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HomeMy WebLinkAbout2021-102 PO 20220034- Johnson Controls Fire Protection LP Purchase Order ,a art RECO D Fiscal Year 2022 Page: 1 of: 1 s 1 .14;161;7'a' -3ri3 E4 -d T4 B City of Ashland ,l _3 _= 10-1 l X ",l Ica Al e IATTN: Accounts Payable 20 E. Main Purchase L Ashland, OR 97520 Order# 20220034 T Phone: 541/552-2010 0 Email: payable@ashland.or.us • V H CIO Facilities Maintenance.Div E JOHNSON CONTROLS FIRE PROTECTION LP I 90 North Mountain Ave N DEPT CH 10320 P Ashland, OR 97520 PALATINE, IL 60055 Phone: 541/488-5358 R T Fax: 541/552-2304 O F_cdr�aw�,�.iir �- - ���y+�••.•-=—mac, daa �-a _f�ac..--fL►a — e �c 503)683-9000 David Arnold _= • 07/12/2021 497 FOB ASHLAND OR City Accounts Pa able 1 _ — ! r,�__',I_EeE � �l- ....-_ — - . 3_.__._�•_�lF ..���.i-_1...Yl+l=�3 o's l�'� HVAC Services 1 On-call HVAC Services FY 2022 1.0 $15,000.00 $15,000.00 Goods and Services Agreement Completion date: 06/30/2022 Project Account: ***************GL SUMMARY*************** 088400-602400 $15,000.00 • By: Date: /P-IW • Authorized Signature $15 000.00 FORM #3CITY OF • M1, ASHLAND A ;;7t 101' fl Plli'CI)a >cj Oiy`�%r / 4..."...... �� . REQUISITION /� Date of request: 4/29/2021 Required date for delivery: Vendor Name Johnson Controls Address,City,State,Zip 588 Parsons Drive.Suite B.Medford,OR 97501 Contact Name&Telephone Number Kimberly Lewis 866-297-7793/541-2275710 Email address . Kimberly Lewis<kimberly.dawn.lewis@jci.com> SOURCING METHOD ❑ Exempt from Competitive Bidding ❑ Emergency ❑ Reason for exemption: 0 Invitation to Bid 0 Form#13,Written findings and Authorization ❑ AMC 2,50 Date approved by Council: 0 Written quote or proposal attached ❑ Written quote or proposal attached (Attach copy of council communication) _(If council approval required,attach copy of CC) ❑ Small Procurement ❑ Request for Proposal Cooperative Procurement �{ Not exceeding$5,000 Date approved by Council: 0 State of Oregon ❑ Direct Award _(Attach copy of council communication) Contract# ❑ VerballWritten quote(s)or proposal(s) • 0 Request for Qualifications(Public Works) 0 State of Washington Date approved by Council: Contract# (Attach copy of council communication) ❑ Other government agency contract Intermediate Procurement ® 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 quotes and solicitation attached 0 Form#4,Personal Services>$5K&<$75K Agency PERSONAL SERVICES 0 Special Procurement 0 Annual cost to City does not exceed$25,000, Greater than$5,000 and less than$75,000 0 Form#9,Request for Approval Agreement approved by Legal and approved/signed by ❑ Direct appointment not to exceed$35,000 0 Written quote or proposal attached City Administrator.AMC 2.50.070(4) ❑ (3)Written proposalslwritten solicitation Date approved by Council: 0 Annual cost to City exceeds$25,000,Council ❑ Form#4,Personal Services>$5K&<$75K Valid until: (Date) approval required.(Attach copy of council communication) Description of SERVICES Total Cost HVAC on-call service for FY22 $15,000..00. !' Item# Quantity Unit Description of MATERIALS Unit Price Total Cost ❑ Per attached quotelproposal .. TOTAL:COST i01001/0 Project Number _ Account Numbe,24OU=602400 . *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: f IT Director Date Support-Yes/No By signing this requisition form,i certify that the,City', ulil c contracting requirements have been satisfied. Employee: Department Head:--c.1--�:i �� 6:A2ilI'2.024 - toorgreatetthan$5,000) Department Manager/Supervisor: City Administrator: ciiiiiLIO ( alto greater than$25,000) Funds appropriated for current fiscal year: /NO �� � i De ty Fi ance Director-(Equal toorgrea than$ 00) Date . Comments: Form 113-Requisition i GOODS AND SERVICES AGREEMENT(LESS THAN$25,000) PROVIDER: Johnson Controls CITY O F PROVIDER'S ASHLAND CONTACT: Kimberly Lewis 20 East Main Street Ashland,Oregon.97520 ADDRESS: 588 Parsons Drive,Suite B _ Telephone: 541/488-5587 Medford, OR 97501 Fax: 541/488-6006 . PHONE: 541-227-5710 This Goods and Services Agreement (hereinafter "Agreement") is entered into by and between the City of Ashland, an Oregon municipal corporation (hereinafter "City") and Johnson Controls, (a domestic/foreign business corporation)("hereinafter"Provider"),for HVAC services, • 1. PROVIDER'S OBLIGATIONS 1,1 Provide HVAC services for FY22 as set forth in the"SUPPORTING DOCUMENTS" attached hereto and,by this reference,incorporated herein. 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 the "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. • Workers' Compensation 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; • 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 Page 1 of 6: Goods and Services Agreement between the City of Ashland and Johnson Controls • • • Be evidenced by a certificate or certificates of such insurance approved by the City. 1.3 Provider shall, at its own expense, maintain Worker's Compensation insurance in compliance with ORS 656.017,which requires subject employers to 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. 1.7 Assignment: Provider shall not assign this Agreement or subcontract any portion of the Work to be 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 e.�.L 2.1 City shall pay Provider the.sum- sevfdgd fsh .. . . -:_ •: ', - - •• : as specified in the SUPPORTING DOCUMENT ,` P II" ADO.a-0 Y'' 2.2 In no event shall Provider's total of all compensation and reimbursement under this Agreement exceed • the sum of , , thousand dollars 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 6: Goods and Services Agreement between the City of Ashland and Johnson Controls • • 3. GENERAL PROVISIONS 3.1 This is a non-exclusive Agreement, City is not obligated to procure any specific amount of Work from i • 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 Ieave, 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.0.33 destination.Provider shall pair 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 . i Page 3 of 6: Goods and Services Agreement between the City of Ashland and Johnson Controls •• • • 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 are collectively referred to in this Agreement as the"SUPPORTING DOCUMENTS:" .o The Provider's hourly rate sheet. The Provider's firm price bid(s)for each individual project. • 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 law 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 June 30, 2022, 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 termination 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 by mailing using registered or certified United States mail,return receipt requested,postage prepaid, to the address set forth below: If to the City: . Page 4 of 6; Goods and Services Agreement between the City of Ashland and Johnson Controls . City of Ashland Facilities Maintenance Department Attn: D avid Arnold 20 E.Main Street Ashland,Oregon 97520 Phone: (541) 552-2292 • With a copy to: City of Ashland—Legal Department 20 E.Main Street Ashland,OR 97520 • • Phone: (541)488-5350 If to Provider: - Johnson Controls Attn:Kimberly Lewis 541-227-5710 • 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 a waiver 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 tenu 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 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, Page 5 of 6: Goods and Services Agreement between the City of Ashland and Johnson Controls • i • 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: Johnson Controls(PROVIDER): By: By; ��S - Signature Tony Hunt Printed Name' Printed Name • Phle6LtC__ ` UM'S ptpgr Branch Service Manager Title Title (42t 12a z( 04/28/2021 Date Date W-9 is to be submitted with this signed Agreement) • Purchase Order No, • • • • • • Page 6 of 6: Goods and Services Agreement between the City of Ashland and JoJnison Controls CITY OF FORM#5 'AS H LAN D SOLE-SOURCE DETERMINATION AND WRITTEN FINDINGS GOODS AND SERVICES Less than $100,000 To: Scott Fleury,Public Works Director From: David Arnold,Facilities Maintenance Worker Date: 04-20-2021 Re: Sole Source Determination and Written Findings for Goods and Services In accordance with AMC 2.50.090(F),the Department Head shall determine in writing that there is only one provider of a product or service of the quality and type required available. Estimated total value of contract: $15,000 Project name: FY 2022 on call as needed response to unscheduled HVAC repairs Description of goods and services: Field service to maintain HVAC systems for the City of Ashland Background: The City of Ashland Community Development,Water Treatment Plant and Waste Water Treatment Plant HVAC system utilizes Johnson Controls parts and equipment. • Form#5-Sole Source—Goods and Services—Less than$100,000,Page 1 of 2,5/19/2021 Findings: [The findings below must include factual information supporting the determination]. Market Research Overall finding: [In accordance with ORS 279B.075, these are the examples of findings that should be addressed • Select at least one of the findings and prepare the determination as it specifically relates to the goods or services being procured More than one finding can be addressed The findings are as follows.j Pursuant to ORS 279B.075 (2)(a): Provide findings supporting your determination that the efficient utilization of existing goods requires the acquisition of compatible goods or services from only one source. The City of Ashland utilizes Johnson Controls HVAC control systems at The Community Development Building,Water and Waste Water Plants. All parts, equipment and service are proprietary and subject to Johnson Control warranties.All settings and calibrations must be implemented at time of service utilizing the operating software which is managed exclusively by Johnson Controls. Pursuant to ORS 279B.075 (2)(b): Provide findings supporting your determination that the goods or services required for the exchange of software or data with other public or private agencies are available from only one source. N/A Pursuant to ORS 279B.075 (2)(c): Provide findings supporting your determination that the goods or services are for use in a pilot or an experimental project. N/A Pursuant to ORS 279B.075 (2)(d): Any other findings that support the conclusion that the goods or services are available from only one source. N/A Form#5-Sole Source—Goods and Services—Less than$100,000,Page 2 of 2,5/19/2021 o �� Servicee' Johnson Controls Nicole Graham To: City of Ashland 90 N. Mountain Avenue Ashland, OR 97520 Date: April 26,2021 Project: Johnson Controls Medford Labor Rates Nicole, Here are the labor rates for JCI personnel for the Medford,OR branch. These rates are current for 2021. Johnson Controls Labor Rates($/Hr): La orfiyp---;zerouvroomRegular;Tune.. ....:Overtime..,,, Double: '�uie Clnller;lVlechanic v_ : $142.50 $213.75 $285.00 ica Gelnexal�Niecyina ) $131.25 $196.88 $262.50 �anl(Journe Co1ntrols Technician $147.75 $221.63 $295.50 - v S.ecusity.&)~ire.Technxcian. , .;a._. $122.00 $183,00 $244.00 wy Mileage(permxle) $1.84 Dxsposal(1,x charge,per se nce) < $45.00 Regular Time is Monday through Friday during normal business hours. Overtime rate is charged for time worked over an 8-hour day or for the first 8 hours of labor on Saturdays. Double Time is charged for work over 12 hours on a weekday,over 8 hours on a Saturday,or any labor spent on Sundays or Holidays. Specifically,for the Chiller Mechanic,we have a person on staff who has achieved the highest possible York Factory Training for Chillers and attained the designation of Certified Master Factory Trained Technician. There are less than forty individuals with this certification in the continental United States. This training has been obtained in the last three years. Thank you for your interest in Johnson Controls. Please let us know if you have any questions. Kimberly Lewis Customer Service Agent II-Oregon Johnson Controls 503-305-2059 Office 971-291-6543 Cell 866-635-1302 24-Hour Toll Free Service • *This document is considered confidential and not intended for distribution outside City of Ashland* 1 page 4011 SE International Way Suite 605—Milwaukie,OR 97222-P 503.305.2059—F 503.654.1158 1 ® 1 DATE(MMIDD/YYYY) A o CERTIFICATE OF LIABILITY INSURANCE 03/1112021 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(les)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 NAME: • Marsh USA Inc. FAX 540 West Madison Street ( c.o,Exth (AIC.Not: Suite 1200 E-MAIL Chicago,IL 60661 ADDRESS: Attu;JCi.Certrequest@marsh.com INSURER(S)AFFORDING COVERAGE NAM# CN101230596-5-20-21' INSURER A:Old Republic Insurance Company ' 24147 INSURED INSURER B: Johnson Controls,Inc. Tyco International Holding S,a.rl, INSURER C: SimplexGdhnell LP INSURER D: (see attached Acord 101) 5757 North Green Bay Avenue INSURER E: Milwaukee,WI 53209 INSURER F: COVERAGES CERTIFICATE NUMBER: CHI-009794565-02 REVISION NUMBER: 2 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 INSD WVD POLICY NUMBER (MMIDD/YYYYi (MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY X MWZY313947-20 10101/2020 10/01/2021 EACH OCCURRENCE $ 5,000,000 CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ 5,000,000 X Contractual Liability MED EXP(Any one person) _ $ 50,000 X XCU Included PERSONAL&ADV INJURY $ 5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 20,000,000 X POLICY )E PROCT LOC PRODUCTS-COMP/OP AGG $ INC IN GEN AGG OTHER: $ A AUTOMOBILE LIABILITY X MWTB 313946-20(Excludes New Hemp) 10/01/2020 10/01/2021 (Ea COMaccident)BINED SINGLE LIMIT $ 2,500,000 X ANY AUTO BODILY INJURY(Par person) $ ! OWNED ^SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS • HIRED NON-OWNED AUTOS ONLY _ AUTOS ONLY PROPERTY DAMAGE $ (Per oq $ UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTIONS $ A WORKERS COMPENSATION MWC 313943-20(AOS-see page 2) 10/01/2020 10/01/2021 X STATUTE EOTH- R AND EMPLOYERS'LIABILITY A Y/N MWXS 313944-20(OH&WA) 10/01/2020 10/01/2021 1,000,000 ANYPROPRIETOR/PARTNERIEXECUTIVE EL.EACH ACCIDENT $ OFFICER/MEMBEREXCLUDED? N NIA (Mandatory In NH) EL,DISEASE-CA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION E.L.DISEASE N OF OPERATIONS below 1,000,000 -POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) City of Ashland is included as additional Insured per the attached.See attached Acord 101 for additional information including Additional Insured,Primary/Non-contributoty,Waiver of Subrogation and Notice of Cancellation provisions. If an"X'Is Indicated In either the'ADDL INSD`or"SUBR WVD"boxes above,the indicated provision apples,BUT ONLY to the extent required by written contract and only as outlined In this Certificate of Insurance. CERTIFICATE HOLDER CANCELLATION City of Ashland SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 20 East Main Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Ashland,OR 97520 ACCORDANCE WITH THE POLICY PROVISIONS. / i AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Manashi Mukherjee (.a.&Dic 0 LL N„l+t.LM.ics1 -e.A. ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD • • AGENCY CUSTOMER iD: CN101230596 Loc#: Milwaukee AORD ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED Marsh USA Inc, Johnson Controls,Inc, Tyco International Holding S.a.r.l, POLICY NUMBER NUMBER SimplexGrinnell LP (see attached Acord 101) 5757 North Green Bay Avenue CARRIER NAIC CODE Milwaukee,WI 53200 EFFECTIVE DATE: • ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance • WORKERS COMPENSATION: Workers Compensation MOS"Policy Includes coverage for employees from the following Stales WHILE WORKING IN ANY STATE:AK,AL,AR,AZ,CA,CO,CT,DC,DE,FL,GA,HI,IA,ID,IL,IN,KS,KY,LA, MA,MD,ME,Ml,MN,MO,MS,MT,NC,NE,NH,NJ,NM,NV,NY,OK,OR,PA,Ri,SC,SD,TN,TX,UT,VA,VT,WI,&WV. PRIMARY COVERAGE The General Liability and Automobile Liability policies are primary and not excess of or contributing with other insurance or self-Insurance,where required by written lease or written contract.For General Liability, this applies to both ongoing and completed operations. WAIVER OF SUBROGATION: The General Uablllty,Automobile Liability,Workers'Compensation and Employers Liability policies Include a Waiver of Subrogation In favor of the certholder and any other person or o•ganization,BUT ONLY to the extent required by written contract. ADDITIONAL INSURED-AUTOMOBILE LIABILITY: The Automobile Liability policy,if required by written contract,Includes coverage for Additional Insureds as required by such written contract. ADDITIONAL INSURED-GENERAL LIABILITY: For General Liability,if required by written contract,the following are included as additional Insureds,as required pursuant to a written contract with a named insured,per attached Policy Endorsements A2 and A2A:THE CERTIFICATE HOLDER LISTED ON THIS CERTIFICATE OF LIABILITY INSURANCE,AND EACH OTHER PERSON OR ORGANIZATION REQUIRED TO BE INCLUDED AS AN ADDITIONAL INSURED PURSUANT TO A WRITTEN CONTRACT WITH THE NAMED INSURED. - ONGOING OPERATIONS AND COMPLETED OPERATIONS INSURANCE i The General Liability Insurance includes insurance for ongoing operations and completed operations. LIMIT OF LIABILITY: The Liability Limit that applies is the amount Indicated on the face of this Certificate of Liability Insurance,or the minimum Liability limit that is required by the written contract,whichever is less.If there Is no contract then the Liability Limit is limited to$1,000,000. NOTICE OF CANCELLATION TO CERTIFICATE HOLDERS: Should any of the above described policies be cancelled,other than for non-payment,before the expiration date thereof,30 days advice of cancellation will be delivered to certificate holders in accordance with the policy endorsements. NAMED INSURED: Air Distribution Technologies IP,LLC;Air System Components,Inc.;Carter Brothers,LLC;CEM Access Systems,Inc.;Central CPVC Corporation;Central Sprinkler LLC;Chemguard,Inc.;Connect 24 Wireless Communications Inc.;Digital Security Controls,Inc.;Eastern Sheet Metal,Inc.;Elpes,Inc.;Exacq Technologies,Inc.;FBN Transportation,Inc,;Federal Energy Infrastructure Solutions,LLC;Grinnell Fire Protection Solutions LLC;Grinnell LLC;Hart&Cooley Trucking Company;Hart&Cooley,Inc.;Haz-Tank Fabricators,Inc.;IMECO LLC;Integrated Systems and Power,Inc.;Johnson Controls(Suisse)SA; Johnson Controls Air Conditioning and Refrigeration,Inc.;Johnson Controls Building Automation Systems,LLC;Johnson Controls Digital Solutions LLC;Johnson Controls Engineering,LLC;Johnson Controls Federal Systems,Inc.;Johnson Controls Fire Protection LP;Johnson Controls Foundation,Inc.;Johnson Controls Government Systems,LLC;Johnson Controls,Inc.;Johnson Controls Navy Systems,LLC; Johnson Controls PI Project Site Operations LLC;Johnson Controls Security Solutions LLC;Johnson Controls-Hitchl Air Conditoning North America LLC;Koch Filter Corporation;Master Protection LP dba FlreMasler,Qolsys,Inc.;Retail Expert,Inc.;Ruskin Company;Ruskin Rooftop Systems,Inc.;Ruskin Service Company;Selkirk Corporation;Senetco Iberia,Inc.;SensormaticAsia/Pacific,Inc.;Sensormatic Electronics(Puerto Rico)LLC;Sensormatic Electronics,LLC;ShopperTrak International Investment LLC;ShopperTrak RCT Corporation;Shurjoint America,Inc.;SimplexGrinnell LP;Tyco Fire&Security LLC; Tyco Fire Products LP;Tyco Integrated Security LLC;Tyco International Holding Sari.;Tyco International Management Company,LLC;Visonic Inc.;WiliFire HC,LLC;York International(SA),Inc.;York International Corporation ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD • IL 10 (12/0.6) OLD REPUBLIC INSURANCE COMPANY ADDITIONAL INSURED -OWNERS; LESSEES OR CONTRACTORS.-SCHEDULED PERSON OR ORGANIZATION - ENDORSEMENT A2 • Named Insured Endorsement Number Johnson Controls,Inc.Tyco International Wilding Policy Prefix Policy Number 'Policy Period Effective Date of Endorsement' 10/01120 Issued By THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. • This endorsement modifies insurance.provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons)Or Organization(s): If required by contract,the person or•organization listed on.the certificate of.insurance as additional insured,and.eaoh other person or•organization required to be Included as an additional insured pursuant to.a contract with a named insured. • • Locations)Of Covered operations: As required by contract: Information required to complete this.Schedule,if not shown.above,will be shown in the Declarations. A. Section II-Who.1s An insured Is amended to include,as an additional insured the persons)or organizations) shown in the Schedule, but only with respect to liability for"bodily injury", "property damage" or "personal and advertising injury"caused solely.by.: 1. Your acts or omissions;or 2. The,acts or omissions of'those acting on your behalf; in the performance of your ongoing operations for the additional insured(s)at the Iocation(a)designated above. B. With respect to the.insurance.afford0 to these.additional.insureds,the following additional exclusions apply: This insurance does *apply to"bodily injury"or"property damage"occurring after: g,materials, pars or equipment furnished it) co nnectlon.vv,[,th suoh.work, on.'the project 1. Ail work,lncludin .. (other than service, maintenance or repairs)to.be.performed by or on behalf of the additional`insured(s) at the location of•the covered operatfons,.has been completed;or 2.. That portion.of"your wore out of which.the injury or damage arises has been put.to its;intended use by any person or organization other than another contractor or subcontractor engaged in performing • operations for a principal as a part of the same project. GL 289 001 1012 .MWZY 31394720 •Johnson Controls;Ino:Tycolnternatlonal Holding /0101/2020-10/01/2021 4 IL 10 (12/06) OLD REPUBLIC INSURANCE COMPANY ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS - ENDORSEMENT A2A Named Insured Endorsement Number Johnson Controls,Inc.Tyco International Holding S:a.r.I, Policy Prefix Policy Number Policy Period Effective Date of Endorsement 10/01/20 Issued By THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s)Or Organization(s): If required by contract,the person or organization listed on the certificate of insurance as additional insured,and each other person or organization required to be Included as an additional insured pursuant to a contract with a named insured. • Location And Description Of Completed Operations: As required by contract 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 include as an additional Insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused solely by "your work" at the location designated and described in the Schedule of this endorsement performed for that.additional insured and included in the "products-completed operations hazard". • GL 289 002 1012 MWZY 313947 20 Johnson Controls,Inc.Tyco International Holding 10/01%2020-10/01/2021