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HomeMy WebLinkAbout2015-140 CONT Addendum - Lomakatsi Restoration Project ADDENDUM TO CITY OF ASHLAND CONTRACT FOR GOODS AND SERVICES LESS THAN $25,000 Addendum made this 26th day of May, 2015, between the City of Ashland ("City") and Lomakatsi Restoration Project ("Contractor"). Recitals: A. On 4/8/2015, City and Contractor entered into a "City of Ashland Contract for Goods and Services Less than $25,000" (further referred to in this addendum as "the agreement"). B. The parties desire to amend the agreement to allow subcontracting. City and Consultant agree to amend the agreement in the following manner: 1. The City agrees to allow Lomakatsi Restoration Project to subcontract for goods and services to Grayback Forestry Inc. 2. Except as modified above the terms of the agreement shall remain in full force and effect. CONTRACTOR: CITY OF ASHLAND: BY G~/ 9 BY is t Gc ~c -4 r- X P ; V 11 ~Lo partment Head Its l- IJ Date DATE S - I I S Purchase Order # Acct. No.: (For City purposes only) 1- CITY OF ASHLAND, ADDENDUM TO CONTRACT FOR GOODS AND SERVICES <$25,000 DATE (MMIDDIYYYY) AcoR" CERTIFICATE OF LIABILITY INSURANCE 5/28/2015 THIS CERTWICATE 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 NAMENTA T : Kendall Yeaw Protectors Insurance, LLC PHONE FAX WE No - WC No):(541)772-1906 P.O. Box 4669 E-MAIL Medford OR 97504 ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A:Amermcan States Ins Company 19704 j INSURED GRAYB-1 INSURER B : E r Grayback Forestry Inc INSURER C Western Emergency Services LLC INSURER D PO Box 838 Merlin OR 97532-0838 INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER: 322342016 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 ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR IN R WVD POLICY NUMBER MMIDDIYYYY MMIDDIYYYY A GENERAL LIABILITY 01C131118260 1/1/2015 /1/2016 EACH OCCURRENCE $1,000,000 X DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $1,000,000 CLAIMS-MADE IX I OCCUR MED EXP (Any one person) $10,000 X Logger Brd. Form PERSONAL &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 Loggers Broad Form $11000,000 B AUTOMOBILE LIABILITY 02CE22830430 1/1/2015 /1/2016 Ea accident $1,000,000 X ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident I $ A X UMBRELLA LIAB OCCUR 01SU41705760 1/1/2015 /1/2016 EACH OCCURRENCE $2,000,000 EXCESS LIAB X CLAIMS-MADE AGGREGATE $2,000,000 DED RETENTION $ $ WORKERS COMPENSATION WC STATUS OTH- ER- AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ N I A (Mandatory in NH) E.L. DISEASE - EA EMPLOYE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) City of Ashland is listed as additional insured per CG7635 0207 Project: #AFR-TSA-U B-2015-Unit 12 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 WITH THE POLICY PROVISIONS. 455 Siskiyou Blvd Ashland OR 9752 AUTHORIZED REPRESENTATIVE C1112 I/ © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD ~~nsurancp COMMERCIAL aENERALUABILITY (b) Tt 6swanoa does not dart, opp2y to This w n ppfae even y he Or CG 76 350207 'odiy Injury' IreP- ' against any y Insured allege nesyoenCa ce • Dgane arsof out t such of the W dote e n or ear m~ t ing raaininn In Or mor:tOrIng of others pence person or by that Waved 0 he 'eccurrerice' which «ganbadon; caused the todry Injury' VOP" THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ R CAREFULLY. 14) Parm's Issued by arty state « poll6al damage' krm ved lire ownwahp, mahte- eubdPAsin with respect to operations rance, use « ewusonent la others of arc/ LIABILITY PLUS ENDORSEMENT pedormed by you " on your behalf, eraa% Yu o or water"ay that Is Owned subject to he fo6aw!.g add LL pro- or operated by or ferted or ow*d to arty An- vison sued. - Ras endorsement modifies Irnurance provided under the foe-bw'ng: This insurance does not apply b 'b«,ly TNS exUUSon bras not apply to: COMMERCIAL GENERAL LUITIUTY COVERAGE PART hysey, property' damage', « (1) A wate :rah wilds ashore n premises 'pareonal end ed+Mayg y jury. adseg SCHEDULE You Own or ram; of of of operatons ped«med f« Ore data rtkrnk;ySnY- (2) A wateraaA you do not ono that 6: Name of Person a Orgstrumlon: c The I swans wi-A mpect to any arch ecl (a) less Ulan 52 feet long: snd erg-new, « surveyor added " an hewed (b) Not being used to carry Persons or by mfs erdorsement doss not apply to property for a ",go: BLANKET -PER CERTIFICATE OF INSURANCE Cody gq I. property damage', « per- 'auto' n, or n the ways sonal end advertsng injury arising out of (3) Pare `g penremises you awn rt rent pro- tha rendering of or the IaHure to render any p vdad the 1nPO' o not owned by or pro'suional services by or for you. jmlua rented or loaned to you or tya Insured; IN: (1) The preparing, apprWrv. or laT,ng to (4) Uabif:y assaned under any assured prepare or approve maps, drawingo, canbatt' I" the aarretshfp- rrw411e- opinkne, reports awveys, &-Us or- nano or use of a6"al or wanercrah; or dens, designs or if:Zf atone; and (5) 'godly b9uay' « 'propem/ oamaga' M61rg Oul OI: ADDITIONAL INSURED - BY WR17TEII lease of Oxupy, subjact to Ure fallowing (2) Supervisory, Inspection or engineering CONTRACT, AGREEMENT OR PERMIT, OR aril lionalpmw6lns: servloes (a) the operabn of rrwctwxry or SCHEDULE (a) This Esser spice does not apply b equi;xTerd that 6 e:ached to, or d The RED (n is added to WHO IS All amt' jowzuffenoe' u toint .ten phce d. This Insurance does rat apply to Voin part f of ' a land vehyck that would 9 paragraph after you mesa aria to be e a Isnant h Injury' or 'Property damage'lmludad vA•Jtn qualify under the &1`14W of ENSURED SttGOn II): my premJses leased to or rertad to the 'products-oornp!eted operations har- -mobile equipment' 6 b were not 4. Any P"sn or or an4etien shaven Ia ha Sched- YW. end'. aubjed to a compulsory or financial 9 rewasaL[ry Ian or other motor vs- tria t. for w you are regor by written corn (p) This tce deed not apply to Is an egreennen mwnt or perrM to the to provide Inswana easy ehuct"arcluroi ale«6oons, paw con- A person's o ns saws as an Insured w- t irit Is he'kw In rho Sta!8 6 Pay an insured, subject b f0LOwt adddonal shuct0n or If amd'on OpareiOnd - thaUs da arils when when your Operations for where it N Icsnsed or Pr(mt provlslns pado-ad by or on behalf of the that Insured we comp!a!wd parsged;or e. The cwjwa ageenent or penTA must be person of oegaKZation added as an No raretaSl to provided fl, In the absence of his (b) he Operation or arch of the marl h In affect dwIn9 tr. Palo/ period shown in hawed; 9a n Ph wry or egrTpmentWed In Paragraph endorearnwa no farily would be Lnpcsed by law on f.(2) or f{3) of Ina 6011NIon of the Decimations, vhd must have been exe• (2) Your ongoing operations for but In- you Coverage Oa7 be fimhed to the edent of your •mobsO equipreenl'. cured prior to the 'bodiy bttW, property awed. whether the work 6 pedamhed mg!U non Or Iault according tO titre applicable Princt- damage', or 'Personal and advertising by you " f« you; pies of cornpara'ire fault (6) An ey«all you do not own pro•Aded It Is In)ury-• not operated by aryl Insured. (3) The ma iprr operator use by b- The perm « «gaNza5n added as en M you of equipment t leased to you u by such NON4D5VNE0 WATERCRAFT AND NON4)VyNED TENANTS' PROPERTY DAMAGE LUU31Lf7Y sured al fn's erdomemenl 6 sn hewed only person or organi1ation, subject to the AIRCRAFT LIABILITY to the anent you era held Cable due to: following adddonal provislons When a Damage To Prem'sss Rented To You Ltmn is 1 The ownershl rrahrunaane'a Or use of Exdw,on g. of COVERAGE A (Section I) is ,W..d p, This hswana bas and mp l to by tnd following: shown h the Dd dara.icns. Fxdueln j. of Coveraga that pan of promises YOU own, rank any 'occwr which Lease elaceyes place ace g. 'lfoWy h A. Section 16 rep'zwd bl the falfawing: ah" the eghr,p out n of uipme rnent leas of the owe ow oraterahUpap, w ry damage' arising aln!eitame, use or Damage To Properly 4wtmrsbnent to others of any afforalk -auto- "Operty, danege" to, or wat««aR Owned of operated by ar rafted (1) property you awn. rent, or occupy, InUudng - Indud" Copyrighted Mataral of Insurance Sen'ices Office, Inc., wish As permission. "Waned to ay Insured. Use Includes War- any cosy or expenses 1-.P by you, or Coplrfghl, Insurance Servloes, 2001 aton and loading of unloadi g•. - w s. W. xP a.'S . sa.-,V o s- (",ma W 16 37 ra D FtI, 10, Pt<td4 C07635(0207). pot CG7635(0207).pol am/ other person, w9wizatun or entity, for WHO IS AN INSURED - MANAGERS EXPENDED DEFINITION OF BODILY INJURY hternryted only by a street, roadney. wVorway, Or repair, replaoemwi, aMancemenl n seors- rght-of-wayot a railroad. Lon or martenarce of such properly for any The fo(loving is added to Paragraph 2e. of WHO IS Paragraph 7. of DEFLtifTIONS (Sedon V) Is replaced reason, Including preventm of Injury to a AN INSURED (Sectin II): by the twoatny INCREASED MEDICAL EXPENSE LIMIT perm"damage to enotl e. property, (2) Pfem6as you sell, giro away or abandon, If Paragraph (1) does rot 0" 10 exeaervs officers, w 3. 'Body Irjury means bodily bjuay, 0lcknass " The Medial Expense UmT is emended to $10,000. ame arises out of art I. rrwuegen, at the super" level «abave- disease sustained by a person. IncWirg menal the -prop" ty d9e' -VP anguish or death resuf;N from any of these at KNOWLEDGE OP OCCURRENCE of me pfwmtses; SUPPLEMENTARY PAYMENTS -COVERAGES A Arm (3) Properly lowed to you; AND B - BAIL BONDS - TIME OFF FROM The logoning 6 added to Paragraph 2- Di ss In The (4) P«sortd property In the cars, custody « WORK TRANSFER OF RIGHTS OF RECOVERY Event of Oocwrena, Offense, Calm Or Sun of con!rof of tta Insured; COMMERCIAL GENERAL UABIUTY CON'DINIXYS Paragraph i.b. of SUPPLEMENTARY PAYMENTS - The fodoWng 6 added to Paragraph S. Trans'w Of (Section M: (5) That padictaarpart of real property on which COVERAGES A AND B Is replaced b'1 t ha 1011-ins Rights Of Recovery Against O'Jw3 To Us of Mt you or my eortrectors a sub=bacmrs MERCIAL GENERAL UA LITY CONDITIONS (Sec- Knowledge of an 'occunrerce', Uatm « 's,At' by working directly " bdkecify on your behalf b. Up to 53,000 for cost of bal bads regr:red tion N): your spank servant or smpfoyee shall not In Itself we performing cyeraGns. a the property because of aak(ents " traffic ow vole erns constitute fuow;odga of the rmmed m Wed tnleas an damage' arises Out of those oparc'.iorw, or w6ng out Of the use of any vehee to which We waive any rights of recovery Ym may hoe agaf~t o!5cer d he named Insured has reCe Ned such notice the Body b)wy Liab;Tdy Carerago sppFas. any person a «ganb uln because of payments vas from the agent, servant «em{IIOYwrr. (6) That particular part of arc/ property that must We do not have to fwn'sh these bonds. make for liqury or damage arisbtg out of your ongoy'q be restored, repaired or repaced because cperafons or your worn' done under s connect w@rt UNINTENTIONAL FAILURE TO DISCLOSE ALL your work' was Incorrectly pertained on It Faragraph 1.d. of SUPPLEMENTARY PAYMENTS - that person " «ganbabn and Included h the HAZARDS Paragraphs (1), (3) and (4) of this exclusion do COVERAGES A AND B Is replaced by the fofowfng: productst ple-.ed operations hazard'. This wafter not apply to property damage' (olner than d- AN reasorsaWe o,penses Inarrred by the Irv applies only to a person or «ganl: fin for whom you The fotlawtng 6 added to Pwagaph 6. Repres611A- damage by fire) to p1em6e3, Includeg he corn cured at ow request to 05561 Us In the Irm are required by tsratsn contract, agrear nt or permJt bats Of CONIMERCML GENERAL LIA ILIfY CONDI- lems of such In"I es. rented to you. A separate vsssgaen or de'ense of he Ualm or %uft', to waW. these nit's of reoatary. TiONS (Section Tit: limit of Inswana applies to Damage To Pram- Wudirig actual loss of earnings up to $500 ises pentad To You fin descrated 6th Section la a ela/ because of tine off Inm work- AGGREGATE LIMITS OF INSURANCE - PER If YOU wtn%stO Jy Pas to dscbse any hazards ax- - Limits Of bcwrance. LOCATION kidN at Ure In«gdon data of yow pdiloy, we will not Paragraph (2) of W3 exclusion toes not apply If EMPLOYEES AS INSUREDS - HEALTH CARE derv calwragE trdar In'. Coverwge Form tecause of the ,-mess are Is- wof' end were never SERVICES For al sums which he fnswed becomes legal'/ Ob!1- such faPwa. Howayer, tits prvtison doss not afi P gated to pay as damages caused by 'OCCuff n- " cur right to cuffed atldtoal premium or a.-- our oaupled, ruled or held for rental by you. Prwlelon 2 udar COVERAGE A Section 1), end I« a2 madcal nt of cancellation or Paragraphs (3), (4). (5) and (6) of the axciuson 1) is 1, deleted, unless; .e-(1nless; s excluded ISded AN by s soparaeparate INSURED (Sea- endorsne expenses caused by eceden6 under COVERAGE C norn-rsneNrd. tra rat apply Io $abiuy assumetl Under a side. manL (Section Q. lowhich cal can be aHrbU.ed nit to oporaGOns LIBERALIZATION CLAUSE track .9,-t a et a single location': Paragaph (6) of into -J.,ln boas not apply to EXTENDED COVERAGE FOR NEWLY ACQUIRED The foaowvhg paragraph Is added to COMMERCIAL Pw,oph. 2.a property damage' Inciudod In eA -products. MCIANI7JtTIONS Gn 01) apply ply ss a.w y end ely to each of or OM "looahons' GENERAL LIABiIlTY CONDITIONS (SecGn Iv): P ,brnpte'.cd operations Hazard'. Provsin awned bl or ranted to you 16. M a revision to this Covaraga Part, wttUt would As. Of WHO IS AN fNSUREO (SecEOn 14) is Paragraph 6. of UWTS OF INSURANCE pecdon III replaced by dw lollo'Mrg: provide more came" wmth no adddonal Pre- is replaced by the fotiowing' fader fits rm'slaT 6 afforded %oavon• means prom'saa InNOlvfag the same or urn. becomes etfe0ea during the pd;cy period e. Coverage P comecrrg lots, or premises wiose cwl tec0on Is in the sate shown In the Cedwit;ora, your pol- io. Subject to 5. above, the Damage TO Premises only until the and of the poCey parcel. ley will Dutomatically provde this odd:-l cat- Ranted To You tlma Is he most we will pay tin- EXTENDED .PROPERTY DAMAGE" "age on the effective dale of me revison- der Coverage A for damages bacauaa of property damage- to any one prsmisas, wit,®e Exclusion, a. of COVERAGE A (Section 9 6 replaced rented to yohA or n tits case Of damage by Are, by he following: while rented to you w tampormly omLVed by you with p-r isacn of dre miner. a 'Bodily Injury' or 'property damage' axpected The Dams To Prem6es Rented To YOU base is the Or Interned from tee s'.ardpoht of the hewed. ga This exGuslon does ml apply 10 4rodly Injury' higher or do Each Occurrence Umn ahwm In the " property, dynage• fatut•rq from the Use of Oectaratims or the amowtt 6ho-m In the Oactaradans reasonable fora to protect persons of property. "Damage To Pranises Rented To You UrnA- w R33 Nil Pain, 3ds v FW 4e4 CG7635(0207)_pdf CGT635(02M pdf - Page 1 / 1 ASHLAND CITY OF . .,u. e i DATE PO NUMBER 12856 20 E MAIN ST. 5/7/2015 E ASHLAND, OR 97520 (541) 488-5300 VENDOR: 006637 SHIP To: Ashland Fire Department LOMAKATSI RESTORATION PROJECT (541) 482-2770 PO BOX 3084 455 SISKIYOU BLVD ASHLAND, OR 97520 ASHLAND, OR 97520 FOB Point: Ashland, Oregon Req. No.: Terms: Net Dept.: Req. Del. Date: Contact: Chris Chambers Special Inst: Confirming? No Quantity Unit Description Unit Price Ext. Price THIS IS A REVISED PURCHASE ORDER Lomakatsi will provide work crews to 12,000.00 implement prescribed underburninq on City of Ashland forestlands adjacent to and concurrent with the AFR project on US Forest Service land over a two year period. Lomakatsi will act under the direction of a USFS burn boss unless directed oterhwise by City representative. Services include fireholding and ignition resources including personnel and equipment. Not to exceed $25,000.00 Approved by Council April 7, 2015 Contract for Goods and Services Beginning date: 04/08/2015 Completion date: 06/30/2016 Processed change order 05/19/2015 Estimated amount of $12,000.00 to be expensed in FY 2015. Remaining balance of $13,000 will be added in July, 2015 for FY 2016. SUBTOTAL 12 000.00 BILL To: Account Payable TAX 0.00 20 EAST MAIN ST FREIGHT 0.00 541-552-2010 TOTAL 12,000.00 ASHLAND, OR 97520 Account Number Project Number Amount Account Number Project Number Amount E 670.07.29.00.60416 E 000199.400 12,000.00 Aut orized Signature VENDOR COPY