Point: Req.No.:
Terms: net Dept.:
Req.Del.Date: Contact: Anne Thayer
Special Inst: Confirming? NO
Quantity Unit Description Unit Price Ext.Price
Job#2 -45 Trees to be pruned of 3,100.00
deadwood and mistletoe at Oak Knoll
Golf Course. Per attached proposal and
contract.
Contract for Goods and Services
Beqinninq date: Auqust 29, 2012
Completion date: September 28, 2012
Insurance required/On file
Note: Job#1 -Tree removal at Ashland
Airport-City.PO issued 08/30/2012
SUBTOTAL 3100.00
BILL TO: TAX 0.00
FREIGHT 0.00.
TOTAL 3,100.00'
Account Number Project Number Amount Account Number Project Number Amount -
E 211.12.04.00.60235 -3110-0-0-0-
r
Authorized Signature VENDOR COPY
•FORM #3 CITY OF
Areque for ASHLAND
REQUISITION Date of request:
' // Required date for delivery:
�I/t
Vendor Name b no, IAY19M"s
Address,City,State,Zip �$ ) meL9 Fl Ash lrr.n A OX 975K
Contact Name&Telephone Number ..r
Fax Number —�°
SOLICITATION PROCESS
❑ Exempt from Competitive Bidding ❑ Emergency
❑ 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
ess Small Procurement Cooperative Procurement
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 ❑ Stale of Washington
Intermediate Procurement ❑ Sole Source Contract#
GOODS&SERVICES E-] 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 ❑ Written Findings(Form attached) Agency
❑ Less than$35,000,by direct appointment. ❑ Quote or Proposal attached Contract
❑ 3 WdttW op s ts allached - Data Counc :-- — -- -- #
-Date approved-by Gouncik -- ——
Description of SERVICES Total Cost
i ix y al
41
1/5d. prvri T y S' i zFt
3 {
v VG-�C knt� l•� ��IT WVI � F�_ ��R���3�`j..,_�„ ` �Rr v � '�^
Item # Quantity Unit Description of MATERIALS Unit Price { Total Cost
❑ Per attached quote/proposal $ '
Project Number__ ___// Account Number___-__-__-__-______
AccountNuinber��I J;L.0 6200�a� 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,l certify that the information provided above satisfies the City's public contracting requirements,and the documentation can be
provided upon request.
Employee Signature:_! rlU1.r1Yi l• �l/2�t~ Dlepartment Head Signature:
Additional signatures(if applicable):
Funds appropriated for current frscal year. YES / NO
Finance Director Date
Comments:
G:FlnanceTrocedurelAPTormslForm#3-Requisition.doc Updated on:8/24/2011
I' CITY RECORDER Page 1 / 1
CITY OF
ASHLAND
,= DATE- PO NUMBER
20 E MAIN ST. 8130/2012 1 11140
ASHLAND, OR 97520
(541)488-5300
VENDOR: 017229 SHIP TO: Ashland Parks
VILLAGE ARBORIST, LLC, THE C/O 90 N. MOUNTAIN
280 MEADE STREET (541)488-5354
ASHLAND, OR 97520 ASHLAND, OR 97520
FOB Point: Req.No.:
Terms: Net Dept.:
Req.Del.Date: contact: Anne Thayer
special.inst: - confirming? NO
Quantity Unit Description - unit Price Ext.Price
Job#1 -One tree removal and debris at 375.00
Ashland Municipal Airport. Per attached
proposal and contract.
Contract for Goods and Services
Beginninq date: Auqust 29, 2012
Completion date: September 28, 2012
Insurance required/On File
Note: Job#2 -45 Trees Pruned at Oak
Knoll Golf Course- See Parks PO 00142
SUBTOTAL 375.00'.
BILL TO:Account Payable TAX 0.00
20 EAST MAIN ST FREIGHT 0.00
541-552-2010 TOTAL F 375.00
ASHLAND, OR 97520
Account Number . Project Number Amount Account Number Project Number Amount
E 280.08.00.00.60235 375.00
" Authorized Signature VENDOR COPY
FORM #3 CITY OF
A i eque t for a Purchaze Order ASHLAND
REQUISITION Date of request: 8 /
Required date for delivery:
Vendor Name
Address,City,State,Zip _ �jD {FYI e I b/and ok
Contact Name&Telephone Number �Q �'��//�/ng S�//. �J� • D�/o - .
Fax Number
SOLICITATION PROCESS
❑ Exemptfrom Competitive Bidding ❑ Emergency
❑ 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
s than$5.000 ❑ Reguest for Proposal (Copies on file) ❑ State of Oregon
Note:Total contract amount,including any Date approved by Council:. Contract It
amendments may not exceed$6,000 ❑ State 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
F-1 (3)Written quotes attached Contract#
PERSONAL SERVICES El Special Procurement El Intergovernmental Agreement
$5.000 to$75.000 ❑ Written Findings(Form attached) Agency
❑ Less than$35,000,by direct appointment. ❑ Quote or Proposal attached Contract 0
- - - -- - --- -- - - - - -Date approved-brGounaf= — —
� 3 Wti aYs affache� - __ Qa eT a m� una
Description of SERVICES Total Cost
� Trey tpemo✓A.� � �vi5 r`
.Item# Quantity Unit Description of MATERIALS Unit Price Total Cost
❑ Per attached quotelproposal S rr
IY
Project Number---------- Account Number-------------------
-
Account NumberJ60-.Q8-(Q-4D l Q3,53 Account Number----------_---------
'Expenditure must be charged to the appropriate account numbers for the financials to accurately rofiect the actual expenditures.
IT Director in collaboration with department to approve all hardware and software purchases:
IT Director Date
By signing this requisition form,l certify tha a informs ion provi ad above satisfies the City's public contracting requirements,and the documentation can be
provided upon request. /tzo
Employee Signature: &AL' C-•2IQ40!t� Department Head Signature:
Additional signatures(if applicable):
Funds appropriated for current fiscal year YES /NO
Finance Director Date
Comments:
G:FinancelProcedureXAMormsTonn#3-Requisillon.doc Updated on:81242011