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HomeMy WebLinkAbout2021-013 PO 20210344- B&B Fire Suppression • WeiCITY Rcon Purchase Order . 111 • Fiscal Year 2021 Page: 1 of: 1 t`«�.t r=l.TTIlj _-r 1`lEl4 [!,J '1ilt-5 Te.AtIN14ilb =i B City of Ashland - ATTN:Accounts Payable Purchase LL20 Ashland,Main Order# 20210344 Aand,OR 97520 T Phone:541/552-2010 O Email:payable@ashland.or.us V H CIO Fire and Rescue Department E B&B FIRE SUPPRESSION i 455 Siskiyou Blvd N 823 COLUMBINE WAY p Ashland, OR 97520 CENTRAL POINT,OR 97502 Phone:5411482-2770 R T Fax:541/488-5318 (541)951-5596 Brian Hendrix E--- ._ 05/07/2021 1421 FOB ASHLAND OR/NET30 City Accounts Payable -mow '[_ _ — _ _ Weed Abatement - 1 Weed Abatement 1.0 $5,000.00 $5,000.00 Goods and Services Agreement(Less than$25,000) • Completion date: October 31,2021 Project Account: E-000210-999 ***************OL SUMMARY*************** 075100-610500 --- $5,000.00 • • • • • • ' /41/ By: i / Date /0- Authorized Signature €Viz= =—==- • • -- FORM #3 gD l .....,,et „--; ' ', SH LAN D REQUISITION Date of request: 05106/2021 Required date for delivery: _ Vendor Name Fire Suppression,LLC Address,City,State,Zip 1131 Coachman Drive,Central Point,OR 97502 Contact Name&Telephone Number David Bryant,541-951-5596 Email address bbfire823@gmall.com SOURCING METHOD ❑ Exempt from Competitive Bidding ❑ invitation to Bid • D Emergency - . ❑ Reason for exemption: Date approved by Council: 0 Form#13,Written findings and Authorization ❑ AMC 2,50 _(Attach copy of council communication) 0 Written quote or proposal attached ❑ Written quote or proposal attached !(If council approval required,attach copy of CC) 0 Small Procurement ❑ Request for Proposal Cooperative Procurement Not exceeding$5,000 Dale approved by Council: 0 Slate of Oregon ❑ Direct Award (Attach copy of council communication) Contract# i!1 VerbaVWritlen bid(s)or proposals) ❑ Request for Qualifications(Public Works) ❑ Stale of Washington Date approved by Council: Contract# (Attach copy of council communication) 0 Other government agency contract . Intermediate Procurement 0 Sole Source ' Agency GOODS&SERVICES ❑ Applicable Form(#5,6,7 or 8) Contract# Greater than$5,000 and less than$100,000 0 Written quote or proposal attached intergovernmental Agreement. ❑ (3)Written bids&solicitation attached ❑ Farm#4,Personal Services$5K to$75K Agency PERSONAL SERVICES. Date approved by Council: ❑ Annual cost to City does not exceed$25,000. . Greater than$5,000 and less than$75,000 Valid until: Date Agreement approved by Legal and approved/signed by ❑ Less than$35,000,by direct appointment ❑ Special Procurement City Administrator.AMC 2.50.070(4) ❑ (3)Written proposals&solicitation attached ❑ Form#9,Request for Approval 0 Annual cost to City exceeds$25,000,Council ❑ Form 114,Personal Services$5K to$75K 0 Written quote or proposal attached approval required:(Attach copy of council communication) Date approved by Council: Valid unUl:_ _Date .. - Description of SERVICES Total Cost Weed Abatement . . $ 5000.00 Item# Quantity Unit Description of MATERIALS Unit Price Total Cost i ill Per attached quoteiproposal TOTAL.COST Project Number o'0 0 2 1 0.9 9 0 Account Number 0 7 6 1 0 0 .>4L-J-O-0- $5'000.00 Account Number • Account Number - 'Expenditure must be charged to the appropriate account numbers for the financials to accurately:afloat the actual expenditums. IT Director In collaboration with department to approve all hardware and software purchases: IT Director Date Support-Yes/No Bysigning this requl�ttie,form,I certify that e City's, bile contracting requirements have bean satisfied. . Etnployee. iz Department Head: (Equal to or greater than$5,000) Department Manager/Supervisor: City011 or' (Equal to or or rlhan 5 000 Funds appropriated for current fiscal year: /NO ' titan Directo-(quell°orgroererthan$5,000) Date Comments: i Forml13-Requislfon , May 0521 04:55p B&B Fire Suppression 541-664-4234 p.2 GOODS AND SERVICES AGREEMENT (LESS THAN 525,000) PROVIDER: B &B Fire Suppression,LLC CITY OF PROVIDER'S CONTACT: David Bryant ASHLAND 20 East Main Street ADDRESS: 1131 Coachman Drive, Central Point, OR 97502 Ashland, Oregon 97520 Telephone: 541/488-5587 PHONE:541.951.5596 Fax: 541/488-6006 FAX: 541.664.4234 This Goods and Services Agreement (hereinafter "Agreement") is entered into by and between the City of Ashland,an Oregon municipal corporation(hereinafter"City")and B&B Fire Suppression,LLC,("hereinafter "Provider"),for Weed Abatement services. 1. PROVIDER'S OBLIGATIONS 1.1 Provide weed and vegetation abatement("Project") on public and private properties determined to be out of compliance with Ashland Municipal Code.Prior to performing a Project, Contractor shall abide by Ashland Fire&Rescue written directions as to the location, scope, date and time to perform the Project. Contractor to abide by specific property bid(s) as individually established by AFR. Specific bids currently scheduled are included as"SUPPORTING DOCUMENTS" and include all costs of a project including equipment and personnel. Provider expressly acknowledges that time is of the essence of any completion date set forth in the SUPPORTING DOCUMENTS,and that no waiver or extension of such deadline may be authorized except in the same manner as herein provided for authority to exceed the maximum compensation. The services defined and described in a project bid included under SUPPORTING DOCUMENTS shall hereinafter be collectively referred to as"Work." 1.2 Provider shall obtain. and maintain during the term of this Agreement and until City's final acceptance of all Work received hereunder,a policy or policies of liability insurance including commercial general liability insurance with a combined single limit, or the equivalent, of not less than $2,000,000 (two million dollars) per occurrence for Bodily Injury and Property Damage. 1.2.1 The insurance required in this Article shall include the following coverages: • Comprehensive General or Commercial General Liability, including personal injury, - contractual liability, and products/completed operations coverage; and • Automobile Liability. 1.2.2 Each policy of such insurance shall be on an "occurrence" and not a"claims made" form, and shall: • Name as additional insured "the City of Ashland, Oregon, its officers, agents and employees" with respect to claims arising out of the provision of Work under this Agreement; • Apply to each named and additional named insured as though a separate policy had been issued to each,provided that the policy limits shall not be increased thereby; • Apply as primary coverage for each additional named insured except to the extent that two or more such policies are intended to "layer" coverage and, taken together, they provide total coverage from the first dollar of liability; - Page 1 of 5: Goods and Services Agreement between the City of Ashland and B&B Fire Suppression,LLC May 0521 04:56p B&B Fire Suppression 541-664-4234 p.3 • Provider shall immediately notify the City of any change in insurance coverage • Provider shall supply an endorsement naming the City, its officers, employees and agents as additional.insureds by the Effective Date of this Agreement; and • Be evidenced by a certificate or certificates of such insurance approved by the City. 13 Provider shall,at its own expense,maintain Worker's Compensation insurance in compliance with ORS 656.017, which requires subject employersto provide workers' compensation coverage for all of its subject workers. 1.4 Provider agrees that no person shall, on the grounds of race, color, religion, creed, sex, marital status, familial status or domestic partnership, national origin, age, mental or physical disability, sexual orientation, gender identity or source of income, suffer discrimination in the performance of this Agreement when employed by Provider_ Provider agrees to comply with all applicable requirements of federal and state civil rights and rehabilitation statutes, rules and regulations. Further, Provider agrees not to discriminate against a disadvantaged business enterprise,minority-owned business,woman-owned business, a business that a service-disabled veteran owns or an emerging small business enterprise certified under ORS 200.055, in awarding subcontracts as required by ORS 279A.110. 1.5 In all solicitations either by competitive bidding or negotiation made by Provider for work to be performed under a subcontract, including procurements of materials or leases of equipment, each potential subcontractor or supplier shall be notified by the Providers of the Provider's obligations under this Agreement and Title VI of the Civil Rights Act of 1964 and other federal nondiscrimination laws. 1.6 Living Wage Requirements: If the amount of this Agreement is $22,002.43 or more, Provider is - required to comply with Chapter 3.12 of the Ashland Municipal Code by paying a living wage,as defined in that chapter, to all employees performing Work under this Agreement and to any Subcontractor who - performs 50% or more of the Work under this Agreement. Provider is also required to post the notice attached hereto as"Exhibit A"predominantly in areas where it will be seen by all employees. L7 Assignment: Provider shall not assign this Agreement or subcontract any portion of the Work to he provided hereunder without the prior written consent of the City. Any attempted assignment or subcontract without written consent of the City shall be void. Provider 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 the City of any assignment or subcontract shall not create any contractual relation between the assignee or subcontractor and the City. 2. CITY'S OBLIGATIONS 2.1 City shall pay Provider based on an invoice submitted for each completed Project as provided herein as full compensation for the Work as specified in the SUPPORTING DOCUMENTS. 2.2 In no event shall Provider's total of all compensation and reimbursement under this Agreement exceed the sum of$5,000.00 without express,written approval from the City official whose signature appears below, or such official's successor in office. Provider expressly acknowledges that no other person has authority to order or authorize additional Work which would cause this maximum sum,to be exceeded and that any authorization from the responsible official must be in writing. Provider further acknowledges that any Work delivered or expenses incurred without authorization as provided herein is done at Provider's own risk and as a volunteer without expectation of compensation or reimbursement Page 2 of 5: Goods and Services Agreement between the City of Ashland and B&B Fire Suppression,LLC May 05 21 04:56p B&B Fire Suppression 541-664-4234 p.4 • 3. GENERAL PROVISIONS 3.1 This is anon-exclusive Agreement. City is not obligated to procure any specific amount of Work from Provider and is free to procure similar types of goods and services from other providers in its sole discretion. 3.2 Provider is an independent contractor and not an employee or agent of the City for any purpose. 3.3 Provider is not entitled to, and expressly waives all claims to City benefits such as health and disability insurance,paid leave, and retirement. 3.4 This Agreement embodies the full and complete understanding of the parties respecting the subject matter hereof. It supersedes all prior agreements,negotiations,and representations between the parties, whether written or oral. • 3.5 This Agreement may be amended only by written instrument executed with the same formalities as this Agreement. 3.6 The following laws of the State of Oregon are hereby incorporated by reference into this Agreement: ORS 279B.220,279B.230 and 279B.235. 3.7 This Agreement shall be governed by the laws of the State of Oregon without regard to conflict of laws principles_ Exclusive venue for litigation.of any action arising under this Agreement shall be in the Circuit Court of the State of Oregon for Jackson County unless exclusive jurisdiction is in federal court, in which case exclusive venue shall be in the federal district court for the district of Oregon. Each party expressly waives any and all rights to maintain an action under this Agreement in any other venue, and expressly consents that, upon motion of the other party, any case may be dismissed or its venue transferred,as appropriate, so as to effectuate this choice of venue. 3.8 Provider shall defend,save,hold harmless and indemnify the City and its officers,employees and agents from and against any and all claims, suits, actions, losses, damages, liabilities, costs, and expenses of any nature resulting from, arising out of, or relating to the activities of Provider or its officers, employees, contractors,or agents under. this Agreement. 3.9 Neither party to this Agreement shall hold the other responsible for damages or delay in performance caused by acts of God,strikes,lockouts,accidents,or other events beyond the control of the other or the other's officers, employees or agents. 3.10 If any provision of this Agreement is found by a court of competent jurisdiction to be unenforceable, such provision shall not affect the other provisions,but such unenforceable provision shall be deemed modified to the extent necessary to render it enforceable,preserving to the fullest extent permitted the intent of Provider and the City set forth in this Agreement. 3.11 Deliveries will be F.O.B destination.Provider shall pay all transportation and handling charges for the Goods.Provider is responsible and liable for loss or damage until final inspection and acceptance of the Goods by the City. Provider remains liable for latent defects, fraud,and warranties. 3.12 The City may inspect and test the Goods. The City may reject non-conforming Goods and require Provider to correct them without charge or'deliver them at a reduced price, as negotiated. If Provider does not cure any defects within a reasonable time, the City may reject the Goods and cancel this Page 3 of 5: Goods and Services Agreement between the City of Ashland and B &B Fire Suppression,LLC May 05 21 04:56p B&B Fire Suppression 541-664-4234 p.5 Agreement in whole or in part. This paragraph does not affect or limit the City's rights, including its rights under the Uniform Commercial Code, ORS Chapter 72(UCC). 3.13 Provider represents and warrants that the Goods are new, current, and fully warranted by the manufacturer. Delivered Goods will comply with SUPPORTING DOCUMENTS and be free from defects in labor,material and manufacture. Provider shall transfer all warranties to the City. 4. SUPPORTING DOCUMENTS The following documents are,by this reference,expressly incorporated in this Agreement,and arc collectively referred to in this Agreement as the"SUPPORTING DOCUMENTS:" • • The Provider's complete written.Bid Estimate for 900 &820 Beach St. dated 4/22/202'1. • The Provider's complete written Bid Estimate for 611 Beach St, dated 4/2212021. • Any additional complete written Bid Estimates submitted for work by the Provider to AFR within the scope of this contract. • 5. REMEDIES 5.1 In the event Provider is in default of this Agreement, City may, at its option,pursue any or all of the remedies available to it under this Agreement and at lays or in equity,including,but not limited to: 5.1.1 Termination of this Agreement; 5.1.2 Withholding all monies due for the Work that Provider has failed to deliver within any scheduled completion dates or any Work that have been delivered inadequately or defectively; 5.1.3 Initiation of an action or proceeding for damages, specific performance, or declaratory or injunctive relief; 5.1.4 These remedies are cumulative to the extent the remedies are not inconsistent,and City may pursue any remedy or remedies singly, collectively,successively or in any order whatsoever. 5.2 In no event shall City be liable to Provider for any expenses related to termination of this Agreement or for anticipated profits. If previous amounts paid to Provider exceed the amount due,Provider shall pay immediately any excess to City upon written demand provided. 6. TERM AND TERMINATION 6.1 Term This Agreement shall be effective from the date of execution on behalf of the City as set forth below (the `Effective Date"), and shall continue in full force and effect until 10/31/2021, unless sooner terminated as provided in Subsection 6.2. 6.2 Termination 6.2.1 The City and Provider may terminate this Agreement by mutual agreement at any time. 6.2.2 The City may,upon not less than thirty (30) days' prior written notice,terminate this Agreement for any reason deemed appropriate in its sole discretion. 6.2.3 Either party may terminate this Agreement,with cause,by not less than fourteen(14) days' prior written notice if the cause is not cured within that fourteen(14) day period after written notice. Such ten-nination is in addition to and not in lieu of any other remedy at law or equity. 7. NOTICE Whenever notice is required or permitted to be given under this Agreement, such notice shall be given in writing to the other party by personal delivery,by sending via a reputable commercial overnight courier, or Page 4 of 5: Goods and Services Agreement between the City of Ashland and B&B Fire Suppression, LLC May 05 21 Q4:57p B&B Fire Suppression 541-664-4234 p.6 by mailing using registered or certified United States mail,return receipt requested, postage prepaid,to the address set forth below: If to the City: Ashland Fire &Rescue Attn: Brian Hendrix 455 Siskiyou Blvd. Ashland,Oregon 97520 Phone: (541)482-2770 With a copy to: City of Ashland—Legal Department 20 E.Main Street Ashland, OR 97520 Phone: (541)488-5350 If to Provider: B &B Fire Suppression,LLC Attn: David Bryant • 1131 Coachman Drive Central Point, OR 97502 Phone: (541)951-5596 • 8. WAIVER OF BREACH One or more waivers or failures to object by either party to the other's breach of any provision,term, condition, or covenant contained in this Agreement shall not be construed as awaiver of any subsequent breach,whether or not of the same nature. 9_ PROVIDER'S COMPLIANCE WITH TAX LAWS 9.1 Provider represents and warrants to the City that: • 9.1.1 Provider shall, throughout the term of this Agreement, including any extensions hereof, comply with: (i) All tax laws of the State of Oregon, including but not limited to ORS 305.620 and ORS chapters 316,317, and 318; (ii) Any tax provisions imposed by a political subdivision of the State of Oregon applicable to Provider;and (iii) Any rules,regulations, charter provisions, or ordinances that implement or enforce any of the foregoing tax laws or provisions. 9.1.2 Provider,for a period of no fewer than six (6)calendar years preceding the Effective Date of this Agreement, has faithfully complied with: (i) All tax laws of the State of Oregon, including but not limited to ORS 305.620 and ORS chapters 316,317, and 318; (ii) Any tax provisions imposed by a political subdivision of.the State of Oregon applicable to Provider; and (iii) Any rules,regulations, charter provisions, or ordinances that implement or enforce any of the foregoing tax laws or provisions. 9.2 Provider's failure to comply with the tax laws of the State of Oregon and all applicable tax laws of any political subdivision of the State of Oregon shall constitute a material breach of this Agreement. Further, any violation of Provider's warranty, as set forth in this Article 9, shall constitute a material breach of Page 5 of 5: Goods and Services Agreement between tho City of Ashland and B&B Fire Suppression,LLC May 0521 Q4:58p B&B Fire Suppression 541-664-4234 p.8 this Agreement. Any material breach of this Agreement shall entitle the City to terminate this Agreement and to seek damages and any other relief available under this Agreement,at law,or in equity. IN WITNESS WHEREOF the parties have caused this Agreement to be signed in their respective names by their duly authorized representatives as of the dates set forth below. CITY OF ASHLAND: B&B Fire ,ression(PROVIDER): By: f C� By: � '_ Ls f.f. 1 Signature Sign. i e I Printed Name [ Printed Name 1� r� (Lill • ak-7U Title Tit e Date Date (W-9 is to be submitted with this signed Agreement) Purchase Order No. �( a 9 -4,0," • Page 6 of 5: Goods and Services Agreement between the City of Ashland and B &B Fire Suppression,LLC • May.0421 04:51 p B 8&B Fire Suppression. 541-664-4234 p.4 CERTIFICATION OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE REQUIREMENTS Contractor is exempt from the requirement to obtain workers compensation.insurance pursuant to ORS Chapter 656 for the following reason. Contractor is to initial the appropriate box as follows: SOLE PROPRIETOR . f initiab. at Contractor is a sole proprietor.and II Contractor has no employees_and • Contractor will not hire employees or subcontractors to perform this contract- %(j CORPORATION—FOR PROFIT - tinirr'rrallls) • Contractor's business is incorporated;and ■ All employees of the corporation are officers and directors and have a substantial ownership interest*in the corporation,and • All work will be performed by the officers and directors;Contractor will not hire other employees or subcontractors to perform this contract, CORPORATION-NONPROFIT (tnitiai-' • Contractor's business is incorporated as a nonprofit corporation..and ■ Contractor has no employees;all work is performed by volunteers,and E Contractor will not hire employees or subcontractors to perform this contract. PARTNERS i inititu, • Contractor is a partnership,and • Contractor has no employees,and ■ All work willbe performed by the partners;Contractor will not hire employees or subcontractors to perform this contract,and • Contractor is not engaged in work performed in direct connection with the construction,alteration, repair, improvement,moving or demolition of an improvement to real property or appurtenances thereto.** LIMITED LIABILITY COMPANY (initials: • Contractor is a limited liability company,and ■ Contractor has no employees.and ■ All work will be performed by the members;Contractor will not hire employees or subcontractors to perform this contract,and • If Contractor has more than one member,Contractor is not engaged in work performed in direct connection with the construction,alteration,repair,improvement,moving or demolition of an improvement to real property or appurtenances theereto** "' (Signature of Autrized Signer) (Date) (Authorized Signer's Title) *NOTE: Under OAR436-50-050 a shareholder has a"substantial ownership"interest if the shareholder owns 10%of the corporation,or if less than 10% is owned,the shareholder has ownership that is at least equal to or greater than the average percentage of ownership of all shareholders_ • **NOTE: Under certain circumstances partnerships and limited liability companies can claim an exemption even when performing construction work. The requirements•for this exemption are complicated. Consult with City Attorney's Office before an exemption request is accepted front a contractor who will perform construction work. AC R® DATE(MM/DD/YYYY) �� CERTIFICATE OF LIABILITY INSURANCE 04/28/2021 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 have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). • ` PRODUCER CONTACT Pam Dressler NAME: Little River Investments (PAHONrE ) (541)536-1726 �n/c,No): (541)536-1568 P.O.Box 327 • E-MAIL pam@bancorpinsurance.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# La Pine OR 97739INSURERA, Arch Insurance Company 11150 INSURED INSURER B: SAIF 238990 B&B Fire Suppression LLC INSURERC: 1131 Coachman Dr INSURER D: ' INSURER E: - Central Point OR 97502 iNSURERF: COVERAGES CERTIFICATE NUMBER: CL2142829283 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUHH POLICY EFF POLICY EXP • LIMITS !NSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 •�/ DAMAGE TO RENTED 1,000,000 CLAIMS-MADE X OCCUR . PREMISES(Ea occurrence) $ MED EXP(Any one parson) $ 5,000 A Y MWPK07445411 12/21/2020 12/21/2021PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMITAPPUES PER: GENERALAGGREGATE $ 1,000,000 POLICY JET LOC PRODUCTS-COMP/OP AGG $ 1,000,000 OTHER: $ AUTOMOBILE.LIABILITY COMBINED SINGLE LIMIT s 1,000,000 (Ea accident) -. _ ANY AUTO BODILY INJURY(Per parson) $ A OUTOS WNED SCHEDULED Y MWPK07445411 12/21/2020 12/21/2021 BODILY INJURY(Per accident) $ A X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY _ AUTOS ONLY (Per accident) _ X 19 PIP-Basic $ 15,000 X UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ 1,000,000 • A EXCESS LIAB CLAIMS-MADE Y MWUM07574106 12/21/2020 12/21/2021 AGGREGATE ' $ DED RETENTION$ $ WORKERS COMPENSATION r PER OTH- AND EMPLOYERS'LIABILITY Y/N • STATUTE ER B ANY PROPRIETOR/PARTNER/EXECUTIVE NIA 748855 AR 03/01/2020 03/01/2021 ( E.LEACHACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? (Mandatory In In NH) EMPLOYEE $ 500,000 If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) Certificate holder is named as an Additional Insured per ENDT CG2026 12 19 attached. • CERTIFICATE HOLDER CANCELLATION . SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN City of Ashland ACCORDANCE WITH THE POLICY PROVISIONS. 455 Siskiyou Boulevard AUTHORIZED REPRESENTATIVE /) Ashland - OR 97520 "' M ,( f.y I ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD May 0421 04:50p B&B Fire Suppression 541-664-4234 p.2 COMMERCIAL GENERAL LIABILITY POLICY NUMBER: Policy ISSUE DATE: 411212019 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): City of Ashland 20 East Main Street Ashland OR 97520 • • i Section 11—Who Is An Insured is amended to include as an additional insured the person(s) or organization(s shown in the Schedule, but only with respect to liability for"bodily injury", "property damage", "personal injury" or "advertising injury"caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: A. In the performance of your ongoing operations;or B. In connection with your premises owned by or rented to you. • I CG D4 11 04 08 ©20©B The Travelers Companies,Inc. Page 1 of 1 Includes the copyrighted material of Insurance-Services Office,Inc.with its permission. 461280]9 I 13/19 '.ARFLE CERTIFICATE Sandy L. 02t j 111:1200 1::L:C9?PI L1 ) I Fant 2 May.0421 04:50p B&B Fire Suppression 541-664-4234 p.3 COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE.POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM The following is added to Paragraph c. in A.1., Who between you and that person or organization, that is Is An insured, of SECTION Il —COVERED AUTOS signed by you before the "bodily lniury" or "property LIABILITY COVERAGE in the BUSINESS AUTO damage"occurs and that is in effect during the policy COVERAGE FORM and Paragraph e.in A.1.,Who Is period, to name as an additional insured for Covered . An Insured, of SECTION II — COVERED AUTOS Autos Liability Coverage, but only for damages to LIABILITY COVERAGE in the MOTOR CARRIER which this insurance applies and only to the extent of COVERAGE FORM, whichever Coverage Form is that person's or organization's liability for the conduct part of your policy: of another"insured". This includes any person or organization who you are required under a writterr contract or agreement • • • CA T4 37 02 16 02616 The Travelers Indemnity Company.All rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office,Inc.with its permission. 4s12ssS3 I I8i;9 SAME CERTIFICATE I So-,3y o== i 111::2019 4,21:0x.FR tEDC1 I Fage 2 a? 3 • B&B Fire Suppression LLC 1131 Coachman Drive Central Point,OR 97502 Phone# 541-951-5596 4/22/2021 185 Brian Hendrix 455 Siskiyou Boulevard Ashland,Oregon 97520 Description Qty Rate Total 1 Bid Estimate for Lot 900&Lot 820 1,000.00 1,000.00 • Weed abatement. Haul off brush&blackberries. Pull Scotch broom. *** We will try to start this job within the next 2 weeks.*** Any questions,just give us a call. 541-761-0094. Thank you. • • Job Bid Estimate. We look forward to doing business with you. $1,000.00 • B&B Fire Suppression LLC 1131 Coachman.Drive Central Point,OR 97502 Phone# 541-951-5596 4/23/2021 186 Brian Hendrix 455 Siskiyou Boulevard Ashland,Oregon 97520 • Description Qty Rate Total Bid Estimate for 611 Beach St property. 600.00 600.00 • Weed abatement. Brush clearing around property. We will clear around the hidden vehicle. 'Any questions,just give us a call. 541-761-0094. • Job Bid Estimate. We look forward to doing business with you. $600.00