HomeMy WebLinkAbout2015-218 Contract/CONT Addendum - Center for Social Ecology & Public Policy
Contract for PERSONAL SERVICES less than $35,000
CITY OF CONSULTANT: Center for Social Ecology and Public Policy
-ASHLAND (CSEPP)
20 East Main Street CONTACT: Kevin Preister
Ashland, Oregon 97520
Telephone: 541/488-6002 ADDRESS: 479 Russell Street, Suite 101-A
Fax: 541/488-5311
TELEPHONE: (541) 601-4797 t
DATE AGREEMENT PREPARED: 7/15/15 FAX: (541) 552-9683 J
BEGINNING DATE: 7/16/15 COMPLETION DATE: 1 .
COMPENSATION: Up to $16,000
SERVICES TO BE PROVIDED: CSEPP will work within the routines of the community using CSEPP's
Discovery Process TM in order to engage residents in settings that are comfortable for them in discussions
about wildfire awareness, perceptions, preparation, and ideas for sound city policy. In a report to the City and
Wildfire Mitigation Commission due at the end of the contract period, CSEPP will outline community
perceptions and attitudes, patterns of activities used to learn about wildfire risk, communication pathways,
current actions they are taking, and ways to effectively communicate and sustain dialogue with citizens.
CSEPP will provide monthly updates at scheduled Wildfire Mitigation Commission meetings. See Proposal
(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 primary City of Ashland Contract.
FINDINGS:
Pursuant to AMC 2.50.120, after reasonable inquiry and evaluation, the undersigned Department Head finds and
determines that: (1) the services to be acquired are personal services; (2) the City does not have adequate personnel nor
resources to perform the services; (3) the statement of work represents the department's plan for utilization of such
personal services; (4) the undersigned consultant has specialized experience, education, training and capability sufficient
to perform the quality, quantity and type of work requested in the scope of work within the time and financial constraints
provided; (5) the consultant's proposal will best serve the needs of the City; and (6) the compensation negotiated herein
is fair and reasonable.
NOW THEREFORE, in consideration of the mutual covenants contained herein the CITY AND CONSULTANT AGREE as
follows:
1. Findings / 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.
9. Indemnification: Consultant agrees to defend, indemnify and save City, its officers, employees and agents harmless
Contract for Personal Services, Revised 06/02/2015, Page 1 of 5
from any and all losses, claims, actions, costs, expenses, judgments, subrogations, or other damages resulting from
injury to any person (including injury resulting in death), or damage (including loss or destruction) to property, of
whatsoever nature arising out of or incident to the performance of this contract by Consultant (including but not
limited to, 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;
J. 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 is not
c. General Liability insurance is not applicable.
d. Automobile Liability insurance with a combined single limit, or the equivalent, of not less thar•-$4-999-999,
Contract for Personal Services, Revised 06/02/2015, Page 2 of 5
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.
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 herein incorporated by reference.
Consultant: City of Ashland
By I ti By
Signature Department Head
I ler
Pri\nt Name Print Name
Lam/
Title Date
W-9 One copy of a W-9 is to be submitted with
the signed contract. Purchase Order No.
rRVID AS TO FORM
AsWnd)Wt. Attorney
5
Da 7 3v/1
Contract for Personal Services, Revised 06/02/2015, Page 3 of 5
EXHIBIT A
CERTIFICATIONS/REPRESENTATIONS: Contractor, under penalty of perjury, certifies that (a) the
number shown on the attached W-9 form is its correct taxpayer ID (or is waiting for the number to be
issued to it and (b) Contractor is not subject to backup withholding because (i) it is exempt from
backup withholding or (ii) it has not been notified by the Internal Revenue Service (IRS) that it is
subject to backup withholding as a result of a failure to report all interest or dividends, or (iii) the IRS
has notified it that it is no longer subject to backup withholding. Contractor further represents and
warrants to City that (a) it has the power and authority to enter into and perform the work, (b) the
Contract, when executed and delivered, shall be a valid and binding obligation of Contractor
enforceable in accordance with its terms, (c) the work under the Contract shall be performed in
accordance with the highest professional standards, and (d) Contractor is qualified, professionally
competent and duly licensed to perform the work. Contractor also certifies under penalty of perjury
that its business is not in violation of any Oregon tax laws, and it is a corporation authorized to act on
behalf of the entity designated above and authorized to do business in Oregon or is an independent
Contractor as defined in the contract documents, and has checked four or more of the following
criteria:
(1) 1 carry out the labor or services at a location separate from my residence or is in a
specific portion of my residence, set aside as the location of the business.
(2) Commercial advertising or business cards or a trade association membership are
purchased for the business.
(3) Telephone listing is used for the business separate from the personal residence listing.
(4) Labor or services are performed only pursuant to written contracts.
(5) Labor or services are performed for two or more different persons within a period of one
year.
(6) 1 assume financial responsibility for defective workmanship or for service not provided
as evidenced by the ownership of performance bonds, warranties, errors and omission
insurance or liability insurance relating to the labor or services to be provided.
f
Contractor (Date)
Contract for Personal Services, Revised 06/02/2015, Page 4 of 5
CITY OF ASHLAND, OREGON
EXHIBIT B
City of Ashland
LIVING
WAGE
per hour effective June 30, 2015
ILA (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. y 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
50% 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
-AS H LAN D
Contract for Personal Services, Revised 06/02/2015, Page 5 of 5
cok)gT72
li
0
Community Engagement of Ashland Residents in
Preparing for the Update of the
Community Wildfire Protection Plan ((,WPP)
June, 2015
The Center for Social Ecology and Public Policy (CSEPP), Inc. wishes to assist the Ashland Wildfire
Mitigation Commission (AWNIC) with citizen engagement activities in preparation for the update of
the Community Wildfire Protection Plan (CWPP). As a non-profit organization, CSEPP works to
develop public policy on the basis of aspirations, routines, beliefs and culture of residents in the
impacted area. Our mission is the integration of social, economic and ecological realities in fostering
sound public policy. Our website is available at: w«-w,.cseVp.us.
Objectives
1. Enter the routines of the community using CSEPP's Discovery ProcessTM in order to engage
residents in settings that are comfortable for them in discussions about wildfire awareness,
preparation, and ideas for sound city policy.
What are the perceptions and attitudes of residents regarding wildfire preparedness and what
factors shape the perceptions?
2. Describe the patterns of activities employed by Ashland citizens in learning about and
responding to wildfire risk.
How do people learn about wildfire and what are their trusted sources of information?
What are they doing now to address wildfire risk?
I Describe local communication patterns of residents regarding wildfire preparedness and
develop communication strategies for use by the AWMC to sustain citizen dialogue as the
update of the CWPP proceeds.
What are the most effective ways to communicate?
4. Identify the citizen issues related to wildfire education and preparedness, as well as locally-
identified ideas for improving communication and citizen action. Identify emerging issues
("low hanging fruit") for early response by the AWNIC.
What are the main concerns?
How can citizen input assist in the design of mitigation programs?
What do residents see as opportunities, including the expansion of the Firewise program?
What can be done now to foster citizen ownership and to build momentum in building an
effective plan?
What information do you feel should be input into the CWPP (City's Wildfire Plan)?
Do you feel that you have access to the resources you need on a regular basis to help you be
better fire wise and fire safe?
www.csepp.us
Enhancing Productive Harmony between Human and Natural Environments
479 Russell Street, Suite 101-.A * .Ashland, OR 97530 * 541/ 601-4797 # F.A- - 541/ 553-9683 t national(t-i'jkasrou} .cOmI
837 Steele Street + Denver, CO 80206 * 970/ 927-4424 I~.A~ 970/ 927-4443 + international i ~ikagrouh.com
ADDENDUM TO CITY OF ASHLAND
CONTRACT FOR PERSONAL SERVICES LESS THAN $35,000
Addendum made this _29th_ day of July, 2015, between the City of Ashland ("City")
and Center for Social Ecology and Public Policy ("Consultant").
Recitals:
A. On July 16th,2015 City and Consultant entered into a "City of Ashland Contract for
Personal Services Less than $35,000" (further referred to in this addendum as "the
agreement").
B. The parties desire to amend the agreement to allow for sub-contracting and approve
the listed individuals who have provided an approved level of automobile insurance
approved by their individual insurance carriers for business use as drivers for the
purposes of business under this contract with the City of Ashland.
City and Consultant agree to amend the agreement in the following manner:
1. "Additional Terms" are amended to read as follows: "City approves use of
subcontractors and approves automobile liability insurance amounts as approved by
their individual insurance policies for business use for Kevin Preister, Aubrey Sharp,
and Luis E. Ibanez. "
2. Except as modified above the terms of the agreement shall remain in full force and
effect.
CONSULTANT:- CITY OF ASHLAND:
BY BY 1 1... .
City Administator
Its Date
DATE
P
Purchase Order #
Acct. No.:
(For City purposes only)
~p AS TO FORM
tI Attomoy
-7
1- CITY OF ASHLAND, ADDENDUM TO CONTRACT FOR PERSONAL SERVICES
14
nULW c U'v'"° Metropolitan Property and Casualty Insurance Company uOIZ-ST 36
Automobile Insurance Declarations
-y Number: 1364425700
cy Effective Date: 10/01/2014 Page 1 of 2
icy Expiration Date: 10/0112015
At: 12:01 A.M. Standard Time Renewal Effective Date: 10101/2014
`vamed Insured: Bill To: Insured
<EVIN PREISTER AND
SUSAN E JESSIE
256 6TH ST
ASHLAND OR 97520
Insured Vehicle(s)
Veh Year Make Model Body Type Vehicle ID Number Com/Col Sym Terr
1 2001 CHEVROLET S10 PUCLCAB 1GCDT19WX1K136762 13/18 21
2 2008 HONDA CR-V EX ST WAG JHLRE48598CO65314 16/14 21
Coverage Description Applicable Limits Annual Premiums
2001 2008
CHEVR HONDA
Personal Injury Protection $ 0 Deductible 55 69
$ 25,000 Medical Expense
Each Person
Liability
Bodily Injury $ 100,000 Each Person/
$ 300,000 Each Accident 184 180
Property Damage $ 100,000 Each Accident 129 105
Medical Expense $ 25,000 Each Person 30 34
Uninsured Motorists
Bodily Injury $ 100,000 Each Person/
$ 300,000 Each Accident 38 36
Property Damage $ 20,000 Each Accident 16 16
Physical Damage 2001 2008
CHEVR HONDA
actual Cash Value (ACV) or Limit ACV ACV
Collision Less Deductible $ 250 $ 250 158 192
Comprehensive Less Deductible $ 100 $ 100 71 54
Towing and Labor Limit $ 100 $ 100 Incl Incl
total Annual Premium: $ 1,367.00 Vehicle Totals: 681 686
)eductible Savings Benefit (DSB) $ 100
deductible Savings reduces Collision or Comprehensive deductibles, excluding towing and glass claims, effective
10/01/2014 for claims occurring after this date. Your next anniversary date is 10/01/2015. See Important Notice for
letails.
=orms and Endorsements: AP6000 0513 AP6100 0513 AE60OR 0513 AE70OR 0513
AE9110 0513 AE40OR 0513 AE420R 0513
IetLife Auto & Home is a brand of Metropolitan Property and Casualty Insurance Company and its affiliates. Warwick. RI.
APL 1380-000 Printed in U.S.A. 0298
Binder of Insurance
Pending issuance and delivery of a policy pursuant to the application of the
insured and to all the terms and conditions of the policy issued by the company
the
State Farm Mutual Automobile Insurance Company
Does hereby insure: AUBREY SHARP
834 HILLVIEW DR
ASHLAND, OR 97520-3515
with loss payable to: OREGON COMMUNITY CU PO BOX 25601 FORT WORTH `I'X
76124-2601
Policy Number: 039 4926-E19-37I
Year Make Vehicle Identification Number (VIN)
2007 TOYOTA MATRIX STA WAG 2T1KR30F97C626027
Coverages
Liability Comprehensive Collision Ded
1M/1M/1M $500 $500
Effective July 23, 2015, expiring not to exceed thirty (30) days hence
and to become void immediately upon the issuance of a policy in place hereof-
ANY PERSON WHO KNOWINGLY AND WITH INTENT TO DEFRAUD ANY INSURANCE, COMPANY
OR OTHER PERSON FILES AN APPLICATION FOR INSURANCE OR STATEMENT OF' CLAIM
CONTAINING ANY MATERIALLY FALSE INFORMATION OR CONCEALS FOR THE PURPOSE OF
MISLEADING, INFORMATION CONCERNING ANY FACT MATERIAL THERETO COMMITS A
FRAUDULENT INSURANCE ACT, WHICH IS A CRIME AND SUBJECTS SUCH PERSON TO
CRIMINAL AND CIVIL PENALTIES.
Date -:23U~ >
- r1z d Ares t t'i
KENNETH BOESE Horace Mann
1113 MAIN F~~iiinf<~f b} ! lu,.it~rs /',r 1 'h,<.tnn_<
DELTA, CO 81416
NAIC Company Code: 37834
Policy Number: 906291938
Underwritten by:
Progressive Preferred Insurance Co
Policyholder:
Luis E Ibanez
Page 1 of 1
July 21, 2015
KENNETH BOESE
1-970-856-4243
Contact your agent for personalized service.
Customer Service
1-800-876-5581
Verification of Insurance for 24 hours a day, 7 days a week
Luis E Ibanez
This verification of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by
the policies listed herein. Notwithstanding any requirement, term or condition of any contract or other document with
respect to which this verification of insurance may be issued or may pertain, the insurance afforded by the policies
described herein is subject to all the terms, exclusions and conditions of the policies.
Please accept this letter as verification of insurance for this policy.
Policy and driver information
Policy number: 906291938
Policy state: Colorado
Policy period: Jun 18, 2015 - Dec 18, 2015
There was no lapse in coverage during this policy period.
Effective date: Jul 21, 2015
Drivers. Luis E Ibanez Insured Driver
Address: 150 S Grand Mesa Dr
Apt# 102
Cedaredge, CO 81413
Vehicle information
Vehicle: 1995 Saab 900
Vehicle identification number: YS3DF75N6S7013190
Coverage information
Bodily Injury Liability: $250,000 each person/$500,000 each accident
Property Damage Liability: $15,000 each accident
Collision: Deductible: No Coverage
Comprehensive: Deductible: No Coverage
Form Vol (07/13)
Fax recipient information
To: Horace Mann
Fax Fnu¢drd /,I 1-:dl"'Itnrs lur F.duc.rtr,rs
Number of pages faxed: 3 Policy Number: 906291938
Underwritten by:
Progressive Preferred Insurance Co
Policyholder:
Luis F Ibanez
July 21, 2015
Page 1 of 1
1-970-856-4243
KENNETH BOESE
Contact your agent for personalized service.
Here are the policy documents you requested
• ID Card
• Verification of Insurance
Thank you for choosing Progressive.
Progressive offers several convenient service options:
• Contact your agent for personalized service and counsel when you are thinking about making changes to your policy.
• Visit progressiveagent.com 24 hours a day to view and print policy documents, quote a change to your policy, update
policy information, and view claims information. While on progressiveagent.com be sure to provide us with your e-mail
address to receive reminders about upcoming payments, transaction confirmations, and claims instructions.
• Call our Customer Service number, 1-800-876-5581, to make or confirm payments over the phone, order ID cards and
Declarations pages, and more.
Keep these cards handy--in your glove compartment or wallet. And contact us anytime you have a question or need to report a claim.
If you have a claim, we'll get you back on the road as soon as possible. And while you'll always have a choice where to repair your
vehicle, when you use a shop in our preapproved network, we'll guarantee your repair for as long as you own or lease your vehicle.
Thank you for choosing Progressive.
r
Luis E Ibanez INSURANCE IDENTIFICATION CARD - Colorado
I I
Policy Number: 906291938 NAIL Number: 37834
Effective Date: 06/1812015 Expiration Date: 12118/2015
Insurer: Progressive Preferred Insurance Co 1-800-876-5581
PO Box 6807 Cleveland, OH 44101
Named Insured(s):
Luis E Ibanez
I
Your Agent:
KENNETH BOESE 1-970-856-4243
1113 MAIN
91ICRff v DELTA, CO 81416
~rrc,
~s Year Make Model VIN
1995 Saab 900 YS3DF75N6S7013190
I
Form A022 (03/11)
I I
IF YOU'RE IN AN ACCIDENT This card must be carried in the possession of or in the vehicle of the
1. Remain at the scene. Don't admit fault. named insured at all times that the named insured is operating a vehicle.
2. Find a safe location, call the police, and exchange driver information.
3. Call Progressive right away. This policy provides the minimum insurance prescribed by law.
I
TO REPORT A CLAIM
Call 1-800-274-4499 or go to claims. progressive.com.
I I
I I
I I
I I
I '
I I
I PR06HEJJ/Uf ~
I
KEEP THIS CARD IN YOUR VEHICLE WHILE IN OPERATION.
J
L
VFE NEfH BOESE. r-/
1113 MAIN Horace Mann
CELTA, CO 81416
Fc1ut.:s~ hr Frliir-,itur. fur ldn.mn:.
Policy Number: 906291938
Underwritten t;v
Progressive Pre`erreJ Insurance Co
Policyholder
LuisE Ibanez
Page 1 of i
July 24, 2015
KENNETH BOESE
1.970.856.4243
Contact your a_,eM for pefscnal17ed s %,!ce.
Customer Service
1-800.876.5581
24 hours a J.- - days a week
Dec:- _uis E Ibanez,
This letter is beinq issued to confirm your auto policy is rated ith "Business" use for the 1995 tiA-.B 900, VIN
end nq 3190.
If yr ~ have questions, please call your agent.
~ir~erel'w',
Represent,cf°,ve
;err,. 4 147 (07114)
Page 1 / 1
u
CITY OF
ASHLAND DATE PO NUMBER
20 E MAIN ST. 8/14/2015 13065
ASHLAND, OR 97520
(541) 488-5300
VENDOR: 019656 SHIP TO: Ashland Fire Department
CENTER FOR SOCIAL ECOLOGY, & PUBLIC POLI (541) 482-2770
479 RUSSELL STREET SUITE 101A 455 SISKIYOU BLVD
ASHLAND, OR 97520 ASHLAND, OR 97520
FOB Point: Req. No.:
Terms: Net Dept.:
Req. Del. Date: Conta+;t: Chris Chambers
Special Inst: Confirminli? NO
Quantity Unit Description Unit Price Ext. Price
CSEPP's Discovery Process to outline 16,000.00
community perceptions and attitudes,
and patterns of activities to learn
about wildfire risk. CSEPP will provide
monthlv updates at scheduled Wildfire
Mitiqation Commission meetinqs.
Contract for Personal Services
Beqinninq date: 07/16/2015
Completion date: 10/30/2015
i
SUBTOTAL 16 000.00
BILL TO: Account Payable TAX 0.00
20 EAST MAIN ST FREIGHT 0.00
541-552-2010 TOTAL 16,000.00
ASHLAND, OR 97520
Account Number Project Number Amount Account Number Project Number Amount
E 110.0729.00.60416 16,000.00
i
b L
Authorized Signature VENDOR COPY
FORM #37 CITY OF
ASHLAND
REQUISITION Date of request: 8/10/15
Required date for delivery: 8/14/15
Vendor Name CCenterfor Social Ecology and Public Policy ( PP)
Address, City, State, Zip 479 Russell Street. Suite 101-A
Contact Name & Telephone Number Kevin Preister, (541) 601-4797
Fax Number (541) 552-9683
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 Attach co of council communication If council approval required, attach co of CC
❑ 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) -(Attach copy of council communication) ❑ State of Washington
Intermediate Procurement ❑ Sole Source Contract #
GOODS & SERVICES ❑ Applicable Form (#5,6, 7 or 8) ❑ Other government agency contract
$5,000 to $100,000 ❑ Written quote or proposal attached Agency
❑ (3) Written quotes and solicitation attached ❑ Form #4, Personal Services $5K to $75K Contract #
PERSONAL SERVICES ❑ Special Procurement Intergovernmental Agreement
$5,000 to $75,000 ❑ Form #9, Request for Approval ❑ Agency
® Less than $35,000, by direct appointment ❑ Written quote or proposal attached Date original contract approved by Council:
❑ (3) Written proposals/written solicitation Date approved by Council: (Date)
❑ Form #4, Personal Services $5K to $75K Valid until: Date - (Attach copy of council communication)
Description of SERVICES Total Cost
CSEPP will work within the routines of the community using CSEPP's
Discovery Process TM in order to engage residents in settings that are
comfortable for them in discussions about wildfire awareness, $16,000
perceptions, preparation, and ideas for sound city policy. In a report to the
City and Wildfire Mitigation Commission due at the end of the contract
period, CSEPP will outline community perceptions and attitudes, patterns
of activities used to learn about wildfire risk, communication pathways,
current actions they are taking, and ways to effectively communicate and
sustain dialogue with citizens. CSEPP will provide monthly updates at
scheduled Wildfire Mitigation Commission meetings.
Item # Quantity Unit Description of MATERIALS Unit Price Total Cost
TOTAL
Per attached quotelproposal COST
®
$16,000
Project Number _ _ _ _ _ _ - _ _ _ Account Number 110.07.29.00.604160
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 requi, ion form,- I certify that the City's public contracting requirements have been satisfied.
Employee: Department Head: "Wil, 6,
f (Equal to or greater than $5,000)
Form #3 - Requisition J
Department Manager/Supervisor: City Administrator:
(Equal to or greater than $25,000)
Funds appropriated for current fiscal year., YES / NO
Finance Director (Equal to orgreaterthan $5,000) Date
Comments:
Form #3 - Requisition