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HomeMy WebLinkAbout2015-012 CONT Addendum #2 - Laurie Sager & Associates ADDENDUM #2 Addendum made this 17th day of December, 2014, between the City of Ashland ("City") and Laurie Sager & Associates ("Consultant"). Recitals: A. On March 4, 2014 City and Consultant entered into a "City of Ashland Contract for Personal Services Less than $35,000" (further referred to in this addendum as "the agreement") pursuant to approval by the City Council, acting as the Local contract Review Board, for a Special Procurement to accomplish certain architectural and engineering work for Ashland Creek Park. B. On October 7, the Ashland City Council, acting as the Local Contract Review Board, approved amendment of the Agreement to allow for additions to the scope of work that would increase the contract price to a total of $50,000. C. The parties entered into addendum #1 for provision of additional design services related to the construction observation phase of the Ashland Creek Park project for additional compensation in the amount of $7,397.00 bringing the total contract price to $39,605.00 D. The parties now desire to further amend the agreement to provide for additional design services and increase the compensation to be paid to Consultant. Agreements: City and Consultant agree to amend the agreement in the following manner: 1. The additional work to be accomplished pursuant to this Addendum #2 is: a. Provide engineering design and drawings for a storm drain in the right-of-way of Hersey Street for Ashland Creek Park. b. Pre-design Initial meeting, site visit and consulting. Coordinate with Utilities, and research of records. c. Site analysis including topographical survey, boundary survey, geotechnical investigation and land-use meeting and hearings. d. Design Services including basemap, coversheet, storm drain plan and profile, final plans, sediment and erosion control plan to DEQ standards, and Civil sitework specifications. 2. The compensation specified in the Agreement as "Not to exceed $32,208.00 and subsequently increased by Addendum #1 to a maximum of $39,208.00 is hereby increased to a total not-to-exceed amount of $50,000.00 3. The completion date specified in the Agreement as November 15, 2014 is 1- CITY OF ASHLAND, ADDENDUM TO CONTRACT FOR PERSONAL SERVICES hereby changed to December 22, 2014. 4. Except as modified above the terms of the Agreement shall remain in full force and effect. CON E'IV64' T:CI F ASHLAND: BY BY P D pa ent Head Its Date DATE till lir TTT Purchase Order # Acct. No.: (For City purposes only) AP D AS TO FORM la st. it ttomey Dat Z 2- CITY OF ASHLAND, ADDENDUM TO CONTRACT FOR PERSONAL SERVICES e CITY OF ASHLAND Council Communication October 7, 2014, Business Meeting Approval of Contract-Specific Procurement for Architectural and Engineering Services of Ashland Creek Park Construction FROM Michael A. Black, Parks and Recreation Director SUMMARY This is a request for City Council, acting as the Local Contract Review Board, to approve an exemption from the competitive bid process and a directly award of an addendum to the contract of Laurie Sager for Architectural and Engineering work associated with Ashland Creek Park Construction. Additional duties to include future site inquiries for changes in the project as required. BACKGROUND AND POLICY IMPLICATIONS Ashland Parks and Recreation has been working on the Ashland Creek Park project with Laurie Sager and Associates since May 14, 2014. The initial Sager contract for personal professional services during the construction period was $32,208.00. Unexpected delays as well as unforeseen issues within the project have added additional work requirements. City policy states that council approval is required for Personal Services exceeding $35,000.00. FISCAL IMPLICATIONS The original contract amount of $32,208.00 was the original estimate including a 10% contingency. Given the unforeseen complications, additional requirements have increased the scope of work by $7397.00, for a total contract amount of $32,208.00. Parks is requesting approval for a total of $50,000.00 spending authority if needed to complete this project. STAFF RECOMMENDATION AND REQUESTED ACTION Staff recommends approval of the Special Procurement to award Contract. SUGGESTED MOTION I move that Council, acting as the Local Contract Review Board, adopt the findings set forth in the attached Special Procurement Request for Approval and approve the Special Procurement described therein. ATTACHMENTS Special Procurement-Request for Approval (Written Findings) Page I of 1 ~r, SPECIAL PROCUREMENT REQUEST FOR APPROVAL To: City Council, Local Contract Review Board From: Michael Black, Director of Ashland Parks and Recreation Date: September 22, 2014 Subject: REQUEST FOR APPROVAL OF A SPECIAL PROCUREMENT In accordance with ORS279B.085, this request for approval of a Special Procurement is being presented to the City Council for approval. This written request for approval describes the proposed contracting procedure and the goods or services or the class of goods or services to be acquired through the special procurement and the circumstances that justify the use of a special procurement under the standards set forth ORS 279B.085(4). 1. Requesting Department Name: Ashland Parks and Recreation 2. Department Contact Name: Bruce Dickens 3. Type of Request: Class Special Procurement X Contract-specific Special Procurement 4. Time Period Requested: From: October 7, 2014 To: December 31, 2014 5. Total Estimated Cost: $50,000.00 6. Short title of the Procurement: Contract-Specific Procurement for Architectural and Engineering of Ashland Creek Park. Supplies and/or Services or class of Supplies and/or Services to be acquired: Construction Architecture and Engineering services are still required in order to complete Ashland Creels Park. The Parks and Recreation Department, along with Roxy Ann Rock Construction, is in the second month of construction on Ashland Creek Park which was approved by City Council on July 15, 2014. The Parks and Recreation Department worked with Laurie Sager and Associates on all planning, design and engineering. The project has had various delays due to unexpected constraints such as archeology findings, stormwater mitigation in the floodplain, planning issues related to the demolition of the barn and asbestos removal during construction. 7. Background and Proposed Contracting Procedure: Provide a description of what'has been done in the past and the proposed procedure. The Agency may, but is not required to, also include the following types of documents: Notice/Advertising, Solicitation(s), Bid/Proposal Fonns(s), Contract Form(s), and any other documents or forms to be used in the proposed contracting procedure. Attach additional sheets as needed. SPECIAL PROCUREMENT REQUEST FOR APPROVAL To: City Council, Local Contract Review Board From: Michael Black, Director of Ashland Parks and Recreation Date: September 22, 2014 Subject: REQUEST FOR APPROVAL OF A SPECIAL PROCUREMENT In accordance with ORS279B.085, this request for approval of a Special Procurement is being presented to the City Council for approval. This written request for approval describes the proposed contracting procedure and the goods or services or the class of goods or serv ices to be acquired through the special procurement and the circumstances that justify the use of a special procurement under the standards set forth ORS 279B.085(4). 1. Requesting Department Name: Ashland Parks and Recreation 2. Department Contact Name: Bruce Dickens 3. Type of Request: Class Special Procurement X Contract-specific Special Procurement 4. Time Period Requested: From: October 7, 2014 To: December 31, 2014 5. Total Estimated Cost: $50,000.00 6. Short title of the Procurement: Contract-Specific Procurement for Architectural and Engineering of Ashland Creek Park. Supplies and/or Services or class of Supplies and/or Services to be acquired: Construction Architecture and Engineering services are still required in order to complete Ashland Creels Park. The Parks and Recreation Department, along with Roxy Ann Rock Construction, is in the second month of construction on Ashland Creek Park which was approved by City Council on July 15, 2014. The Parks and Recreation Department worked with Laurie Sager and Associates on all planning, design and engineering. The project has had various delays due to unexpected constraints such as archeology findings, stormwater mitigation in the floodplain, planning issues related to the demolition of the barn and asbestos removal during construction. 7. Background and Proposed Contracting Procedure: Provide a description of what'has been done in the past and the proposed procedure. The Agency may, but is not required to, also include the following types of documents: Notice/Advertising, Solicitation(s), Bid/Proposal Fonns(s), Contract Form(s), and any other documents or forms to be used in the proposed contracting procedure. Attach additional sheets as needed. Background: Utilization of an Architect and Engineer is a practice for bigger projects within the department that staff does not have the expertise. Proposed procedure: Directly award public contract to Laurie Sager requested funds that exceed $35,000. in order to complete Ashland Creek Park. 8. Justification for use of Special Procurement: Describe the circumstances that justify the use of a Special Procurement. Attach relevant documentation. Parks has been working with the contractor since 2014 and has all of the knowledge related directly to the deli-n and architecture of this project. 9. Findings to Satisfy the Required Standards: This proposed special procurement: X_ (a) will be unlikely to encourage favoritism in the awarding of public contracts or to substantially diminish competition for public contracts because: (Please provide specific information that demonstrates how the proposed Special Procurement meets this requirement.); and x (b)(i) will result in substantial cost savings to the contracting agency or to the public because: (Please provide the total estimate cost savings to be gained and the rationale for determining the cost savings); or (b)(ii) will otherwise substantially promote the public interest in a manner that could not practicably be realized by complying with the requirements of ORS 279B.055, 279B.060, 279B.065, or 279B.070, or any rules adopted thereunder because: (Please provide specific information that demonstrates how the proposed Special Procurement meets this requirement.) Public Notice: Pursuant to ORS 279B.085(5) and OAR 137-047-0285(2), a Contracting Agency shall give public notice of the Contract Review Authority's approval of a Special Procurement in the same manner as a public notice of competitive sealed Bids under ORS 279B.055(4) and OAR 137-047-0300. The public notice shall describe the Goods or Services or class of Goods or Services to be acquired through the Special Procurement and shall give such public notice of the approval of a Special Procurement at least seven (7) Days before Award of the Contract. After the Special Procurement has been approved by the City Council, the following public notice will be posted on the City's website to allow for the seven (7) day protest period. FORM #lo CITY OF CONTRACT AMENDMENT APPROVAL REQUEST FORM 5 H LA Request for a Change Order N Name of Supplier/ Contractor/ Consultant: dV P-j e ~ F R5-6,X1At~-S I Nc-. Total amount of this contract amendment: Purchase Order Number: cn c4) n Title I Description:.k ~kK~ it61N1.4,rCJ $ r. h.l~ Cruk-~P~ Per attached contract amendment s(~ Contract Amendment Original contract amount $ 92, -LOT 100 % of original contract Total amount of previous contract amendments % of original contract Amount of this contract amendment of original contract TOTAL AMOUNT OF CONTRACT % of original contract In accordance with OAR 137-047-0800: 1) The amendment is within the scope of procurement as described in the solicitation documents, Sole Source notice or approval of Special Procurement 2) The amendment is necessary to comply with a change in law that affects performance of the contract 3) The amendment results from renegotiation of the terms and conditions, including the contract price, of a contract and the amendment is advantageous to the City of Ashland, subject to all of the following conditions: a) goods and services to be provided under the amended contract are the same as the goads and services to be provided under the unamended contract; b) The City determines that, with all things considered, the amended contract is at least as favorable to the City as the unamended contract; c) The amended contract does not have a total term greater than allowed in the solicitation document, contract or approval of a Special Procurement An amendment is not within the scope of the procurement if the City determines that if it had described the changes to be made by the amendment in the procurement documents, it would likely have increased competition or affected award of contract Contract amendment is within the scope of procurement: YES NO* (If "NO", requires Council approval f Attach copy of CC.) Sourcing Method: SMALL PROCUREMENT - Less than $5.000 INVITATION TO BID or COOPERATIVE PROCUREMENT, QRF or ❑ "YES", the total amount of contract and cumulative REQUEST FOR PROPOSAL EXEMPTION PURSUANT TO AMC 2.50 amendments :5 $6,000. ❑ "YES", the total amount of cumulative amendments ❑ "YES", the total amount of original contract and ❑ If "NO", amount exceeding authority requires 5 25% of original contract amount or $250,000 cumulative amendments 5 $10oK for Goods & Services, 5 Council approval. Attach copy of Council whichever is less. $75K for Personal Services, < $50K for Attorney Fees. Communication. ❑ If "NO", amount exceeding authority requires ❑ If "NO", amount exceeding authority requires Council ❑ Exempt- Reason: Council approval. Attach copy of Council approval. Attach copy of Council Communication. PERSONAL SERVICES Communication. ❑ Exempt- Reason: ❑ "YES", Direct appointment :5 $35,000 ❑ Exempt- Reason: ❑ If "NO", requires approval. INTERMEDIATE PROCUREMENT SOLE SOURCE EMERGENCY PROCUREMENT Goods & Services - $5.000 to $100,000 ❑ "YES", the total amount of cumulative amendments ❑ Written Findings: Document the nature of the Personal Services - $5,000 to $75.000 5 25% of original contract amount or $250,000 emergency, including necessity and circumstances •L9,.,"YE5", the total amount of cumulative whichever is less. requiring the contract amendment amendments :5 25% of original contract amount ❑ If ❑ If "NO", amount exceeding authority requires ❑ Obtain direction and written approval from City "NO", amount exceeding authority requires Council Council approval. Attach copy of Council Administrator approval. Attach copy of Council Communication. Communication. ❑ If applicable, attach copy of Council Communication ❑ Exem t-Reason: ❑ Exem t-Reason: ❑ Exem t-Reason: SPECIAL PROCUREMENT INTERGOVERNMENTAL AGREEMENT "YES", the total amount of original contract and cumulative amendments are ❑ "YES", the original contract was approved by City Council. within the amount and terms initially approved by Council as a Special Provide date approved by City Council: (Date) Procurement If "NO", Council approval is required. Attach copy of Council Communication. ❑ If "NO", amount exceeding authority requires Council approval. ❑ Contract amendment approved and signed by City Administrator. Attach co of Council Communication. Project Numbero AccountNumbe#!L- IZCO-tb-70.09WAccountNumber__-'__-_ . . *Expenditure must be charged to the appropriate account numbers for the financials to reflect the actual expenditures accurately. Attach extra pages if needed. Employee Signaturef.- M Department Head Signature: <7 - (Total amquntofcontract?$5,000) City Administrator: (Equaftto or greater than $ ,000 or 10%) Funds appropriated for current fiscal year. NO i o Z Finance Director (Equal too ater than $5,000) Del Comments: C,..,„ 44 A ~.....F A-.L. Ate...-,.. ,..t o.".-..,,.,+ r....., n..... .....a r-- - ^L---- 4 -Z A ninn~A l ; Page 1 / 1 . i ASHLAND PARK COMMISSION _ 20 E MAIN ST. DATE PO NUMBER ASHLAND, OR 97520 7/1/2014 00341 (541) 488-5300 VENDOR: 002745 SHIP TO: LAURIE SAGER & ASSOCIATES LANDSCAPE ARCHITECTS INC. 700 MISTLETOE ROAD, SUITE 201 ASHLAND, OR 97520 FOB Point: Req. No.: Terms: net Dept.: Req. Del. Date: Contact: Bruce Dickens Special Inst: Confirming? No Unit Price Ext. Price Quantity Unit Description THIS IS A REVISED PURCHASE ORDER Ashland Creek Park 32,208.0( Desiqn, Architect and Engineering Services Contract for Personal Services Beqinninq date: (not on contract) Completion date: November 15, 2014 Processed chanqe order 10/27/2014 7,397.0( Additional amount of $7,397.00 approved by Council 10/07/2014 SUBTOTAL 39 605.0( BILL TO: TAX 0.0( FREIGHT 0.0( TOTAL 39,605.0( Account Number Project Number Amount Account Number Project Number ` Amount E 411.12.00.00.70420 E 000054.999 39,605.00 ~o "J ° ` , "cunnc r nw ADDENDUM TO CITY OF ASHLAND CONTRACT FOR PERSONAL SERVICES LESS THAN $35,000 Addendum made this 19th day of September, 2014, between the City of Ashland ("City") and Laurie Sager and Associates ("Consultant"). Recitals: A. On March 4, 2014 City and Consultant entered into a "City of Ashland Contract for Personal Services Less than $35,000" (further referred to in this addendum as "the agreement"). B. The parties desire to amend the agreement to increase the compensation to be paid Consultant and modify the scope of work. C. The following request for additional funds exceeds $35,000; therefore, the City Council is required to approve the expenditures dictated by this increase to this contract for personal services. City and Consultant agree to amend the agreement in the following manner: 1. The scope of services is modified to add "design services proposed to complete the construction observation phase of the Ashland Creek Park project." 2. The compensation is being increased $7,397.0 0 (initial amount of $32,208.00, plus increase for a total of $39,605. 00) as follows: Thornton Engineering (20 hours for future site inquiries and additional requested services $3,525. 00) Carlos Delgado Architect (15 hours for future site inquiries $1,200.00) Laurie Sager and Associates (20 hours for future site inquiries $2, 000. 00, plus 10% Contingency $672.00) 3. Except as modified above the terms of the agreement shall remain in full force and effect. C U T: CITY OF ASHLAND: BY BY 9/sy Dent Head Its Date` DAT L'122 Purchase Order Acct. No.: (For City purposes only) 1- CITY OF ASHLAND, ADDENDUM TO CONTRACT FOR PERSONAL SERVICES I • J CITY OF -AS H LAN D Council Communication October 7, 2014, Business Meeting Approval of Contract-Specific Procurement for Architectural and Engineering Services of Ashland Creek Park Construction FROM Michael A. Black, Parks and Recreation Director SUMMARY This is a request for City Council, acting as the Local Contract Review Board, to approve an exemption from the competitive bid process and a directly award of an addendum to the contract of Laurie Sager for Architectural and Engineering work associated with Ashland Creek Park Construction. Additional duties to include future site inquiries for changes in the project as required. BACKGROUND AND POLICY IMPLICATIONS Ashland Parks and Recreation has been working on the Ashland Creek Park project with Laurie Sager and Associates since May 14, 2014. The initial Sager contract for personal professional services during the construction period was $32,208.00. Unexpected delays as well as unforeseen issues within the project have added additional work requirements. City policy states that council approval is required for Personal Services exceeding $35,000.00. FISCAL IMPLICATIONS The original contract amount of $32,208.00 was the original estimate including a 10% contingency. Given the unforeseen complications, additional requirements have increased the scope of work by $7397.00, for a total contract amount of $32,208.00. Parks is requesting approval for a total of $50,000.00 spending authority if needed to complete this project. STAFF RECOMMENDATION AND REQUESTED ACTION Staff recommends approval of the Special Procurement to award Contract. SUGGESTED MOTION I move that Council, acting as the Local Contract Review Board, adopt the findings set forth in the attached Special Procurement Request for Approval and approve the Special Procurement described therein. ATTACHMENTS Special Procurement-Request for Approval (Written Findings) Page 1 of 1 ~r, Contract for PERSONAL SERVICES less than $35,000 CITY OF CONSULTANT: Laurie Sager and Associates -4S H LA N D CONTACT: Laurie Sager 20 East Main Street Ashland, Oregon 97520 ADDRESS: 700 Mistletoe Road Ashland Oregon 97520 Telephone: 541/488-6002 Fax: 541/488-5311 TELEPHONE: 541-488-1446 DATE AGREEMENT PREPARED: 314/14 FAX: 541-488-0636 BEGINNING DATE: COMPLETION DATE: November 15, 2014 COMPENSATION: Not to exceed 32,208.00 SERVICES TO BE PROVIDED: Architectural and Engineering for Ashland Creek Park See Exhibit C ADDITIONAL TERMS: N/A FINDINGS: Pursuant to AMC 2.50.120, after reasonable inquiry and evaluation, the undersigned Department Head finds and determines that (1) the services to be acquired are personal services; (2) the City does not have adequate personnel nor resources to perform the services; (3) the statement of work represents the department's plan for utilization of such personal services; (4) the undersigned consultant has specialized experience, education, training and capability sufficient to perform the quality, quantity and type of work requested in the scope of work within the time and financial constraints provided; (5) the consultant's proposal will best serve the needs of the City; and (6) the compensation negotiated herein is fair and reasonable. NOW THEREFORE, in consideration of the mutual covenants contained herein the CITY AND CONSULTANT AGREE as follows: 1. Findings I Recitations. The findings and recitations set forth above are true and correct and are incorporated herein by this reference. 2. All Costs by Consultant: Consultant shall, at its own risk and expense, perform the personal services described above and, unless otherwise specified, fumish all labor, equipment and materials required for the proper performance of such service. 3. Qualified Work: Consultant has represented, and by entering into this contract now represents, that all personnel assigned to the work required under this contract are fully qualified to perform the service 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. 4. Completion Date: Consultant shall start performing the service under this contract by the beginning date indicated above and complete the service by the completion date indicated above. 5. Compensation: City shall pay Consultant for service 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. 6. Ownership of Documents: All documents prepared by Consultant pursuant to this contract shall be the property of City. 7. Statutory Requirements: ORS 279C.505, 279C.515, 279C.520 and 279C.530 are made part of this contract. 8. Living Wage Requirements: If the amount of this contract is $19,825 or more, Consultant 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 service work under this contract. Consultant is also required to post the notice attached hereto as Exhibit B predominantly in areas where it will be seen by all employees. 9. Indemnification: Consultant 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 Consultant (including but not limited to, Consultants employees, agents, and others designated by Consultant to perform work or services attendant to this contract). Consultant 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. 10. Termination: a. Mutual Consent. This contract may be terminated at an time b mutual consent of both parties. Contract for Personal Services, Revised 06130/2013, Page 1 of 1 b. City's Convenience. This contract maybe terminated at anytime 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 Consultant, or at such later date as may be established by City under any of the following conditions: 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 Consultant to provide the services required by this contract is for any reason denied, revoked, suspended, or not renewed. d. For Default or Breach. L Either City or Consultant 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 Consultant's performance of each and every obligation and duty under this contract. City by written notice to Consultant of default or breach may at any time terminate the whole or any part of this contract if Consultant 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, Consultant shall immediately cease all activities under this contract, unless expressly directed otherwise by City in the notice of termination.. Further, upon termination, Consultant 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 Consultant for work performed prior to the termination date if such work was performed in accordance with the Contract. 11. Independent Contractor Status: Consultant is an independent contractor and not an employee of the City. Consultant shall have the complete responsibility for the performance of this contract. Consultant shall provide workers' compensation coverage as required in ORS Ch 656 for all persons employed to perform work pursuant to this contract. Consultant is a subject employer that will comply with ORS 656.017. 12. Assignment and Subcontracts: Consultant 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. Consultant 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. 13. Default. The Consultant shall be in default of this agreement if Consultant: commits any material breach or default of any covenant, warranty, certification, or obligation it owes under the Contract; its QRF status pursuant to the QRF Rules or loses any license, certificate or certification that is required to perform the Services or to qualify as a QRF if consultant 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. 14. Insurance. Consultant 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. Professional 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 claim, incident or occurrence. This is to cover damages caused by error, omission or negligent acts related to the professional services to be provided under this contract. C. 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. d. 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. e. Notice of cancellation or change- There shall be no cancellation, material change, reduction of limits or Contract for Personal Services, Revised 06130/2013, Page 2 of 2 intent not to renew the insurance coverage(s) without 30 days' written notice from the Consultant or its insurer(s) to the City. f. Additional Insured/Certificates of Insurance. Consultant 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 Consultant's services to be provided under this Contract. The consultant's insurance is primary and non-contributory. As evidence of the insurance coverages required by this Contract, the Consultant shall furnish acceptable insurance certificates prior to commencing work under this contract. The certificate will specify all of the parties who are Additional Insureds. Insuring companies or entities are subject to the City's acceptance. If requested, complete copies of insurance policies; trust agreements, etc. shall be provided to the City. The Consultant shall be financially responsible for all pertinent deductibles, self-insured retentions and/or self- insurance. 15. 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 Consultant 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. Consultant, 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. 16. 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. CONSULTANT, 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. 17. 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. Consultant 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 Consultant, with no further liability to sultant. CertipFatioi7l o ltant shall sign the certification attached hereto as E ibit A and herein incorporated b r erence. ons~I t- City of Ashla BY t/ BY e Department Head 111 ~v~. brr~ ~ C~l~-r•~ rJ c~'2. Print Name Print Name Title ate W-9 One copy of a W-9 is to be submitted with the signed contract. Purchase Order No. / AP OVED TO FORM Ashland City Attorney Date'~~.~.s Contract for Personal Services, Revised 06/30/2013, Page 3 of 3 EXHIBIT A CERTIFICATIONSIREPRESENTATIONS: 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: V/// (1) 1 carry out the labor or services at a location separate from my residence or is in a J 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. f g (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 t (Date) Contract for Personal Services, Revised 06/30/2013, Page 4 of 4 ® LAURIE SAGER AND ASSOCIATES LANDSCA►E ARCMITECT3 INC. 700 MISTLETOE ROAD, SUITE 201 ASHLAND, OREGON 97520 DATE: MARCH 14, 2014 PROJECT: ASHLAND CREEK PARK 27 E. HERSEY STREET ASHLAND, OREGON ASHLAND CREEK SCOPE OF WORK $1+5,280 THORNTON ENGINEERING: SITE ANALYSIS, CIVIL CONSTRUCTION DOCUMENTS, STRUCTURAL DESIGN FOR BUILDINGS, BID ASSISTANCE $4,000 CARLOS DELGADO ARCHITECT: CONSTRUCTION DOCUMENTS FOR BUILDINGS, BUILDING ENGINEERING REVIEW, BID ASSISTANCE, REVIEW OF INSPECTION REPORTS $9,000 LAURIE SAGER AND ASSOCIATES PLANNING PERMIT DOCUMENT PREPARATION, CONSULTANT COORDINATION AND SUBMITTAL, CLIENT AND PARKS SUBCOMMITTEE MEETINGS, LANDSCAPE CONSTRUCTION DOCUMENTS, SPECIFICATIONS, BID ASSISTANCE $29,280 TOTAL $2,928 10 % CONTINGENCY $32,208 GRAND TOTAL PHONE 541 488 1446 FAX 541 4BB x636 WWW.LAURIESAGER.COM . rare r•a WORKERS-COMPENSATION AND EMPLOYERS LIABILITY POLICY INFORMATION PAGE 15-2155-FAE6 POLICY NO. 97-BS-C709-3 COVERAGE IS PROVIDED BY REPLACES 1,10. 97-BQ-F886-3 STATE FARM FIRE AND CASUALTY COMPANY PO BOX 5000, DUPONT WA 98327-5000 NCCI CARRIER CODE NO. 14842 1. NAMED INSURED & MAILING ADDRESS LAURIE SAGER & ASSOCIATES FEIN 260838787 LANDSCAPE ARCHITECTS INC 700 MISTLETOE RD".STE 201 i ASHLAND OR 975209157 WORKPLACE NOT SHOWN i INSURED IS A CORPORATION COPYRIGHT 1987 NATIONAL COUNCIL ON COMPENSATION INSURANCE 2. THE POLICY PERIOD IS FROM 11/12/2013 TO 11/12/2014`12:01 A.M. STANDARD TIME AT THE INSURED'S MAILING ADDRESS. WORKERS COMPENSATION INSURANCE: PART ONE OF THE POLICY_APPL_IES TO THE WORKERS COMPENSATION LAW OF THE STATES LISTED HERE: OR B. EMPLOYERS LIABILITY INSURANCE: PART TWO OF THE POLICY APPLIES TO WORK IN EACH STATE LISTED IN ITEM 3A. THE LIMITS OF OUR LIABILITY UNDER PART TWO ARE: BODILY INJURY BY ACCIDENT $ 500,000 EACH ACCIDENT BODILY INJURY BY DISEASE $ 500,000 EACH EMPLOYEE BODILY INJURY BY DISEASE $ 500,000 POLICY LIMIT C. OTHER STATES INSURANCE: PART THREE OF THE POLICY APPLIES TO ALL STATES EXCEPT ME, MT, ND, OH, RI, WA, WV, WY AND STATES LISTED IN 3A. D WC000404ICWC360301/0484ESWC000414EMWC360401 SWC360601E W0000421C WC000422A WC360602 4. THE PREMIUM FOR THIS POLICY WILL BE DETERMINED BY OUR MANUALS OF RULES, CLASSIFICATIONS, RATES AND RATING PLANS. ALL INFORMATION REQUIRED BELOW IS SUBJECT TO VERIFICATION AND CHANGE BY AUDIT. PREMIUM BASIS TO- RATE/$100 ESTIMATED CODE NOS. AND TAL ESTIMATED AN- REMUNERA- ANNUAL CLASSIFICATIONS NUAL REMUNERATION TION PREMIUM 88 10 26,937 .26 70 CLERICAL OFFICE EMPLOYEES NOC EMPLOYERS LIABILITY INCREASED LIMITS 0 MERIT RATING 10.0% -7 CATASTROPHE (OTHER THAN TERRORISM) 9741 26,937 .02 5 -TERRORISM 9740 26,937 .02 5 EXPENSE CONSTANT 140 - - - - -TOTAL -ESTIMATED -ANNUAL -:PREMIUM - - - -213 - - - - MINIMUM PREMIUM $174OREGON PREMIUM ADJUSTMENT PERIOD SHALL BE ANNUAL DEPOSIT PREMIUM $ 213 I 6.20% OREGON TAX KERS COMP DEPT $ 13.21 a PREPARED 09/16/2013 COUNTERSIG T"f _WC_ 00_09__0_1._A. _ 5r _202_4 1.0.7 9 .8~_AGE 1I 'f~~Y1nGL' (_Sie~' - S" WORKERS-COMPENSATION AND EMPLOYERS LIABILITY POLICY 1 INFORMATION PAGE ENDORSEMENT PAGE 01 15-2155-FAE6 THIS FORMS A PART OF COVERAGE IS PROVIDED BY POLICY NO. 97-BS-C709-3 STATE FARM FIRE AND CASUALTY COMPANY PO BOX 5000, DUPONT WA 98327-5000 NAMED INSURED AND MAILING ADDRESS LAURIE SAGER & ASSOCIATES LANDSCAPE'ARCHITECTS INC 700 MISTLETOE RD STE 201 ASHLAND OR 97520-9157 THE EFFECTIVE DATE IS'-- 11/12/201.3 THE EXPIRATION DATE IS 11/12/2014 ± LOCATION OF THE INSURED 1 LOCATION NUMBER 11 01 7.00 MISTLETOE RD STE 201 ASHLAND OR 97520-9157 ENTITY:ET01 a 0 a L J J V 7 J ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REM UNCHANG r COUNTERSIGNED~)'tJ~~Q PREPARED 09/ 16/2013 . _ _ B Y.,_A_OE N_T_.- Image Viewer Page 1 of 1 ACOROe CERTIFICATE OF LIABILITY INSURANCE F °0,V311/2014 ) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(iss) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and Conditions of the polity, 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 NCONTACT AME; SHERRI ALTAMIRANO BRIAN LEE CONRAD STATE FARM AGENCY PHONE S 1 ~8L±e7D F"` N,.Sis i82-695s StateFarm 1806 ASHLAND ST Ey"~ ASHLAND, OR 97520 INSURE 9 AFFORDING COVERAGE IN INSURER A :State Farm Fire Ind Casualty Company 26143 INSURED DELGADO, CARLOS INSURER 9: DBA CARLOS DELGADO ARCHITECT INSURER C: - 217 4TH ST - INSURER D: ASHLAND OR 97520-2089 INSURER E: ~ INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS 1S 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 THUS 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 LICY EFF POLICY XP LTR TYPEOFINSURANCE POLICY NUMBER MMI (aAMMoNYYYJ LIMITS X COMMERGALGENERALLABILITY 97•ES•9I71$ 0310112014 0370112016 EACHOCCURRENM 4 2.000,060 X CLALAISJAADE PRE ~J OCCUR MISES- S 300,000 MFD EXP My was person) S 5,000 PERSONAL A ADV INJURY. S2,000,000 GEN•L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE S 4,000,000 x POLICY C IECOT ~ LCC PRODUCTS-COMPfOP AGO S OTHER: S S - AUTOMOBILE UAffiLRY NIA CO aBI~N SINGLE LIMIT I ANY AUTO BODILY INJURY (Pr Wr ) S AUTOS PSAUTOOSULEO BODILY INJURY (Pr=drd) S NON-0PRIED PROPERTYCAMAGE - - kIREDAUTOS AUTOS Parz~a_t S UMBAEJSA LAB OCCUR NIA EACH OCCURRENCE I EXCESS UAS CLAIMS-MADE AGGREGATE _ _I... 4.. _ OED ! RETENTIONS S MRRERS COMPENSATION AND EMPLOYERS LIABILITY YIN NIA STATUTE ER ANY PROPRMTORIPARTNER+EXECUn- EL EACH ACCIDENT S CFFICER N EMBER EXCLUOEDI ❑ N I A (Mm,dm-v 1^ NN) E.L. DISEASE • EA EMPLOYE S 11 1, desnlbe urKW DESCRIPTION OF OPERATIONS bass E.L. DISEASE • POLICY LIMIT S DESCRIPTION OF OPERATIONS! LOCATIONS) VEHICLES IACCRD tOT, AddtNOna1 RamaAe SePadula, may w.ftcft" Ir nor Apra Is ryutnd) SAME AS ABOVE Type: BUSINESS-OFFICE Coverage information B-BUSN PROP 46200 LOSS INC 12 MONTH CERTIFICATE HOLDER CANCELLATION ADDITIONAL INSURED SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN CITY OF ASHLAND PARKS AND ACCORDANCE WITH THE POLICY PROVISIONS. RECREATION- ARCHITECTURAL SERVICES 340 S PIONEER ST DRPPRESEN tlvE Y ` coy-~r i ASHLAND, OR 97520 O 1988.20 A CORD CORPORATION. A71 righ reserved ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD 1001486 132849.9 02.04.20' https://sfnet.opr.statefarm.org/im_core/jsps/pages/ima-eViewer.faces 3/31/2014 S'WeFarm • • • , CERTIFICATE OF INSURANCE State Farm Specialty Products ISSUE DATE: April 3, 2014 Producer THIS CERTIFICATE IS ISSUED AS A MATTER OF Brian Conrad INFORMATION ONLYAND CONFERS NO RIGHTS UPON BRIAN LEE CONRAD STATE FARM AGENCY THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES 1806 Ashland St NOT AMEND, EXTEND OR ALTER THE COVERAGE, Ashland, OR 97520-2331 TERMS, EXCLUSIONS AND CONDITIONS AFFORDED BY Producer Code 372155 THE POLICIES BELOW. Producer Fax (541) 482-6956 INSURER AFFORDING COVERAGE Named Insured State Farm Fire and Casualty Company BLOOMINGTON, IL Carlos Delgado Architect, LLC 217 4th street Ashland, OR 97520 COVERAGES 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 POLICY(IES) DESCRIBED HEREIN IS SUBJECT TO ALL THE COVERAGE, TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY NUMBER POLICY EFFECTIVE DATE POLICY EXPIRATION DATE PS0000003746103 May 7, 2013 May 7, 2014 TYPE INSURANCE LIMIT OF LIABILITY Architects and Engineers Professional Liability Insurance $1,000,000 - Limit of Liability Each Claim Policy $3,000,000 - Total Limit of Liability CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE City of Ashland ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS Parks & Recreation Architectural Services WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL 340 S. Pioneer IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON Ashland, OR 97520 THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESEN IVE CERT(Rev4) (08111) E, r r Phone: (541) 479-5521 ext. 1008 Fax: (541) 474-1209 Fax From: Michelle Ely To: Dave Lohman Pages: 3 Fax: 5415522092 Date: 3/31/2014 11:49.30 AM Phone: ( ) - Subject: re: Thornton Engineering, Inc. Message: Following is proof of insurance for the above contractor as requested. Thank you, Michelle Ely 9THOREN OP ID: MW DATE A~RO~ CERTIFICATE OF LIABILITY INSURANCE 122/1712013 117!2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If 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 . CONTACT PRODUCER Phone: 541-779-4232 NAME: Hart Insurance 1123 Royal Ave. Fax: 541-772-3963 AIC.% Ert : AI~C No): Medford, OR 97504 E-MAIL Hart Insurance Agency ADDRESS: INSURER(S) AFFORDING COVERAGE NAIL 0 INSURERA:Mutual of Enumclaw 14761 INSURED Thornton Engineering Inc INSURER B:Travelers Casualty & Surety PO Box 476 Jacksonville, OR 97530 INSURER C: INSURER D : 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. NSR OF INSURANCE POLICY EFF PO CY EXP LIMITS LTR TYPE I POLICY NUMBER MMIDD/YYYY MMIDDIYYY GENERAL LIABILITY EACH OCCURRENCE S 1,000,00 A X COMMERCIAL GENERAL LIABILITY X CPPOOO633902 07/0112013 07101/2014 PREMISES Ea occurrence S 300,00 CLAIMS-MADE a OCCUR MED EXP (Any one person) $ 10,00( B X Professional E&O 105350491 1010112013 10/0112015 PERSONAL & ADV INJURY S 1,000,00 GENERAL AGGREGATE S 2.000.00 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS- COMPIOP AGG $ 2,000,00 X POLICY PROT LOC Prof E&O S 1,000,00 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 Ea accident A X ANY AUTO CPPOO0633902 0710112013 07/01/2014 BODILY INJURY (Per person) $ ALL OWNED P SCHEDULED BODILY INJURY (Par accidant) S AUTOS AUTOS NON-OWNED R R Y AMA E S HIRED AUTOS AUTOS Per ac~idenl UMBRELLA LIAB OCCUR EACH OCCURRENCE E EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION S $ WORKERS COMPENSATION WC STATIC TFF AND EMPLOYERS' LIABILITY YIN TORY LIMITS ER ANY PROPRIETORIPARTNEWEXECUTIVE ❑ NIA E.L. EACH ACCIDENT S OFFICERWEMBER EXCLUDED? (Mandatory In NH) E.L. DISEASE- EA EMPLOYE $ It m. d-L. under 0 CRIPTION OF OPERATIONS Wow EL DISEASE- POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD tot, Additional Remarks Schedule, if more space is required) Zity of Ashland, Oregon, its elected officials, officers and employees are Lncluded as additional insured as respects general liability per form CG3261 10/05 attached. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Ashland ACCORDANCE YMITH THE POLICY PROVISIONS. 20 E Main Street Ashland, OR 97520 AUTHORIZED REPRESENTATIVE Hart Insurance Agency © 1988-2010 ACORD CORPORATION. A I rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: CPP 0006339 02 COMMERCIAL GENERAL LIABILITY CG 32 61 10 05 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. OREGON ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(a)- CITY OF ASHLAND OREGON & ITS EMPLOYEES 20 E MAIN ST ASHLAND OR 97520 Location(s) Of Covered Operations: Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section 11 - Who Is An Insured is amended to This insurance does not apply to "bodily injury" include as an additional insured the person(s) or "property damage" occurring after: or organization(s) shown in the Schedule, but 1. All work, including materials, parts or only with respect to liability for "bodily injury", equipment furnished in connection with `property damage" or "personal and advertis- such work, on the project (other than serv- ing injury" caused by your ongoing operations ice, maintenance or repairs) to be per- for the additional insured(s) at the location(s) formed by or on behalf of the additional in- .designated above and only to the extent that sured(s) at the location of the covered op- such "bodily injury", "property damage" or erations has been completed; or "personal and advertising injury" is caused by your negligence or the negligence of those per- 2. That portion of "your work" out of which forming operations on your behalf. the injury or damage arises has been put to B. With respect to the insurance afforded to these its intended use by any person or organiza- additional insureds, the following additional ex- tion other than another contractor or sub- clusion applies: contractor engaged in performing opera- tions for a principal as a part of the same project. CG 32 61 10 05 Copyright, ISO Properties, Inc., 2005 Page 1 of 1 UNIFORM ® LAURIE SAGER AND ASSOCIATES LANoSCA/E ARCHITECTS INC. 700 MISTLEToE RoAo, SUITE 201 ASHUND, OREGON 97520 DATE: MARCH 3, 2014 PROJECT: ASHLAND CREEK PARK 27 E. MERSEY STREET ASHLAND, OREGON BRUCE, PER YOUR REQUEST, HERE IS TIMAT ITH A 10% CONTINGENCY FOR ASHLAND CREEK PARK FOR PROPOSED DESIGN WORK ~IN ES ALL OUTSTANDING BILLS.) $16,280 THORNTON ENGINEERING L G 0,U- ,k-v /J rk $4,000 CARLOS DELGADO ARCHITECT Q fd' ¢ ~O cOw $9,000 LAURIE SAGER AND ASSOCIATES uiz 6~ ~4t~ S $29,28o TOTAL $2,928 10 % CONTINGENCY Gy $32,208 GRAND TOTAL THANKS, LAURIE SAGER Lr PHONE 541 488 1446 FAX 541 488 0636 WWWAAURIESAGER.COM CERTIFICATE OF LIABILITY INSURANCE °03/04i2CT1a' 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 pollcy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the pollcy, 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 BRIAN CONRAD AGENCY E SHERRI ALTAMIRANO 1806 ASHLAND ST PHONE 541-482-6470 FAx No : Stat ASHLAND, OR 97520 MAILE INSURE S AFFORDING COVERAGE NAIC d s INSURER A : Sale Farm Fire and Casualty Company 43 INSURED LAURIE SAGER & ASSOCIATES INSURERS: LANDSCAPE ARCHITECTS INC INSURER C: 700 MISTLETOE RD STE 201 INSURERD: ASHLAND OR 97520-9157 INSURER E: INSURER P : 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 ° BR POLICY EFF POLICY EXP POLICY NUMBER MM (MMADIYYM LIMITS GENERAL LIABILITY 97-GA-1836-3 0912612013 09123/2014 EACH OCCURRENCE $ 2,000,000 :T] lu X COMMERCIAL GENERAL LIABILITY PREMISES Es a rrence S CLAIMS MADE ~ OCCUR MED EXP (Any one drown) 3 6,000 PERSONAL & ADV INJURY $ 2,000,000 GENERAL AGGREGATE 3 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG 3 X POLICY PROT LOC S COMBINED LIMIT AUTOMOBILE LIABILITY ac SINGLE ciderq) ANY AUTO BODILY INJURY (Per person) $ ALL AUTOS~ED SCHEDULED BODILY INJURY (Per accident) $ NON-OUMIED HIRED AUTOS AUTOS ccidem S P e 3 UMBRELLA I.lAe HOCCUR 0~9 EACH OCCURRENCE S EXCESS UAB CLAIMS-MADE AGGREGATE 5 OED RETENTIONS 3 WORKERS COMPENSATION C STA ll AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERIEXECLrTIVE YIN OFFICEIMEMBER EXCLUDED? NIA E.L. EACH ACCIDENT S (Mandatory In NH) E.L. DISEASE - EA EMPLOYE $ tI yes, deserbe under E.L. DISEASE - POLICY LIMIT i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IAttawh ACORD 101, Addldonal Remarks Schedpte, N more space Is required) 30 DAY NOTICE OF CANCELLATION (10 DAY NOTICE FOR NOW PAYMENT OF PREMIUM) LOCATION AS NOTED ABOVE B-BUSH PROP 56300 CERTIFICATE HOLDER CANCELLATION Parks and Recreation SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Ashland ACCORDANCE WITH THE POLIC ROVISIONS. 340 S Pioneer st, Ashland, OR 97520 Cehr4 ESENTATIVs ~0 1...Srq S ©1988.2010 AC RD CORPORATION. All rights reserved, ACORD 28 (2010/05) The ACORD name and logo are registered marks of ACORD 1001486 132849.8 01-23-201 avaa va~u .a. ivvvvs. i Z-j IIPYAUP UNLESS PRFAUWW 6 PAID F A R M E R5 CERTIFICATE OF EIAMILRY IWAMANCE - STATE OF OREGON Naeld IRMw h1ky it vii : 189301799 LAURIE C SAGER fTfedNedme: 02-01.2014 1624 LENORA DR MEDFORD OR 97504-6632 Plrafion dote: 08-01-2014 MAIL number: 71636 11MRTAMT- If any el Amso nfilcla(s) ore operated by tha prune(s), nomad here, gsAOmowls houlty or moor vehicle liability coverage is arduded: NOT APPLICABLE FARMERS INSURANCE COMPANY OF OREGON, HILLSBORO, OR anaudarizedCrop lnsdrer,cerbflesthat Wh hwed a phry that provides no lest tlron the mtntmum colsroge o mwmy for payrneat of d* schedule of payments under the Oregon Financial RnpamlblGty law, and 6at taid policy covers the insured and all ether persons who, with rho tomcat of the insured, use the de=W vehicle(s), except for any panda tpecifiadly oduded from emroge. Said inserter w3l wive the Deportment of Tmnspo mtlon notice of any mmilidon of to policy within 10 days after the ofiadve do of the cumdiorice or termination. raga. deg0W Rogtss,nd oWner: 2005 HONDA PILOT 4D 4WD EX•L 2HKYFI8565NS27302 LAORIL c sAC;ER Agtntss=e: GREGORY D SCOTT Phoneno: (541) 471-7271 2SM12 s i2 Kaq lids tartl$cata 1n yowsro" at og flmoj. KHP VATH VEHICLE A6412311 a~ v i. i a i awaavv + ua v...v uava>vaav vz izvvvviz cFj v. UNDERWRITTEN 8Y FARMERS INSURANCE COMPANY OF OREGON A STOP( INSURANCE COMPANY, HEREIN CARED THE COMPANY 13175 NW Benno St. N1%oto, OR 97174 Treersodw Type: OFFER OF RENEWAL aNm Pop cankko hap dad in onw1o» your po*y. Pow p H 16 a p e. INSURED: Pte, Afton ta, : 02 LAURIE C SAGER POLICY HUMBER: 18930-17-69 1624100RADR This is not a bill ; EFiectlve .12:01 A.K. on 02-01-2014 INED FORD OR 97504•b632 Your bA with tn..rKSUM eT year Kyt r u1~d~+ce ~ t, wHr Dr rr+lsd s~c+r.u~C EXplratioic 12;01 A.M. on 08-01-2014 YOUR AGEW., Pcea~Iuni Fess : ; : ; GREGORY D SCOTT Pahy vreraiuaTcrd~ : ''355..7 0 Phone (541) 411.7221 1ea~ addin:ta Rrertirogi obove~_" Emalb gsw6formersugerd.com : • YOUR HOUSEHOLD DRIVERS 'See Ighrrmollori bii Addittona(Feesax <he' revere r LAURIE(SAGER RATED SINGLE '••••-1484 ""•'•'•'•92 YOUR VEHICLE DESCRIPTIONS Year 2005 . Model PILOT 40 4WD EX. I Ypi; : 2}11EYft85b5H511;3Q2' : kd1R-Z1P 97520 ~ UsaEa Rosiness `cam°r~tiost . • • : • AUTO, OMkAUTO IIFE,IAID IN N$ NOMEOHNERSN , YOUR POLICY COVERAGES FEES PREiN1UMS policy :8o1tlr,*y IJabrlTrr $ sW,ooa•Each Perso 500,000 Eacd Occurrence 5 107.90 h ' _ ' „ S' S00,ti00 bosh 4cairierrce a ' . Odnroge S.* 14.30 P"al Fury Protec fou S 15,000 Eoch Person 39.90 Caapiiiheasrlre " ° : S 25.00 CoRlsioa S 2S 16wi4 tmd Rood Servlie S ° .150: Edth:Occi~irense ? IS! ' • 60Q . Imtalurrd mgforisl,Prowy Damage $ 20,000 Ewh Ommence S. 3.40 '~tcva'si;Wo,'rlc Cosy Bi+aflti~ _ ;1; , . S' 4:40 • ' ~ ~ . ; f Dios/"mrt forgive SS. S . 22.20 Few per VshWe UdAsOred.maddit' Bul i Inter; ;S; P.0,00.0'Faih "P'erw, /S 500, 4°Eah:Occgrrence : A;chciga bf S ; ; 21.40 for. this cove~ogeaPp4a Per polhjr. Poky Pro dum Totoi' not imdudin fees $ 355.70 'See Informmlon on Akdkrd fees on the reverse 56.SM 1ST rarnoN 2-13 C57r21 t t (foaNeaed on the reverse side) 12 -1 a - 2 e ~ ~ V"S/ 1S VV.L..4C1 L VL AKSIIIVIV lU bf1 K11VV / LA IAVV L1V11 V11U VZIZVVVVIZ t~ 'ZI YOUR DEDIKTIBLES AND LIM"S BY VENICLE Cetnpr~e>uive $ too ,Cof$~1oo.....:.':... . 5...'.'500:.. For arty' coverage lirrdl not 'shvwit, see appNcaltle endonaaroat. : ' MOMENTS • THESE ARE IFIODWATIONS TO YOUR COVERAGE (OV D COVERAGE 0 FROM POLICY BACK I :A62134:°';'.;; SAFEnGId3S-1AIVEftOFOERU(fIBtEPARTJY J6674 1ST.. CUSTOM.RING EQUIPMENT ENDORSEMENT . ;~bbe3?' 1ST 'T ft1SEMOID PET0MA 1b799: IST ACCIDENT FORGIVENESS T =Jb934 ' 1St aOSS PA1rA6LL; PROVISIONS ENODRSWENT: ,OR014 ..2ND END ADDING PROPERTY DAMAGE TO.ACOVERAGE 1 aROi'6: 157: ;ftND.AMfLADING'PART1=TIdBItlTY;PART IF{1lM OR017 240 ENDORSEMENTAMENDING PIP. ENEFTIS 1 ::;END AMENDING`DEFINITIONS, PARt1 iABl.IIIY. r : ' 1 ORD30A 1ST END ERCL COVERAGE FOR PERSONAEVVI(LE SHARING 1 :251315' 6'9.4 RIOTS AND RESPONSOLIVES : OREGON L 254219 306 RISK ASSESSMENT INFORMATION I 2S853Q ; ; ; . : ' tf l;2 s N0 LEE OF:INFORMA469 PRACTICES • OR. I 0033A . , , . iST END,AMENDENG DEFINITIONS, PART IV: DAMAGE I OTHER WORAUTION ACCIDENT FORGIVENESS PLEASE COWr1(1YOUR FARMERS AGENT FOR A FREE FARMERS FRIENDLY REVIEW TO ENSURE THAT YOUR FAMILY IS PROPERLY PROTECTED AND THATYOU ARE RECEIVING ALLOFTHE DISCOUNTS/(1100 COVERAGES AND PACKAGE POLICIES AVAILABLE. VEHICLE I - OED. WARD IF GLASS REPAIRED RATHER THAN REPIACEO. The 'Fees stated in the'Premium/Fees' box in the front apply on a per-policy, not an account basis The fdovAug od0onal Fees also apply: A. IestdlInwnt Service (barge per Installment 11n considetation of our agreement to allow you to pay in installments): For Monthly Recurring Eledronk funds transfer (EFT) and fully enrolled online Niling fpoperlestl: S 0.00 per account For other Monthly EFT plans: $ 2.00 per account For all other payment plans: $ 5.00 per account 11 this owxmt is for more than one polity, charges in these fees are not effective unid the revked fee Information Is provided for each poh(y. B. tale Fee:S10.00 per accour~ C. Rearmed Paynwcrt Cbargo: S25.00 per (bath, eledronk transaction, or Aw remBtance wfikh knot honored by your finance) insoutlon far any reason including but not %hd to ntsuff dwi funds or a dosed arcouni 0. Reinstatement fee: $25.00 per poky One or mote of the fees or charges described above may be deemed a part of premium under appBechle state law. (aunt natare S4.011910mott2-13 tiT92t12 Authorized Representative Page 1 / 1 CITY OF ASHLAND ::DATE PO NUMBER 20 E MAIN ST. 414/2014 00341 ASHLAND, OR 97520 (541) 488-5300 VENDOR: 002745 SHIP TO: LAURIE SAGER & ASSOCIATES LANDSCAPE ARCHITECTS INC. 700 MISTLETOE ROAD, SUITE 201 ASHLAND, OR 97520 FOB Point: Req. No.: Terms: net Dept.: Req. Del. Date: Contact: Bruce Dickens Special Inst: Confirming? No Quantity Unit Description Unit Price Ext Price Ashland Creek Park 32,208.00 Desiqn, Architect and Enqineerinq Services Contract for Personal Services . Beginnin,q date: (not on contract) Completion date: November 15, 2014 SUBTOTAL 32 208.00 BILL TO: TAX 0.00 FREIGHT 0.00 TOTAL 32,208.00 ',.Account Number Project Number Amount Account Number Project Number Amount E 411.12.00.00.70420 E 000054.999 32,208.00 Authorized rature VENDOR COPY - V J FORM #3 ✓ ~ / Ll~s rid ~s 6.1-r l~x.l ss I T Y OF ~ ".12 =6)~ H LA N D A request for a Purchase Order~© C° 6 S~ REQUISITION &avteo req` est~ 3q l1 $Itj~delivery: 1( Ll EaC/crf E' Su7rs Vendor Name C,~le Address, City, State, Zip D Contact Name & Telephone Number 5 ~ ti5 ` 1 _ 421-_ 1L)I/ 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 ro sal 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) ❑ State 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 ❑ (3) Written quotes and solicitation attached ❑ Form #4, Personal Services $5K to $75K Contract # PERSONAL SERVICES ❑ Special Procurement Intergovernmental 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 proposaislwritten solicitation Date approved by Council: (Date) ❑ Form #4, Personal Services $51K to $75K Valid until: Date Description of SERVICES Total Cost J,t r c doc I a-AD gX& &WX(-ttG A6t (&-y10 t w } C, w Item # Quantity Unit Description of MATERIALS Unit Price Total Cost TOTAL-COST ❑ P. attached quoteiproposal $ ' Project NumberL90S1-0~ Account Number___-__-__- Account Number_f /t 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: f T Director Date Support -Yes / No By signing this requisition fort, f certify that the City's public contracting requirements have been satisfied, Employee: Department Head: (Egbal.to-or greater than $5,000) Department Manager/Supervisor: City Administrator: (Eqlal to or greater than 5,000) Funds appropriated for current fiscal year YE / NO Finance Director- (Equal to or greater an $5,000) Date Comments: Form #3 - Requisition Page 1 / 1 ASHLAND PARK COMMISSION 20 E MAIN ST. BATE PO NUMBER ASHLAND, OR 97520. 7/1/2014 00341 (541) 488-5300 VENDOR: 002745 SHIP TO: LAURIE SAGER & ASSOCIATES LANDSCAPE ARCHITECTS INC. 700 MISTLETOE ROAD, SUITE 201 ASHLAND, OR 97520 FOB Point: Req. No.: Terms: net Dept.: Req. Del. Date: _ Contact: Bruce Dickens Special Inst: Confirming? No Quantity Unit Description Unit Price Ext. Price THIS IS A REVISED PURCHASE ORDER Ashland Creek Park 32,208.00 Desiqn, Architect and Enqineerinq Services Contract for Personal Services Beginninq date: (not on contract) Completion date: November 15, 2014 Processed chanqe order 10/27/2014 7,397.00 Additional amount of $7,397.00 approved by Council 10/07/2014 Processed chanqe order 01/21/2015 10,390.00 Per attached Contract Addendum #2, which includes the completion date being extended to December 22, 2014. SUBTOTAL 49 995.00 BILL TO: TAX 0.00 FREIGHT 0.00 TOTAL 49,995.00 Account Number Project Number Amount Account Number Project Number Amount E 411.12.00.00.70420 E.000054.999 49 995.00 FORM #1o C I T Yd CONTRACT AMENDMENT APPRO AL REQUEST FO //-~ASHL Request for a Change Order Name of Supplier/ Contractor/ Consultant: Total amount of this contract amendment: Purchase Order Number: I 1 Title 1 Description: K).5i-i l a )t~1 $ ~ MJ) G p ` ❑ Per attached contract amendment Contract Amendment Original contract amount $ 100 % of original contract Total amount of previous contract amendments 1 Cf ' % of original contract Amount of this contract amendment of original contract TOTAL AMOUNT OF CONTRACT l % of original contract In accordance with OAR 137-047-0800: 1) The amendment is within the scope of procurement as described in the solicitation documents, Sole Source notice or approval of Special Procurement. 2) The amendment is necessary to comply with a change in law that affects performance of the contract. 3) The amendment results from renegotiation of the terms and conditions, including the contract price, of a contract and the amendment is advantageous to the City of Ashland, subject to all of the following conditions: a) goods and services to be provided under the amended contract are the same as the goods and services to be provided under the unamended contract; b) The City determines that, with all things considered, the amended contract is at least as favorable to the City as the unamended contract; c) The amended contract does not have a total term greater than allowed in the solicitation document, contract or approval of a Special Procurement. An amendment is not within the scope of the procurement if the City determines that if it had described the changes to be made by the amendment in the procurement documents, it would likely have increased competition or affected award of contract. Contract amendment is within the scope of procurement: YES X,-_ NO* (If "NO", requires Council approval I Attach copy of CC.) Sourcing Method: SMALL PROCUREMENT - Less than $5,000 INVITATION TO BID or COOPERATIVE PROCUREMENT, QRF or ❑ "YES", the total amount of contract and cumulative REQUEST FOR PROPOSAL EXEMPTION PURSUANT TO AMC 2.50 amendments $6,000. ❑ "YES", the total amount of cumulative amendments ❑ "YES", the total amount of original contract and ❑ If "NO", amount exceeding authority requires :5 25% of original contract amount or $250,000 cumulative amendments $100K for Goods & Services, Council approval. Attach copy of Council whichever is less. $75K for Personal Services, < $50K for Attorney Fees. Communication. ❑ If "NO", amount exceeding authority requires ❑ If "NO", amount exceeding authority requires Council ❑ Exempt- Reason: Council approval. Attach copy of Council approval. Attach copy of Council Communication. PERSONAL SERVICES . Communication. ❑ Exempt- Reason: ❑ "YES", Direct appointment $35,000 ❑ Exempt- Reason: ❑ If "NO", requires approval. INTERMEDIATE PROCUREMENT SOLE SOURCE EMERGENCY PROCUREMENT Goods & Services - $5,000 to $100,000 ❑ "YES", the total amount of cumulative amendments ❑ Written Findings: Document the nature of the Personal Services $5,000 to $75,000 25% of original contract amount or $250,000 emergency, including necessity and circumstances ❑ "YES", the total amount of cumulative whichever is less. requiring the contract amendment amendments :5 25% of original contract amount. If ❑ If "NO", amount exceeding authority requires ❑ Obtain direction and written approval from City "NO", amount exceeding authority requires. Council Council approval. Attach coav-of Council Administrator approval. Attach copy of Council Communication. Communication. ❑ If applicable, attach copy of Council Communication ❑ Exempt - Reason: ❑ Exempt-Reason:- ❑ Exempt - Reason: SPECIAL PROCUREMENT INTERGOVERNMENTAL AGREEMENT ❑ "YES", the total amount of original contract and cumulative amendments are ❑ "YES", the original contract was approved by City Council. within the amount and terms initially approved by Council as a Special Provide date approved by City Council: (Date) Procurement. If "NO", Council approval is required. Attach copy of Council Communication. ❑ If "NO", amount exceeding authority requires Council approval. ❑ Contract amendment approved and signed by City Administrator. Attach co of Council Communication. ProjectNumber-`14 AccountNumber~I_- ~•t 'AccountNumber___-__-_- *Expenditure must be charged to the appropriate acc nt numbers for the financials to reflect the actual expenditures accurately. Afta h extra pages if needed. °e /I Employee Signature: ~i Department Head nature:-k-k (Total anlountofcontract ? $5,000) City Administrator:: ' - (Equal to or greater than $25,000 or 10%) Funds appropriated for current fiscal year YES / NO Finance Director (Equal to orgreater than $5,000) Date Comments: r____ ueA A Y_ r a A-....,....-i D, „r. C..r"., Dnniinof fnr o r`honno Orr4nr Donn 1 of 1 10111M MA