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HomeMy WebLinkAbout2015-294 Contract - Key Manufacturing & Rentals Contract for GOODS AND SERVICES Less than $25,000 CITY OF CONTRACTOR: Key Manufacturing and Rentals, Inc -AS H LA N D CONTACT: Annie Chisholm 20 East Main Street Ashland, Oregon 97520 ADDRESS: 18179 Boones Ferry Rd. Portland OR 97224 Telephone: 541/488-6002 Fax: 541/488-5311 TELEPHONE: (503) 597-2023 DATE AGREEMENT PREPARED: September 28, 2015 FAX: BEGINNING DATE: November 2, 2015 COMPLETION DATE: March 31, 2016 COMPENSATION: Not to exceed $21,185 per quotes attached as Exhibit C and D. GOODS AND SERVICES TO BE PROVIDED: 2015 Fall Re-Install of Ice Rink Structure and Removal of Structure in Spring of 2016 - Includes set up, tear down, storage, cleaning and repair of ice rink tent for 2015/2016 season per quotes attached as Exhibit C and D. ADDITIONAL TERMS: In the event of conflicts or discrepancies among the contract documents, the City of Ashland Contract for Goods and 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. 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. Completion Date: Contractor shall provide all goods in accordance with the standards and specifications, no later than the date indicated above and start performing the work under this contract by the beginning date indicated above and complete the work by the completion date indicated above. 4. Compensation: City shall pay Contractor for the specified goods and for any work 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. Compensation under this contract, including all costs and expenses of Contractor, is limited to $25,000.00, unless a separate written contract is entered into by the City. 5. Ownership of Documents: All documents prepared by Contractor pursuant to this contract shall be the property of City. 6. Statutory Requirements: ORS 279B.220, 27913.225, 27913.230, 27913.235, ORS Chapter 244 and ORS 670.600 are made part of this contract. 7. Living Wage Requirements: If contractor is providing services under this contract and the amount of this contract is $20,142.20 or more, Contractor 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 work under this contract. Contractor is also required to post the notice attached hereto as Exhibit B predominantly in areas where it will be seen by all employees. 8. Indemnification: Contractor agrees to defend, indemnify and save City, its officers, employees and agents harmless from any and all losses, claims, actions, costs, expenses, judgments, subrogations, or other damages resulting from injury to any person (including injury resulting in death), or damage (including loss or destruction) to property, of whatsoever nature arising out of or incident to the performance of this contract by Contractor (including but not limited to, Contractor's employees, agents, and others designated by Contractor to perform work or services attendant to this contract). Contractor 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. 9. 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 b certified mail or in person. Contract for Goods and Services Less than $25,000, Revised 06/02/2015, Page 1 of 5 C. For Cause. City may terminate or modify this contract, in whole or in part, effective upon delivery of written notice to Contractor, or at such later date as may be established by City under any of the following conditions: i. If City funding from federal, state, county or other sources is not obtained and continued at levels sufficient to allow for the purchase of the indicated quantity of services; ii. If federal or state regulations or guidelines are modified, changed, or interpreted in such a way that the services are no longer allowable or appropriate for purchase under this contract or are no longer eligible for the funding proposed for payments authorized by this contract; or iii. If any license or certificate required by law or regulation to be held by Contractor 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 Contractor 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 Contractor's performance of each and every obligation and duty under this contract. City by written notice to Contractor of default or breach, may at any time terminate the whole or any part of this contract if Contractor 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, Contractor shall immediately cease all activities under this contract, unless expressly directed otherwise by City in the notice of termination. Further, upon termination, Contractor 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 Contractor for work performed prior to the termination date if such work was performed in accordance with the Contract. 10. 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. 11. 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. The Contractor understands and acknowledges that it may be disqualified from bidding on this contract, including but not limited to City discovery of a misrepresentation or sham regarding a subcontract or that the Bidder has violated any requirement of ORS 279A.110 or the administrative rules implementing the Statute. 12. Asbestos Abatement License: If required under ORS 468A.710, Contractor or Subcontractor shall possess an asbestos abatement license. 13. Assignment and Subcontracts: Contractor 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. Contractor 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. 14. 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. 15. 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; if it loses its QRF status pursuant to the QRF Rules or loses any license, certificate or certification that is required to perform the work or to qualify as a QRF if Contractor 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. 16. Insurance. Contractor 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. General Liability insurance with a combined single limit, or the equivalent, of not less than Enter one: $200,000, $500,000, $1,000,000, $2,000,000 or Not Applicable for each occurrence for Bodily Injury and Property Damage. C. Automobile Liabilit insurance with a combined single limit, or the equivalent, of not less than Enter one: Contract for Goods and Services Less than $25,000, Revised 06/02/2015, Page 2 of 5 $200,000, $500,000, $1,000,000, or Not Applicable for each accident for Bodily Injury and Property Damage, including coverage for owned, hired or non-owned vehicles, as applicable. d. 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 Contractor or its insurer(s) to the City. e. Additional Insured/Certificates of Insurance. Contractor 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 Contractor's services to be provided under this Contract. As evidence of the insurance coverages required by this Contract, the Contractor shall furnish acceptable insurance certificates prior to commencing work under this contract. The contractor's insurance is primary and non-contributory. 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 Contractor shall be financially responsible for all pertinent deductibles, self-insured retentions and/or self- insurance. 17. 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 Contractor 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. Contractor, 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. 18. 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. CONTRACTOR, 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. 19. Nona ppropriations 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. Contractor 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 Contractor, with no further liability to Contractor. 20. Prior Approval Required Provision. Approval by the City of Ashland Council or the Public Contracting Officer is required before any work may begin under this contract. 21. Certification. Contractor shall sign the certification attached hereto as Exhibit A and herein incorporated by reference. Contractor: / f J ( City of Ashland By Ata t_l' _ l Vf li~ I~ L~ By Signature Department Head Apwi.e t Print Name Print Name Title Date W-9 One copy of a W-9 is to be submitted with the signed contract. Purchase Order No. Contract for Goods and Services Less than $25,000, Revised 06/02/2015, Page 3 of 5 EXHI BITA 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: y (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. V , (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. Olt 0 Contractor (Date) Contract for Goods and Services Less than $25,000, Revised 06/02/2015, Paqe 4 of 5 CITY OF ASHLAND, OREGON D(HI BIT B City of Ashland LIVING below ALL employers described VVA 6 F Ashland lavvs regulating wage. per hour effective June 30, 2015 (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 1,1 Note: "Enployee" does not employer and the City of $2014220 include temporary or part-time Ashland if the contract employees hired for less than exceeds $20,142.20 or more. ❑ If their employer is the City of 1040 hours in any twelve- twelve- Ashland including the Parks month period. For more For all hours worked 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, • additional information: Call the Ashland City Adrrinrstratces office at 541-488-6002 or write to the City Administrator, City Hall, 20 Fast Main Street, Ashland, CR 97520 or visit the cityswebsite at www.ashIand.or.us. Notice to Employers: This notice must be posted predominantly in areas where it can be seen by all employees. CITY Of -ASH LAN D Contract for Goods and Services Less than $25,000, Revised 06/02/2015, Page 5 of 5 ~~.-..1 KEYM01C OP ID: CDS DY) CERTIFICATE OF LIABILITY INSURANCE 03;3112015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). MEACT Cindy Sorensen ONT PRODUCER NA United Risk Solutions, Inc. PHONE 541-245-1111 a/c No:541-245-1112 PO Box 936 A/C No El Medford, OR 97501-0067 nI DRESS: cindy.sorensen@unitedrisk.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Mutual of Enumclaw 14761 INSURED Key Manufacturing INSURER B: & Rentals Inc. 18179 SW Boones Ferry Rd. INSURER C: Portland, OR 97224-7672 INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN SR ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE POLICY NUMBER MMIDD/YYYY MM/DDNYYY GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE A X COMMERCIAL GENERAL LIABILITY X X CPP001097003 04/0112015 04/01/2016 PREMISES TO RENTED 1,000,000 PREMISES Ea occurrence $ CLAIMS-MADE I OCCUR MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 X POLICY PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 Ea accident $ A X ANY AUTO CPP001097003 04101/2015 04101/2016 BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS PER ACCIDENT UMBRELLA LAB X OCCUR EACH OCCURRENCE $ 1,000,000 A X EXCESS LIAB CLAIMS-MADE UM0000211203 04/01/2015 04/01/2016 AGGREGATE $ 1,000,000 DED X RETENTION $ 10,000 $ WORKERS COMPENSATION WC STATU- 'T'_ AND EMPLOYERS' LIABILITY Y I N TORY L IM TS ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ N/A E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A Inland Marine CPPOO1097003 04/01/2015 04/01/2016 Ded. 2,500 Equipment Rent/Leas 100,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) City of Ashland, Oregon and its elected officials, officers and employee are additional insured with primary and non-contributory coverage including a Waiver of Subrogation per forms CG2026 07/04 and CG2404 05/09. Cancellation Clause IL 0279 09/08 included. CERTIFICATE HOLDER CANCELLATION CITAS03 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Ashland ACCORDANCE WITH THE POLICY PROVISIONS. 20 E. Main St. Ashland, OR 97520-1814 AUTHORIZED REPRESENTATIVE © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: CPP 0010970 01 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: AS REQUIRED BY WRITTEN CONTRACT 18179 SW BOONES FERRY RD PORTLAND OR 97224 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Sec- tion IV - Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products-completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 ° Insurance Services Office, Inc., 2008 Page 1 of 1 Wolters Kluwer Financial Services Uniform FormsrM IL 02 79 09 08 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. OREGON CHANGES - CANCELLATION AND NONRENEWAL This endorsement modifies insurance provided under the following: CAPITAL ASSETS PROGRAM (OUTPUT POLICY) COVERAGE PART COMMERCIAL AUTOMOBILE COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART COMMERCIAL INLAND MARINE COVERAGE PART COMMERCIAL PROPERTY COVERAGE PART CRIME AND FIDELITY COVERAGE PART EMPLOYMENT-RELATED PRACTICES LIABILITY COVERAGE PART EQUIPMENT BREAKDOWN COVERAGE PART FARM COVERAGE PART LIQUOR LIABILITY COVERAGE PART MEDICAL PROFESSIONAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART A. Paragraph 2. of the Cancellation Common in violation of the insurance laws of Policy Condition is replaced by the following: Oregon or any other state; or 2. If this policy has been in effect for: (7) Loss or decrease in reinsurance a. Fewer than 60 days and is not a re- covering the risk. newal policy, we may cancel for any c. 60 days or more or is a renewal policy, reason. we may cancel for any other reason b. 60 days or more or is a renewal policy, approved by the commissioner by rule, we may cancel only for one or more of but only with respect to insurance pro- the following reasons: vided under the following: (1) Nonpayment of premium; (1) A package policy that includes commercial property and commer- (2) Fraud or material misrepresentation cial liability insurance; made by you or with your know- ledge in obtaining the policy, con- (2) Commercial Automobile Coverage tinuing the policy or in presenting a Part; claim under the policy; (3) Commercial General Liability (3) Substantial increase in the risk of Coverage Part; loss after insurance coverage has (4) Commercial Property Coverage Part been issued or renewed, including - Legal Liability Coverage Form; but not limited to an increase in ex- (5) Commercial Property Coverage Part posure due to rules, legislation or -Mortgageholders Errors And Omis- court decision; sions Coverage Form; (4) Failure to comply with reasonable (6) Employment-related Practices Liabil- loss control recommendations; ity Coverage Part; (5) Substantial breach of contractual (7) Farm Coverage Part - Farm Liability duties, conditions or warranties; Coverage Form; (6) Determination by the commissioner (8) Liquor Liability Coverage Part; that the continuation of a line of insurance or class of business to (9) Products/Completed Operations which the policy belongs will jeop- Liability Coverage Part; or ardize our solvency or will place us (10)Medical Professional Liability Cov- erage Part. IL 02 79 09 08 ® ISO Properties, Inc., 2007 Page 1 of 2 Wolters Kluwer Financial Services I Uniform Forms TM B. Paragraph 3. of the Cancellation Common than one year or without a fixed Policy Condition is amended by the addition of expiration date. the following: However, if this policy is issued for a term 3. We will mail or deliver to the first Named of more than one year and for additional Insured written notice of cancellation, stat- consideration the premium is guaranteed, ing the reason for cancellation. we may not refuse to renew the policy at C. The following is added to the Cancellation its anniversary date. Common Policy Condition: Nonrenewal will not be effective until at 7. Number Of Days' Notice Of Cancellation: least 45 days after the first Named Insured receives our notice. a. With respect to insurance provided 2. Mailing Of Notices under 2.c.0) through (10) above, can- cellation will not be effective until at a. If notice of cancellation or nonrenewal least 10 working days after the first is mailed, a post office certificate of Named Insured receives our notice. mailing will be conclusive proof that the b. With respect to insurance other than first Named Insured received the notice that provided under 2.c.0) through on the third calendar day after the date (10) above, cancellation will not be of the certificate of mailing. effective until at least: b. The following provision applies with (1) 10 days after the first Named respect to coverage provided under the Insured receives our notice, if we Farm Coverage Part: cancel for nonpayment of premium; If the first Named Insured has affir- or matively consented to our use of an (2) 30 days after the first Named electronic record to deliver notice of Insured receives our notice, if we cancellation or nonrenewal and has not cancel for any other reason. withdrawn such consent, then the elec- tronic record delivering notice of D. Paragraph 6. of the Cancellation Common can- cellation or nonrenewal satisfies the Policy Condition does not apply. requirement that the notice of E. The following are added and supersede any cancellation or nonrenewal be provided, provision to the contrary: or made available, to the first Named 1. Nonrenewal Insured in writing if we send the first Named Insured the electronic record We may elect not to renew this policy by with a request for a return receipt and mailing or delivering to the first Named we receive the return receipt. If we do Insured, at the last mailing address known not receive the return receipt, we may to us, written notice of nonrenewal before cancel or nonrenew the policy only the: after providing or delivering the notice a. Expiration date of the policy; or of cancellation or nonrenewal to the b. Anniversary date of the policy if the first Named Insured in writing, subject to Paragraph 2.a. above. policy is written for a term of more Page 2 of 2 ® ISO Properties, Inc., 2007 IL 02 79 09 08 POLICY NUMBER: CPP0010970 03 COMMERCIAL GENERAL LIABILITY CG 20 26 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) AS REQUIRED BY WRITTEN CONTRACT, SEE ME8802 18179 SW BOONES FERRY RD PORTLAND OR 97224 Information required to complete this Schedule if not shown above will be shown in the Declarations. Section II - Who Is An Insured is amended to in- sions or the acts or omissions of those acting on clude as an additional insured the person(s) or or- your behalf: ganization(s) shown in the Schedule, but only with A. In the performance of your ongoing operations; respect to liability for "bodily injury", "property or damage" or personal and advertising injury" caused, in whole or in part, by your acts or omis- B. In connection with your premises owned by or rented to you. CG 20 26 07 04 Copyright, ISO Properties, Inc., 2004 Page 1 of 1 UNIFORM KEYM01 W OP ID: CDs ,~►~ORO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 10/16/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CONTACT PRODUCER NAME: KC Ferguson United Risk Solutions, Inc. PHONE 541 494-7752 ac NO), 541-245 1112 PO Box 936 A/c No EX1 Medford, OR 97501-0067 ADMDRESS, kc.ferguson@unitedrisk.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A:SAIF Corporation 36196 INSURED Key Manufacturing INSURER B : & Rentals, Inc. 18179 SW Boones Ferry Rd. INSURER C Portland, OR 97224-7672 INSURER D : INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE ..N SD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ _ DAMAGE TO-RSN-TTD CLAIMS-MADE El OCCUR PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY F__~ PROECT❑ LOC PRODUCTS - COMP/OPAGG $ J OTHER: AUTOMOBILE LIABILITY EO aBINEDt SINGLE LIMIT $ - ANY AUTO BODILY INJURY (Per person) $ ALLOWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident _ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE S DED RETENTIONS $ WORKERS COMPENSATION X PER OTH-'I I AND EMPLOYERS' LIABILITY STATUTE ER A ANY PROP RIETOR/PARTNER/EXECUTIVE Y~ 854251 09/01/2015 09101/2016 E. L. EACH ACCIDENT $ 500,00 OFFICER/MEMBER EXCLUDED? N / A (Mandatory in NH) E.L. DISEASE - EA EMPLOYE $ 500,00 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 50,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION CITAS03 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Ashland ACCORDANCE WITH THE POLICY PROVISIONS. 20 E. Main St. Ashland, OR 97520-1814 AUTHORIZED REPRESENTATIVE © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD The Key Companies ~ti'side Rentals OFFER TO SUPPLY TO: Ashland Parks & Rec CLIENT PHONE: (541) 552-2252 FAX: ATTN: Rachel Dials 20 Fast Main St KMR would be pleased to supply the following Ashland, Oregon 97520 goods/services according to the quantities and terms outlined below. Please indicate any changes and/or approval and return to - Key Manufacturing and Rental, Inc. RE: 2015 Fall Re-Install of Ice Rink Cover KEY REP: Annie Chisholm M1` QUANTITY _ TOTAL Transportation $ 750.00 (6) Key men on site 20 hours $ 5,132.00 (6) Key men travel 10 hours $ 3,070.00 Lodging / Per Diem $ 648.00 Equipment Rentals (forklift etc) $ 1,313.00 Structure to be re-installed week of 11/2 - 11/6 - 2015 $ Quote does not include additional charges for problems that $ may arise at job site during installation $ $ $ _ DUE $ 10,913.00 ALL MERCHANDISE F.O.B. 50% due by 10/26/15 OFFER VALID 30 DAYS xxxxxxx balance due w/ invoice -10 days THANK YOU F 7R THE QPPORTUNITY TO SERVE YOU FOR KEY MANUFACTURING & RENTALS, INC DATE OFFER ACCEPTED BY DATE A Complete Concept in Event Services 18179 SW Boones Ferry Rd. Ph (800) 345-8368 Portland, OR 97224 www.keymanufacturing.com Fax (503) 597-2040 The Key Companies Y, lam' t~~5~,idc f~en[al5 OFFER TO SUPPLY TO: Ashland Parks & Rec CLIENT PHONE: (541) 552-2252 FAX: ATTN: Rachel Dials 20 East Main St KMR would be pleased to supply the following Ashland, Oregon 97520 goods/services according to the quantities and terms outlined below. Please indicate any changes and/or approval and return to Key Manufacturing and Rental, Inc. RE: 2016 Spring Removal of Ice Rink Structure KEY REP: Annie Chisholm QUANTITY TOTAL Transportation $ 750.00 (6) Key men on site @13 hours $ 3,991.00 (6) Key men travel @ 10 hours $ 3,070.00 Lodging / Per diem $ 648.00 Equipment Rentals (forklift etc) $ 1,313.00 Seasonal Storage of Fabric & Key $ 500.00 Quote does not include fabric cleaning or repairs $ Cleaning & repairs to be billed separately $ Repairs @ $70/hour - estimated 15-20 hours $ Cleaning @ $40/hour - estimated at 90-100 hours $ $ $ $ DUE $ 10,272.00 ALL MERCHANDISE F.O.B. 50% due w/ confirmation of order by 1115/16 OFFER VALID 30 DAYS xxxxxxx balance due w/ invoice -10 days THANK YOU FOR THE OPPORTUNITY TO SERVE YOU FOR KEY MANUFACTURING & RENTALS, INC DATE OFFER ACCEPTED BY DATE A Complete Concept in Event Services 18179 SW Boones Ferry Rd. Ph (800) 345-8368 Portland, OR 97224 www.keymanufacturing.com Fax (503) 597-2040 Page 1 / 1 ASHLAND PARK COMMISSION _ 20 E MAIN ST. DATE PO NUMBER ASHLAND, OR 97520 10/26/2015 00509 (541) 488-5300 VENDOR: 004401 SHIP TO: KEY MANUFACTURING & RENTALS 18179 SW BOONES FERRY ROAD PORTLAND, OR 97224 FOB Point: Ashland, Oreqon Req. N,).: Terms: net Dept.: Req. Del. Date: Contact: Rachel Dials Special Inst: Confirming? No Quantity Unit Description Unit Price Ext. Price 2015 Fall re-install of ice rink 21,185.00 structure and removal in spring 2016 and storaqe. 2015 Fall re-install $10,913.00 2016 Sprinq removal and storaqe $10,272.00 Contract for Goods and Services Beqinninq date: November 2, 2015 Completion date: March 31, 2016 i i SUBTOTAL 21 185.00 BILL TO: TAX 0.00 FREIGHT 0.00 TOTAL 21,185.00 Account Number Project Number Amount Account Number Project Number Amount E 211.12.02.06.60211 21,185.00 VENDOR COPY Authorized Signature I~ FORM 43 /-4- t"D CITY OF I ASHLAND REQUISITION Date of request: fCJL'~1 Required date for delivery: f ll~~ n Vendor Name Address, City, State, Zip Contact Name & Telephone Number Fax Numbers, \ 1 1,1; i l1n n~ 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 Date approved by Council: ❑ Direct Award -(Attach copy of council communication) Contract # ❑ Verbal/Written quote(s) or proposal(s) ❑ State of Washington Intermediate Procurement ❑ Sole Source Contract # GOODS & SERVICES ❑ Applicable Form (#5,6, 7 or 8) ❑ Other government agency contract $5,000 to $100,000 ❑ Written quote or proposal attached Agency ❑ (3) Written quotes and solicitation attached ❑ Form #4, Personal Services $5K to $75K Contract # PERSONAL SERVICES Special Procurement Intergovernmental Agreement $5,000 to $75,000 ❑ Form #9, Request for Approval ❑ Agency ❑ Less than $35,000, by direct appointment Written quote or proposal attached Date original contract approved by Council: El (3) Written proposals/written solicitation Date approved by Council: i ZcZ- i (Date) _ (Attach copy of council communication) ❑ Form #4, Personal Services $5K to $75K Valid until: Date Description of SERVICES Total Cost r, ZL~I~ ~2~.1.~ •lZc__ fnS,)r~~( ~ iZ~...I~~Fv~t~~;~-~ jLJ~T -!~v ~JC~.eC`L Item # Quantity Unit Description of MATERIALS Unit Price Total Cost r" r TOTAL COST Per attached quotelproposal $ 2-1 I Project Number Account Numbe 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 thi form, 1 erhfy that the City's public contracting requirements have been satisfied. er : r Employeel; L "A 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 gg'~' Finance Director- (Equal to or greater than $5,000) Date Comments: ~f Form #3 - Requisition