HomeMy WebLinkAbout2009-217 Contract - JACO Environmental
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PROFESSIONAL SERVICES CONTRACT
CONTRACT NO.
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THIS AGREEMENT is entered into by and between The City of Ashland Electric
Department (hereinafter referred to as the "AED"), with its principal place of business
located at 90 N Mountain Avenue, Ashland, OR 97520, and JACO ENVIRONMENTAL
(hereinafter referred to as "Service Provider"), with its principal place of business located
at 18323 Bothel'-EverettHighway, Suite 220, Bothell, WA 98012, This agreement may be
referred to herein as the "Contract" or "Agreement"
1. SCOPE OF SERVICE
The Service Provider shall provide the services described in Exhibit A, AED's Appliance
Recycling Program (ARP), which is attached hereto and by this reference is incorporated
herein,
2. TERM OF CONTRACT
A. The term of this Contract shall be from October 1.. 2009 through Decernber 31, 2011.
The Service Provider shall complete all specified Contract work, including submission of
reports and other required docurnentation within the term of the Contract. Any revision to
the term of the Contract shall be by mutual agreernent, in writing, between AED and the
Service Provider.
3, PAYMENT
A, AED shall pay the Service Provider for such services on a unit price basis in
accordance with the accepted price shown in Attachment A, Cost Scenario Analysis
Surnrnary. AED rnakes no guarantee of any minimurn number of units to be recycled
under the ARP or this Contract.
B, The Service Provider shall submit an invoice to AED monthly for the nurnber of units
recycled according to the amounts stated in Exhibit A. Invoices shall be in a format
acceptable to AED,
C, AED shall pay for only those units that the Service Provider has recycled and for which
the Service Provider has issued the incentive check to AED's customer.
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D, AED shall pay all invoices from the Service Provider by mailing an AED warrant, within
30 days of receipt of a properly completed invoice.
''E, Payment by AED will be completed on a fee-for-service basis, There shall be no
advance payment for services furnished pursuant to this contract. There shall be no
minimum payment.
F, Payments made to the Service Provider shall not constitute acceptance of the work or
any portion thereof which is not in accordance with this Contract.
G, If during the course of the Contract, the work performed does not rneet the
requirements set forth in the Contract, the Service Provider shall correct or modify the
work to comply with the Contract requirements and AED shall have the right to withhold
payment for such work until the Service Provider meets the requirements of the Contract.
JACO Contract
Page 1
C1TV RECORDER
4, REPORTS AND INSPECTIONS
A. The Service Provider at such times and in such forms as AED may require, shall
furnish to AED such statements, records, reports, data, and information as AED may
request pertaining to the matters covered by this Contract.
B. All statements, reports, data, records and accounts pertaining to this Contract are to be
kept available for inspection by representatives of AED during the course of the Contract
and for a period of three (3) years after final payment: Copies shall be rnade available to
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AED upon request.
5. RESPONSIBILITIES OF SERVICE PROVIDER
A, Manager. The Service Provider shall appoint a Manager who will be in charge of the
Service Provider's responsibilities under this Agreement and have day to day authority to
make decisions on behalf of the Service Provider. All notices regarding changes in the
Prograrn or revisions to the Scope of Service shall be delivered to the designated
Manager. The Service Provider's Manager to AED's ARP is:
Name:
Title:
Address:
City, State, Zip:
Office Phone #:
Cell Phone #:
Office Fax #:
E-mail Address:
Bob Nicholas
Proqram Development
P.O. Box 14307
Mill Creek, WA 98082
425.754.4894
425.423.7873
bobn(1i)iacoinc.net
B, Any and all employees of the Service Provider or other persons while engaged in the
performance of any work or services required of the Service Provider under this Contract
shall be considered employees of the Service Provider only and not of AED, and any and
all claims that mayor might arise under any Workmen's Compensation Act on behalf of
said employees or other persons while so engaged, and any and all claims made by a
third party as a consequence of any act or omission on the part of the Service Provider's
employees or other persons while engaged in any of the work or services rendered
herein, shall be the sole obligation and responsibility of the Service Provider.
C. Safety, The Service Provider shall take all necessary precautions for the safety of
employees and shall comply with all applicable provisions of federal, state and local
regulations, ordinances and codes. The Service Provider shall erect and properly
maintain at all times, as required by the conditions and progress of the work. all necessary
safeguards for the protection of workers and the public and shall post danger signs
warning against known or unusual hazards,
D, Warranty, The Service Provider shall be responsible for correcting any deficiencies
and for completing all the work as described in Exhibit A.
E. Nondiscrimination/Equal Protection. The Service Provider agrees not to discriminate
against any employee or applicant for employment or any other persons in the
performance of this Contract because of race, religion, creed, color, national origin, marital
JACO Contract
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status. gender, age or handicap, or other circumstances as rnay be defined by federal,
state or local law or ordinance, except for a bona fide occupational qualification. The
Service Provider agrees to post in conspicuous places, available to employees and
applicants for employment, notices to be provided by the Service Provider setting forth the
provisions of this nondiscrimination clause,
6. AED'S PROGRAM MANAGER
AED's Program Manager for AED's ARP will have the primary responsibility for AED
under this Contract and shall oversee and approve all work to be perforrned, coordinate
communications, and review and approve all invoices, under this Agreement.
Name
Title
Address
City, State, Zip
Office Phone #
Cell Phone #
Office Fax #
E-rnail Address
Robin Pearce
Conservation Analvst
90 N Mountain Avenue
Ashland, OR 97520
541,552,2062
pearcer@.ashland.or.us
7, CONFIDENTIALITY I NON-DISCLOSURE
A. Confidential Information, Service Provider acknowledges that it and its employees or
agents may, in the course of performing its responsibilities under this Contract, be
exposed to or acquire inforrnation that is confidential to AED or AED's clients, Any and all
information of any forrn obtained by Service Provider or its ernployees or agents in the
performance of this Contract shall be deemed to be confidential information of AED
("Confidential Information"), Any reports or other documents or items (including software)
which result frorn the use of the Confidentiai Inforrnation by Service Provider shall be
treated with respect to confidentiality in the sarne manner as the Confidential Information,
Confidential Information shall be deemed not to include information that (a) is or becomes
(other than by disclosure by Service Provider) publicly known or is contained in a publicly
available docurnent; (b) is furnished by AED to others without restrictions similar to those
imposed by this Contract; (c) is rightfully in Service Provider's possession without the
obligation of nondisclosure prior to the time of its disclosure under this Contract; or (d) is
independently developed by employees or agents of Service Provider who can be shown
to have had no access to the Confidential Information.
B, Non-Disclosure, Service Provider agrees to hold Confidential Information in strict
confidence, using at least the same degree of care that Service Provider uses in
maintaining the confidentiality of its own confidential information, and not to copy,
reproduce, sel" assign, license, market, transfer or otherwise dispose of, give, or disclose
Confidential Information to third parties or use Confidential Information for any purposes
whatsoever other than the provision of services to AED hereunder, and to advise each of
its employees and agents of their obligations to keep Confidentiallnforrnation confidential.
C, Unauthorized Use. Service Provider shall use its best efforts to assist AED in
identifying and preventing any unauthorized use or disclosure of any Confidential
Information, Without limitation of the foregoing, Service Provider shall advise AED
immediately in the event Service Provider learns or has reason to believe that any person
who has had access to Confidential Information has violated or intends to violate the
JACO Contract
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terms of this Contract and Service Provider will at its expense cooperate with AED in
seeking injunctive or other equitable relief in the name of AED or Service Provider against
any such person,
D. Return of Confidential Information. Service Provider agrees that, except as directed by
AED, Service Provider will not at any time during or after the terrn of this Contract
disclose, directly or indirectly, any Confidential Information to any person, and that upon
termination of this Contract or at AED's request, Service Provider will turn over to AED all
documents, papers, and other matter in Service Provider's possession which embody
Confidential Information,
E, Injunctive Relief, Service Provider acknowledges that breach of this Paragraph 7,
including disclosure of any Confidential Information, or disclosure of other information that,
at law or in good conscience or equity, ought to remain confidential, will give rise to
irreparable injury to AED that can only be inadequately compensable in darnages.
. Accordingly, AED may seek and obtain injunctive relief against the breach or threatened
breach of the foregoing undertakings, in addition to any other legal remedies that may be
available. Service Provider acknowledges and agrees that the covenants contained herein
are necessary for the protection of the legitimate business interests of AED and are
reasonable in scope and content.
F. Ensuring Confidentiality. Service Provider agrees to comply with all reasonable
requests by AED to ensure the confidentiality and nondisclosure of the Confidential
Information, including without limitation (a) obtaining nondisclosure agreernents, in a form
approved by AED, from each of Service Provider's employees and agents who are
perforrning work, and providing copies of such agreements to AED, and (b) performing
criminal background checks on each of Service Provider's employees and agents who are
performing work, and providing a copy of the results to AED,
8, COMPLIANCE WITH LAWS
A. The Service Provider shall comply with all federal, state and local regulations and
ordinances applicable to the work to be done under this Contract, including, but not limited
to, all applicable environmental and hazardous materials laws,
8, Any violation of the provisions of Paragraph 7 shall be considered a violation of a
material provision of this Contract and shall be grounds for cancellation, termination or
suspension of the Contract by AED, in whole or in part, and may result in ineligibility for
further work for AED,
9, TERMINATION OF CONTRACT
A. AED may terminate this Contract by giving at least ten (10) days written notice to the
Service Provider, Termination may be effected by serving a notice of termination on the
Service Provider's Manager identified in Paragraph 6 of this Contract, or by mailing such
notice to Service Provider's business address by certified mail, allowing three (3) business
days for delivery.
8, In the event this Contract is terminated by AED, the Service Provider shall be entitled
to receive payment only for the number of units recycled, and for which the Service
Provider has issued the incentive check to AED's customer(s), as of the effective date of
termination,
10. CLAIMS
Any claim against AED for darnages, expenses, costs or extras arising out of the
performance of this Contract must be made in writing to AED within thirty (30) days after
JACO Contract
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the discovery of such damage, expense or loss, and in no event later than the time of
approval by AED for final payrnent. The Service Provider, upon making application for
final payment, shall be deemed to have waived its right to claim for any other damages for
which a clairn has not been made, unless such application for final payment includes
notice of additional claim and fully describes such claim,
11. HOLD HARMLESS AND INDEMNIFICATION
A, This is a contract for a pass-through of Bonneville Power Administration (BPA)
conservation r~newable funding, The refrigerator, freezer and other units to be recycled
under this Contract are not, and have never been, the property of, or held in the
possession or control of, AED. Accordingly, the parties hereto agree that AED shall bear
no responsibility or liability of any nature or kind whatsoever for, or relating to, the
recycling or disposal of said units.
B, To the fullest extent permitted by law, the Service Provider shall indernnify, defend and
hold harmless AED, and its officers, officials, agents and employees from and against any
and all claims, actions, suits at law or equity, liability, loss, costs, expenses or damages of
any nature or kind whatsoever, including but not limited to environmental liabilities and
damages (whether resulting from hazardous materials disposal or otherwise), and further
including but not limited to reasonable attorneys' fees and litigation costs, brought against
AED, its officers, officials, agents and/or employees, arising out of, or in connection with,
or incident to, the execution of this Contract and/or the performance or failure to perform
any aspect of this Contract; provided, however, that nothing herein shall require the
Service Provider to hold harrnless or defend AED, its officers, officials, agents or
employees from any clairns arising frorn the sole negligence of AED, its officers, agents or
empioyees,
C, The Service Provider agrees that its obligations under this Paragraph 11 also extend
to any claim, demand, and/or cause of action brought by, or on behalf of, any of its
ernployees or agents, For this purpose, the Service Provider, by rnutual negotiation,
hereby waives, as respects AED only, any irnrnunity that would otherwise be available
against such claims under the industrial insurance provision of Title 51 RCW, In the event
AED obtains any judgment or award, and/or incurs any cost arising therefrom, including
attorneys' fees to enforce the provisions of this article, all such fees, expenses, and costs
shall be recoverable form the Service Provider,
D. The provisions of this Paragraph 11 shall survive the terrnination of this Services
Contract.
12, INSURANCE
The Service Provider at his/her own cost and expense, shall procure and maintain, for the
duration of the Contract, the following insurance policies with insurers possessing a Best's
rating of no less than A.
Workers' Compensation CoveraQe: Service Provider shall maintain Workers'
Compensation Insurance and Employer's Liability Insurance in an amount not less than
one million dollars ($1,000,000), for his/her employees in accordance with the laws of the
State of Washington, Any notice of cancellation or non-renewal of all Workers'
Compensation policies must be received by AED at least thirty (30) days prior to such
change, '
General Liabilitv CoveraQe: Service Provider shall rnaintain commercial general liability
insurance in an amount not less than one million dollars ($1,000,000) per occurrence for
bodily injury, personal injury and property damage, If a cornmercial general liability
JACO Contract
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insurance form or other form with a general aggregate lirnit is used, either the general
aggregate limit shall apply separately to the work to be performed under this Contract or
the general aggregate limit shall be at least twice the required occurrence limit.AED shall
be named as an additional insured under this coverage.
Pollution LeQal Liability CoveraQe: Service Provider shall maintain Pollution Legal
Liability insurance with minimum limits of one million dollars ($1,000,000) per occurrence
for death, bodily injury, or property damage to third parties, as wellas for environmental
remediation of sites damaged by pOllution resulting directly or indirectly from the Service
Provider's operations under this Contract. Such policy shall be maintained throughout the
term of this Contract, and for not less than three (3) years after the date of final
acceptance and completion of the work performed under this Contract. AED shall be
named as an additional insured under this coverage.
Automobile Liability CoveraQe: Service Provider shall rnaintain automobile liability
insurance covering bodily injury and property damage for all activities arising out of or in
connection with the work to be performed under this Agreement, including coverage for
owned. hired and non-owned vehicles, in an arnount of not less than one rnillion dollars
($1,000,000) cornbined single limit for each occurrence,
Cancellation: The insurance provided by the policies identified in this Paragraph 12 shall
not be suspended, voided, canceled, or reduced in coverage or in Iirnits except after thirty
(30) days written notice has been received by AED.
Other insurance requirements: The Service Provider's insurance coverages shall be
primary insurance relative to AED, Any insurance, self-insurance, or insurance pool
coverage maintained by AED shall be in excess of the Service Provider's insurance and
shall not contribute to it. All policy coverages required under this Paragraph 12 shall be
written on an occurrence basis.
The Service Provider will deliver to AED, no later than ten (10) days after execution of the
Agreernent by AED and prior to commencing work, Certificates of Insurance, identified on
their face as the Contract Nurnber to which applicable, as evidence that policies providing
such coverage and limits of insurance are in full force and effect, which Certificates shall
provide that not less than thirty (30) days advance notice will be given in writing to AED
prior to cancellation. termination or alteration of said policies of insurance. Such advance
notice of cancellation, termination, or alteration of said policies shall be delivered to AED's
prograrn Manager.
13. PREVAILING WAGES AND ASHLAND LIVING WAGE
The Service Provider shall comply with any applicable Prevailing Wage Rate
Requirements in Washington State, In addition, Service Provider shall comply with
Ashland Municipal Code Chapter 3,12, which requires all employers subject to the chapter
to pay the Ashland living wage. The service provider will comply for all work done within
the city Iirnits of Ashland,
14, ASSIGNMENT
A. This Contract shall not be assigned or transferred by either party, either in whole or in
part, without the prior written consent of the other party, Any attempted assignment or
transfer without such written consent shall be void.
B. Any work or services assigned hereunder shall be subject to each provision of this
Contract.
JACO Contract
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15, INDEPENDENT SERVICE PROVIDER
The Service Provider is and shall be at all times during the term of this Contract an
independent Service Provider and not an ernployee of AED.
16. GOVERNING LAW
Any legal dispute between the parties to this Contract shall be governed by the laws of the
State of Oregon, and any action to enforce this Contract shall be brought in Jackson
County, Oregon.
17. PARTIAL INVALIDITY
Any provision of this Contract which is found to be invalid or unenforceable shall be
ineffective to the extent of such invalidity or unenforceability, and the invalidity or
unenforceability of such provision shall not affect the validity or enforceability of the
remaining provisions hereof,
18. NONWAIVER
The failure of AED to insist upon or enforce strict performance by the Service Provider of
any provision of this Contract, or to exercise any right under this Contract, shall not be
construed as a waiver or relinquishment to any extent of AED right to assert or rely upon
any such provision or right in that or any other instance; rather, the same shall be and
remain in full force and effect.
19, ENTIRE AGREEMENT / MODIFICATION
This Contract, together with the attachments and/or addenda, represents the entire and
integrated Contract between the parties hereto and supersedes all prior negotiations,
representations, or agreements, either written or oral. This Contract may be amended,
rnodified or added to only by written instrurnent properly signed by both parties hereto,
. ~.I'..
IN WITNESS WHEREOF, the parties have executed this Contract as of this /7 day of
S~~, 2009. -
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JACO ENVIRONMENTAL
CITY OF ASHLAND'S ELECTRIC
DEPARTMENT
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By:
Printed
By: #. .1...-......--.f.--J.-
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Printed Name: 1)1/1lur.J UU: / W/liIHIllr
Title: ~/1lI $tiL.tJlt:.li.-.. /AAI,.fN<e ~I ~cfl'7Z--
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Attest:
Date:
Tax 10 No.:
JACO Contract
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ACORD" CERTIFICATE OF LIABILITY INSURANCE Page I DATE {MMroO/VVYY}
~ 1 of 2 09/22/2009
PROOUCER 877-945-7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
willis of Seattle, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
26 Century Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P. O. Box ]05191
Nashville, TN 37:230-5191 INSURERS AFFORDING COVERAGE NAIC#
INSUREO JACO Environmental, Inc. INSURER A' Lexington Insurance Co. 19437-000
PO Box 1478 INSURERS" St, Paul Fire and Marine Insurance Comnan 24767-001
Snohomi sh. WA 98291
INSURER C COlrllllsrcl!I and Industry Insurance Company 19410-001
INSURER 0: American International Specialty Lines In :i6BB] 091
, INSURER E'
COVERAGES
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR ~D' TYPE OF INSURANCE POLICY NUMBER ~~flf,""~75".}'?~ POLlCY EXPIRATION LIMITS
LTR N R DATE MM/DD/YYYY
A ~NERALLIASILITY 3628073 9/15/2009 9/15/2010 EACH OCCURRENCE S 2 OOO_.4'~
X COMMERCIAL GENERAL LIABILITY ~~~~H9E~~J~~nce S 1 000 000
I CLAIMS MADE W OCCUR MED EXP (Anyone person) S
f..Jl WA Stan Gan Included PERSONAL & AOV INJURY S 1 000 000
~ S10,OOO Deductible GENERAL AGGREGATE S 2 000 000
~N'lAGG~EnE~~MI~ APp!~.rER: PRODUCTS-COM~OPAGG s 2,000.000
X POLICY JE~T LOC
~OMOBIlE LIABILITY COMBINEOSINGlE LIMIT S
~ ANY AUTO (Ellllccident)
I- All OWNED AUTOS BOOll Y INJURY
S
SCHEDULED AUTOS (Per person)
l-
I--- HIREDAUrOS BODilY INJURY
(I"erflccklent) S
I- NON-OWNED AUTOS
- PROPERTY DAMAGE S
(Pefllccident)
~RAGE LIABILITY AUTO ONLY - EA ACCIDENT S
ANY AUTO OTHER THAN EAACC S
AUTO ONLY' AGG S
B i]ESSI UMBRELLA LIABilITY QK09400877 9/15/2009 9/15/2010 EACH OCCURRENCE S 5 000 000
X OCCUR D CLAIMS MADE AGGREGATE S 5 000 000
S
~ DEDUCTIBLE S
X RETENTION S 10 000 s
C WORKERS COMPENSATION AOS WC3429816 9/15/2009 9/15/2010 X I T,,;:;~ntJgs I IOJ~-
AND EMPLOYERS' LIABILITY YIN
C ANY PROPRIETOR/PARTNERJEXECUTlVE 0 CA WC3429815 9/15/2009 9/15/2010 E,L, EACH ACClDENT S 1 000 000
OFFICER/MEMBER EXCLUDED?
(tobnctatorylnNH) E.l. DISEASE - EA EMPLOYEE S 1 000 000
~~rCr~et~~~~ls4oNS below E,l. DISEASE - POllCY LIMIT S 1 000 000
0 OTHER CP013,u,,," 9/"5/"UU9 . 1 15 /2nT1r
Pollution Legal Liability $1,000,000 Per Incident
including BI!PD " Cleanup $J,OOO,OOO Aggregate
'" 10 000 Deductible Each Incident
DESCRIPTION OF OPERATIONS ILOCATIONSI VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
The Workers' Compensation 'AOS' policy covers New Mexico, Nevada, Oregon, Utah, Illinois, Colorado,
Idaho, Georgia, Massachusetts, Michigan and New Jersey only.
The Umbrella policy also extends over the primary auto HabiH ty policy which has a $2,000,000
limit.
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE oeSCRIBEO POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRmEN
NOTICE TO THE CERTIFICATE HOLOER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
City of Ashland REPRESENTATIVES.
Attn: purchasini Representative
90 N. Mountain venue AUTHORIZEO REPRESENTATIVE
Ashland, OR 97520 (7.4-... 7. ~
ACORD 25 (2009/01)
Cell: 2812972 Tpl: 9793 82 Cert: 130774 57 @1988-2009ACORDCORPORATION,A1lrlghtsreserved,
The ACORD name and logo are registered marks of ACORD
:s...-J '1/;"/,, "I
Policy Number: 604378107
Date Entered: 9/21/2009
ACORD,.
""DOUCE"
uJ.str1C... v..} ...ommercJ.a.... .....en
16300 Mill Creek Blvd '203
Hill Creek, WA 98012
CERTIFICATE OF LIABILITY INSURANCE
er
I
INSURED
(425)745-9780
Agent-Rob
Jaco Environmental,
Inc.
INSURERS AFFORDING COVERAGE
10105 Airport
Snohomish, WA
W'Y
98291
INSURER "': Farmers Insurance EXChange
I INSURER B: Scottsdale Insurance C~y
I INSURER C
INSURER 0
INSURER E
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTIMTHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT V\r1TH RESPECT TO VVl-1ICH 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 AGGREGATE LIMITS SHOV<;N MAY HAVE BEEN REDUCED BY PAID CLAIMS
IN.A ,1:.~~'L POLICY NUMBU ~l'Io...L.:;Y EFFI!CTWIl ~g,i~C:, EX~'AAT10N LIMITS
'"
~NE!IlALLlAISILITY EACH OCCURRENCE .
UAMA.t,;C 10 RrnTEU
- pMMERCIAl.. GENERAL LIABILITY PREMISES IE. occutencII .
CLAIMS MADE 0 OCCUR MED EXP (Any mil person) .
-
- PERSONAl. & AtN INJURY .
- GENERAL AGGREGATE .
GEN'L AGGRi9 LIMIT A,Pn ~ER' PRODUCTS. COMPIOP AOG .
'~-~ICY Ijf2f LOC
X ~TCMC81Ll LI....IUTY COMBINED SINGLE LIMIT S 2,000,000
A AJItV AUTO 604378107 9/15/2009 9/15/2010 IEI.ccldenll
-
~ ALL OWNED "'UTOS SCOIL Y INJURY
(Pe-rpet'1On) .
SCHEDULED "'UTOS -
HIRED "'UTOS BOO1L Y INJURY
r- jPerlccidenl) .
I-;- NON-CMlNED "'UTOS
PROPERTY DAMAGE .
(PerlCcidenl)
q,a.",,,uTY AUTO ONLY. EAACCIDENT .
AJItV AUTO OTf-lER THAN EA ACC .
AUTO ONLY: "'" .
pES!lIUMBIlIE!LLA Ll....,UTY EK:H OCCURRENCE .
OCCUR 0 ClAIMS MADE AGGREGATE .
.
R ~EDUCTlBLE .
RETENTION . .
'NCUIKI!R!I CCM~EN!lAnON AND I ,] IUd~'
EM~LOYEA!I' LI...lIlllTY E,l. EACH ACCIDENT .
ANY PROPRIETCRIPARTNER/'EXECUTlve
OFFICERIMEMIlER EXCLUOeO? E,l. DISEASE- EA EMPlOYEE .
~~Etl~tSp~'6V~~?;NS beleM' El. DISEASE. POlICY liMIT .
01HIIl
oESCIlI~1ICN CF O~EIIATICNS I LCC...TloNS I VEHICLES I EXCLUSICNS ADDEO BY ENOOIllSEMENT I S~ECIAl ~IlCVISICNS
Certificate Holder is named as Additional Insured
Jaco Environmental, rnc carries $100 Comprehensi ve Oed's .nd $1,000 Collision Oed's
CERTlFICATE HOLDER
CANC ELLA TlON
SHOULD ANY CF THI ABOVI oESCIIIBED POLICIES BI C"'HCELLEO IlEFCAI! THI EX~IIlAT1ON
City of Ashland DATI THEIIEC', THI ISSUIHQ IHSUIIEIlI 'MLl ENDU.VCIl TO MAIL ~ DAYS WRITTEN
Attn: PurchaSing Repro!lontativ8 NOTlCI TO THE CEATlnCATI HOLDER N"'MED TC THIE LIEFT, BUT FAllU~E TC 00 SO SH"'Ll
'0 N. Mounta.in Avenue IM!"OS! NO C8l1Q"'TlCN Oil L1AII'lITY CF ANY KIND U~OM THI INSUIlEA, ITS AGENTS 0'
1l1~III!UHTAnvlES. .. -
Ashland, OR 97520
- "'UTHCIlIZEO IIE~RUIEHTATIVI
, Robert p, Byrd
ACORO 25 (2001108)
@ACORD CORPORATlON 1988
.
CITY RECORDER
Page 1 /1
~~,
CITY OF
ASHLAND
20 E MAIN ST.
ASHLAND, OR 97520
(541) 488-5300
~DP"TE~
9/30/2009
lra'fP'0!NOMBER1fI3il
09244
VENDOR: 014695
. JACO ENVIRONMENTAL
18323 BOTHELL EVERETT HIGHWAY
MILL CREEK, WA 98012
SHIP TO: Ashland Electric Department
(541) 488-5354
90 N MOUNTAIN
ASHLAND, OR 97520
FOB Point:
Terms: Net
Req. Del. Date:
Speciallnst:
Req, No,:
Dept.:
Contact: Dick Wanderscheid
Confirming? No
iJrQUaiiITtV'i'.il [!Iuiilttit ~7~::':--~~~~~:::;{D~'fi~tiom'~f.{{i-':;~'E'E~~ ~~:l ~!mt~P.ficei:-~~f~
Refrigerator Recycling Program - Term 8,500.00
of contract shall be from October 1,
2009 through December 31,2011 - Amount
of $8,500 is for balance of current
fiscal year
. SUBTOTAL 8500.00
:ILL TO: Account Payable TAX 0.00
20 EAST MAIN ST FREIGHT 0.00
541-552-2028 TOTAL 8,500.00
ASHLAND, OR 97520
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- 690,11.06,00.61011 8 500.00 ,
#~orlr.:~re
VENDOR COPY
A request for ~ Purc~ase Order
REQUISITION FORM
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Date of Request:
THIS REQUEST IS A:
o Change Order(existing PO #
Required Date of Delivery/Service:
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Vendor Name
Address
City. State. Zip
Telephone Number
Fax Number
Contact Name
SOLICITATION PROCESS
-
Small Procurement .EI Sole Source' D Invitation to Bid
D Less than $5,000 D Written findings attached (Copies onfile)
D Quotes (Not required)
Coooerallve Procurement D Reouest for ProDosal
D Stale of ORJWA contract (Copies on file) .
Intermediate Procurement D Other government agency contract D SDeclal1 ExemDt
o (3) Written Quotes D Copy of contract attached D Written findings attached
(Copies attached) D Emeraencv
D Contract # D Written findings attached
DescrlpUon of SERVICES
f2ef'.,r'1'qJ~/Fcte~~ p(~ R-=ydl?-
. . . (Joo crJ .
o p'er attached PROPOSAL .
Item # Quantity
Unit
Description of MATERIALS
Unit Price
Total Cost
Project Number ______. ___ .
o Per attached QIIOTE
Account Number<PJg.1L . bb.. aC? ~l {J .f./..P
. Items and seNiees must be charged to the eppropriate eccount numbers for the fineneials to rafieet the actual expendituras accurotely,
By signing this requisition (ann, I certify thaf the infonnation provided above meets the City of Ashland public colitrecting requirements.
and the documentation can be provided upon request,'
Employee Signature:
Supervisor/Dept, Head Signature:
~~
7
G: Flnance\ProcedureIAPlFonns\B_Requisition fonn revised,doe
Updated on: 7/1312005