Loading...
HomeMy WebLinkAbout2012-292 Contract - Upper Limb It Contract for GOODS AND SERVICES Less than $25,000 y CITY OF CONTRACTOR: Upper Limb It ASHLAND CONTACT: Randy Mason 20 East Main Street Ashland, Oregon 97520 ADDRESS: 77 Manzanita St. #3 Telephone: 541/488-6002 Ashland OR 97520 Fax: 541/488-5311 TELEPHONE: 541-482-3667 DATE AGREEMENT PREPARED: 11/13/12 FAX: BEGINNING DATE: 11/13/12 COMPLETION DATE: 3/1/13 COMPENSATION: $19,950 per attached proposal form-Exhibit C GOODS AND SERVICES TO BE PROVIDED: Top Trees within the Airport Approach Slope-per attached map Exhibit D ADDITIONAL TERMS: None 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 2796.220, 279B.225, 279B.230, 2798.235, 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, Contractors 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 06/30/2012, 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,.$1'100110,G100, $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 Contract for Goods and Services Less than $25,000, Revised 06/30/2012, Page 2 of 5 intent not do 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 contractors 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. Contract City of Ashland By Byer. Q-r ~9- n Signature Department Mead IAAn,Dy mASon M~cv. 2 ta~S - Print Name Print Name OWAer 1\\~~1 tz 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 06/30/2012, 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. (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. Sb Contractor W ate) Contract for Goods and Services Less than $25,000, Revised 06/30/2012, Page 4 of 5 \ASHLAND MUNICIPAL AIRPORT TREE SURVEY \ AIRPORT RUNWAY 30 APPROACH ZONE EXHIBIT D r ASHLAND MUNICIPAL AIRPORT DEAD INDIAN MEMORIAL ROAD \ \ ASHLAND, OREGON - FOR GGASS DISC AT ENO \ Elf v,-Ima.>9 c9 R°"""r \ CITY OF ASHLAND TREES UST \ q, 20 EAST MAIN STREET \ \ \ ASHLAND, OREGON ma NO. '~pnm GROUND zD:1 ELEV. ~mwr rTRIM? \ \ \ IIOJ6 CORCry wUp 1e993 1961.6 696'1£3 SSO' \ \ 111 ]6p Im93 N 'I. 49.6 ICS U,0' , r \ \ \ 11$ M'.COIIM XY/""GeMA 1e99.3 19x] 6 6 496 'CS 4]. a' \ ?0, \ IIJ M COTT'NeMO im9.3 19658 49.6' YCS 63,1 ' \ l \ II4 MYORIXiROM 1699.5 19x16 49.6' 10 4J. Z' \ 9.~ \ 1 u5 I6'COriMnq'V 16911 WA29 49.6 MS 21J' ~O \ 1 II6 15' MM 1696,4 19439 475' lE$ I76' 14$ JT WITl00.'O IAtl.J 1951.1 31.E rz$I50'• n _ _ _ le9fla 195x1 s$z' rES lzo'• \ \ S!~ rss 4'n mz e~M1 JO] sa'roRMlmm _ _ 193fi.1 36.1' YES IZ.O'• ml Mi NrI GMD 169fl] 19426 N~]' ms 26,0' \ \ M Oes ~J\ 1 _ mZ 12 ro.GOOD ING2 19.11 410' MS Iz0'• \ 1 CLEAR ZONE EASEMENT 61I 26-MCRNG m 1.i 11496 s.y ms Izp% \ - \ ACQUIRED MAY 4, 1966 612 zp'uo6R 169x7 19.. sa]' YES ¢.r 1 DOC. NO. 66-05796 \ \ O ; \ 627 N' CEWi 1901.6 1960.7 519 'CG I'... NOTE: TREE NUMBERS 110, 111, 112, 113, 114, 752 758 \ 641 26"WO ONGOO Im, 19.9. s.r xs 12.G' AND 759 ARE OUTSIDE EASEMENTS PER THE 1987 CITY \ \ \ "5 29' co)ralrlppD I%L] msT] xi.' YES 120 OF ASHLAND MAP. PERMISSION WILL BE REQUIRED D FROM W CLEAR ZONE EASEMENT 4 \ \ 6.9 36' COITVwpyJ 19013 1939.3 54.0' 'ES Y&3- PROPERTY OWNERS PRIOR TO TRIMMING THESE TREES. :E ' \ 1 ACQUIRED APRIL 27, 1972 DOC: NO. 72-05391 fixi 6p' mnMwpw 196x.1 196z5 xiz' lES 142_ . ;f\ Z it \ 670 Z3' COIIOVXCLO 1951.) is . sAVNgR$ fi]S 10 COTpllw)LO 1699.9 Q i L20- nwRIC I]B TES IS.616 1969.] 66 6' YES ZI.Ze19 21' RMGMO 1%06 1%9.$ 200' r'1'ri \AP 6M 11' CO1I0NX0.'p 19%.7 1%fl3 GIG- 1[5214' -3 I O \ ~9 s NOCRS 621 M wrCsCNT INp.9 196&1 62Y )ES 3)5' aDiL\ \ ' rLNG \C'.5, iJ9s RIC 119 \ i M5E ~'~p .p irr• \~O n JIW 922 J6 COTCR. 1699.1 1%15 66.4' l G zSO'• \ \ ¢ '^•,\n,\ 1 \(n %1 27NpINVr Im9. 195]9 SB S' YE512.0'• . p ' n9s 81E Im .r / R \ ~ eARn 1 Tree cut list modified by City of AshlaOad 10-22-2012 -Ax CIUR m i RIE IJ. \ T]95 RIE I.N 1 1 .N R J0.y \n .N1I \ A". \ \ - m O 1E' 2 r \ RE V$Ep 10--17-121 TO l0 AM IRIN pMWN15 RE.. Ip-I9-1I 10..100CM.G. AND 0.OJ 1REEs y ~ \ \ CIO 2 u \ C _ ]]9$ RIE 1]9 J \ \ \ NOTES i \ . y \ QyCN \ \ \ NOTE: AN ASTERISK NEXT TO THE irtlM AMOUNT INnICAiES AN ESTIMATED AMOUNT CF NT. IRIS AMOUNT IS NOT BASSO ON FlELO 1. au pT iNE Irv[ nMV AND vcs IIE.tl.' maCED mpu A 56-16 .1 OR A MAMx. \ EASEMENT PER CITY MAP, OBSERVACON. TO ARRIVE AT THEY E 1 USED GROWTH AMOUNTS FRAM MEASURED TREES OF SIMILAR TYPE A \ ANUARY GIAMET 1967 DIAMETEI OsER THE SIX YEARS SINCE M 1HE LA11 AST FlELO ELO OBSERVAnON. SINCE ME LIVES WERE STILL ON ME TREES AT T ME TIME Ex 7 PN PRME MMT E ReT m' AGOBy G4E . .1 1 ix aaR ARvxwaY ]D pFARwCH zM~ Nwo,' GA. aAVUaar \ z OF THIS SURVEY, WE IYERE NOT ABLE TO MEASURE HEIGHTS ON MANY OF ME TREES N1TH ANY DEGREE OF CERTAINTY. A VA9m 9Y A sHLANO N ' z afvpnms eASEn M FO/W) BRASS psc ATM oT rvxwpr ElEwlman \ - ` \ \ \ m ~ vanan e. \ . PROFESSIONAL accrsT.G.O 1 TLTEDrUMpREaRPROnNAIE \ ` TERRASUR.VEY, INC. 1 \ \ LAND SURVEYOR PROFESSIONAL LAND SURVEYORS \ DIGITAL COPY 274 MUR774 STREET \ \ A \ ® \ ASMNIND, ORETAN 97520 SIUnQi M DSI9JS 5cN[: 1' - -rW \ nn 1.6. 6604126474 Expires rz-]I-IS f~~b 0' m' 1%' 200' • 'GO \ • I .Ky NO. AP55-1$ 4 EEi 1 O I EXHIBIT C CITY OF ASHLAND DEPARTMENT OF PUBLIC WORKS TREE TRIMMING AT THE ASHLAND MUNICIPAL AIRPORT BID PROPOSAL FORM The undersigned bidder declares that plans and specifications have been examined, the site has 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 bid proposal is accepted, the bidder will contract with the City of Ashland for the work involved and will provide the necessary equipment, materials, tools, and labor, in accordance with the plans and specifications under the following conditions: 1. It is understood that all work will be performed under a lump sum or unit price basis and that for said lump sum, or unit price, all services, materials, labor, equipment, and all work necessary to complete the project in accordance with the specifications shall be furnished for the named price. If there shall be an increase in the amount of work covered by the lump sum price, it shall be computed on a basis of °extra work" for which an increase in payment will have been earned and if there is to be a decrease in the lump sum payment, it shall be made only as a result of negotiation between the undersigned and owner. 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 owner, the City of Ashland, or any other person, firm or corporation responsible for any errors or emissions that may appear in any estimate. 2. The undersigned agrees that the "Time of Completion" shall be March 1, 2013, and the work will be completed within that time period after a "Notice to Proceed" has been issued by the owner. 3. The undersigned, as bidder, acknowledges that addenda numbered through have been delivered and have been examined as part of the contract documents. PROPOSAL FORM Item No. Description Quantity Unit Price Amount 1 To 13" to 18" DBH trees 2 Ea 00 ? " 600 I 00 11-7 2 To 19" to 24" DBH trees 6 Ea cro 3. Dco , 00 3 To 25" to 30" DBH trees 5 Ea 150, c~ 9 o ` . 0 o c) U b 4 To 31 DBH or larger trees 14 Ea 00 , © 0O TOTAL BID PRICE 19 Cl.. GApub-wrks\eng\12-18 Airport Approach Slope Tree Trimming\A_Admin\Cons Pre Contract\RFQ\12-18 RFQ Airport Tree Trimming 081712.doc Page 4 of 20 The City of Ashland reserves the right to waive irregularities or discrepancies in a proposal if the City determines that the waiver is in the best interest of the City. The foregoing price includes all labor, materials, equipment, overhead, profit, insurance and all other inciden expenses to cover, the finished work of the several kinds called for. l/~j Signature of er Fi Name -,Bidder ~r ~~anza ,e M fvi- Official Title of Bidder Address of Firm If I Date Statekaadssafte-Cor ntractors License Phone Number State of Incorporation - If Applicable GApub-wrks\eng\12-18 Airport Approach Slope Tree Trimming\A_Admin\Cons Pre COntract\RFQ\12-18 RFQ Airport Tree Trimming 081712.doc Page 5 of 20 SAOct.29. 2012•t 2:54PM JAshland Parks & Rec Main Office.GE 1/001 No.07621rvP.'1 o a v 0 v,vv,.aalrm,n oft OREGON WORKERS COMPENSATION SC7IF CERTIFICATE OF INSURANCE f corporation CERTIFICATE HOLDER: ' ASHLAND PARK AND RECREATION DEPT ATT: ANNE THAER OR 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 741742 04/01/2012 to 04/01/2013 _ 10/29/2012 INSURED: - BROKER OF RECORD: RANDOLPH MASON UPPER LIMB IT TREE SERVICE 77 MANZANrTA ST ASHLAND, OR 97520-2640 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 certlficate 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 brg?!~>jr President and CEO 600 High Street sr Salem, OR 97712 P: 800.285.8525 R 503.773.8020 rehry btrhlCelnoteorrnwranm • CM. 29. 20121 1:58PM .5-fAshland Parks $ Rec Main Office NNo.0780 PP. 1 Iq 1A„~ coR4° CERTIFICATE OF LIABILITY INSURANCE 10120/2012 tNIs CERTIFICATE IS IsaLlED A8 A PRA77ER OF INFORMATION ONLY AND CONFERS N0 RIGHTS UPON THE CERTIFICATE HOLDER, TH18 CERTIFICATE DOES NOT AEryRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER 7IIE COVERAGE AFFORDED BY TH6 POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSUREN(8), AUTHORPLED REPRESENTATIVE OR PRODUCER, AND THE CERTIACATS MOLDER IMPORTANT: H the FaAlOoate holder IS an AUMONAL INSURED, the pO sy as must ha widorsad. If 9 B T 0 18 WAIVED, subject W Mho lama end aondlUens of the policy, pertain pollelas may rodulro an ondo,ea,naht. A otatamrnt an (his rudl0ule does not confer dgMa to Me ceNncale holder In [tau of rush endereamsal s , PRODUCIA - Michael A. Ruah KIM Mal. 1381 Center Or, Sulle 100 Imba, Medford, OR 97501 [Noun r sfa)AMIWDMCQVgmqg aAPCs amrAa A I Fhal Flnendal Insurance comps n°uaPO tau e Randolph P Masan MIUAEae 77 Manzardla St asuamu; Ashland, OR 97520 MsuaO+E: e°uaeA r COVERAGEIS CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF BaSURANCE LISTED BELOW HAVE BEEN ISSUE=D TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WIM 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 CONDnXM OF SUCH POLICIES. LIMITS SHOWN MAY PAVE BEEN REDUCED BY PAID CLAIMS. TfrEOr laaUaaaG[ ^01M swap I P .aura w9a NOMPALUABYRY 54OF-000579 WIS12012 311=013 EArJroWaaiEMCE a 1,000,000.00 OoMrrxc+ALaErrtA.LU.aam PBElasfal aouase a 100,000.00 A aAwBaIADE Q OCCUR rEn ®.A a. P.a) a 6 .0110.00 as ..,.s_sAwanrar 1,000,000.00 Gw AAL AocaEOArE - s 2.000.000.00 QWLAW%Q;UAT1;UWAPPUEe PFA raoalna-aormaPACa s 2,000,000.00 Purer M '79 F-1 Lac a 1XI AlrrOeobadLIADIUN Oowa uwn' ecoaylwaraw" pp. ) a ANr AU1o - , ,~wro~. A d 9oost rwuAVPe.ma,. 1 a ,aIIEa AIRai AWNOMOMNEO OAW s a UMRUl Upa OOGLa SIC" OCCUPMD" -S "OWL" alAaiS YAOE AaaAC9ATY a O® AETDRtOw a AND1MmtO~lEnrr K'reA ,wCerA O Alm FaOAaWrI oaru AMPaurRerwWMTNOVEaGrtNE Y❑ ELEACr AQmOrr a MIA WeIMMMIAM"EO Wad ryap dq y, R1I1 ELDIePA6E-EA f ELarFAAE-DqI uLn• SICISCRIPTIOd OF MTpNB b*W oaeOWPIbNoFOPFJU7lollr/LOCAn AINSIMMIClEr plea: ArePS 1c1. A0ebnYRwirlareNdYe, Xern~Pcrlsrrau°a) Evdence of Insurance I I CERTIFICAT@ HOLDER CANCELLATION I Ashland Parks a Recreation BHOOLO AMY Os THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 34119 Pioneer THE EXPIRATION DATE TMEREOP, NOTICE WILL BE DELIVERED IN Ashland, OR 97520 ACCORDANCE WIT9THEPOLICY PROVISIONS, AV19Cp20 REDArJQaTARYa ®1988.20/0 ACORD CORPORATION. All rights reserved. ACORD 23 (20101011) The ACORD name and logo are registered made of ACORD BUSINESS-AUTO -DECLARATIONS FARMERS INSURANCE EXCHANGE POLICY MEMBERS OF FARMERS INSURANCE GROUP OF COMPANIES ❑ COVERAGE PART NOME OFFICE 4680 WILSHIRE BLVD, LOS ANGELES, CALIFORNIA 90010 REM ONE NAMED MASON, RANDY INSURED UPPER LIMB-IT TREE SERVICE Account Number MAILING 77 MANZANITA ST 03 73-01-363 60472-31-75 ADDRESS Agent~ ity- ASHLAND OR 97520 Type of The named insured is an individual ❑ Partnership ❑ Corp. Busing LANDSCAPE GARDENING unless otherwise stated: ❑ Joint Venture ❑ Organization (Other than Partnership or joint venture) Policy Period from 03/12/12 (not prior to time applied for) to 03/12/13 12:01 AM Standard Time If this policy replaces other coverages that end at noon standard time on the same day this policy begins, this policy will not take a act until the other coverage ends. This policy will continue for successive policy periods as follows: If we elect to continue this insurance, we will renew this policy if you pay the required renewal premium for each successive policy period subject to our premiums, rules and forms then in effete ITEM TWO SCHEDULE OF COVERAGES AND COVERED AUTOS "This policy provides only those coverages where a dtar~e is shown in the premium column below. Each of these coverages will apply only to those "autos" shown as covered "autos . "Autos" arc shown as covered "autos" for a particular coverage by the entry of one or more of the symbols from the COVERED AUTO Section of the Business Auto Coverage Form natt to the name of the coverage. 'COVERED AUTOS THE MOST WLIMIT E WILL PAY FOR COVERAGES ANY ONE ACCIDENT OR LOSS PREMIUM LIMITS SHOWN IN THOUSANDS LIABILITY 7 S 250/500/100 862.00 PERSONAL INJURY PROpTECTION SEPARATELY STATED IN EACH PIP ENDORSEMENT (or uivalentNo-FauRCoverage) ADDED PERSONq~ INJURY PROTECTION SEPARATELY STATED IN EACH ADDED PIP ENDORSEMENT (or equivalent added no fauh cov.) PROPERTY PROTECTION INSURANCE SEPARATELY STATED IN THE P.P.I. ENDORSEMENT MINUS (Michigon only) S DEDUCTIBLE FOR EACH ACCIDENT AUTO MEDICAL PAYMENTS 7 S SEE SCHEDULE 17.00 UNINSURED MOTORIST 7 S SEE SCHEDULE 51.00 UNINSURED MOTORIST $ PROPERTY DAMAGE UNDERINSURED MOTORIA5 (When not S incl. in Uninsured Motorists (overage) Actual Cash Value or Cost o Repair, whichever is PHYSICAL DAMAGE lass m nus S SEE SCHEDULE Ded. for Each Covered COMPREHENSIVE COVERAGE 7 Auto. ~ut no Dedudihla Appljes tq Los Caused by Fire or 143.00 L htnin . See hem Four fifir hhired or orroweid autos'. ev i PHYSICAL DAMAGE SPECIFIED Lau Cas V u o ir, k 11 PAUSES OF LOSS (OVERAGE 7 or ass rrogars ¢ Vole ~Aura or s vi ( PA uthleosyr Vandam. See Item r for hired . PHYSICAL DAMAGE Adual Cash Value or Cost of Repair whichever Is COLLISION COVERAGE 7 lass minus $ SEE SCHEDULE De for Each Covered 240 . DO Auto. See item four for hired or borrowed Autos'. PHYSICAL DAMAGE TOWING AND LABOR 7 $ soo auto' (ACTUALIIMIT) twat PREMIUM FOR ERDDRSFMENI5 tOMATEDIDTMPRLMIUM 1,313.00 FARMERS 96-5190 6111EDIDON 310 t91 9O601 PAGE I OF 3 569196406 I ~ - • 60472-31-75 P ry Numbel BUSINESS AUTO DECLARATIONS (Caa111104 ITEM THREE SCHEDULE OF COVERED AUTOS YOU OWN TERRITORY ESCR PTIO PURCHASED ~I~TT ~ Y YP Town 8 Strate where ~rvered Sena~~Iimber(s)rjehj~~i0 ti~idCaf Au n~fumber r27000 Adadbegaroged (~vto N0r~~ 1l . 9 NTA0 AL. 4900 00 S LAND 0 203 }LTAA 94617 ASHLAND OR 203 2 06 ORNADO S8S216105N024284 CNSSUICATION a [us a ustness use we a rtmary on ary a Except fa towing, all physical damage Operatan s • servite(W a with. Group adup inq loss n payable to you and the loss r • retai sting q do payee named below as interests (over@d c - commercial capacity to - a(n may appear at the time of the loss. Auto no. 50 C 2001 7 00 00 66199 Bence o a ud1 or unit entry in any column below means t at e ' or urn entry In t All l roues on in ITEM TYlb c umn a IN instead LIABILITY mPERSONAL INJURY PROTECTION AD ED P.LP. mrt PROP.NPROT. ° remrum * 1md remmm II.~ n minuted remmm reeled Yt . !Ln~r end minute act. (overt~ dudii a shown~re~nv below Auto No. 4 :o02 250/500/100 ota 862.0 Premium sense o o deductible or timill entry in any column e w means that the limit a uctl entry m It corresponding ITEM TYjO column applies i) covered AUTO MED. PAY nstead PROPER TY DAMAG imd Premium 0/ 51.0 Auto No. Imd remmm ' tmd Premium imd Premium -T- 0.5 1 r.vu Vill/ all ota 51 .0c Premium 17.00 UNITS Bence o a udi m noel entry m any RE mn liilii means t at t e and or udi entry m tortes ondi ITEM TV/0 column a hos instead gat pI remmm must to dstat 14 remmm 1144men er Premium JIM U mu dud. Disa6tet (ry~vet~Qd e~musp uc- premium s lown~e~Ow AU,a N0. ti shown ee w 0 1331.00 0 500 50S 0t0 143.00 240.00 Premium *(LIMITS SHOWN IN TNOOSANDS) [5190601 PAGE WSJ go 61 11111110113-10 CITY OF ASHLAND DETERMINATIONS TO PROCURE TREE TRIMMING SERVICES THREE QUOTES To: Dave Kanner, Public Contracting Officer From. Scott A. Fleury Date: 11/19/2012 Re: DETERMINATIONS TO PROCURE TREE TOPPING SERVICES Background Bid packets for tree topping services for the Ashland Municipal Airport Approach Slope Zone were sent out to nine local tree trimming companies, reference attached plan holders label sheet. Bid packets were sent out on October 23, 2012. The bid submittal date was established as November 6, 2012 at 2:00pm. On that date only one bid was received from Upper Limb It tree service. The City of Ashland Engineering Department accepted the bid and is now processing a contract for the services described in the request for quotation. Form #4 - Department Head Determinatlons to Procure Personal Services, Page 1 of 1, 11/19/2012 Quality Tree Service Southern Oregon Tree Care Clark's Tree & Landscape 3402 Viewpoint Dr. 2568 Crater Lake Ave. 1067 Court St. Medford OR 97501 Medford OR 97501 Medford OR 97501 Upper Limb It Tree Services One Two Tree Victors Tree Service 77 Manzanita St. 520 S. Peach St. 423 Berrydale Ave. Ashland, Or. 97520 Medford, OR. 97501 Medford, OR. 97501 Tree M.D. Beaver Tree Service J&J Tree Service PO Box 996 270 Wilson Rd. 5620 McLaughlin Dr. Jacksonville, OR. 97530 Central Point, OR.97502 Central Point, OR 97502 Page 1 / 1 CITY OF LAN &TY RECC k'.~' ~ DATE PO NUMBER RA -ASH 20 E MAIN ST. 11/28/2012 11316 ASHLAND, OR 97520 (541) 488-5300 VENDOR: 001127 SHIP TO: Ashland Public Works UPPER LIMB IT (541) 488-5587 77 MANZANITA STREET #3 51 WINBURN WAY ASHLAND, OR 97520 ASHLAND, OR 97520 FOB Point: Req. No.: Terms: Net Dept.: Req. Del. Date: contact: Scott Fleury Special Inst: Confirming? No Quantity Unit Description Unit Price Ext. Price Tree trimminq for Ashland Municipal 19,950.00 Airport approach slope zone Contract for Goods & Services Beqinninq date: 11/13/2012 Completion date: 03/01/2013 SUBTOTAL 19 950.00 SILL TO: Account Payable TAX 0.00 20 EAST MAIN ST FREIGHT 0.00 541-552-2010 TOTAL 19,950.00 ASHLAND, OR 97520 Account Number Project Number Amount Account Number Project Number Amount E 280.08.00.00.60232 E 201218.999 19,950.00 Authorized Signature VENDOR COPY FORM #3 CITY OF A request for a Purchase Order ASHLAND REQUISITION Date of request: 11/19/2012 Required date for delivery: ASAP Vendor Name Upper Limb It Address, City, State, Zip 77 Manzanita St. #3 Ashland OR 97520 Contact Name & Telephone Number any ason Fax Number SOURCING METHOD ❑ Exempt from Competitive Bidding ❑ Emergency ❑ Reason for exemption: ❑ Invitation to Bid (Copies on file) ❑ Form #13, Written findings and Authorization ❑ AMC 2.50 Date approved by Council: ❑ Written quote or proposal attached ❑ Written quote or proposal attached ❑ Small Procurement Cooperative Procurement Less than $5,000 ❑ Request for Proposal (Copies on file) ❑ State of Oregon ❑ Direct Award Date approved by Council: Contract # ❑ Verbal/Written quote(s) or proposal(s) ❑ Stale of Washington Intermediate Procurement ❑ Sole Source Contract # GOODS & SERVICES ❑ Applicable Form (#5,6, 7 or 8) ❑ Other government agency contract $5.000 to $100,000 ❑ Written quote or proposal attached Agency M (3) Written quotes attached ❑ Form #4, Personal Services $5K to $75K Contract # PERSONAL SERVICES ❑ Special Procurement Intergovemmental Agreement $5.000 to $75.000 ❑ Form #9, Request for Approval ❑ Agency ❑ Less than $35,000, by direct appointment ❑ Written quote or proposal attached Date original contract approved by Council: ❑ (3) Written proposals attached Date approved by Council: (Date) ❑ Form #4, Personal Services $5K to $75K Valid until. Date Description of SERVICES Total Cost Tree Trimming for Ashland Municipal Airport Approach Slope Zone $19;950 Item # Quantity Unit Description of MATERIALS Unit Price Total Cost ® TOT E, Per attached quotelproposal -i►I COST Project Number Lo LZ Account Number ZBo -?g,-ao .00 - (ooZ 3z-0D Account Number 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: ITDirector Date Support-Yes/No By lignin quisition form, l certify that the City's public contracting requirements have been satisfied. Employee Signatur r u rt IZ Department Head Signature: (Z , tl t , greaterthan ,00) Additional signatures i app rcable): (Equal to or Funds appropriated for current fiscal year: :YES / NO l y 7 ~t/Z Finance Director- (Equaltoorgreatnan$5,000) Date' Comments: S'w/1tirys*r~x- Form #3 - Requisition