HomeMy WebLinkAbout2015-034 Contract - OS Engineering
Contract for PERSONAL SERVICES less than $35,000
CITY OF CONSULTANT: OS Engineering
-1S H LAND CONTACT: Martin Stoddard, PE
20 East Main Street
Ashland, Oregon 97520 ADDRESS: PO Box 70413, Springfield, OR 97475
Telephone: 541/488-6002
Fax: 541/488-5311 TELEPHONE: 541 393-3345
FAX: 541 505-8917
DATE AGREEMENT PREPARED: 2104/15 EMAIL: MARTIN.STODDARD OS.ENGR.COM
BEGINNING DATE: 02/09/15 COMPLETION DATE: 04101/15
COMPENSATION: $ 9,100.00 as per Proposal E150202 attached as Exhibit C. Additional services require
prior approval b the City and will be billed at the hour) rates attached as Exhibit D.
SERVICES TO BE PROVIDED: Engineering firm shall assist the City of Ashland, Electric Department, in
identifying and selecting a mechanical contractor to rebuild the Reeder Gulch Hydro needle valves to correct a
leak problem and to modify the HPU system to utilize a food grad vegetable oil and other suitable oil more
compatible with water treatment plant operations then the existing oil as per the Proposal E150202 attached
as Exhibit C.
ADDITIONAL TERMS:
In the event of conflicts or discrepancies among the contract documents, the City of Ashland Contract for Personal Services will be primary and take
precedence, and any exhibits or ancillary contracts or agreements having redundant or contrary provisions will be subordinate to and interpreted in a
manner that will not conflict with the said prima City of Ashland Contract. i
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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 j
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 j
is fair and reasonable.
NOW THEREFORE, in consideration of the mutual covenants contained herein the CITY AND CONSULTANT AGREE as
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follows: `
1. Findings / 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, furnish 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 $20,142.20 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. i
9. Indemnification: Consultant agrees to defend, indemnify and save City, its officers, employees and agents harmless i
from any and all losses, claims, actions, costs, expenses, judgments, subrogations, or other damages resulting from f
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 b Consultant (including but not
Contract for Personal Services, Revised 07/08/2014, Page 1 of 5
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limited to, Consultant's 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 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 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.
i. 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
$2,000,00 0 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 $2,000,000 for
each occurrence for Bodily Injury and Property Damage. It shall include contractual liability coverage for the
indemnit rovided under this contract.
Contract for Personal Services, Revised 07/08/2014, Page 2 of 5
d. Automobile Liability insurance with a combined single limit, or the equivalent, of not less than Enter one:
$200,000, $500,000, $1,060.00 0, 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
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. If
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 Consultant.
Certification. Consultant shall sign the certification attached hereto as Exhibit A and h rein incorporated b reference.
Consultant: City of hland
By By
Signature pa mint Head
Maw k Ho l pm
Print Name Print Name
Title Date
W-9 One copy of a W-9 is to be submitted with
the signed contract. Purchase Order No.
Contract for Personal Services, Revised 07/08/2014, 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 I
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.
~r (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.
_ ,l (4) Labor or services are performed only pursuant to written contracts.
f/ (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.
O S n"~ViE' Ia0
Contractor (Date)
Contract for Personal Services, Revised 07/08/2014, Page 4 of 5
CITY OF ASHLAND, OREGON
EXHIBIT B
City of Ashland
LIVING
A WAGE
per hour effective June 30, 2014
(Increases annually every June 30 by the
Consumer Price Index)
. - . - . , portion of business of their 401 K and IRS eligible
employer, if the employer has cafeteria plans (including
ten or more employees, and childcare) benefits to the
has received financial amount of wages received by
assistance for the project or the employee.
➢ For all hours worked under a business from the City of
service contract between their Ashland in excess of ➢ Note: "Employee" does not
employer and the City of $20,142.20. include temporary or part-time
Ashland if the contract employees hired for less than
exceeds $20,142.20 or more. ➢ If their employer is the City of 1040 hours in any twelve-
Ashland including the Parks month period. For more
➢ For all hours worked in a and Recreation Department. details on applicability of this
month if the employee spends policy, please see Ashland
employee's or more of the ➢ In calculating the living wage, Municipal Code Section
employee's time in that month employers may add the value 3.12.020.
working on a project or of health care, retirement,
For additional --information-:---
Call the Ashland City Administrator's office at 541-488-6002 or write to the City Administrator, City Hall,
20 East Main Street, Ashland, OR 97520 or visit the city's website at www.ashland.or.us.
Notice to Employers: This notice must be posted predominantly in areas where it can be seen by all
employees.
CITY OF
ASHLAND
Contract for Personal Services, Revised 07/08/2014, Page 5 of 5
z ' '4
PROPOSAL FOR ENGINEERIN SERVICES
February 2, 2015 Proposal E150202
Mr. Dave Tygerson
City of Ashland
90 North Mountain Avenue
Ashland, OR 97520
RE: ENGINEERING PROPOSAL FOR REEDER GULCH HYDRO
HYDRAULIC CONVERSION
Dear Dave,
Thank you for the opportunity to give you our proposal for assisting in the
coordination of the needle valve rebuild and hydraulic oil conversion for the
Reeder Gulch Hydro power plant. Please find an outline of our proposal below.
INTRODUCTION
The purpose of this project is to assist the City of Ashland in identifying and
selecting a mechanical contractor to rebuild the Reeder Gulch Hydro needle
valves to correct a leak problem and to modify the HPU system to utilize a food
grade vegetable oil or other suitable oil more compatible with water treatment
plant operation then the existing oil.
SCOPE OF WORK
OS Engineering will provide the following services:
1. Develop a hydraulic system mechanical scope of work and provide
support in soliciting quotations from suitable contractors.
2. Review quotations and contractor qualifications and recommend a
contractor to the City for award.
3. Meet with the mechanical contractor on-site with City personnel to
discuss the project and to coordinate on-site activities.
4. Review contractor submittals and RFI's and provide recommendations to
the City.
5. Provide startup assistance during commissioning and testing of the
system
ASSUMPTION
Our estimate for this work assumes two site visits during the duration of the
effort with commissioning complete in one full day.
PO Box 70413 ■ Springfield, OR 97475 ■ Phone (541)393-3345 ■ Fax (541)505-8917
COMPENSATION
Based on the above Scope-of-Work, we propose to perform this work on a time
and materials basis at rates as indicated in the attached rate schedule. The total
estimated cost for this project is $9,100 as broken down in the below cost
schedule. Compensation will be based on actual hours worked and shall not
exceed the cost estimate without written authorization from the City of Ashland.
Task Est. Cost
Mechanical Scope of work and RFQ Development (16 hrs) $2,000
Solicitation, Review, Award, and Coordination (16 hrs) $2,000
Site Visits (20 hrs + Expenses) $3,100
Coordination, RFI's, Reviews (16 hrs) $2,000
Project Total $9,100
SCHEDULE
We are ready to commence work within two weeks of notice to proceed and
anticipate no more than one weeks to complete the RFQ package. Remaining
items to be completed in coordination with the mechanical subcontractor.
STAFF'
The project team for this project will consist of Martin Stoddard, P.E. and Jeff
Teel, P.E. of OS Engineering. Jeff will be the lead engineer and Marty will
provide engineering review and coordination.
CONCLUSION
We look forward to working with you on this project and appreciate your
confidence in OS Engineering. Please let us know if you have any questions
regarding this proposal or require any clarifications or additional information.
Sincerely,
Martin Stoddard, PE
Page 2 of 2
ENGINEERING
1
ENGINEER'S STANDARD RATES
OS ENGINEERING
STANDARD HOURLY BILLING RATES
Standard Hourly Rates as set forth include salaries and wages paid to personnel in each billing
class plus the cost of customary and statutory benefits, general and administrative overhead,
non-project operating costs, and operating margin or profit.
The Standard Hourly Rates are subject to annual review. The rates set for in this Rate Sheet are
effective through December 31, 2015.
SCHEDULE OF HOURLY RATES
CLASS DESCRIPTION RATE
ENGR 5 Principal Engineer $140.00/hr
ENGR 4 Senior Engineer $125.00/hr
ENGR 3 Lead Engineer $105.00/hr
ENGR 2 Engineer $90.00/hr
ENGR 1 Engineer/Tech $75.00/hr
CAD CAD Technician $70.00/hr
ADMIN Administrative Support $50.00/hr
EXPENSES
Direct Expenses billed at cost plus 10%.
PO Box 70413 ■ Springfield, OR 97475 ■ Phone (541)393-3345 ■ Fax (541)505-8917
Page 1 oft
Client. 1136432 OLSSOIND
ACORD. CERTIFICATE OF LIABILITY INSURANCE GATE01UYYYY)
ui0 o12/2015
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 endorsements.
PRODUCER NAME: Deb Schluckebier
USI Northwest E,a : 541 685-5300 ac 11„ 866-968-4807
975 Oak Street, Suite 900 E- ss- deb.schluckebier@USI.biz
Eugene, OR 97401 ADDRE
541 683-5300 NJSURER S AFFORDING COVERAGE NAIC If
INSURERA: SAIF Corporation 361 6
INSURED INSURER 8 :
Olson Industrial Electric, Inc.
P.O. Box 70413 INSURER C :
INSURER
Springfield, OR 97475 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 CONTRACTOR 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-
TYPE OF INSURANCE INSR U8R POLICY NUMBER P D~YYYY LAP'S
GENERAL LIABILITY EACH OCCURRENCE
COMMERCIAL GENERAL LIABILITY PREMISES Eomur ence 5
CLAIMS-MADE n OCCUR MED EXP (Any one person $
PERSONAL & AOV INJURY $
GENERAL AGGREGATE $
GEN•L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $
POLICY PRO. LOC $
AUTOMOBILE LIABILITY iFED SINGLE LIMIT
Ea ec dent) ANY AUTO BODILY INJURY (Per person) S
ALL OWNED SCHEDULED BODILY INJURY (Per acclderd) $
AUTOS AUTOS
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HIREDAUTOS AUTOS Per ectldent
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UMBRELLA LIAR OCCUR EACH OCCURRENCE $
EXCESS LIAR CLAIMS-MADE AGGREGATE $
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A WORKERS COMPENSATION
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ANY PROPRIETORIPARTNERIEXECUTIVE~--~ E.L. EACH ACC DENT $500000
OFFICER+MEMBER EXCLUDED? I Al NIA
(Mandatory in NH) t-:J E.L. DISEASE - EA EMPLOYEE $500,0W
If yes, describe under
DESCRIPTION OF OPERATIONS bobw E.L. DISEASE - POLICY LIMIT $500,000
DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (Attach ACORD 101, AddMional Remarks Schedule, L more space Is reWlred)
Evidence of Coverage
CERTIFICATE HOLDER CANCELLATION
City of Ashland, Oregon SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
20 East Main Street ACCORDANCE WITH THE POLICY PROVISIONS.
Ashland, OR 97520
AUTHORIZED REPRESENTATIVE
®1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010105) 1 of l The ACORD name and logo are registered marks of ACORD
#S14320047/M135611998 DXSJR
,4co CERTIFICATE OF LIABILITY INSURANCE °"'E
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2/9/2015
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 poilcy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER TACT Kri sty Martin
Ward Insurance Agency P
1019 N. Fti- HONE (541) 687-1117 FAX e.(5+1)3f2-e2e0
PO Box 10167 E-MAIL
.ApogEss:kristy@wardinsurance.
INSURER(S) AFFORDING COVERAGE NAIC s
Eugene OR 97440 INSURERA:Phoenix Insurance Com an 5623
INSURED 1114SURERB:Travelers Property Casualt Co 5674
Olsson Industrial Electric Inc wsuiteRc:Charter Oak Fire Ins Company 5615
PO Box 70413 INSURER 0:
INSURER E :
Springfield OR 97475 INSURER F:
COVERAGES CERTIFICATE NUMBER:14/15-1 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 V1ATH 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.
ILTSR TYPE OF INSURANCE ADDLSUBR ICY NUMBER MMPDNDDYEFFY POLICY EXP LIMITS
GENERAL LIABILITY
EACH OCCURRENCE $ 1,000,000
DA' To RENTF-M--
X COMMERCIAL GENERAL LIABILITY P
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A CLAIMS-MADE ❑X OCCUR X TCO1B50728"HX14 2/3/2014 2/3/2015 MED EXP (Any one person) $ 1o'000
X Job Site Pollution PERSONAL 8 ADV INJURY $ 1,000,000
GENERAL AGGREGATE $ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER, PRODUCTS - COMP/OP AGG $ 2,000,000
POLICY X PRO- LOC $
AUTOMOBILE LIABILITY
(Ea accident) $ COMBINED SINGLE LIMIT
1,000,000
B Ix ANY AUTO BODILY INJURY (Per person) $
AUTOWNED SCTOEDULEO T8101B5072BATILI4 2/3/2014 2/3/2015 BODILY INJURY(Per accident) S
NON-OWNED Pr ac RdTY DA E S
HIRED AUTOS X AUTOS
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X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10, 000, 000
B EXCESS LIAR CLAIMS-MADE AGGREGATE S 10, 000, 000
DED X RETENTION 10, D0 TSHCITP1B50728ATIL14 12/3/2014 12/3/2015 $ 77 WORKERS COMPENSATION WC STATU- OTH-
AND EMPLOYERS' LIABILITY YIN TOR S ER
ANY PROPRIETORIPARTNERIEXECUTIVE E.L. EACH ACCIDENT $
OFFICERMIEMBER EXCLUDED? O NIA
(Mandatory in NH) E.L. DISEASE - EA EMPLOYE S
If yes, describe under
DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $
C Installation Floater T6605C475644COF14 2/3/2014 2/3/2015 Deduclble$2,5M 2,000,000
Leased & Rented Equipment DedudWle$1,000 100,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required)
Re: Reeder Gulch Hydro
City of Ashland, Oregon, and its elected officials, officials, officers, and employees are included as
additional insured on a primary and non-contributory basis as respects to General Liability where
required by written contract per attached CGD246 and CGD316. 30 Days notice of cancellation shall be
given. This form is subject to policy terms, conditions, and exclusions.
CERTIFICATE HOLDER CANCELLATION
(541)488-5311 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Ashland ACCORDANCE WITH THE POLICY PROVISIONS.
20 East Main Street
Ashland, OR 97520 AUTHORIZED REPRESENTATIVE
Doc DuMars/KRISTY
ACORD 25 (2010105) ®1988-2010 ACORD CORPORATION. All rights reserved.
INS02S onlnnsl m Thu ARrion nnroa anei Innn am ra icfararl mnr4c of ACnDn
COMMENTS/REMARKS
Named Insured Continued:
IJBS Investments LLC
Olsson Industrial Electric Profit Plan 401K
Olsson Investments LLC
Other Coverages Continued:
Scheduled Equipment Limit $452,505 Deductible $1,000
Auto liability includes Broadened Pollution Liability per CA9948
Umbrella is following form
Contractor's Professional Liability and Contractor's Pollution Legal Liability
Company: AXIS Surplus Insurance Company
Policy # ESZ784567012014
Eff Dates: 12/03/2014 to 12/03/2015
Policy Aggregate: $5,000,000
Contractor's Professional Liability Limit $5,000,000 Each Claim $5,000,000 Aggregate
Contractor's Pollution Legal Liability $5,000,000 Each Claim $5,000,000 Aggregate
Self Insured Retention $25,000 each claim or pollution condition
Retroactive Date: 12/13/2011
OFREMARK COPYRIGHT 2000, AMS SERVICES INC.
COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY
BLANKET ADDITIONAL INSURED
(CONTRACTORS)
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
1. WHO IS AN INSURED - (Section II) is amended c) The insurance provided to the additional in-
to include any person or organization that you sured does not apply to "bodily injury" or
agree in a "written contract requiring insurance" "property damage" caused by "your work"
to include as an additional insured on this Cover- and included in the "products-completed op-
age Part, but: erations hazard" unless the "written contract
a) Only with respect to liability for "bodily injury", requiring insurance" specifically requires you
"property damage" or "personal injury"; and to provide such coverage for that additional
insured, and then the insurance provided to
b) If, and only to the extent that, the injury or the additional insured applies only to such
damage is caused by acts or omissions of "bodily injury" or "property damage" that oc-
you or your subcontractor in the performance curs before the end of the period of time for
of "your work" to which the "written contract which the "written contract requiring insur-
requiring insurance" applies. The person or ance" requires you to provide such coverage
organization does not qualify as an additional or the end of the policy period, whichever is
insured with respect to the independent acts earlier.
or omissions of such person or organization.
3. The insurance provided to the additional insured
2. The Insurance provided to the additional insured by this endorsement is excess over any valid and
by this endorsement is limited as follows: collectible "other insurance", whether primary,
a) In the event that the Limits of Insurance of excess, contingent or on any other basis, that is
this Coverage Part shown in the Declarations available to the additional insured for a loss we
exceed the limits of liability required by the cover under this endorsement. However, if the
"written contract requiring insurance", the in- "written contract requiring insurance" specifically
surance provided to the additional insured requires that this insurance apply on a primary
shall be limited to the limits of liability re- basis or a primary and non-contributory basis,
quired by that "written contract requiring in- this insurance is primary to "other insurance"
surance". This endorsement shall not in- available to the additional insured which covers
crease the limits of insurance described in that person or organization as a named insured
Section III - Limits Of Insurance. for such loss, and we will not share with that
"other insurance". But the insurance provided to
b) The insurance provided to the additional in- the additional insured by this endorsement still is
sured does not apply to "bodily injury", "prop- excess over any valid and collectible "other in-
erty of t damage" or "personal injury" arising out surance", whether primary, excess, contingent or
of the rendering of, or failure to render, any on any other basis, that is available to the addi-
professional architectural, engineering or sur- tional insured when that person or organization is
veying services, including: an additional insured under such "other insur-
1. The preparing, approving, or failing to ance".
prepare or approve, maps, shop draw- 4. As a condition of coverage provided to the
ings, opinions, reports, surveys, field or- additional insured by this endorsement:
ders or change orders, or the preparing,
approving, or failing to prepare or ap- a) The additional insured must give us written
prove, drawings and specifications; and notice as soon as practicable of an "occur-
ii. Supervisory, inspection, architectural or rence" or an offense which may result in a
claim. To the extent possible, such notice
engineering activities. should include:
CG D2 46 08 05 0 2005 The St. Paul Travelers Companies, Inc. Page 1 of 2
COMMERCIAL GENERAL LIABILITY
i. How, when and where the "occurrence" any provider of "other insurance" which would
or offense took place; cover the additional insured for a loss we
ii. The names and addresses of any injured cover under this endorsement. However, this
persons and witnesses; and condition does not affect whether the insur-
ance provided to the additional insured by
Iii. The nature and location of any injury or this endorsement is primary to "other insur-
damage arising out of the "occurrence" or ance" available to the additional insured
offense. which covers that person or organization as a
b) If a claim is made or "suit" is brought against named insured as described in paragraph 3.
the additional insured, the additional insured above.
must: 5. The following definition is added to SECTION V.
i. Immediately record the specifics of the - DEFINITIONS:
claim or "suit" and the date received; and "Written contract requiring insurance" means
ii. Notify us as soon as practicable. that part of any written contract or agreement
The additional insured must see to it that we under which you are required to include a
receive written notice of the claim or "suit" as person or organization as an additional in-
sured on this Coverage Part, provided that
soon as practicable. the "bodily injury" and "property damage" oc-
c) The additional insured must immediately curs and the "personal injury" is caused by an
send us copies of all legal papers received in offense committed:
connection with the claim or "suit", cooperate a. After the signing and execution of the
with us in the investigation or settlement of
the claim or defense against the "suit", and contract or agreement by you;
otherwise comply with all policy conditions. b. While that part of the contract or
d) The additional insured must tender the de- agreement is in effect; and
fense and indemnity of any claim or "suit" to c. Before the end of the policy period.
Page 2 of 2 0 2005 The St. Paul Travelers Companies, Inc. CG D2 46 08 05
COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CONTRACTORS XTEND ENDORSEMENT
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
GENERAL DESCRIPTION OF COVERAGE - This endorsement broadens coverage. However, coverage for any
injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or
limited by another endorsement to this Coverage Part, and these coverage broadening provisions do not apply to
the extent that coverage is excluded or limited by such an endorsement. The following listing is a general cover-
age description only. Limitations and exclusions may apply to these coverages. Read all the provisions of this en-
dorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered.
A. Aircraft Chartered With Pilot H. Blanket Additional Insured - Lessors Of Leased
B. Damage To Premises Rented To You Equipment
C. Increased Supplementary Payments 1. Blanket Additional Insured - States Or Political
Subdivisions - Permits
D. Incidental Medical Malpractice
J. Knowledge And Notice Of Occurrence Or Offense
E. Who Is An Insured - Newly Acquired Or Formed
Organizations K. Unintentional Omission
F. Who Is An Insured - Broadened Named Insured L. Blanket Waiver Of Subrogation
- Unnamed Subsidiaries M. Amended Bodily Injury Definition
G. Blanket Additional Insured - Owners, Managers N. Contractual Liability- Railroads
Or Lessors Of Premises
PROVISIONS INJURY AND PROPERTY DAMAGE LI-
A. AIRCRAFT CHARTERED WITH PILOT ABILITY:
The following is added to Exclusion g., Aircraft, Exclusions c. and g. through n. do not apply
Auto Or Watercraft, in Paragraph 2. of SECTION to "premises damage". Exclusion E(1)(a)
I - COVERAGES - COVERAGE A BODILY IN- does not apply to "premises damage" caused
JURY AND PROPERTY DAMAGE LIABILITY: by:
This exclusion does not apply to an aircraft that a. Fire;
is: b. Explosion;
(a) Chartered with a pilot to any insured; c. Lightning;
(b) Not owned by any insured; and d. Smoke resulting from such fire, explosion,
(c) Not being used to carry any person or prop- or lightning; or
erty for a charge. e. Water;
B. DAMAGE TO PREMISES RENTED TO YOU unless Exclusion f. of Section 1- Coverage A
1. The first paragraph of the exceptions in Ex- - Bodily Injury And Property Damage Liability
clusion j., Damage To Property, in Para- is replaced by another endorsement to this
graph 2. of SECTION I - COVERAGES - Coverage Part that has Exclusion - All Pollu-
COVERAGE A BODILY INJURY AND tion Injury Or Damage or Total Pollution Ex-
PROPERTY DAMAGE LIABILITY is deleted. clusion in its title.
2. The following replaces the last paragraph of A separate limit of insurance applies to
Paragraph 2., Exclusions, of SECTION I - "premises damage" as described in Para-
COVERAGES - COVERAGE A. BODILY graph 6. of SECTION III - LIMITS OF IN-
SURANCE.
CG D3 16 11 11 0 2011 The Travelers Indemnity Company. All rights reserved. Page 1 of 6
COMMERCIAL GENERAL LIABILITY
3. The following replaces Paragraph 6. of SEC- C. INCREASED SUPPLEMENTARY PAYMENTS
TION III - LIMITS OF INSURANCE: 1. The following replaces Paragraph 1.b. of
Subject to 5. above, the Damage To Prem- SUPPLEMENTARY PAYMENTS - COVER-
ises Rented To You Limit is the most we will AGES A AND B of SECTION I - COVER-
pay under Coverage A for damages because AGE:
of "premises damage" to any one premises. b. Up to $2,500 for the cost of bail bonds
The Damage To Premises Rented To You
Limit will apply to all "property damage" required because of accidents or traffic
law violations arising out of the use of any
proximately caused by the same "occur- vehicle to which the Bodily Injury Liability
rence", whether such damage results from: Coverage applies. We do not have to fur-
fire; explosion; lightning; smoke resulting from nish these bonds.
such fire, explosion, or lightning; or water; or
any combination of any of these causes. 2. The following replaces Paragraph 1.d. of
SUPPLEMENTARY PAYMENTS - COVER-
The Damage To Premises Rented To You AGES A AND B of SECTION 1 - COVER-
Limit will be: AGES:
a. The amount shown for the Damage To d. All reasonable expenses incurred by the
Premises Rented To You Limit on the insured at our request to assist us in the
Declarations of this Coverage Part; or investigation or defense of the claim or
b. $300,000 if no amount is shown for the "suit", including actual loss of earnings up
Damage To Premises Rented To You to $500 a day because of time off from
Limit on the Declarations of this Coverage work.
Part. D. INCIDENTAL MEDICAL MALPRACTICE
4. The following replaces Paragraph a. of the 1. The following is added to the definition of "oc-
definition of "insured contract" in the DEFINI- currence" in the DEFINITIONS Section:
TIONS Section:
"Occurrence" also means an act or omission
a. A contract for a lease of premises. How- committed in providing or failing to provide
ever, that portion of the contract for a "incidental medical services", first aid or
lease of premises that indemnifies any "Good Samaritan services" to a person.
person or organization for "premises
damage" is not an "insured contract"; 2. The following is added to Paragraph 2.a.(1) of
SECTION II - WHO IS AN INSURED:
5. The following is added to the DEFINITIONS Paragraph (1)(d) above does not apply to
Section:
"bodily injury" arising out of providing or fail-
"Premises damage" means "property dam- ing to provide:
age" to:
(i) "Incidental medical services" by any of
a. Any premises while rented to you or tem- your "employees" who Is a nurse practi-
porarily occupied by you with permission tioner, registered nurse, licensed practical
of the owner; or nurse, nurse assistant, emergency medi-
b. The contents of any premises while such cal technician or paramedic; or
premises is rented to you, if you rent such (ii) First aid or "Good Samaritan services" by
premises for a period of seven or fewer any of your "employees" or "volunteer
consecutive days. workers", other than an employed or vol-
6. The following replaces Paragraph 4.b.(1)(b) unteer doctor. Any such "employees" or
of SECTION IV - COMMERCIAL GENERAL "volunteer workers" providing or failing to
LIABILITY CONDITIONS: provide first aid or "Good Samaritan ser-
(b) That is insurance for "premises damage"; vices" during their work hours for you will
or be deemed to be acting within the scope
7. Paragraph 4.b.(1)(c) of SECTION IV - of their employment by you or performing
COMMERCIAL GENERAL LIABILITY CON- duties related to the conduct of your busi-
DITIONS is deleted. ness.
Page 2 of 6 0 2011 The Travelers Indemnity Company. All rights reserved. CG D3 16 11 11
COMMERCIAL GENERAL LIABILITY
3. The following is added to Paragraph S. of 4. Any organization you newly acquire or form,
SECTION III - LIMITS OF INSURANCE: other than a partnership, joint venture or lim-
For the purposes of determining the applica- ited liability company, of which you are the
ble Each Occurrence Limit, all related acts or sole owner or in which you maintain the ma-
omissions committed in providing or failing to jority ownership interest, will qualify as a
provide "incidental medical services", first aid Named Insured if there is no other insurance
or "Good Samaritan services" to any one per- which provides similar coverage to that or-
son will be deemed to be one "occurrence". ganization. However:
4. The following exclusion is added to Para- a. Coverage under this provision is afforded
graph 2., Exclusions, of SECTION I - COV- only:
ERAGES - COVERAGE A BODILY INJURY (1) Until the 180th day after you acquire or
AND PROPERTY DAMAGE LIABILITY: form the organization or the end of the
Sale Of Pharmaceuticals
policy period, whichever is earlier, if you
"Bodily injury" or "property damage" arising do not report such organization in writing
out of the willful violation of a penal statute or to us within 180 days after you acquire or
ordinance relating to the sale of pharmaceuti- form it; or
cals committed by, or with the knowledge or
consent of, the insured. (2) Until the end of the policy period, when
that date is later than 180 days after you
S. The following is added to the DEFINITIONS acquire or form such organization, if you
Section: report such organization in writing to us
"Incidental medical services" means: within 180 days after you acquire or form
a. Medical, surgical, dental, laboratory, x-ray it, and we agree in writing that it will con-
or nursing service or treatment, advice or tinue to be a Named Insured until the end
instruction, or the related furnishing of of the policy period;
food or beverages; or b. Coverage A does not apply to "bodily injury"
b. The furnishing or dispensing of drugs or or "property damage" that occurred before
medical, dental, or surgical supplies or you acquired or formed the organization; and
appliances. c. Coverage B does not apply to "personal in-
"Good Samaritan services" means any emer- jury" or "advertising injury" arising out of an
gency medical services for which no compen- offense committed before you acquired or
sation is demanded or received. formed the organization.
6. The following is added to Paragraph 4.b., Ex- F. WHO IS AN INSURED - BROADENED NAMED
cess Insurance, of SECTION IV - COM- INSURED - UNNAMED SUBSIDIARIES
MERCIAL GENERAL LIABILITY CONDI-
TIONS: The following is added to SECTION II -WHO IS
The insurance is excess over any valid and AN INSURED:
collectible other insurance available to the in- Any of your subsidiaries, other than a partnership,
sured, whether primary, excess, contingent or joint venture or limited liability company, that is
on any other basis, that is available to any of not shown as a Named Insured in the Declara-
your "employees" or "volunteer workers" for tions is a Named Insured if you maintain an own-
"bodily injury" that arises out of providing or ership interest of more than 50% in such subsidi-
failing to provide "incidental medical ser- ary on the first day of the policy period.
vices", first aid or "Good Samaritan services" No such subsidiary is an insured for "bodily injury"
to any person to the extent not subject to or "property damage" that occurred, or "personal
Paragraph 2.a.(1) of Section II - Who Is An
of-
Insured. injury" or "advertising injury" caused by an of-
fense committed after the date, if any, during the
E. WHO IS AN INSURED - NEWLY ACQUIRED policy period, that you no longer maintain an
OR FORMED ORGANIZATIONS ownership interest of more than 50% in such sub-
The following replaces Paragraph 4. of SECTION sidiary.
II - WHO IS AN INSURED:
CG D3 16 11 11 ® 2011 The Travelers Indemnity Company. All rights reserved. Page 3 of 6
COMMERCIAL GENERAL LIABILITY
G. BLANKET ADDITIONAL INSURED - OWNERS, H. BLANKET ADDITIONAL INSURED - LESSORS
MANAGERS OR LESSORS OF PREMISES OF LEASED EQUIPMENT
The following is added to SECTION 11 - WHO IS The following is added to SECTION II - WHO IS
AN INSURED: AN INSURED:
Any person or organization that is a premises Any person or organization that is an equipment
owner, manager or lessor and that you have lessor and that you have agreed in a written con-
agreed in a written contract or agreement to in- tract or agreement to include as an insured on
clude as an additional insured on this Coverage this Coverage Part is an insured, but only with re-
Part is an insured, but only with respect to liability
for "bodily injury", "property damage", "personal spect to liability for "bodily injury", "property dam-
injury" or "advertising injury" that: age", personal injury" or "advertising injury" that:
a. Is "bodily injury" or "property damage" that a. Is "bodily injury" or "property damage" that
occurs, or is "personal injury" or 'advertising occurs, or is "personal injury" or "advertising
,
injury" caused by an offense that is commit- injury' caused by an offense that is commit-
ted, subsequent to the execution of that con- led, subsequent to the execution of that con-
tract or agreement; and
tract or agreement; and
b. Is caused, in whole or in part, by your acts or
b. Arises out of the ownership, maintenance or omissions in the maintenance, operation or
use of that part of any premises leased to use of equipment leased to you by such
you. equipment lessor.
The insurance provided to such premises owner, The insurance provided to such equipment lessor
manager or lessor is subject to the following pro- is subject to the following provisions:
visions:
a. The limits of insurance provided to such a. The limits of insurance provided to such
premises owner, manager or lessor will be equipment lessor will be the minimum limits
which you agreed to provide in the written
the minimum limits which you agreed to pro- contract or agreement, or the limits shown on
vide In the written contract or agreement, or the Declarations, whichever are less.
the limits shown on the Declarations, which-
ever are less. b. The insurance provided to such equipment
b. The insurance provided to such premises lessor does not apply to any "bodily injury" or
property damage that occurs, or "personal
owner, manager or lessor does not apply to: injury" or "advertising injury" caused by an of-
(1) Any "bodily injury" or "property damage" fense that is committed, after the equipment
that occurs, or "personal injury" or "adver- lease expires.
tising injury" caused by an offense that is
committed, after you cease to be a tenant c. The insurance provided to such equipment
in that premises; or lessor is excess over any valid and collectible
other insurance available to such equipment
(2) Structural alterations, new construction or lessor, whether primary, excess, contingent
demolition operations performed by or on or on any other basis, unless you have
behalf of such premises owner, lessor or agreed in the written contract or agreement
manager. that this insurance must be primary to, or
c. The insurance provided to such premises non-contributory with, such other insurance,
owner, manager or lessor is excess over any in which case this insurance will be primary
valid and collectible other insurance available to, and non-contributory with, such other in-
to such premises owner, manager or lessor, surance.
whether primary, excess, contingent or on I. BLANKET ADDITIONAL INSURED - STATES
any other basis, unless you have agreed in OR POLITICAL SUBDIVISIONS - PERMITS
the written contract or agreement that this in- The following is added to SECTION II - WHO IS
surance must be primary to, or non-
contributory with, such other insurance, in AN INSURED:
which case this insurance will be primary to, Any state or political subdivision that has issued a
and non-contributory with, such other insur- permit in connection with operations performed by
ance. you or on your behalf and that you are required
Page 4 of 6 0 2011 The Travelers Indemnity Company. All rights reserved. CG D3 16 11 11
COMMERCIAL GENERAL LIABILITY
by any ordinance, law or building code to include (ii) A manager of any limited liability
as an additional insured on this Coverage Part is company; or
an insured, but only with respect to liability for (111) An executive officer or director of
"bodily injury", "property damage", "personal in- any other organization;
jury" or "advertising injury" arising out of such op-
erations. that is your partner, joint venture
member or manager; or
The insurance provided to such state or political (b) Any "employee" authorized by such
subdivision does not apply to:
partnership, joint venture, limited li-
a. Any "bodily injury," "property damage," "per- ability company or other organization
sonal injury" or "advertising injury" arising out to give notice of an "occurrence" or
of operations performed for that state or po- offense.
litical subdivision; or (3) Notice to us of such "occurrence" or of an
b. Any "bodily injury" or "property damage" in- offense will be deemed to be given as
cluded in the "products-completed operations soon as practicable if it is given in good
hazard". faith as soon as practicable to your work-
J. KNOWLEDGE AND NOTICE OF OCCUR- ers' compensation insurer. This applies
RENCE OR OFFENSE only if you subsequently give notice to us
The following is added to Paragraph 2., Duties In of the "occurrence" or offense as soon as
The Event of Occurrence, Offense, Claim or practicable after any of the persons de-
Suit, of SECTION IV - COMMERCIAL GEN- scribed in Paragraphs e. (1) or (2) above
ERAL LIABILITY CONDITIONS: discovers that the "occurrence" or offense
may result in sums to which the insurance
e. The following provisions apply to Paragraph provided under this Coverage Part may
a. above, but only for the purposes of the in- apply
surance provided under this Coverage Part to
you or any insured listed in Paragraph 1. or 2. However, if this Coverage Part includes an en-
of Section II - Who Is An Insured: dorsement that provides limited coverage for
"bodily injury" or "property damage" or pollution
(1) Notice to us of such "occurrence" or of- costs arising out of a discharge, release or es-
fense must be given as soon as practica- cape of "pollutants" which contains a requirement
ble only after the "occurrence" or offense that the discharge, release or escape of "pollut-
is known by you (if you are an individual), ants" must be reported to us within a specific
any of your partners or members who is number of days after its abrupt commencement,
an individual (if you are a partnership or this Paragraph e. does not affect that require-
joint venture), any of your managers who ment.
is an individual (if you are a limited liability K. UNINTENTIONAL OMISSION
company), any of your "executive offi-
cers" or directors (if you are an organiza- The following is added to Paragraph 6., Repre-
tion other than a partnership, joint venture sentations, of SECTION IV - COMMERCIAL
or limited liability company) or any "em- GENERAL LIABILITY CONDITIONS:
ployee" authorized by you to give notice The unintentional omission of, or unintentional
of an "occurrence" or offense. error in, any information provided by you which
(2) If you are a partnership, joint venture or we relied upon in issuing this policy will not preju-
limited liability company, and none of your dice your rights under this insurance. However,
partners, joint venture members or man- this provision does not affect our right to collect
agers are individuals, notice to us of such additional premium or to exercise our rights of
"occurrence" or offense must be given as cancellation or nonrenewal in accordance with
soon as practicable only after the "occur- applicable insurance laws or regulations.
rence" or offense is known by: L. BLANKET WAIVER OF SUBROGATION
(a) Any individual who is: The following is added to Paragraph 8., Transfer
(i) A partner or member of any part- Of Rights Of Recovery Against Others To Us,
nership or joint venture; of SECTION IV - COMMERCIAL GENERAL LI-
ABILITY CONDITIONS:
CG D3 16 11 11 ® 2011 The Travelers Indemnity Company. All rights reserved. Page 5 of 6
COMMERCIAL GENERAL LIABILITY
If the insured has agreed in a contract or agree- 3. "Bodily injury" means bodily injury, mental
ment to waive that insured's right of recovery anguish, mental injury, shock, fright, disability,
against any person or organization, we waive our humiliation, sickness or disease sustained by
right of recovery against such person or organiza- a person, including death resulting from any
tion, but only for payments we make because of: of these at any time.
a. "Bodily injury" or "property damage" that oc- N. CONTRACTUAL LIABILITY - RAILROADS
curs; or 1. The following replaces Paragraph c. of the
b. "Personal injury" or "advertising injury" definition of "insured contract" in the DEFINI-
caused by an offense that is committed; TIONS Section:
subsequent to the execution of that contract or c. Any easement or license agreement;
agreement. 2. Paragraph f.(1) of the definition of "insured
M. AMENDED BODILY INJURY DEFINITION contract" in the DEFINITIONS Section is de-
The following replaces the definition of "bodily leted.
injury" in the DEFINITIONS Section:
Page 6 of 6 ® 2011 The Travelers Indemnity Company. All rights reserved. CG D3 16 11 11
Page 1 / 1
CITY OF
~
ASHLAND DATE PO NUMBER
20 E MAIN ST. 2/13/2015 12731
j ASHLAND, OR 97520
(541) 488-5300
VENDOR: 019261 SHIP To: Ashland Electric Department
OS ENGINEERING (541) 488-5354
1919 LAURA STREET 90 N MOUNTAIN
SPRINGFIELD, OR 97477 ASHLAND, OR 97520
FOB Point: Req. No.:
Terms: Net Dept.:
Req. Del. Date: Contact: Dave TygerSon
Special Inst: Confirming? No
Quantity Unit Description Unit Price Ext. Price
Emergency enqineerinq services to 15,000.00
identify the repairs, replacements and
upgraded required to brinq the water
flow needle values at the hydro
electric qeneratinq facility (Hosler
Dam) back on line.
Contract for Personal Services
Beqinninq date: 02/09/2015
Completion date: 04/01/2015
SUBTOTAL 15 000.00
BILL To: Account Payable TAX 0.00
20 EAST MAIN ST FREIGHT 0.00
541-552-2010 TOTAL 15,000.00
ASHLAND, OR 97520
Account Number Project Number' Amount Account Number Project Number Amount
E 690.11.18.00.70410 E 000466.999 15 000.00
Authoii ed Signature VENDOR COPY
FORM #3 CITY OF
ASHLAND
REQUISITION Date of request: - /
Required date for delivery:
Vendor Name
Address, City, State, Zip {~.0, 80/X 70/f/, 2 c5Rq1111GFC'!, , CR 971-/75
Contact Name & Telephone Number
Fax Number 9j,487-/W 5-ODD,4RD 5,V1 -31? 3-?11, -
F.*X : y/ - -R9/7 ciq4,~_ = a414 IzT-Im-,S7-odd4rz>6005- encr r corn
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) ❑ 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 Intergovern mental 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/written solicitation Date approved by Council: (Date)
❑ Form #4, Personal Services $5K to $75K Valid until: Date
Description of SERVICES Total Cost
7-0
oTE o A/07- 77FJre
Item # Quantity Unit Description of MATERIALS Unit Price Total Cost
F-1 Per attached quotelproposal TOTAL COST
ProjectNumberQwy_4f 3-n Account Number 690-11-18-0-70yioo
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:
IT Director Date Support-Yes/No
By signing this requisition form, 1 certify that the City's public contracting requirements have been satisfied.
Employee: n i' I t~Qj( Department Head: d ~ ale L""~
(Eq al o or greater than $5,000)
Department Manager/Supervisor: City Administrator:
(Equal to or greater than $25,000)
Funds appropriated for current fiscal year.' YE / NO
Finance Director- (Equal to orgre` erthan $5,000 Date
Comments:
Form #3 - Requisition
Memo
DATE: February 12, 2015
TO: Lee Tuneberg, administrative services director
FROM: Mark Holden, director of information technology and electric utility
RE: Requisition for Emergency Engineering Services
Enclosed please find for your review a requisition for emergency engineering services to identify the
repairs, replacements and upgrades required to bring the water flow needle values at the Hydro Electric
Generating facility ( Hosler dam) back on line.
Your quick review and signature would be appreciated as we need to complete identified
repairs/replacements/upgrades by April 1, 2015.
Thank you in advance for your help in getting this done. If you have any questions or need any
additional information, please let me know.
Thank you,
Mark Holden
Director of IT and Electric
Electric Dept. Tel: 541-488-5357
90 N Mountain St Fax: 541-552 2436
Ashland, Oregon 97520 TTY: 800-735-2900
www.ashland.or.us
CITY OF
FORM #13 ASHLAND
EMERGENCY PROCUREMENT
Greater than $5,000
To: Dave Kanner, Public Contracting Officer
From: Mary Holden
Date: 02/04/15
Re: Emergency Procurement - Written Findings and Request for Authorization
Document the emergency:
Background & findings:
The hydro-electric generator (Hydro Plant) is offline due to needle valve issues. The Electric department was
notified by the water treatment plant manager (Greg Hunter) of a small amount of oil substance detected in the Tail
Race before entering the Water Treatment Plant. The Hydro Plant was taken offline and the water flow bypass was
turned on to serve the Water Treatment Plant. Oil samples were taken and sent to Neilson Research in Medford,
OR. Neilson Research confirmed oil from the Tail Race at the Water Treatment Plant matched the oil at the needle
valves in the Hydro Plant.
The operation of the Hydro Plant is critical to the operation of the Water Treatment Plant. When water demand
exceeds four million gallons per day (historically April through October), the Hydro Plant is the only supply
capable of meeting the demand at the Water Treatment Plant.
The Hydro Plant bypass system is currently operating while the Hydro Plant is offline. However, the bypass system
is limited to four million gallons per day. While the Hydro Plant is offline, the amount of water available to the
Water Treatment Plant may not be sufficient to meet the demands of Ashland water users.
The Electric department needs to have the Hydro Plant back online by April 1, 2015 in order to meet the demand at
the Water Treatment Plant and to serve the needs of the City. Engineering, mobilization and repair times require an
immediate start to the process.
Document solicitation process:
Direct Award
Amount of Emergency Contract: $9,100 to $15, 000
Engineering $9,100 to $15,000
Note: Construction to follow above completion of engineering scope of work.
Form #13 - Emergency Procurement - Written Findings and Request for Approval, Page 1 of 2, 2/4/2015
Written Order
t'mergency Procurement is being authorized by the City Administrator as specified by this written order.
Authorized by: Date:
City Administrator I Public Contracting Officer
Report Emergency Procurement to the City Council: Yes / No
Note: Emergency Procurements equal to or greater than $100, 000 for Goods and Services and equal to or greater than
$75, 000 for Personal Services will require Council approval.
Form #13 - Emergency Procurement - Written Findings and Request for Approval, Page 2 of 2, 2/4/2015
CITY OF
FORM #4 -AS H LAN D
DETERMINATIONS TO PROCURE
PERSONAL SERVICES
$5,000 to $75,000
To: Dave Kanner, Public Contracting Officer
From: Mark Holden
Date: 02/04/15
Re: DETERMINATIONS TO PROCURE PERSONAL SERVICES
In accordance with AMC 2.50.120(A), for personal services contracts greater than $5,000, but less
than $75,000, the Department Head shall make findings that City personnel are not available to
perform the services, and that the City does not have the personnel or resources to perform the
services required under the proposed contract. However, the City Attorney, the Public Contracting
Officer, or Local Contract Review Board, can require a formal solicitation for bids to ensure that
the purposes of this chapter are upheld.
BacklZround
The Electric Department's intent is by April 1, 2015 make all needed repairs to Electric Department's
hydro Electric Facilities. The repairs needed include rebuilding and upgrade of (2) needle valve
components and all associated equipment.
The replacement of the existing hydraulic oil systems associated with hydro operations is required to be
converted to and/or replaced with NSF type food grade Hydraulic oil system that is compatible with co-
operation of the hydro electric generator and the water treatment plant operations.
The estimated cost for the engineering scope of work as written per the OS Engineering proposal is
approximately $9,100 to $15,000. The time line intended for this contact is approximately 120 days.
Pursuant to AMC 2.50.120(A), has a reasonable inquiry been conducted as to the availability of
City personnel to perform the services, and that the City does not have the personnel and resources
to perform the services required under the proposed contract?
The City does not have the required personnel to complete this project within the required timeline.
Due to the non-availability of city qualified personnel that can perform critical and specialized work
procedures needed to correct all issues directly affecting the Electric Hydro-electric generator plant and
water treatment facility, therefore requires the Electric Department to outsource these emergency repairs.
Form #4 - Department Head Determinations to Procure Personal Services, Page 1 of 1, 2/4/2015
Dave Tygerson
From: Mike Morrison Jr [morrism@ashland.or.us]
Sent: Friday, January 23, 2015 10:09 AM
To: 'Mark Holden'
Cc: 'Dave Tygerson'; 'Steve Walker
Subject: Hydroelectric Generator
Mark,
The reliable operation of the hydro-electric generator is critical to the daily operation of the Water Treatment Plant,
when daily water demand exceeds four million gallons per day. Historically we see demand exceed the four million
gallon levels as early as April. The current routing of the water transmission line from the reservoir to the treatment
plant directs the water to the generator. The generator is able to control water flow and downstream of the generator
is where the treatment plants water intake is located. When the generator is offline, we have a bypass system in place
that can divert the flow around the generator. This bypass system is limited to 4 million gallons per day, so when
demand exceeds that amount, controlling the flow into the plant has to be done by the generator. If the generator is
offline, the amount of water we're able to supply to the treatment plant may not meet the demands of Ashland water
users.
If we are unable to use the generator to regulate flows to the plant, output from the treatment plant could be
inadequate to meet the demands of Ashland water customers. Not supplying enough water is an unacceptable
scenario. Getting the generator back online no later than April 1" is critical and every effort to make this happen needs
to occur.
Please let me know if you need any further explanation.
Thanks, Mike
Mike Morrison, Public Works Superintendent
City of Ashland
Public Works
90 N. Mountain Ave, Ashland, OR 97520
Phone (541) 552-2325, TTY (800) 735-2900 Fax (541) 552-2304
This email transmission is official business of the City of Ashland, and it is subject to Oregon Public Records Law for
disclosure and retention.
If you have received this message in error, please contact me at (541) 552-2355. Thank you