Loading...
HomeMy WebLinkAbout2015-143 Contract - Accustat Sports Timing Contract for GOODS AND SERVICES Small Procurement Less than $5,000 CITY OF INDEPENDENT CONTRACTOR: Accustat sports timing Inc -ASH LAND CONTACT: Eric Larpenteur, President 20 East Main Street ADDRESS: 8748 NE Glisan St. Portland, OR 97220 Ashland, Oregon 97520 Telephone: 541/488-6002 Fax: 541/488-5311 TELEPHONE: (503) 803-9377 FAX: BEGINNING DATE: 5/1/15 COMPLETION DATE: 7131/15 COMPENSATION :$2500 for up to 833 runners for the 2015 0 of July Run. $2.50 per runner after 833_ GOODS AND SERVICES TO BE PROVIDED: Database management and chip preparation services for the 4 Of July Run. In the event of conflicts or discrepancies among Contract Documents, this standard form of the City of Ashland Contract 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 this standard form City of Ashland Contract NOW THEREFORE, pursuant to AMC 2.50.090 and after consideration of the mutual covenants contained herein the CITY AND CONTRACTOR AGREE as follows: 1. All Costs by Contractor: Contractor shall, provide all goods as specified above and shall at its own risk and expense, perform any work described above and, unless otherwise specified, furnish all labor, equipment and materials required for the proper performance of such work. 2. Qualified Work: Contractor has represented, and by entering into this contract now represents, that any personnel assigned to the work required under this contract are fully qualified to perform the work to which they will be assigned in a skilled and worker-like manner and, if required to be registered, licensed or bonded by the State of Oregon, are so registered, licensed and bonded. Contractor must also maintain a current City business license. 3. Ownership of Production: All documents, materials or items produced by Contractor pursuant to this contract shall be the property of City. 4. Statutory Requirements: ORS 279B.220, 279B.225, 279B.230, 2798.235, ORS Chapter 244 and ORS 670.600 are made part of this contract. 5. Indemnification: Contractor agrees to defend, indemnify and save City, its officers, employees and agents harmless from those losses, expenses, or other damages resulting from injury to any person or damage to property arising out of or incident to the negligent performance of this contract by Contractor its employees, or agents. Contractor shall not be held responsible for any losses, expenses, or other damages, directly, solely, and proximately caused by the negligence of City. 6. Termination: City's Convenience. This contract may be terminated at any time by the City. 7. Independent Contractor Status: Contractor is an independent Contractor and not an employee of the City. Contractor shall have the complete responsibility for the performance of this contract. 8. Non-discrimination Certification: The undersigned certifies that the undersigned Contractor has not discriminated against minority, women or emerging small businesses enterprises in obtaining any required subcontracts. Contractor further certifies that it shall not discriminate in the award of such subcontracts, if any. 9. Asbestos Abatement License: If required under ORS 468A.710, Contractor or Subcontractor shall possess an asbestos abatement license. 10. Assignment and Subcontracts: Contractor shall not assign this contract or subcontract any portion of the work. 11. Use of Recyclable Products: Contractor shall use recyclable products to the maximum extent economically feasible in the performance of the contract work set forth in this document. 12. Default. The Contractor shall be in default of this agreement if Contractor commits any material breach or default of any covenant, warranty, certification, or obligation it owes under the Contract. 13. Insurance. Contractor shall at its own expense provide the following insurance: a. 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. Worker's compensation insurance is required if work is performed by employees, subcontractors, or volunteers. BY INITIALING THIS SENTENCE, CONTRACTOR CERTIFIES UNDER Mbf OF LAW THAT THE WORK REQUIRED BY THIS CONTRACT SHALL BE PERFORMED SOLELY BY THE UNDERSIGN b. General Liability insurance with a combined single limit, or the equiva, ssthan $1,000,000 for each occurrence for Bodily Injury and Property Damage. C. Automobile Liability insurance with a combined single limit, or the equivalent, of not less than $1,000,000 for each accident for Bodily Injury and Property Damage, including coverage for owned, hired or non-owned vehicles, as applicable. 14. Governing Law; Jurisdiction; Venue: This contract shall be governed and construed in accordance with the laws of the State of Oregon 15. 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. Certification. Contractor ;shall si the certification attached hereto as Exhibit A and herein incorporated by reference. Cont City of Ashland: By By Z. Slgna ure Depart en He Print Name Print Name 7 Title Date W-9 One copy of a W-9 is to be submitted with the signed contract. Purchase Order No. Revised 10-28-14 Page 1 of 3 f! i by Revised 10.28.14 Page 2 of 3 EXHIBIT A CERTIFICATIONS/REPRESENTATIONS: Contractor, under penalty of perjury, certifies that (a) the number shown on the attached W-9 form is its correct taxpayer ID (or is waiting for the number to be issued to it and (b) Contractor is not subject to backup withholding because (i) it is exempt from backup withholding or (ii) it has not been notified by the Internal Revenue Service (IRS) that it is subject to backup withholding as a result of a failure to report all interest or dividends, or (iii) the IRS has notified it that it is no longer subject to backup withholding. Contractor further represents and warrants to City that (a) it has the power and authority to enter into and perform the work, (b) the Contract, when executed and delivered, shall be a valid and binding obligation of Contractor enforceable in accordance with its terms, (c) the work under the Contract shall be performed in accordance with the highest professional standards, and (d) Contractor is qualified, professionally competent and duly licensed to perform the work. Contractor also certifies under penalty of perjury that its business is not in violation of any Oregon tax laws, and it is a corporation authorized to act on behalf of the entity designated above and authorized to do business in Oregon or is an independent Contractor as defined in the contra documents, and has checked four or more of the following criteria: (1) 1 carry out the labor or services at a location separate from my residence or is in a specific portion of my residence, set aside as the location of the business. (2) Commercial advertising or business cards or a trade association membership are purchased for the t/ 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. V V (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 th abor or services to be provided. Con ctor (Date) Revised 10-28-14 Page 3 of 3 Accustat Sports Timing Live Race Services Proposal to: City of Ashland Parks and Recreation 39th Annual Ashland 4th of July Run May, 2015 ~CHRONO About Us Customers Say Accustat Sports Timing Inc. is a team of sports enthusiasts Accustat has hit the mark every year dedicated to improving the race experience for Race Directors we've used them. When they talk about being and Participants. We have the newest chip timing equipment in "Race Spackle" and filling p 9 the gaps they aren't t kidding! ! Great to the Northwest and the professional staff to make your event work with! outstanding. Louise Long, Race Director Chip timing is primarily about database management. Without Seattle Marathon accurate data, the timing results are flawed or useless which leads to unhappy participants. At Accustat Sports Timing, Inc we spend the majority of our time behind the scenes before the event making sure that your event day runs smoothly. We can help you with your event by creating the registration database (including data entry), packet pickup, scoring, posting results online, course management, equipment rentals, and promotions. Timing Services Overview Utilizing the latest timing technology, our Chronotrack system has been used at Portland Marathon, Bloomsday, Seattle Marathon, Eugene Marathon, and a hundred other events. The same system is used at 24 of the 26 largest races in the USA. Chips are fastened to the bibs for runner convenience and greater accuracy. Beyond the technology, it's our crew that makes AST the leader in the Pacific Northwest. Energy, Experience, and Enthusiasm are our hallmarks! Live Services Overview In addition to standard timing services we can offer your athletes and participants ways to engage with your event through online, mobile and social race experiences, including: • Real-time online results • Mobile results • On-site computer results • Athlete updates on Facebook, Twitter and SMS • Athlete finisher video • Digital photography CHRONO Timing Services Overview Timing Services Overview We can handle events of any size. For our large races we offer chip timing featuring ChronoTrack race solutions. For our growing races we're a great alternative for race directors who want professional results at reasonable rates. Timing Services Costs and Inclusions: Disposable BibTag or D-Tag Timing - $2500 minimum fee, covers up to 833 registrants $2.50 Per Registered Runner thereafter Equipment: • Start and Finish line timing included • Timing tags • $750 per additional split time requested Travel and Staff: • Lodging and Mileage included • Staff member on-site for expo/registration race day This Includes: • Finish line set up: Start arch, cones, LED clock, 1300 watt PA System • 2 Days of Packet Pickup management " ) JuL~ 3- 0 Database management • Bib prep, preassignment and labeling or dynamic assignment on site • On-site registration • Computer Kiosk for Registration and Live Results • Generators for wherever we need power • Smiles and Enthusiasm Available: • Athlete video • Digital Photography • Registration Setup F , CNRONO, . Live Services Overview Live Race Services: Real-time online, mobile and social race experiences that are engaging for spectators and athletes and increase your event exposure Check the box of services you wish to use w.. rv ❑ Real-time results online and at your event: h. Ni R • Results come off the course in real-time • Online results page is branded for your event and easily ' shared on Facebook and Twitter • On-site computer results so athletes can scan bib and view results immediately ❑ Mobile results: • Provide real-time leaderboard, athlete splits, pace and finish times • Can promote available on site and through QR codes' ra. „v ..icy [e e:: iP an. ❑ Facebook, Twitter & Text Athlete Updates .L • Real-time updates from the course n « • Athletes can set up during registration and we give you the tools to promote to spectators • Event exposure to participants social network ❑ Athlete Video; • Athlete video crossing various splits on the course ❑ Digital Photography • Digital photography packages for sale through results interface • ChronoTrack coordinates photographers, sell photos and manages photography support .x } CHRONO' Race` Registration Management Race Management Services Check the box of services you wish to use ChronoTrack Registration (By checking this box you are HOUSTON i dicating you would like ChronoTrack to contact you to set up registration. This will be contracted directly with ChronoTrack) • Customized registration form s:.m • Social sharing options enable athletes to refer friends on Facebook and Twitter • Combined with on-site race check in services and you , as k " i can keep registration open to the start of your event 1On-Site Registration & Race Check In • Go green and eliminate data entry with paperless on-site registration on computers • Race check in conducted on computers eliminating pre- race packet assembly and bib assignment • Allows you to keep registration open to the start of the race See more about CT Live on YouTube: http://wwwyoutube.com/watch?v=9tuF47g2QM4&noredirect=1 Signed by: 74.4_~~ Name 4dJ6 r Organization r Contact: Date Eric J Larpenteur 503.803.9377 eric@accustatsportstiming.com CHRUNO , Terms & Conditions Terms & Conditions Deposit of $500 Due 30 days prieF to event, non refundable Of event is . Remaining amounts to be billed via invoice post-event and are due within 20 days of invoice. 1.5% per month interest added to unpaid amounts. Bib printing is the responsibility of the Event and need to be delivered to AST no later than 2 weeks prior to the Event for preparation. A~!2°© CERTIFICAT7E OF LIABILITY INSURANCE DATE (MM/DDYYYY) 4/29/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGF,TIVELY 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 CERTIFI SATE 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). PRODUCER NCONTACT AME: Cindy Cromwell Elliott Powell Baden and Baker Inc. PHONE E t (503) 227-1771 p/C No: 1503)274-7644 1521 S.W. Salmon Street ADDRlESS:ccromwell@epbb.com INSURER(S) AFFORDING COVERAGE NAIC # Portland OR 97205-1783 INSURERA:Valle Forge Insurance Co. 20508 INSURED INSURER B Accustat Sports Timing INSURER C : 2325 NE 3RD CT INSURER D: INSURER E : PORTLAND OR 97212 INSURER F : COVERAGES CERTIFICATE NUMBER:15-16 GL REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE -ISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TEEM 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 ADDL SUBR LTR TYPE OF INSURANCE POLICY NUMBER MM DDY MM/DDfYYYY LIMITS RRENCE $ 1,000,000 COMMERCIAL GENERAL LIABILITY OUCTS RENTED A CLAIMS-MADE L:1 OCCUR Ea occurrence $ 300,000 X 5085898531 2/1/2015 2/1/2016 y one person) $ 10 , 000 ADV INJURY $ 1,000,000 TGEN11,AGGREGATE LIMIT APPLIES PERGREGATE $ 2,000,000 CY ❑ PRO- LOC JECT -COMP/OPAGG $ 2,000,000 ER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BO DILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ I HIRED AUTOS NON-OWNED j PROPERTY DAMAGE AUTOS I ~ I Per accident $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ $ AND EMPLOYERS' LIABILITY Y / N 7-FA ER WORKERS COMPENSATION TE.L.DISEASE OTH- ANY PROPRfETOR/PARTNER/EXECUTIVE NT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) EMPLOYE $ If yes describe under 77 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Please see attached SB146932E 06/11 endorsement. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Ashland THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 East Main St ACCORDANCE WITH THE POLICY PROVISIONS. Ashland, OR 97520 AUTHORIZED REPRESENTATIVE Cindy Cromwell/CB L--L.--- ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD ;lame and logo are registered marks of ACORD I114S025 rontnm~ CXA S (Ed 06/11) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITICINAL INSURED - LIABILITY EXTENSION This endorsement modifies insurance provided under the following: BUSINESSOWNERS LIABILITY COVEF AGE FORM Coverage afforded under this extension of coverage endorsement does not apply to any person or organization covered as an additional insured on any other endorsement now or hereafter attached to this Policy. 1. ADDITIONAL INSURED - BLANKET V`_NDORS own acts or omission or those of its employees or anyone else acting on its WHO IS AN INSURED is amended to nclude as an behalf. However, this exclusion does not additional insured any person or organization (referred apply to: to below as vendor) with whom you agreed, because of a written contract or agreemen_ to provide (1) The exceptions contained in insurance, but only with respect to "bodily injury" or Subparagraphs d. or f.; or "property damage" arising out of "your products" which (2) Such inspections, adjustments, tests or are distributed or sold in the regular ;ourse of the servicing as the vendor has agreed to vendor's business, subject to the follovv ng additional make or normally undertakes to make in exclusions: the usual course of business, in 1. The insurance afforded the vendor roes not apply connection with the distribution or sale of to: the products. a. "Bodily injury' or "property damage" for which 2. This insurance does not apply to any insured the vendor is obligated to pay damages by person or organization, from whom you have reason of the assumption of liability in a acquired such products, or any ingredient, part or contract or agreement. This exclusion does container, entering into, accompanying or not apply to liability for damp ges that the containing such products. vendor would have in the absence of the 3. This provision 2. does not apply to any vendor contract or agreement; included as an insured by an endorsement issued b. Any express warranty unauthorised by you; by us and made a part of this Policy. c. Any physical or chemical ct ange in the 4. This provision 2. does not apply if "bodily injury" or product made intentionally by th vendor; "property damage" included within the "products- completed operations hazard" is excluded either d. Repackaging, except when unpacked solely by the provisions of the Policy or by endorsement. a for the purpose of inspection, remonstration, 2 MISCELLANEOUS ADDITIONAL INSUREDS testing, or the substitution of parts under instructions from the manufacturer, and then WHO IS AN INSURED is amended to include as an repackaged in the original conta' ter; insured any person or organization (called additional e. Any failure to make such inspections, insured) described in paragraphs 2.a. through 2.h. N adjustments, tests or servicing as the vendor below whom you are required to add as an additional has agreed to make or normally indertakes to insured on this policy under a written contract or make in the usual course of business, in agreement but the written contract or agreement must connection with the distribution or sale of the be: products; 1. Currently in effector becoming effective during the f. Demonstration, installation, servicing or repair term of this policy; and operations, except such operations performed 2. Executed prior to the "bodily injury," "property at the vendor's premises in co inection with damage" or "personal and advertising injury," but the sale of the product; Only the following persons or organizations are g. Products which, after distribution or sale by additional insureds under this endorsement and you, have been labeled or rely jeled or used coverage provided to such additional insureds is as a container, part or ingredier t of any other limited as provided herein: thing or substance by or for the endor; or a. Additional Insured -Your Work h. "Bodily injury' or "property da?iage" arising out of the sole negligence of the vendor for its That person or organization for whom you do work is an additional insured solely for liability SB-146932-E Page 1 of 5 (Ed. 06/11) CNA SB-146932-E (Ed. 06/11) due to your negligence specifically resulting - his insurance does not apply to "bodily from your work for the additional insured 'jury," "property damage" or "personal and which is the subject of the written contract or advertising injury' arising out of operations written agreement. No coverage applies to ,erformed for the state or municipality. liability resulting from the sole negligence of c. Controlling Interest the additional insured. The insurance provided to the additional .r;ny persons or organizations with a insured is limited as follows: controlling interest in you but only with respect their liability arising out of: (1) The Limits of Insurance applicable to the 1) Their financial control of you; or additional insured are those specified in the written contract or written agreement 2) Premises they own, maintain or control or in the Declarations of this policy, while you lease or occupy these whichever is less. These Limits of premises. Insurance are inclusive of, and not in addition to, the Limits of Insurance shown .his insurance does not apply to structural in the Declarations. ilterations, new construction and demolition ::operations performed by or for such additional (2) The coverage provided to the additional 1sured. insured by this endorsement and paragraph F.9. of the definition of "insured d. Managers or Lessors of Premises contract" under Liability and Medical manager or lessor of premises but only with Expenses Definitions do not apply to 'espect to liability arising out of the ownership, "bodily injury' or "property damage" iaintenance or use of that specific part of the arising out of the "products-completed premises leased to you and subject to the operations hazard" unless required by the following additional exclusions: written contract or written agreement. --his insurance does not apply to: (3) The insurance provided to the additional insured does not apply to "bodily injury," ~1) Any "occurrence" which takes place after "property damage," or "personal and you cease to be a tenant in that premises; advertising injury' arising out of the or rendering or failure to render any ;2) Structural alterations, new construction or professional services. demolition operations performed by or on b. State or Political Subdivisions behalf of such additional insured. A state or political subdivision subject to the e. 1ortgagee, Assignee or Receiver following provisions: <; mortgagee, assignee or receiver but only (1) This insurance applies only with respect with respect to their liability as mortgagee, to the following hazards for which the assignee, or receiver and arising out of the state or political subdivision has issued a ownership, maintenance, or use of a premises permit in connection with premises you ::,y you. own, rent, or control and to which this --his insurance does not apply to structural insurance applies: F:Iterations, new construction or demolition (a) The existence, maintenance, repair, operations performed by or for such additional construction, erection, or removal of ' isured. advertising signs, awnings, canopies, f. Owners/Other Interests - Land is Leased cellar entrances, coal holes, driveways, manholes, marquees, n owner or other interest from whom land hoistaway openings, sidewalk vaults, .as been leased by you but only with respect street banners, or decorations and . ) liability arising out of the ownership, similar exposures; or -iaintenance or use of that specific part of the (b) The construction, erection, or and leased to you and subject to the following removal of elevators; or additional exclusions: This insurance does not apply to: (2) This insurance applies only with respect to operations performed by you or on your (1) Any "occurrence" which takes place behalf for which the state or political after you cease to lease that land; or subdivision has issued a permit. SB-146932-E Page 2 of 5 (Ed. 06/11) CNA S (Ed. 06/11) due to your negligence specifically resulting This insurance does not apply to "bodily from your work for the additional insured injury," "property damage" or "personal and which is the subject of the written contract or advertising injury' arising out of operations written agreement. No coverage applies to performed for the state or municipality. liability resulting from the sole negligence of c. Controlling Interest the additional insured. The insurance provided to the additional Any persons or organizations with a insured is limited as follows: controlling interest in you but only with respect to their liability arising out of (1) The Limits of Insurance applicable to the (1) Their financial control of you; or additional insured are those specified in the written contract or written agreement (2) Premises they own, maintain or control or in the Declarations of this policy, while you lease or occupy these whichever is less. These Limits of premises. Insurance are inclusive of, and not in addition to, the Limits of Insurance shown This insurance does not apply to structural in the Declarations. alterations, new construction and demolition operations performed by or for such additional (2) The coverage provided to the additional insured. insured by this endorsement and paragraph F.9. of the definition of "insured d. Managers or Lessors of Premises contract" under Liability and Medical A manager or lessor of premises but only with Expenses Definitions do not apply to respect to liability arising out of the ownership, bodily injury' or property damage" maintenance or use of that specific part of the arising out of the "products-completed premises leased to you and subject to the operations hazard" unless required by the following additional exclusions: written contract or written agreement. (3) The insurance provided to the additional This insurance does not apply to: insured does not apply to "bodily injury," (1) Any "occurrence" which takes place after "property damage," or "personal and you cease to be a tenant in that premises; advertising injury" arising out of the or rendering or failure to render any (2) Structural alterations, new construction or professional services. demolition operations performed by or on b. State or Political Subdivisions behalf of such additional insured. A state or political subdivision subject to the e. Mortgagee, Assignee or Receiver following provisions: A mortgagee, assignee or receiver but only (1) This insurance applies only with respect with respect to their liability as mortgagee, to the following hazards for which the assignee, or receiver and arising out of the state or political subdivision has issued a ownership, maintenance, or use of a premises permit in connection with premises you by you. own, rent, or control and to which this This insurance does not apply to structural insurance applies: alterations, new construction or demolition (a) The existence, maintenance, repair, operations performed by or for such additional construction, erection, or removal of insured. advertising signs, awnings, canopies, f. Owners/Other Interests - Land is Leased cellar entrances, coal holes, driveways, manholes, marquees, An owner or other interest from whom land hoistaway openings, sidewalk vaults, has been leased by you but only with respect street banners, or decorations and to liability arising out of the ownership, similar exposures; or maintenance or use of that specific part of the (b) The construction, erection, or land leased to you and subject to the following additional exclusions: removal of elevators; or This insurance does not apply to: (2) This insurance applies only with respect to operations performed by you or on your (1) Any "occurrence" which takes place behalf for which the state or political after you cease to lease that land; or subdivision has issued a permit. SB-146932-E Page 2 of 5 (Ed. 06/11) CNA S (Ed 06/11) (2) Structural alteratic is, new Damage To Property, is replaced by the construction or demolit,)n operations following: performed by or on behalf of such additional insured. k. Damage To Property g. Co-owner of Insured Premises "Property damage" to: A co-owner of a premises co-owned by you 1. Property you own, rent or occupy, and covered under this insumice but only including any costs or expenses with respect to the co-owners ability as co- incurred by you, or any other person, owner of such premises. organization or entity, for repair, replacement, enhancement, h. Lessor of Equipment restoration or maintenance of such Any person or organization frcm whom you property for any reason, including lease equipment. Such person c organization prevention of injury to a person or are insureds only with respect L) their liability damage to another's property; arising out of the maintenance. operation or 2. Premises you sell, give away or use by you of equipment leased to you by abandon, if the "property damage" such person or organization. ; person's or arises out of any part of those organization's status as an insu ed under this premises; endorsement ends when their v, itten contract 3. Property loaned to you; or agreement with you for such leased equipment ends. 4. Personal property in the care, With respect to the insurance ~ iforded these custody or control of the insured; additional insureds, the follow ng additional 5. That particular part of any real exclusions apply: property on which you or any This insurance does not apply: contractors or subcontractors working directly or indirectly in your behalf are (1) To any "occurrence" whi& takes place performing operations, if the "property after the equipment lease expires, or damage" arises out of those (2) To "bodily injury," "ProPert. damage" or operations; or "personal and advertising njury" arising 6. That particular part of any property out of the sole neglige-ce of such that must be restored, repaired or additional insured. replaced because "your work" was Any insurance provided to an additional insured incorrectly performed on it. designated under paragraphs b. through h. above Paragraph 2 of this exclusion does not does not apply to "bodily injury' or "property apply if the premises are "your work" and damage" included within the "produ ,ts-completed were never occupied, rented or held for operations hazard." rental by you. 3. The following is added to Paragraoh H. of the Paragraphs 1, 3, and 4, of this exclusion BUSINESSOWNERS COMMON POLICY do not apply to "property damage" (other CONDITIONS: than damage by fire or explosion) to H. Other Insurance premises: 4. This insurance is excess c;er any other (1) rented to you: insurance naming the ad&Jonal insured (2) temporarily occupied by you with the = as an insured whether pri -iary, excess, permission of the owner, or contingent or on any other I_asis unless a (3) to the contents of premises rented to written contract or writtei agreement you for a period of 7 or fewer specifically requires that this insurance be consecutive days. either primary or p Imary and noncontributing. A separate limit of insurance applies to Damage To Premises Rented To You as 4. LEGAL LIABILITY- DAMAGE TO iPREMISES described in Section D - Liability and Medical Expenses Limits of Insurance. A. Under B. Exclusions, 1. applicable to Business Liability Coverage, Exclusion k. SB-146932-E Page 3 of 5 (Ed. 06111) SB-146932-E CNA (Ed. 06111) Paragraphs 3, 4, 5, and 6 of this 2) Any partner, if you or an additional exclusion do not apply to liability insured is a partnership; assumed under a sidetrack agreement. 3) Any manager, if you or an additional Paragraph 6 of this exclusion does not insured is a limited liability company; apply to "property damage" included in the "products-completed operations ~`4) Any "executive officer" or insurance hazard." manager, if you or an additional insured is a corporation; B. Under B. Exclusions, 1. Applicable to Any trustee, if you or an additional Business Liability Coverage, the last paragraph of 2. Exclusions is deleted and insured is a trust: or replaced by the following: 3) Any elected or appointed official, if you or Exclusions c, d, e, f, g, h, i, k, I, m, n, and o, an additional insured is a political do not apply to damage by fire to premises subdivision or public entity. while rented to you or temporarily occupied by --his paragraph e. applies separately to you you with permission of the owner or to the and any additional insured. contents of premises rented to you for a period of 7 or fewer consecutive days. A 7. Bodily Injury separate limit of insurance applies to this Section F. Liability and Medical Expenses coverage as described in Section D. Liability Definitions, item 3. "Bodily Injury" is deleted and And Medical Expenses Limits Of replE_-ed with the following: Insurance. "Bodily injury" means bodily injury, sickness or C. The first Paragraph under item 5. Damage To disejse sustained by a person, including death, Premises Rented To You Limit of Section hum' iation, shock, mental anguish or mental D. Liability And Medical Expenses Limits injure by that person at any time which results as Of Insurance is replaced by the following: a co isequence of the bodily injury, sickness or The most we will pay under Business Liability disuse. for damages because of "property damage" g. Expo nded Personal and Advertising Injury to any one premises, while rented to you, or Defirsition temporarily occupied by you, with the permission of the owner, including contents of a• The following is added to Section F. Liability such premises rented to you for a period of 7 ..nd Medical Expenses Definitions, item 14. or fewer consecutive days, is the Damage to :'ersonal and Advertising Injury, in the Premises Rented to You limit shown in the D'usinessowners General Liability Declaration. t'_;overage Form: 5. Blanket Waiver of Subrogation h. Discrimination or humiliation that results in jury to the feelings or reputation of a natural We waive any right of recovery we may have -erson, but only if such discrimination or against: umiliation is: a. Any person or organization with whom you Not done intentionally by or at the have a written contract that requires such a direction of: waiver. 6. Broad Knowledge of Occurrence a. The insured; or b. Any "executive officer," director, The following items are added to E. stockholder, partner, member or Businessowners General Liability Conditions manager (if you are a limited liability in the Businessowners Liability Coverage company) of the insured; and Form: Not directly or indirectly related to the e. Paragraphs a. and b. apply to you or to any employment, prospective employment, additional insured only when such past employment or termination of "occurrence," offense, claim or "suit" is known employment of any person or person by to: any insured. (1) You or any additional insured that is an b. --he following is added to Exclusions, Section individual; SB-146932-E Page 4 of 5 (Ed. 06111) C~Q SB-146932-E (Ed. 06/11) Paragraphs 3, 4, 5, and 6 of this (2) Any partner, if you or an additional exclusion do not apply to liability insured is a partnership, assumed under a sidetrack agreement. (3) Any manager, if you or an additional Paragraph 6 of this exclusion does not insured is a limited liability company; apply to "property damage" included in (4) Any "executive officer" or insurance the "products-completed operations manager, if you or an additional insured is hazard." a corporation; B. Under B. Exclusions, 1. Applicable to (5) Any trustee, if you or an additional Business Liability Coverage, the last paragraph of 2. Exclusions is deleted and insured is a trust; or replaced by the following: (a) Any elected or appointed official, if you or Exclusions c, d, e, f, g, h, i, k, I, m, n, and o, an additional insured is a political do not apply to damage by fire to premises subdivision or public entity. while rented to you or temporarily occupied by This paragraph e. applies separately to you you with permission of the owner or to the and any additional insured. contents of premises rented to you for a period of 7 or fewer consecutive days. A 7. Bodily Injury separate limit of insurance applies to this Section F. Liability and Medical Expenses coverage as described in Section D. Liability Definitions, item 3. "Bodily'lnjury" is deleted and And Medical Expenses Limits Of replaced with the following: Insurance. "Bodily injury" means bodily injury, sickness or C. The first Paragraph under item 5. Damage To disease sustained by a person, including death, Premises Rented To You Limit of Section humiliation, shock, mental anguish or mental D. Liability And Medical Expenses Limits injury by that person at any time which results as Of Insurance is replaced by the following: a consequence of the bodily injury, sickness or The most we will pay under Business Liability disease. for damages because of "property damage" g, Expanded Personal and Advertising Injury to any one premises, while rented to you, or Definition temporarily occupied by you, with the permission of the owner, including contents of a. The following is added to Section F. Liability such premises rented to you for a period of 7 and Medical Expenses Definitions, item 14. or fewer consecutive days, is the Damage to Personal and Advertising Injury, in the Premises Rented to You limit shown in the Businessowners General Liability Declaration. Coverage Form. 5. Blanket Waiver of Subrogation h. Discrimination or humiliation that results in injury to the feelings or reputation of a natural We waive any right of recovery we may have person, but only if such discrimination or against: humiliation is: a. Any person or organization with whom you 1. Not done intentionally by or at the have a written contract that requires such a direction of: waiver. 6. Broad Knowledge of Occurrence a. The insured; or b. Any "executive officer," director, The following items are added to E. stockholder, partner, member or Businessowners General Liability Conditions manager (if you are a limited liability in the Businessowners Liability Coverage company) of the insured; and Form: 2. Not directly or indirectly related to the e. Paragraphs a. and b. apply to you or to any employment, prospective employment, additional insured only when such past employment or termination of "occurrence," offense, claim or "suit" is known employment of any person or person by to: any insured. (1) You or any additional insured that is an b. The following is added to Exclusions, Section individual; B.: SB-146932-E Page 4 of 5 (Ed. 06/11) SB-146932-E CNA (Ed. 06/11) (15) Discrimination Relating to Room, Personal and Advertising Injury Liability is Dwelling or Premises excluded either by the provisions of the Policy Caused by discriminatior directly or or by endorsement. indirectly related to the sale. rental, lease 9. Personal and Advertising Injury Re-defined or sub-lease or prospective- sale, rental, Section F. Liability and Medical Expenses lease or sub-lease of any rr.~om, dwelling Definitions, item 14, Personal Advertising Injury, or premises by or at the di-action of any Paragraph c. is replaced by the following: insured. (16) Fines or Penalties c. The wrongful eviction from, wrongful entry into, or invasion of the right of private Fines or penalties levied or mposed by a occupancy of a room dwelling or premises governmental entity ',ecause of that a person or organization occupies discrimination. committed by or on behalf of it's owner, c. This provision (Expanded F?rsonal and landlord or lessor. Advertising Injury) does rot apply if m N N Irk SB-146932-E Page 5 of 5 (Ed. 06/11) i Page 1 / 1 ASHLAND PARK COMMISSION 20 E MAIN ST. DATE PO NUMBER ASHLAND, OR 97520 6/512015 00453 (541) 488-5300 VENDOR: 004490 SHIP TO: ACCUSTAT SPORTS TIMING INC 8748 NE GLISAN STREET PORTLAND, OR 97220 FOB Point: Ashland, Oreqon Req. No.: Terms: net Dept.: Req. Del. Date: Contact: Rachel Dials Special Inst: Confirming? No Quantity Unit Description Unit Price Ext. Price Database & Chip Preparation Services 2,500.00 2015 July 4th Run Contract for Goods and Services Small Procurement Less than $5,000 Beqinninq date: 05/01/2015 Completion date: 07/31/2015 SUBTOTAL 2.500.00 BILL TO: TAX 0.00 FREIGHT 0.00 TOTAL 2,500.00 Account Number Project Number Amount Account Number Project Number Amount E 211.12.03.02.60695 E 000003.999 2,500.00 Authorized Signature VENDOR COPY FORM #3 CITY OF ASHLAND Orrdler REQUISITION Date of request: Z~ Required date for delivery: -11 C Vendor Name Address, City, State, Zip 1 S p Contact Name & Telephone Number E2ic, 1 ~r~r~en+ew2 (SU3~ %S -g311 Fax Number SOURCING METHOD ❑ Exempt from Competitive Bidding ❑ Emergency ❑ Reason for exemption: ❑ Invitation to Bid (Copies on file) ❑ Form #13, Written findings and Authorization ❑ AMC 2.50 Date approved by Council: ❑ Written quote or proposal attached ❑ Written quote or proposal attached Small Procurement Cooperative Procurement Less than $5.000 ❑ Request for Proposal (Copies on file) ❑ State of Oregon Direct Award Date approved by Council: Contract # Verbal/Written quote(s) or proposal(s) ❑ 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 $51K 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 proposals/written solicitation Date approved by Council: (Date) ❑ Form #4, Personal Services $5K to $75K Valid until: (Date) I Description of SERVICES Total Cost b Gy rt32, CIA, p M tv wuJ,w ~t~v~ c e~ Zal S $ z5vo Item # Quantity Unit Description of MATERIALS Unit Price Total Cost TOTAL COST ❑ Per attached quote/proposal Project Number ~ Account NumberZ,1 1-12-03_-a2. - 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 signin is req ' ition form, certify that the City's public contracting requirements have been satisfied. Employ Department Head: (Equal to or greater than $5,000) Department Manager/Supervisor: City Administrator: (Equal to or greater than $25,000) Funds appropriated for current fiscal year YES / NO Finance Director- (Equalto or greater than $5,000) Date Comments: Form #3 - Requisition