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HomeMy WebLinkAbout2021-104 PO 20220074- Corio,Jennifer • Purchase Order mem Fiscal Year 2022 Page: 1 of: 1 MOMMOPIEDITOZIN B City of Ashland I ATTN:Accounts Payable Purchase Ashland, OR 97520 Order# 20220074 T Phone: 541/552-2010 0 Email: payable@ashland.or.us V H CIO Conservation Division E CORIO, JENNIFER I 51 Winburn Way N .1930 D ST p Ashland, OR 97520 D VANCOUVER, WA 98663 Phone: 541/488-5306 R T Fax: 541/552-2050 IEIe1s7i==e[27c1-__t _r=1=1ArandH ember —E=1a'e t-1. 'Bill Molnar ofoIe gzfzfel=lc � r=io7=s��=i c1.l';h1711v1'-`- 08/03/2021 5978 City Accounts Payable '- c--_ _c _,n13�..L.i-I_ _ c v =SI. v Ea4_�=v�Ely—P ..:1=I��-1_I3-_-3'�c� Sculpture"Golden Connections" 1 Manufacture, engineer, transport and install the City- 1.0 $25,000.00 $25,000.00 commissioned sculpture entitled "Golden Connections" Goods &Services Agreement (Greater than $25,000) Completion date: 05/31/2022 Project Account: E-000181-999 • ***************GL SUMMARY*************** 010218-604160 $25,000.00• • • • • • • By: Date: 08/04/20 Au i e ture 21 $25,000.00 I 'FORM #3 I 'd(`-7.46--t:P8.---2------r c 1 T Y_ o >F AS H LAN D • A F).,.tk t t.fen a P(.(c cltl:i$ r („:1,,Ti;.0 REQUISITIONDate of,4k- request: 07/27/2021 Required date for.delivery: 08/15/2021 Vendor Name Cobalt Deslgnworks Address,City,State,Zip -1930 o St.,Vancouver,Washington 98663 Contact Name&Telephone Number Jennifer Corlo 360-281-5619 • i Email address Jennifer@cobaltdesignworks.com ' SOURCING METHOD ❑ Exempt from Competitive Bidding 0 Invitation to Bid 0 Emergency ❑ Reason for exemption: Date approved by Council: ❑ 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) ❑ Small Procurement Il Request for Proposal Cooperative Procurement Not exceeding$5,000 Date approved by Council:4/20/2021 D State of Oregon ❑ Direct Award ■ (Attach copy of council communication) Contract# ElVerballWritten bid(s)or proposal(s) ❑ Request for Qualifications(Public Works) 0 State of Washington Date approved by Council: Contract# (Attach copy of council communication) 0 Other government agency contract Intermediate Procurement ■ Sole Source Agency GOODS&SERVICES ■ Contract# Greater than$5,000 and less than$100,000 ■ Written quote or proposal attached Intergovernmental Agreement ❑ (3)Written bids&solicitation attached • Agency PERSONAL SERVICES Date_a a ' ' • 0 Annual cost to City does not exceed$25,000. Greater than$5,000 and less than$75,000 Valid Agreement approved by Legal and approvedlsigned by ❑ Less than$35,000,by direct appointment ■ Special Procurement City Administrator.AMC 2.50.070(4) ❑ (3)Written proposals&solicitation attached • Forrn , 0 Annual cost to City exceeds$25,000,Council ❑ Form#4,Personal Services$5K to$75K ■ : quote approval required.(Attach copy of council communication) Date approved by Cotincil: . Valid until: Date . . Description of SERVICES Total Cost -k4 •..:•..;:rat�.x••:•- i:,.t:�y .., - and install the City-commissioned sculpture entitled"Golden 4 AYs..{ Q eXC,V@; �{t: -n''= #i}rti' Manufacture,engineer,transport, tY z,-diIA �y� .�_ ,:;;,w..y2-0- Connections 11r'•� �rfi • :"1 y�.�g� ::;t\::'•,W). 'o 1titu...s.tt=`t`'.;+6H;::4fi;.•::rt;LJ�>..:.:y?:4,*Piek? Item# Quantity Unit Description of MATERIALS Unit Price Total Cost • 0 Per attached quotelproposaltir1i'OTAL'COSIVA •4 1gL-9�� 0 I 62 I8.(goy 11 (v_U t4}� V}K-' ` iT Account Number ' .x�= '�- Project Number� � —•- Account Number • Account Number - *Expenditure must be charged to the appropriate account numbers for the financials to accurately reflect the actual expenditures. iTDirectorIncollaborationwithdepartaenttoapproveallhardwareandsoftwar /Tb'‘c r Date Support-Yes/No By signing thi s r islti form,I certi,- hat th'City's,u,lie contracting requirements have been sails • Employe : A��'t J., Department H th \. f qu IKo or greater than$5,000) • Department Manager/Supervisor: City Manage? , � �, �r,( Funds appropriated for current fiscal year: YES /NO `—, (Equal to or C 1erfiJ7'210 Finance Director-(Equal to or greater than$5,000) i,c� e1 Comments: • Form113-Requisition - Council Business Meeting April 20, 2021 Agenda Item Approval of Public Art in Railroad Park From Andy Stallman Chair, Public Arts Commission Aaron Anderson Associate Planner, Community Development Contact aaron.anderson@ashland.or.us; 541-552-2052 SUMMARY The Public Arts Commission PAC and Historic Commission have been working jointly on the"Marking Ashland Places"project, or MAP which was approved by council in May of 2013.Today the Public Arts Commission is coming before the City Council for their approval of the final selected design for the"Hub Sculpture,"which is Phase 2 of the MAP project.Pursuant to AMC 2.29.100 the PAC issued a Request for Qualifications(RFQ)to call for entries.The PAC then selected three finalists who were granted a stipend to complete their design.proposals. Once submitted the PAC sent the design proposals to a selection committee that was formed for the purpose of selecting a final design. The PAC is now formally forwarding that recommendation to the City Council for final approval. POLICIES,PLANS&GOALS SUPPORTED • Public Arts Master Plan • Comprehensive Plan—Historic Overview: Policy(1.31)#1 The City recognizes that the preservation of historic sites and buildings provides both tangible evidence of our heritage and economic advantages • Comprehensive Plan—Transportation Element:Policy(10.15.06)#3 Encourage public art along multi-modal travel corridors. PREVIOUS COUNCIL ACTION On May 21, 2013,the council addressed an agenda item titled"Council direction for the Historic Commission and the Community Development Department to create a Historic Marker Program."The project was approved as a pilot project for the Railroad District. BACKGROUND AND ADDITIONAL INFORMATION In January 2013 The Historic Commission and Public Arts Commission(PAC) created a sub-committee to work on developing a concept for a historic marker project.In May of 2013 the concept was presented to the City Council with 3 different proposals of different scope,presented as different`tiers',ranging from$144,500 (tier 1)which would have had installations in each of the four historic districts to$53,500 (tier 3)which was presented as a smaller project focused only on the Downtown District. As captured in the Council minutes: "The sub-committee developed a hub and spokes plan for the four historic districts in Ashland;Each hub would had a contemporary site specific sculpture based on a historic theme that would lead to spoke sites identified as key places within each district. Spoke sites could be marked'by plaques in the ground,bike racks, or some other form of marker appropriate to the site." During the Council deliberations it was moved that the smallest proposal be approved but council direct that it should be the Railroad district instead of Downtown.A motion was made to"endorse the Historic Markers Master Plan and request that staff and the Historic Commission work toward tier 3 of the plan for the Railroad District." The motion passed unanimously.Following the 2013 approval the project was dormant until a joint meeting of three Page 1 of 4 CITY Of AS LAN D i members of the PAC and three members of the Historic Commission met in October 2018. The in the following months sub-committee the project became named"Marking Ashland Places"or MAP. The MAP project is best described as a historic marker and wayfinding project to provide a connection to the history of Ashland on today's landscape.This project will create a sense of place and pride by establishing distinctive landmarks within the City's four Nationally Registered Historic Districts and will serve to promote historic and heritage tourism to the City.The vision for this project is to create a Hub Site in each of the four Historic Districts: Railroad District,Downtown, Siskiyou-Hargadine, and Skidmore-Academy.At each Hub Site,the project calls for the placement of historic-themed, site-specific, contemporary Artwork.An informational plaque describing why the Hub Site was important to the development of each historic district will also be installed at these Hub locations. Phase one ultimately settled on marking the spoke sites with five bronze medallions (24"in diameter)to be set into the sidewalks,commemorating historic sites.Fabrication should begin later this year with installation expected in spring 2022. In February and again in March of 2019 PAC and Historic commissions presented to the APRC regarding the MAP project.Ultimately it was moved"to approve the conceptual plan of locating the hub sculpture and plaque in the Railroad District at this proposed site of the park" In December 2020 the RFQ(Attached)was released,posted on the city web page and emailed to an internal list of artists and art orgmni7ations.The RFQ wasto design,fabricate,,deliver,and install a permanent site-specific artwork for an outdoor installation. The RFQ specified certain:physical'constraints and requested that the artwork-"be ~; visually stimulating,perhaps whimsical and colorful, and responsive to the site in terms of scale, material, and form;reflect the historic significance of the Ashland Railroad District" By the deadline seven submissions were received.Based on.the RFQ criteria,the PAC chose the three best submissions.After references provided by the finalists were contacted and met PAC's approval the three finalists were notified and entered into personal services contracts with the City for the advertised sum of$1500 for each ' artist.The final submissions-were due by March 5th. On March 8t`at a special meeting of the PAC all submissions were reviewed and certified that all submissions were complete,met all criteria,and confirmed that all of the submissions would be appropriate if the selection panel chose them.A Selection Panel was then formed following AMC 2.29.100.B.°The selection panel consisted of(listed alphabetically)Bruce Bayard(local citizen),Jody Cordova(local citizen),Carlos Delgado(architect),Mike Gardiner(APRC),Michael Morrison.(Public Works �3..5'.e'• ,� _q��"6.RHy -.��-�p-�'9�1a ,,----7,4{51%.3k,-_:-_,:7-0, Superintendent),Ann Seltzer(former staff liaison PAC),, and 4 �, i4 FVit � g .4#2,a Destiny Young(local citizen).On March 10ththe Selection F 4. � : -,`� '4', , : ', , Panel met via zoom and deliberated over the three design L,;. y2� 1� -�. ' t' �1 proposals.And ultimately selected the proposal by Jennifer 4„.... __ -4 1 ,• �; ' Corio &Dave Frei of Cobalt Designworks titled: "Golden F , I ' Opportunity."The Memo from the Selection Panel is the first ' 01- - _ ,+; attachment and explains the motions that were made. One of the �t , ,; ��Y fir, motions was to recommend the Public Art Commission p.4-Ft.102.1 •w .. s- 1 ! I r.�-- -'sus- i l �{, • "collaborate with the artist"to address certain concerns,this will r •` '., '.Tr Y be discussed in more detail below,but first it is important to ,. 'r t !` ! a a ',' '' - i'' ' r' discuss the details of the proposed design. Physically the sculpture is described as "A large golden spike penetrates an XX foot diameter circle made from industrial , • •• y4 channel iron. The topside of the circle becomes a winding train iI , track sa i an the to s to ourn over the Siskiyou • Sn fY S topsy-turvy r l'1'1 eJ' , Mountains that stands between Oregon and California." Page 2 of 4 Ci 'fit' Y tl, F ASHLAND The artists introducing the sculpture: "Golden Opportunity merges a trio of powerful symbols to tell the story of how the railroad spurred a huge transformation in Ashland when Southern Pacific chose the town as a main stop between their Portland-San Francisco line as well as a full-service maintenance yard. The symbols come together in a fun way that creates a clean, contemporary artwork that boldly welcomes people to Railroad Park while framing the beautiful mountainous landscape behind it. The artwork becomes a canvas for storytelling vignettes that give the viewer insight into the important history that surrounds themat that very location. The stories glow at night, adding another eye-catching layer to the sculpture." The artists narrative goes into depth explaining each of the elements of the proposed design,but in relevant part that needs further discussion is with regard to the"Storytelling Vignettes."The Artists states that"The spike becomes a canvas for short textual phrases that help paint a picture of Ashland during the days when the railroad was in full operation.". The design proposal included a few examples of phrasing but stated that they"[felt]this needs to be a collaborative process to decide what phrases would be most meaningful and relevant to the location and community,"There were three examples provided(these are found on page 23 of the attachment),one called `train time', one called`winding rails' and finally one that is described as 'An offering of gratitude and forgiveness to the Chinese...' shown below: �-1�`.a`.s•`s� '=••i'sdsNr'"w.s-. • IS �m+ „ _ • Example 3(Backside):An offering of gratitude and forgiveness to the Chinese iwho worked under difficult conditions to build these tracks.(We would need to confirm the language and characters.This example shows Mandarin symbols for Thank You and I Am Sorry.) • With the forgoing having been said,we return to the second motion that the selection panel made which was"to recommend the Public Art Commission collaborate with the artist to address the following concerns: 1. The panel asks the artist that there be a strong color contrast between the spike and the circle. 2. The font on the front of the spike bears too strong resemblance to the City of Ashland logo and the panel asks for a change perhaps all caps of the same size? 3. The panel prefers the backside of the spike include the Chinese characters. However,the panelists would like the artist to somehow include the English translation of the characters ("Thank You"and"I Am Sorry"). If space does not permit those additional words perhaps the . artist could shorten the sentence about"in honor of..."?" The PAC is planning to begin to discuss these concerns and will be hosting the artists to discuss these items further • at their April 16th regular meeting. On April 14th all the materials in this packet will be reviewed by the_AMC at their regular business meeting for • approval of the design. FISCAL t PACTS • $1,500 was paid to each of the 3 finalists to develop conceptual designs $25,000 is the contracted price paid to the selected artist/group for the final design Project Total(before landscaping&lighting): $29,500 • All costs associated with artwork&final implementation are paid for from PAC's TOT Funding STAFF RECOMMENDATION Staff recommends approval of this site-specific sculpture - . Page 3 of 4 CITY OF SHLANI } 7 ACTIONS, OPTIONS&POTENTIAL MOTIONS I move to approve the selected design for the'Hub,sculpture' of phase 2 of the Marking Ashland Places (MAP) project. REFERENCES &ATTACHMENTS • • Memo from Selection Panel • Design Submission • RFQ including MAP project outline and contract • • • • • • i i 1 • • • • Page 4 of 4 'C:liT X 0 FF:r • LAN D. Memo March 10, 2021 To: City of Ashland Public Art Commission From: Railroad District Hub Artwork Selection Panel CC: Selection Panelists The Selection Panel is please to recommend to the Public Art Commission the concept Golden Opportunity by Jennifer Corio and David Frei for installation at Railroad Park. Motion#1 by Mike Gardiner and second by Bruce Bayard. Move to recommend to the Public Art Commission the concept Golden Opportunity for installation at Railroad Park. . The motion passed unanimously. Motion #2 by Bruce Bayard and second by Mike Gardiner • Move to recommend the Public Art Commission collaborate with the artist to address the following concerns: 1) The panel asks the artist that there be a strong color contrast between the spike and the circle. 2) The font on the front of the spike bears too strong resemblance to the City of Ashland logo and the CITY OF panel asks for a change perhaps all caps of the H LAN D same size? 3) The panel prefers the backside of the spike include the Chinese characters. However,the panelists would like the artist to somehow include the English translatioh of the characters ("Thank You"and "I Am Sorry"). If space does not permit those additional words perhaps the artist could shorten the sentence about"in honor of..."? The motion passed unanimously. • We look forward to the PAC sending our unanimous decision to the Ashland Parks and Recreation Commission and to the City Council for their final approval of the fabrication and installation of Golden Opportunity.We eagerly await the installation and dedication of the piece. Thank you for the opportunity to participate. GOODS &SERVICES AGREEMENT(GREATER THAN$25,000) PROVIDER: Cobalt Designworks CITY OF PROVIDER'S CONTACT: Jennifer Corio ASHLAND LAND ADDRESS: 1930 D Street 20 East Main.Street Vancouver,Washington 98663 Ashland,Oregon 97520 Telephone: 541/488-5587 TELEPHONE: 360-281-5619 Fax: 541/488-6006 • EMAIL: iennifer@cobaltdesignworks.com • This Goods and Services Agreement(hereinafter"Agreement")is entered into by and between the City of Ashland,an Oregon municipal corporation(hereinafter"City") and Cobalt Designworks,LLC, a limited liability company("hereinafter"Provider"),for the fabrication and installation of the sculpture"Golden Connections." I. PROVIDER'S OBLIGATIONS 1.1 Provider shall manufacture, engineer,transport,and install the City-commissioned sculpture entitled "Golden Connections"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 maxi_miim compensation. The goads and 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 U. S. dollars)per occurrence for Bodily Injury,Death,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; • • Provider shall immediately notify the City of any change in insurance coverage Page 1 of 7: Goods and Services Agreement between the City of Ashland and Cobalt Designworks • 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. 1.3 All subject employers working under this Agreement are either employers that will comply with ORS 656.017 or employers that are exempt under ORS 656.126. As evidence of the insurance required by this Agreement,the Provider shall furnish an acceptable insurance certificate prior to commencing any Work under this Agreement. 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 areaswhere it will be seen by all employees. 2. CITY'S OBLIGATIONS 2,1 City shall pay Provider the sum of$25,000.00 (twenty-five thousand U. S. dollars) 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$25,000.00 (twenty-five thousand U.S. 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. 2.3 The sum set forth in Subsection 2.1 above shall be paid pursuant to the following schedule: one-third of the total sum due shall be paid upon execution of this Agreement; one-third of the total sum due shall be paid when fabrication of the sculpture, "Golden Connections,"is fifty percent(50%) complete; and the final one-third of the total sum due shall be paid upon the City's final written acceptance of the installed Work. Page 2 of 7: Goods and Services Agreement between the City of Ashland and Cobalt Designworks I ' • 3. GENERAL PROVISIONS 3.1 This is a non-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. 1 3.3 Proprietary Rights and Rights of Reproduction 3.3.1 Provider retains all rights it may be entitled to pursuant to the Copyright Act of 1976, 17 U.S.0 • 101 et. seq., and all other rights in and to the artwork entitled"Golden Connections"except ownership and possession,and except as such rights are limited to this Subsection 3.3. 3.3.2 Because the parties intend that the artwork, "Golden Connections;"in its final dimension shall be unique,Provider shall not make any additional duplicate,three-dimensional reproductions of the artwork at any scale,or permit others to do so; except with the written permission of the City. Provider grants to the City and its assigns an irrevocable,non-exclusive,royalty-free license to graphically reproduce the artwork for City use,including but not limited to,the purposes of marketing,publicity,education,or exhibition of the artwork. 3.3.3 The City shall make its best efforts to credit Provider with the creation of the artwork, and when applicable,will publish a copyright notice in substantially the following form: "Cobalt Designworks—Jennifer Corio and Dave Frei,2021". Provider shall use its best efforts to give a credit reading"an original work commissioned and owned by the City of Ashland,Oregon" in any public showing or print reproduction under Provider's control. 3.4 Provider is not entitled to,and expressly waives all claims to City benefits such as health and disability insurance,paid leave, and retirement. • 3.5 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. 3.6 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. 3.7 This Agreement may be amended only by written instrument executed with the same formalities as this Agreement. 3.8 The following laws of the State of Oregon are hereby incorporated by reference into this Agreement: ORS 279B.220,279B.230 and 279B.235. 3.8 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 Page 3 of 7: Goods and Services Agreement between the City of Ashland and Cobalt Designworks 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. 3.9 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. 3.10 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. 3.11 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. 3.12 Deliveries will be F.O.B destination.Provider shall pay all transportation and handling charges for the Work.Provider is responsible and liable for loss or damage until final inspection and acceptance of the Work by the City. Provider remains liable for any latent defects,fraud, and warranties. 3.13 The City may inspect and test the Work.The City may reject non-conforming Work and require Provider to correct any non-conformities 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 Work and cancel this 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). 3.14 Provider represents and warrants that the Work is new, current, and fully warranted for a period of two years upon acceptance where Artist is liable and responsible for repairs costs that are needed due to defects in material and workmanships.All delivered Work;including the artwork, "Golden Connections"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:" • The City's written Request for Qualifications for a Site-Specific Public Art Installation dated November 9,2020. • Provider's complete,written Refined Design Proposal entitled"Golden Connections,"dated June 17,2021. 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; Page 4 of 6: Goods and Services Agreement between the City of Ashland and Cobalt Designworks l 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, but Provider shall be entitled to receive just and equitable compensation for any satisfactory services completed on.the Work prior to the date of termination,not to exceed the payment ceiling set forth above. If previous amounts paid.to Provider exceed the amount due,Provider shall immediately return any excess amounts paid by City upon written demand from the City. 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 May 31,2022,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 isin 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: City of Ashland—Community Development Department Attn: Aaron Anderson(PAC) 20 E.Main Street Ashland, Oregon 97520 With a copy to: City of Ashland—Legal Department 20 E.Main Street Ashland, Oregon 97520 If to Consultant: Jennifer Corio 1930 D Street Vancouver,Washington 98663 •I _ Page 5 of 7: Goods and Services Agreement between the City of Ashland and Cobalt Designworks 8. WAIVER OF BREACH • One or more waivers or failures to object by either party to the other's breach of any provision,teuu, 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 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 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 6 of 7: Goods and Services Agreement between the City of Ashland and Cobalt Designworks IN WITNESS WHEREOF the parties have caused this Agreernent to be signed in their respective names by their duly authorized representatives as of the dates set forth below. • CITY OF ASHLAND: COBALT DESIGNWORKS (PROVIDER): By: jx., Z. • By: Uiriflittli-U--("9-2-td--- dain Hanks, City Manager Pro Tem , /j Signature 14/mire/ (1.-.)n.D 7/5/2 1 Date j Printed Name • n -1/4-z:TifL i 't- d•�%9i D y, - etL�yudovk `J 1,-) Title i 0T./` ) l Date/ Purchase Order No. 7 / (W-9 is to be submitted with this signed Agreement) APPROVED AS TO FORM: 2 Assistant City Attorney • J Date . • Page 7 of 7: Goods and Services Agreement between the City of Ashland and Cobalt Designworks A REQUEST FOR QUALIFICATIONS FORA SITE-SPECIFIC PUBLIC ART INSTALLATION PROJECT NO: 2020-01 PROJECT TYPE: Site-Specific Public Art Installation, SUBMISSIONS DUE: December 7,2020,not later than 5:00 PM PST SUBMIT SUBMISSIONS: by email to: public art 7rashland.or.us CITY PROJECT MANAGER: Aaron Anderson Fli 11401 CITY OF ASHLAND COMMUNITY DEVELOPMENT DEPARTMENT 20 EAST MAIN STREET ASHLAND,OREGON 97520 z ®al ADVERTISEMENT CALL FOR ARTISTS CITY OF ASHLAND REQUEST FOR QUALIFICATIONS FOR A SITE-SPECIFIC PUBLIC ART INSTALLATION • The City of Ashland(hereinafter the City)is seeking qualifications from professional artists or artist-led teams to design,fabricate/have fabricated and install contemporary free-standing, site- specific artwork(hereinafter the Project)within Ashland's Historic Railroad District. The selection process includes two phases: Phase 1, Submission of Qualifications and Artist Selection;Phase 2, Commissioning of Artwork. SECTION 1. PROJECT OVERVIEW: The City of Ashland,by and through its Public Arts Commission, seeks to commission an • artist/artist-led team to design,fabricate, deliver and install contemporary, free-standing, site- specific artwork to serve as a focal point anchoring numerous historic sites located within the City's Historic Railroad District. This artwork will represent the second phase of multi-phase project entitled"Marking Ashland Places"or"the MAP project"which is intended to provide a connection to the history of Ashland on today's landscape. A full description of the multi-phase MAP Project is attached as Addendum A. SECTION 2.ARTIST ELIGIBILITY: All professional artists/artist-led teams with reviewable portfolios and that meet the following criteria are eligible to present qualifications for this Project: 2.1 Artists/artist-led teams must have experience working within the public process in public settings as well as the proven ability to fabricate their own work or to work with fabricators and installers; - 2.2 The artwork for this Project must be original, demonstrate artistic excellence, and be designed with consideration to public safety and security; and 2.3 Artists/artist-led teams will be required to provide evidence of appropriate general • liability insurance covering bodily injury, death, and property damage, and evidence of workers compensation insurance. SECTION 3. PROJECT INTENT; The artist or artist-led team chosen as a result of this qualification process,will work with City staff and the City's Public Arts Commission to design,fabricate, deliver, and install permanent site-specific artwork for an outdoor installation. Such artwork shall be provided within the established budget and project timeline. This site-specific artwork should: 3.1 be designed to be sited within a flat(or possibly lightly mounded),un-landscaped oval area which is approximately 33'wide x 23' deep; 3.2 not exceed 23' in width, 13' in depth, and should be between 9'-13' high; 3.3 be visually stimulating,perhaps whimsical'and colorful, and responsive to the site in terms of scale,material, and form; 3.4 reflect the historic significance of the,AshlandlRailroad District; and 3.5 be vandal resistant, safely displayed and secured, and require minimal conservation and maintenance. SECTION 4. SELECTION PROCESS: 4.1 Phase I: Selection of Artist/Artist-led Team 4.1.1 The Public Arts Commission will review only timely and complete submissions utilizing the criteria set forth below, selecting three(3) artists/artist-led teams (hereinafter Finalists). Artist Selection Criteria ■ Professional qualifications ■ Proven artistic merit and excellence of prior relevant work ■ Placemaking experience with original-artistic vision ■ Experience fabricating/contracting with fabricator and installing permanent artwork suitable for the outdoor environment ■ Experience working in a collaborative process in a public setting ■ Proven project management experience working within a contract and communicating in a timely, consistent manner. ■ References provided as part of this application will be contacted. 4.1.2 Each Finalist will be awarded a contract for$1,500 (fifteen hunched dollars)to develop a conceptual design for the Project which shall include digital drawings in sufficient detail to communicate the artist's concept,preliminary specifications for the artwork related to-colors,materials, size,maintenance requirements, and a narrative describing the intent of the conceptual design. 421.3 Following selection, an informational conference call with each selected Finalist, City staff and the City's Public Arts Commission will be scheduled. 4.2 Selection of Artist for Design Commission An independent Selection Panel will review the conceptual design submissions of all three Finalists based on the criteria set forth in the Project Intent and recommend one(1) artist/artist-led team(hereinafter the"Selected Artist")for a commission to complete the Project. The recommendation of the Selection Panel will be approved by the Ashland City Council. 4.3 Phase II: Commission of Artwork The Selected Artist will be awarded$25,000 (twenty-five thousand dollars)which shall cover all costs for all remaining elements of the Project: detailed design and installation documents including final specifications for colors and materials, artwork fabrication, insurance, delivery,installation and an allowance for one revision. SECTION 5. INTRUCTIONS FOR SUBMISSIONS: Artists interested in this Project must prepare and submit the,following: • Letter of interest.A letter outlining your interest and qualifications for this Project. The letter must include business address,business phone, and email address. (1-page maximum) • Artist Statement.A written description of your body of work. (1-page maximum) ■ Professional Resume. A current resume with emphasis on public art projects completed during the past 5-10 years. If submitting as a team, include project resumes of team members,highlighting projects in which you collaborated as a team. ■ Professional References.A list of three(3)references of individuals with whom you have worked on public art projects with contact information(name,title,orgamni7ation, email address and phone),the name and location of the project and a brief description of the reference's involvement with the project. ■ Images.A maximum of ten(10) digital images in JP'EG format of original relevant completed artwork. Include an annotated image list with a description of each image (media, size,title,location, date of completion and budget). • All submissions must be submitted electronically in digital format as a single PDF attachment to an email.Applicants are encouraged to apply early to reduce risk of technical difficulties 11 The deadline for online submittal of qualifications is December 7,2020. Incomplete, late,hand-delivered, or mailed submissions will not be accepted. ■ Email submission to:public_art@ashland.or.us SECTION 6. PROJECT SCHEDULE: 12/7/20 Deadline for artists/artist teams to submit qualifications 1/15/21 Selection of Finalists/notification to all applicants 3/5/21 Conceptual design submissions due from Finalists 316/21 Approval of Selected Artist/design concept by City Council 3/17/21 Notification to Selected Artist '1BD PAC review,and approval of final design documents TBD Review of artwork at 80% and 100% completion and prior to shipping TBD Installation of artwork • SECTION 7. ADDENDA: A. Complete description of MAP Project B. Site photos and information about the site C. Contract/City of Ashland Personal Services Agreement For further information, contact the City's Project Manager, Aaron Anderson at: 541-552-2052 or by email at: aaron.anderson@ashland.or.us. Artist selection is anticipated to result in the award of a contract for professional services in a form substantially similar to the one provided in this solicitation document. The City of Ashland Public Arts Commission reserves the right to revise this RFQ by addendum and is bound only by what is expressly stated in this RFQ and any authorized written addenda thereto.Addenda will be post on the City of Ashland website. It shall be the artist's responsibility to check the website. Beyond formal notification,the City will not enter into any correspondence regarding their decision. The City of Ashland reserves the right to cancel this procurement or reject any and all submissions in accordance with ORS279B.100. tj J Bill Molnar, Community Development Director First date of solicitation: November 9,2020 Marking Ashland Places The Project The City of Ashland has a rich and diverse history which is not easily discernable on the landscape.The Public Arts and Historic Commissions,in partnership (the MAP Team),have developed a historic marker and way-finding project to provide a connection to the history of Ashland on today's landscape. This project will create a senseof place and pride by establishing distinctive landmarks within the City's four Nationally Registered Historic Districts, and will • serve to promote historic and heritage tourism to the City. Project Intent The vision for this project is to create a Hub Site in each of the four Historic Districts: [Railroad District,Downtown, Siskiyou-Hargadine, and Skidmore-Academy]. At each Hub Site,the project calls for the placement of historic-themed, site-specific, contemporary Artwork. An informational plaque describing why the Hub Site was important to the development of each historic district will also be installed at these Hub locations. Branching off from the 4 Hub Sites will be Spoke Sites (approximately 6-12 per district). The Spoke Sites, designated by Site Markers (currently using only bronze plaques set in sidewalks), will focus on the important places, events or people connected with each specific district. The Markers will contain short narratives,with artistic representation of the historical significance of the site. These markers will also serve as visual enticements and direct the visitor to the project • web-site where more detailed historic information can be found, as well as a Story Map. Phase One: 5 Spoke Sites 5 spoke sites based in the Railroad District have been selected for the initial phase of the project: Railroad Park, The Railroad Depot,Haskin's Garage,"Chinatown", and the Twin Plunges/ Natatorium. "Masterworks Plaques"will be designing and producing 24"bronze plaques for these locations. Installation is set for 2020. Phase Two: Hub Artwork The MAP Team has selected a small, grassy,bordered area at the bottom of 7t'St. within the Railroad Park as a natural location where the Hub Artwork would enhance the visual beauty of the park, as well as providing the historical connection this project seeks to establish. Phase Three: TBD Phase three will likely be the completion of the remaining spoke sites within the Railroad District,before bringing this project into one of the other 3 districts. The scope of the entire project is quite large and we anticipate it developing over the next ten years, as funds become available and we work to bring all the districts into the design. Proposed Locations from the Original 2013 Project Concept Railroad District Hub: Railroad-centric Artwork near 7th&A St.within Railroad Park Spokes: Railroad Park(71&A St.) Depot Building(5'h&A St.) "Chinatown"(A St.between 18'&2nd St.) Haskin's Garage(Old Firehouse&Jail on 4th St.) Twin Plunges/Natatorium(where Ashland Food Co-op currently stands at Pioneer&A St.) Ashland Cemetery(East Main&Morton St) Peerless&Loomis Buildings(4d'St) Powell's Confectionary House(Gallerie Karon)(4th&A St.) Vansant Building(A St.between 4th&5th St.) VFW Building(A St.between 4th&5'h St.) Golden Spike Location(A St.) Downtown District Hub: Historic Mill theme at base of Shakespeare Hill Spokes: Chautauqua Foundation Woolen Mill Ashland Springs Hotel Enders Block Varsity Theatre Elks Building Trinity Episcopal Church Pioneer Glass(Standing Stone) Lithia Park(Enders Shelter,Butler-Perozzi Fountain,Parks Office,Motor Camp) Bluebird Park "We Are Here"Sculpture Sub-Hub&Spokes: Plaza IOOF Masonic Building Bank of Ashland(Treehouse Books) City Hall Gainard Opera House Siskiyou/Hargadine District Hub: Early Settlers and their contributions Theme—SW corner of Gresham&E.Main Spokes: Ashland Public Library EV Carter House • Winchester House Tavernor House Lincoln School Swedenborg House Old Junior High School Skidmore/Academy District Hub: Early Settlers and their contributions Theme—Briscoe School(former Washington School site) Spokes: Methodist Church North Side School site Grainger House Peil House Butler House The"3 Sisters" • • �,rh Pa„� 'wtpro.y.,55,1,p4,-..w.Atti-,7,e4.1,›T,.1,a,,67- ;- rY:' n Meta i3 *a.sq` �, �'• -7( rf2� x t d t" va r u.k airz :4'b r s i s -r x �yc +' .'LFIVIFA." , r4 F0.,. k`-. : »��,F • Z �-f ti 1 D- a Is.�. 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'>,. �'{r,:.r ..'.i,{L'''„z!' .JL L • r tiy.� ...w.,---41,,,,.4-,-.�.., ,s z Legend . - Marking Ashland Places City of Ashland 1:Railroad Park Plaque 2:Railroad Depot Plaque 3:Haskin's Garage Plaque 4:"Chinatown"Plaque 850 1 inch=400 feet 5:Twin Plunges Plaque Feet Date Printed: 11/19/2019 Railroad Park—Hub Artwork Site Description Railroad Park sits in the NE section of the Historic Railroad District from 6th to 8th Street along A Street. The Hub Artwork location is directly below 7t'Street and borders a pedestrian/bike path that runs from 4th Street all the way east to Tolman Creek Rd. (approximately 3 miles).The Park is home to a small playground,swing sets,a 1A-sized basketball court,restrooms,and a covered picnic area directly west of the artwork location.One block to the east,next to the bike path,a bronze plaque set into a boulder commemorates the Golden Spike Location(photo attached).The bike path is used very frequently and the park is enjoyed by many on any given day. The Hub Artwork will serve as a natural focal point,honoring the key role the railroad played in Ashland's early development. The specific site for the artwork is a small landscaped area approximately 33' wide by 23' deep bordered by sidewalks.The gently mounded area is presently landscaped with small bushes,grasses,boulders,and small timber pylons.Preparation of the site will be done in coordination with the final selection of the artwork.Lighting,landscaping,and a small informational plaque about the site will be added as the finishing touches before formally bringing the artwork into Ashland's Public Art Collection. _ ...} 4 y{~ _ -2; 4.-yC„'}yam ' } C �` . S 1 ' : tir k t -n ',ydR r .s, -Z 4ax,J .-rw V' �d : 1 , s i 1 . 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". `' ; rte- .., �`y,;' T F `+ i m.,▪-.' t Golden Spike Plaque at the corner of 8th&Bike Path(not part of the MAP Project) PERSONAL SERVICES AGREEMENT ($25,000.00 or less) CONSULTANT: XXXXX CITY Or CONSULTANT'S CONTACT: XXXXXX HLAND 20 East Main Street ADDRESS: • • Ashland, Oregon 97520 Telephone: 541-488-6002 Fax: 541-488-5311 TELEPHONE: EMAIL: This Personal Services Agreement(hereinafter"Agreement")is entered into by and between the City of Ashland, an Oregon municipal corporation(hereinafter"City") and XXXXXX, a(e.g. Domestic Limited Liability Company), ("hereinafter"Consultant"), for xxxxxxxxxxxxxxxxx • •• • NOW THEREFORE,in consideration of the mutual covenants contained herein,the City and Consultant hereby agree as follows: 1. Effective Date and Term: This Agreement shall become effective on the date of execution on behalf of the City, as set forth below(the"Effective Date"), and unless sooner terminated as provided in Section 11, shall terminate upon the City's affirmative acceptance of Consultant's Work as complete and Consultant's acceptance of the City's final payment therefore,but not later than XXX.VOODOCXXX, 2021. 2. Scope of Work: Consultant shall provide XX3DCXXXXXMCXXXXXXXXXXX=OCOC as more fully set forth in Consultant's Proposal dated ,which is attached hereto as "Exhibit A" and incorporated herein by this reference. Consultant's services are collectively referred to herein as the"Work." 3. Compensation: City shall pay Consultant the sum of$XX.XX(KXXXX U. S. dollars)per hour as full compensation for Consultant's performance of all Work under this Agreement. In no event shall Consultant's total of all compensation and reimbursement under this Agreement exceed the sum of XX.XX(XXXXX U. S. dollars)without the express,written approval from the City official whose signature appears below, or such official's successor in office. Should this Agreement be terminated prior to completion of all Work,payments will be made for any phase of the Work completed and accepted as of the date of termination. 4. Supporting Documents/Conflicting Provisions: This Agreement and any exhibits'or other supporting documents shall be construed to be mutually complimentary and supplementary wherever possible. In the event of a conflict between this Agreement and the supporting documents which cannot be resolved, the provisions of this.Agreement shall control over any conflicting provisions in any of the exhibits or other supporting documents. 5. All Costs Borne By Consultant: Consultant shall, at its own risk and expense,perform the Work described above and,unless otherwise specified in this Agreement,furnish all labor, equipment, and materials required for the proper performance of such Work. • Page 1 of 6: Personal Services Agreement with . 6. Qualifications: Consultant has represented, and by entering into this Agreement now represents,that all personnel assigned to the Work to be performed under this,Agreement are fully qualified to perform the service to which they will be assigned in a skilled manner',and, if required to be registered, licensed, or bonded by the State of Oregon, are so registered,licensed, and bonded. 7. Ownership of Work/Documents: All Work product or documents produced in furtherance of this Agreement belong to the City, and any copyright,patent, trademark proprietary or any other protected intellectual property right shall vest in and is hereby assigned to the City. 8. Statutory Requirements: The following laws of the State of Oregon are hereby incorporated by reference into this Agreement: ORS 279B.220, 279B.230 and 279B.235., 9. Living Wage Requirements: If the amount of this Agreement is $ $22,002.43 or more, Consultant 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. Consultant is also required to post the notice attached hereto as-"Exhibit B"predominantly in areas where it will be seen by all employees. 10. Indemnification: Consultant 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 Consultant or its officers, employees, contractors, or agents under this Agreement. 11. Termination: a. Mutual Consent. This Agreement may be terminated at any time by the mutual consent of both parties. b. City's Convenience. This Agreement may be terminated by City at any time upon not less than thirty(30) days'prior written notice delivered by certified mail or in person. c. For Cause. The City may terminate this Agreement, in whole or in part, effective upon delivery of written notice to Consultant, or at such later date as may be established by City under any of the following conditions: i. If City funding from federal, state, county or other sources is not obtained and continued at levels sufficient to allow for the purchase of the indicated quantity of services; ii. If federal or state regulations or guidelines are modified, changed, or interpreted in such a way that the services are no longer allowable or appropriate for purchase under this Agreement or are no longer eligible for the funding proposed for payments authorized by this Agreement; or • iii. If any license or certificate required by law or regulation to be held by Consultant to provide the Work required by this Agreement is for any reason denied,revoked, suspended, or not renewed. d. For Default or Breach. i. Either City or Consultant may terminate this Agreement in the event of a breach of the Agreement by the other. Prior to such termination the party seeking termination shall give to the other party written notice of the breach and its intent to terminate. If the party committing the breach has not entirely cured the breach within fifteen(15)days of the date of the notice, or within such other period as the party giving the notice may authorize in writing, then the Agreement may be terminated at-any time thereafter by a written notice of Page 2 of 6: Personal Services Agreement with XX0000DCXX. • T - l termination by the party giving notice. ii. Time is of the essence for Consultant's performance of each and every obligation and duty under this Agreement. City by written notice to Consultant of default or breach may at any time terminate the whole or any part of this Agreement if Consultant fails to provide services called for by this Agreement within the time specified herein or within any extension thereof. iii. The rights and remedies of City provided in this subsection(d)are not exclusive and are in addition to any other rights and remedies provided by law or under this Agreement. e. Obligation/Liability of Parties. Termination or modification of this Agreement pursuant to subsections a,b, or c above shall be without prejudice,to any obligations or liabilities of either party already accrued prior to such termination or modification. However,upon receiving a notice of termination(regardless whether such notice is given pursuant to Subsection a,b, c, or d of this section, Consultant shall immediately cease all activities under this Agreement,unless expressly directed otherwise by City in the notice of termination.Further,upon termination, Consultant shall deliver to City all Agreement documents,information,works-in-progress and other property that are or would be deliverables had the Agreement been completed. City shall pay Consultant for Work performed prior to the termination date if such Work was performed in accordance with this Agreement. 12. Independent Contractor Status: Consultant is an independent contractor and not an employee of the City for any purpose: Consultant shall have the complete responsibility for the performance of this Agreement. 13. Assignment: Consultant shall not assign this Agreement or subcontract any portion of the Work without the written consent of City. Any attempted assignment or subcontract without written consent of City shall be void. Consultant shall be fully responsible for the acts or omissions of any assigns or subcontractors and of all persons employed by them, and the approval by City of any assignment or subcontract of the Work shall not create any contractual relation between the assignee or subcontractor and City. 14. Default. The Consultant shall be in default of this Agreement if Consultant: commits any material breach or default of any covenant,warranty, certification, or obligation under the Agreement; institutes an action for relief in bankruptcy or has instituted against it an action for insolvency;makes a general assignment for the benefit of creditors; or ceases doing business on a regular basis of the type identified in its obligations under the Agreement; or attempts to assign rights in, or delegate duties under,this Agreement. 15. Insurance. Consultant shall, at its own expense,maintain the following insurance: a. Worker's Compensation insurance in compliance with ORS 656.017,which requires subject employers to provide Oregon workers' compensation coverage for all its subject workers. b. Professional Liability insurance with a combined single limit, or the equivalent, of not less than $2,000,000 (two million dollars)per occurrence. This is to cover any damages caused by error, omission or negligent acts related to the professional services and Work to be provided pursuant to this Agreement. c. Notice of cancellation or change. There shall be no cancellation,material change,reduction of limits or intent not to renew the insurance coverage(s)without thirty(30) days' prior written notice from the Consultant or its insurer(s)to the City. Page 3 of 6: Personal Services Agreement with 35XXV0000C. d. Additional Insured/Certificates of Insurance. Consultant shall namethe City of Ashland, Oregon, and its elected officials, officers, and employees as Additional Insureds on any insurance policies, excluding Professional Liability and Workers' Compensation,required herein,but only with respect to Consultant's Work to be provided under this Agreement. Consultant's insurance is • primary and non-contributory. As evidence of the insurance coverages required by this Agreement, the Consultant shall furnish acceptable insurance certificates and endorsements prior to commencing the Work under this Agreement. Insuring companies or entities are subject to the City's acceptance. If requested, complete copies of required insurance policies shall be provided to the City. The Consultant shall be financially responsible for all pertinent deductibles, self-insured retentions, •and/or self-insurance. 16. Nondiscrimination: Consultant 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 any Work under this Agreement when employed by Consultant. Consultant agrees to comply with all applicable requirements of federal and state civil rights and rehabilitation statutes,rules and regulations. Further, Consultant 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. 17. Consultant's Compliance With Tax Laws: 17.1 Consultant represents and warrants to the City that: 17.1.1 Consultant 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 Consultant; and • (iii) Any rules,regulations, charter provisions, or ordinances that implement or enforce any of the foregoing tax laws or provisions. 17.1.2 Consultant, 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 Consultant; and (iii) Any rules,regulations, charter provisions, or ordinances that implement or enforce any of the foregoing tax laws or provisions. 18. Governing Law; Jurisdiction. 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. Page 4 of 6: Personal Services Agreement with X 0DMOCKX- 19. THIS AGREEMENT AND THE ATTACHED EXHIBITS CONSTITUTE THE ENTIRE UNDERSTANDING AND AGREEMENT BETWEEN THE PARTIES. NO WAIVER, CONSENT, MODIFICATION OR CHANGE OF TERMS OF THIS AGREEMENT SHALL BIND EITHER PARTY UNLESS IN WRITING AND SIGNED BY BOTH PARTIES. ONE OR MORE WAIVERS OR FAILURES TO OBJECT BY EITHER PARTY TO THE OTHER'S BREACH OF ANY PROVISION, TERM, CONDITION, OR COVENANT CONTAINED INTHIS AGREEMENT SHALL NOT BE CONSTRUED AS A WAIVER OF ANY SUBSEQUENT BREACH,WHETHER OR NOT OF THE SAME NATURE. 20. 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: City of Ashland-X. Department Attu: es••e•e••••!• 20 E.Main Street • Ashland, Oregon 97520 With a copy to: City of Ashland—Legal Department 20 E.Main Street Ashland, Oregon 97520 If to Consultant: Provider's name Attn: City,State 21. Force Majeure. 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. 22. Amendments. This Agreement may be amended only by written instrument executed by both parties with the same formalities as this Agreement. 23. Nonappropriations Clause. Funds Available and Authorized: City has sufficient funds currently available and authorized for expenditure to finance the costs of this Agreement within the City's fiscal year budget. Consultant understands and agrees that City's payment of amounts under this Agreement attributable to Work performed after the last day of the current fiscal year is contingent on City appropriations, or other expenditure authority sufficient to allow City in the exercise of its reasonable administrative discretion,to continue to make payments under this Agreement. In the event City has insufficient appropriations,limitations or other expenditure authority, City may terminate this Agreement without penalty or liability to City, effective upon the delivery of written notice to Consultant,with no further liability to Consultant. Page 5 o£6: Personal Services Agreement with=comm. 24. Certification. Consultant has executed the Certifications/Representations attached hereto as "Exhibit C" and incorporated herein by this reference. 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. THE CITY OF ASHLAND,OREGON: CONSULTANT: Signature Signature Printed Name • Printed Name Title Title Date Date (W-9 is to be submitted with this signed Agreement) • Page 6 of 6: Personal Services Agreement with)S:ODOCCXOX. EXHIBIT B CITY Or• ASHLAND, O•R,E G O N City of Ashland LIVING ALL employers described JAG E below must comply with City of Ashland laws regulating- a ment of a livin, wa'e. ,` . • $15.74 per hour, effective June 30, 2020. The Living Wage is adjusted annually every FAIL June 30 by the Consumer Price Index. ': Employees must be paida portion of business of their 401K and IRS eligible living wage: employer, if the employer has cafeteria plans (including ten or more employees,and _ childcare)benefits to the r;= has received financial amount of wages received by assistance for the project or the employee. > For all hours worked under a business from the City of service contract between their Ashland in excess of > Note: For temporary and employer and the City of $22,002.43. part-time employees,the - Ashland if the contract Living Wage does not apply exceeds$22,002.43 or more. > If their employer is the City of to the first 1040 hours worked Ashland,including the Parks in any calendar year. For > For all hours worked in a and Recreation Department. more details, please see month if the employee spends Ashland Municipal Code 50% or more of the > In calculating the living wage, Section 3.12.020. employee's time in that month employers may add the value working on a project or of health care, retirement, "For additional information: • Call the Ashland City Administrator's office at 541-488-6002 or write to the City Administrator, City Hall, 20 East Main Street, Ashland, OR 97520, or visit the City's website at www.ashland.or.us. • Notice to Employers: This notice must be posted predominantly in areas where it can be seen by all employees. CITY +OE AS I-1 LAN Page 1 of 1: Exhibit B EXHIBIT C • CERTIFICATIONSIREPRESENTATIONS: Consultant,by and through its authorized representative,under penalty of perjury, certifies that(a)the number shown on the attached W-9 form is its correct taxpayer ID (or is waiting for the number to be issued to it and(b)Consultant is not subject to backup withholding because: (i)it is exempt from backup withholding, or(ii)it has not been notified by the Internal Revenue Service(IRS)that it is subject to backup withholding as a result of a failure to report all interest or dividends, or(iii)the IRS has notified it that it is no longer subject to backup withholding. Consultant further represents and warrants to City that: (a)it has the power and authority to enter into this Agreement and perform the Work, (b)the Agreement,when executed and delivered, shall be a valid and binding obligation of Consultant enforceable in accordance with its terms, (c)the Work under the Agreement shall be perfonued in accordance with the highest professional standards, and(d) Consultant is qualified,professionally competent, and duly licensed(if applicable)to perform the Work. Consultant also certifies under penalty of perjury that its business is not in violation of any Oregon tax laws,it is an independent contractor as defined in the Agreement, it is authorized to do business in the State of Oregon, and Consultant has checked the following criteria that apply to its business. (1) Consultant carries out the work or services at a location separate from a private residence or is in a specific portion of a private residence, set aside as the location of the business. (2) Commercial advertising or business cards or a trade association membership are purchased for the business. (3) Telephone listing is used for the business separate from the personal residence listing. (4)Labor or services are performed only pursuant to written contracts. (5)Labor or services are performed for two or more different persons within a period of one year. (6) Consultant assumes financial responsibility for defective workmanship or for service not provided as evidenced by the ownership of performance bonds, warranties, errors and omission(professional liability)insurance or liability insurance relating to the Work or services to be provided. , Consultant's signature Date ALN D .KAILROAD PARK Refined Design Proposal June 17,2021 • 77.777"''71 77Z I t get.:L'm — ,ETT,n L77771' 44., 2 7:0:7 , , , „1„ ,„1 , 1,1 '"0-L1A , Jennifer Corio &Dave Frei Cobalt Derignworki 360 281-5619 email:iennifer@cobaltdesignworks.com web: www.CobaltDesignworks.com cobalt . r c.1-:-,ii-D 1-4--.. 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"- . .• • Walking into Railroad Park C 0 ba I t DE5161)143116. (.,A(.)1.utr N Cor'.N EC:1'10N1 merges a trio of iconic symbols to tell the story of how the railroad spurred a huge transformation in Ashland when Southern Pacific chose the town as a main stop between their Portland-San Francisco line as well as a full service maintenance yard.The symbols come together in a fun way that creates a clean, contemporary artwork that boldly welcomes people to Railroad Park while framing the beautiful mountainous landscape behind it. The artwork also honors the Chinese workers who contributed greatly to the building of the railroad. The text glow at night, adding another eye-catching layer to the,sculpture. {y j,► • ,^ �Y�'�'w ° - fir ��pr-7I'f�' `.�` '.Ip'1'lF+y,S}', Y„ �u t b' 'Yft,,o,..,',RV:.'fir *r�±�`r az ` 14 ,i. a -.,5 x r t `t' r '"s¢'1 •' V fir,y,,,,y��p ...:tlt-. r. i, `liJ}�' "�•„gpwr`$a.��.? a iv. ' , �, .1 t .K w M` .r� b r J VI �[., 3.: It{ µ r ''''''4.1, y O't �' � alee3a -i. 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'� e+'trx � " at'I ,�3t' 9 �f_rt'F'brt G.g i ytiw,;„t-- rit;t`''�i i!:s i5` '..n : l • •. .„ot,,,i{;�i+1'i� f '101,� ,C'`y ' g' .0Q,ht g f�•i..: r 7Vit-i1e rekr rrd .; , • � • f"'V''`'r,,c Y 't4> , ''r id'wr i��Jl''�,IZ'rk x 71.11 t 74h r c!ti r�1 r-•�1? r „r y_"� �fi N r r t T,�r �"'�S'3 sr S i°� xf44, k t rv.` a " v,fi. a l A"'h t' l''ht',3�!' ' .J 4 f4 7 r, s Y lrn6�185"tG 6r `' iritjcd}vr,.•. h.,..::-, l.im "'fr r I4 '� a,,`: . 4 .c. a.•• • ,. " � ,dl�a, r.^S . '.J °' • ilta S } i wa "'S�y' r a.dt'4'�tti� >.° }: t+'?= cobalt • QEHEfiHUM GOLDEN CONNECTIONS —Narrative A large golden spike penetrates a circular frame made from industrial channel iron.The topside of the circle becomes a winding train track, signifying the topsy-turvy journey over the Siskiyou Mountains that stands between Oregon and California. Circular Frame: We chose the Circle because it symbolizes many things related to your project's railroad-centric theme. e It emulates the circular nature of both the train turntable and the maintenance Roundhouse that once stood nearby.These important structures allowed Southern Pacific to manage, maintain and repair trains at this pivotal location. e It symbolizes the circumference of the USA,and Ashland's distinction of being the final connection point that completed rail service all the way around our nation. s It is a nod to the 88 full circles that the curved tracks made as the train winded its way across the 171-mile-long trek over and through the Siskiyou Mountains. • It complements the circular medallions at the Spoke Sites. e The circle will be made from channel iron,a material that beckons the industrial nature of a trainyard.The steel will be left to rust for an earthy, industrial look. Winding Tracks • The sinuous tracks at the circle's peak mimic the curvaceous rails built through the Siskiyou's. o The helix shape adds visual depth and texture to the artwork, changing as you walk around it. o Stainless steel ties lend a sense of newness to the tracks, harkening back to the late 1800's when the railroad was newly built, reflecting a time of great change for Ashland.The combination of rusted steel and shiny stainless steel creates a rich juxtaposition of color and texture. Golden Spike o A gigantic railroad spike becomes a focal point for the sculpture. o It honors Ashland's distinction as the final connection for S&P's complete rail service around the nation. • But this spike does more than call attention to this major national event; it also symbolizes the local significance of Ashland's growth and evolution as a town and community as the train service was established. • Its gold color alludes to this golden period for Ashland and the Railroad District as population, commerce,and culture expanded. e The spike can also be viewed as a pin on a map. Because Ashland was a rest stop for train passengers, more and more people came through,stopped to stretch their legs,eat lunch, buy snacks.and get a taste of Lithia water. People from other places got to know Ashland.The railroad put Ashland on the map,so to speak!The'pin' lands in the middle of the circular frame, right in-between its larger, well-known neighbors of Portland and San Francisco. • obaIt 1i 1:1 IIS Textual Elements: • The spike becomes a canvas for two phrases. o Southside: Highlights Ashland as an important connection between its two larger sister cities of Portland and San Francisco. o Northside: Celebrates the great contributions of the Chinese railroad workers. Combination of English words and Chinese characters. • Letters will be laser-cut.Acrylic panels will be installed behind the lettering,and the inside of the spike will contain lighting,so the stories glow at night. PRELIMINARY SPECIFICATIONS Dimensions: • Both height and width will be between 9.5'—11' (within the original spec requirements of 9'-13'in height) e Depth between 1.5'—3' Materials&Finish: a Circular Frame: Channel steel, left to rust for a rich earthy look e Track Ties:Stainless steel rods e Spike:Stainless steel,powder coated a metallic golden color,TBD Lighting: e The laser-cut letters will be backed by partially opaque acrylic lens and then backlit with LED lighting that will turn on at dusk and glow throughout the night. Maintenance Requirements: O Powder Coated Surfaces e Clean annually with warm water and a mild detergent free of solvents. • Rinse completely. o Dry with a soft cotton cloth or chamois to eliminate water spots. • Waxing the colored surfaces every few years with a high-quality automotive wax is optional but will extend the life of the color. O Channel Steel • Control drainage to divert runoff away from the artwork. e Regularly remove all dirt, debris and other deposits from the artwork that could trap moisture against the surface. o Regularly remove all vegetation that can prevent the natural drying of the steel surfaces after they become wet. e Unfinished Stainless Steel o Wash annually with mild detergent and water. cobalt ARTIST NOTES: e The artwork BOTH celebrates the transformation the railroad spurred in Ashland while ALSO honoring the Chinese men who built it. • Title: Golden Connections • o Railroad connected places. It connected people to places. People to people. • o Sculpture connects past to present(and hopefully the future). o Project has connected us as artists to many people in the Asian American community: Chinese scholars, researchers, historians, archeologists,anthropologists, professors,authors,community advocates, and more. o Project has the potential to connect to other social justice endeavors that focus on marginalized groups facing discrimination • Getting the message right:Authenticity and Respect(Remember this is Ashland's message) o Expressing our gratitude for their significant contributions and understanding the sacrifices the Chinese made to come here to build it. o Acknowledging our part in the discrimination they faced and the lack of recognition. o Traditional Chinese characters vs.Simplified—We will use Traditional o Research:Talked to several people deep in knowledge of the Chinese language, history, art,the Chinese immigration experience. o Everyone very open and generous with their knowledge,insights, and ideas o Very positive reception about the artwork;they think it is an important project and message. 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'•• x' ▪ •,,.a:- -ca>i•¢ ;s.' fr .,.Hli;ji„'+La'r `, 2 R t • Nighttime Lighted View • cobalt DESI6tH01N5 Textual Elements: e Letters will be laser-cut.Acrylic panels will be installed behind the lettering,and lighting will be installed inside the spike,so the stories glow at night. e We chose a font relevant to this period of history-SOUTHERN PACIFIC RAILROAD (developed by a train buff). • o NOTE: Font and layout may be changed as we do final refinement of design. r r. .r:.,e'tJ �-r. a4r5,e'. :S>vta^ ^i .,�.,,,'y1Ar:'.l'"..w. '+?7177t'+e'"r.. ..�:v^'a�K"'aX"t�"y:i*f`d°�^'y 4'�f'Sry � . m' ,, ,;a:' Y r .,`+i•tf< P tc"t.;S'.y r,t,. "2'i *+i, ,('t5 X t ,,f,c;i• 1.�t// .�]L al'!:11:.. 4N -,7 .t-, ,M, ' �. 'ae M„tY X.T• 1 '. C..JE;T{t k e'�..y' �\+ {' }, $, _,,.n y 1. .r.` ..h f 3"'(E4 1£;, m. .vL,7. ,.aw: .,,. - n,r,1M ,..;,,, a-,F :•Y2 :try, }'RY „r? +.,. .•,�.v..�. �•1",. ..��..,.fie, 4 �-r. :tr. 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NOTE:The final details will likely change on the Chinese railroad worker panel as we refine the design. Changes could be in layout, Chinese characters,and English wording.The overall message of the panel will remain the same. Chinese characters will most likely be original calligraphy by ProfessorJiyu Yang. • o oIL • DE5161BNARPS • �cS �m p� OF p �p �,p ry B � �p ACC)9:-Dr CEF 111FiCATE l�.�l�.` MTV �5'tlS�&f�� '\NCE DATE(MM(ODIYYYY) 7/20/2021 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 - Columbia Insurance&Wealth Management PHONE Kevin Ixcoy FAX 8000 NE Parkway Dr Ste 150 (A/C.Lo.EXtt:360-892-4883 (Arc,Not:360-892-4883 Vancouver WA 98662 ADDRESS: certificates@columbiaint.com INSURER(S)AFFORDING COVERAGE — NAIC/I INSURER A:RLI Insurance Company • INSURED COBADES-01 INSURER B Cobalt Designworks LLC 1930 D st • INSURER C: Vancouver WA 98663 INSURER D INSURER E INSURER F: • COVERAGES CERTIFICATE NUMBER:630349215 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. ICY EXP LTR TYPE OF INSURANCE INSD ADDL SUBR POLICY NUMBER (MM?DDNYYFYY) (MMUDNYYY) LIMITS INSD WVD A X COMMERCIAL GENERAL LIABIUTY Y V RKA0400372 4/2/2021 4/2/2022 EACH OCCURRENCE $2,000,000 DAMAGE CLAIMS-MADE X OCCUR _ • PREM SESO(Ea occurrence) $300,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 X POLICY PROT LOC PRODUCTS-COMP/OP AGG $2,000,000 JEC OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ • AUTOS ONLY _AUTOS ONLY (Per accident) • UMBRELLA LIAB _ OCCUR ' EACH OCCURRENCE• $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y/N STATUTE i ERH ANYPROPRIETOR/PARTNER/EXECUTIVE NIA E.L.EACH ACCIDENT $ OFFICERIMEMBEREXCLUDEDT (Mandatory In NH) E.L DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.LDISEASE-POLICYLIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) The certificate holder has been added as Additional Insured with respect to the liability arising out of the operations of the named insured subject to the policy conditions,limitations,and exclusions as per the written contract. Waiver of Subrogation applies. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Ashland 20 E.Maint Street AUTHORIZED REPRESENTATIVE Ashland OR 97520 97<27 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD • • THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY CShlTi ACT1 S GENEr L LIIA:z8LUTY 4CE,,.. ENT This endorsement modifies insurance provided'under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM • SCHEDULE OF COVERAGES ADDRESSED BY THIS ENDORSEMENT This schedule is provided only as a convenience. It should not be assumed to provide a reference to every provision that can affect a question, claim or coverage.To determine the full scope of coverage and perti- nent restrictions and exclusions,the policy, including endorsements, must be read it its entirety. A. Reasonable Force—Bodily Injury Or Property Damage B. Aircraft,Auto or Watercraft • C. Damage To Premises Rented To You • • D. Property damage care,custody or control E. Lost Key Coverage F. Supplementary Payments • G. Newly Acquired Or Formed Organizations . H. Additional Insured—Owner,Manager or Lessor Of Premises Or Leased Equipment I. Additional Insured—State or Political Subdivisions—Permits Related to Premises or Opera- tions • J. Unnamed Partnership Or Joint Venture • - K. General Aggregate Limit—Per Project or Per Location L. Damage To Premises Rented To You Limit M. Knowledge And Notice Of Occurrence Or Offense N. Unintentional Omission - O. Waiver Of Transfer Of Rights Of Recovery Against Others To Us • P. Amended Bodily Injury Definition Q. Amended Insured Contract Definition . • • RLI INSURANCE COMPANY . RGL 365 01 19 Contains copyrighted material of . • Page 1 of 8 • • Insurance Services Office,Inc.with its permission , SECTION I—COVERAGES any other basis, except for the insur- ance purchased specifically by you COVERAGE A BODILY INJURY AND PROP- to apply in excess of the Limits of.In- MTV DAMAGE LIABILITY surance shown in the declarations A. Reasonable Force—Bodily Injury Or Prop- for this Coverage Part. erty Damage C. Damage To Premises Rented To You Paragraph 2.a. Exclusions; Expected Or The last paragraph of 2. Exclusions is de- Intended Injury, is deleted and replaced by leted and replaced by the following: . the following: Exclusions c.through n. do not apply to a. Expected or Intended Injury damage by water, fire, explosion, light- "Bodily Injury" or"property damage" ex- ning, or smoke resulting from fire to pected or intended from the standpoint of premises while rented to you, or tempo- the insured. This exclusion does not ap- rarity occupied by you with permission by ply to"bodily injury"or"property damage" the owner. A separate limit of insurance resulting from the use of reasonable applies to this coverage as described in force to protect persons or property. Section III—Limits Of Insurance. B. Aircraft,Auto or Watercraft This provision does not apply if coverage for Damage To Premises Rented To You 1. Paragraph 2.g.(2) Exclusions; Aircraft, is excluded by another endorsement to Auto Or Watercraft is deleted and re- this policy. placed by the following: D. Property damage care,custody or control (2) A watercraft you do not own that is: , 1. The following is added to Exclusion 2 j.: (a) Up to seventy-five(75)feet long; and Paragraphs (4), (6) and (6) do not apply for the limited purpose of providing the (b) Not being used to carry persons sub-limits of liability set forth below. .or property for a charge; 2. We will pay those sums that the insured 2. The following is added to the exceptions becomes legally obligated to pay as darn- to the exclusions: ages arising out of"property damage"to: (6) Any non-owned aircraft chartered to ' a. Personal property in the care, cus- , you with a crew including a pilot. tody or control of the insured; 3. The following is added to paragraph 2.g.: b. That particular part of real property Only as respects to the insuranceon which you or any contractors or • provided by this provision, Section II subcontractors working directly or in- -Who Is An Insured is amended to directly on your behalf are perform- include as an insured any person ing operations, if the "property dam- • who,with your express consent uses age" arises out of those operations; a watercraft owned by you. and • • The insurance provided by this provi- c. That particular part of any property sion shall be excess over any valid that must be restored repaired or re- and collectible other insurance avail- placed because "your work"was in- able to the insured,whether primary, correctly performed on it. excess, contingent or on The most we will pay under a, b, and c. above in any one"occurrence" is a sub- limit of$50,000.The most we will pay for all damages during any one policy period is$100,000. These limits are included in and not in ad- dition to The Limits of Insurance shown RLI INSURANCE COMPANY RGL 365 01 19 Contains copyrighted material of Page 2 of B Insurance Services Office, Inc.with its permission i in the Declarations of the Commercial SECTION II—WHO IS AN INSURED General Liability Policy. G. Newly Acquired Or Formed Organizations Our right and duty to defend the insured The following replaces Paragraph 3.: - against any"suit"for damages under this coverage ends when we have'used up 3. Any organization you newly acquire or - .the applicable sub-limit of liability in the form, other than a partnership,joint ven- payment of judgments or settlements un- ture or limited liability company, over • der it. which you maintain ownership or majority interest, will qualify as a Named Insured E. Lost Key Coverage if there is no other similar insurance avail- 1. Coverage is extended to include the fol- able to that organization. However: / lowing: • a. Coverage under this provision is af- If a customer's master or grand key, ex- forded only until the one hundred cluding electronic key card, is lost while eightieth (180th) day after you ac- in your care, custody or control we will quire or form the organization or the pay the cost of replacing the keys,includ- end of the policy period,whichever is ing the master lock and all keys used in earlier; the same lock,the cost of adjusting locks b. Coverage A does not apply to"bodily 'to accept the new keys, or the cost to re- injury" or"property damage"that oc- place the locks,whichever is less, • curred before you acquired or formed 2. The most we will pay for"loss"arising out .. the organization;and of any one"occurrence" is$10,000. c. Coverage B does not apply to "per- 3. The following definition is added: sonal and advertising injury" arising out of an offense committed before "Loss" means unintentional physical you acquired or formed the organiza- damage or destruction to tangible prop- tion. erty, including theft or disappearance. Tangible property does not include d. This provision does not apply to any money or securities. organization for which coverage is. excluded by another endorsement to this policy. SUPPLEMENTARY PAYMENTS - COVER- AGES A AND E. H. Additional Insured - Owner, Manager Or Lessor Of Premises Or Leased Equipment F. Supplementary Payments The following paragraph is added: Paragraphs 1.b.and 1.d.are deleted and•re- placed with the following: 4. Any person or organization that you have agreed in a contract or agreement to in- b. Up to $2,500 for the cost of bail bonds dude as an additional insured on this pol- required because of accidents or traffic icy,but: violations arising out of any vehicle to which Bodily Injury Liability Coverage ap- a. Only with respect to liability for"bod- plies. We do not have to furnish these - ily injury" or "property damage" that bonds. occurs, or"personal and advertising injury"caused by an offense commit- d. All reasonable expenses,incurred by the ted, after you have entered into that insured at our request to assist us in the contract or agreement; and • • investigation or defense of the claim or Onlyif the "bodilyinjury", "prop- to including actual loss of earnings up (1) fry p p- to$500 a day because of time off work, erty damage" or "personal and _ advertising injury" is caused, in whole or in part, by you or any person or organization perform- ing operations on your behalf, • 2 RLI INSURANCE COMPANY RGL 365 01 19 Contains copyrighted material of Page 3 of 8 Insurance Services Office,Inc.with its permission and arises out of the ownership, (e) If the equipment is leased maintenance or use of that part with an operator. of any premises leased to you c. This provision does not apply on any under that contract or agree- • basis to any person or organization ment; or for which coverage as-an additional (2) The "bodily injury", "property insured specifically is added by an- damage"or"personal and adver- other endorsement to this policy. tising injury" is caused, in whole I Additional Insured — State Or Political or in part, by you or any person Subdivisions— Permits Related To Prem- or organization performing oper- ises Or Operations ations on your behalf,and arises out of the maintenance, opera- The following paragraphs are added: tion or use of equipment leased 5. Any state or political subdivision that has to you by. such additional in- issued a permit in connection with prem- sured. ises owned or occupied by, or rented or • b. The insurance provided to such addi- loaned to, you, but only with respect to tional insured under this provision is "bodily injury", "property damage", "per- subject to the following: sonal and advertising injury" arising out (9) The limits of insurance afforded of the existence,ownership,use,mainte- to such additional insured shall nance, repair, construction, erection or be the limits which you agreed to removal of advertising signs, awnings, provide in the contract or agree- canopies, cellar entrances, coal holes, ment, or the limits shown in the driveways, manholes, marquees, hoist Declarations, whichever are away openings, sidewalk vaults, eleva- less; and tors, street banners or decorations for which that state or political subdivision (2) The insurance afforded to such has issued such permit. additional insured does not ap- 6. Any state or political subdivision that has ply' issued a permit, but only with respect to (a) To any "bodily injury" or "bodily injury",."property damage", "per- "property damage" that oc- sonal and advertising injury" arising out curs,or"personal and adver- of operations performed by you or on tising injury" caused by an your behalf for which that state or political offense committed, after you subdivision has issued such permit.How- cease to be a tenant in that ever, no such state or political subdivi- premises; sion is an insured for: (b) To any structural alterations, a. "Bodily injury", "property damage" construction or demolition "personal and advertising injury"aris- operations performed by or ing out of operations performed for on behalf of such additional that state or political subdivision; or insured; b. "Bodily injury" or"property damage" (c) To any premises for whichincluded within the "products-corn- coverage is excluded by an- pleted operations hazard". other endorsement to this J. Unnamed Partnership Or Joint Venture Coverage Part; (d) To any "bodily injury or 1. The last paragraph of Section II—Who "property damage" that oc- Is An Insured is deleted and replaced by curs,or"personal and adver- the following: tising injury" caused by an No person or organization is an insured offense committed, after the with respect to the conduct of any current equipment lease expires;or RLI INSURANCE COMPANY RGL 365 01 19 Contains copyrighted material of Page 4 of 8 Insurance Services Office, Inc,with its permission or past partnership, joint venture or Um- (2) The Construction Project Gen- ited liability company that is not shown as • 'eral Aggregate Limit is the most a Named Insured in the Declarations. we will pay for the sum of ail However this limitation does not apply to damages under Coverage A,ex- your liability with respect to your conduct cept damages because of"bod- of the business of any current or past ily injury" or "property damage" partnership or joint venture: included in the "products-com- pleted operations hazard", and a. That is not shown as a Named In- for medical expenses under Cov- sured in the Declarations; and, erage C regardless of the num- b. In which you are a member or partner ber of: but only if: - a. Insureds; . . (1) Each and every member or part- b. .Claims made or' "suits" ner in that joint venture or partbrought;or - nership is not a construction con- c. . Persons or organizations tractor; and making claims or bringing • "suits". (2) The joint venture or partnership (3) Any payments made under Cov- is not providing construction con- ' erage A for damages or under tracting services. Coverage C for medical ex- 2. This provision does not apply to any per- penses shall reduce the Con- son or organization for which coverage is struction Project General Aggre- excluded by another endorsement to this gate Limit for that construction policy. - project.Such payments shall not reduce the General Aggregate • 3. The insurance provided by this provision Limit shown in:the Declarations shall be excess-over any valid and col- nor shall they reduce any other lectible other insurance, whether pri- Construction Project General • mary, excess,contingent or on any other Aggregate Limit for any other basis. single construction project • SECTION III—LIMITS OF INSURANCE . . (4) The limits shown in the Declara- tions for Each Occurrence,Dam- K. General Aggregate Limit—Per Project Or age To Premises Rented To You Per Location and Medical Expense continue 1. General Aggregate Limits Of Insurance to apply. However,instead of be- Per Project Ing subject to the General Aggre- . gate Limit shown in the Declare- a. For all sums which the insured be- tions, such limits will be subject comes legally obligated to pay as to the applicable Construction damages caused by "occurrences" Project General Aggregate Limit • under Section I —•Coverage A, and 2. For all sums which the insured be- for all medical expenses caused by comes legally obligated to pay as accidents under Section 1 — Cover- damages caused by "occurrences" age C, which can be attributed only under Section I—Coverage A, and to ongoing operations at a single for all medical expenses caused by construction project: accidents under Section I —Cover- (1) A separate Construction Project age C, which cannot be attributed General Aggregate Limit applies, only to ongoing operations at a sin- to each construction project, and gle construction project. ' that limit is equal to the amount of the General Aggregate Limit shown in the Declarations. . • RLI INSURANCE COMPANY • RGL 365 01 19 Contains copyrighted material of Page 5 of 8 Insurance Services Office, Inc.with its permission • a. Any payments made under Cover- (2) The Location General Aggregate age A for damages or under Cover- Limit is the most we will pay for the . age C for medical expenses shall re- sum of all damages under Coverage duce the amount available under the A,except damages because of"bod- General Aggregate Limit or the Prod- ily injury" or "property damage" in- ucts-completed Operations Aggre- cluded in the "products-completed gate Limit, whichever is.applicable; • operations hazard", and for medical and expenses under Coverage C regard- b. Such payments shall not reduce any less of the number of: Construction Project General Aggre- a. Insureds; gate Limit. b. Claims made or"suits" brought; • 3. When coverage for liability arising out of or the"products-completed operations haz- c. Persons or organizations making ard" is provided, any payments for dam- claims or bringing"suits". ages because of"bodily injury"or"prop- (3) Any payments made under Cover- erty damage" included in the "products- age A for damages or under Cover completed operations hazard"will reduce age C for medical expenses shall re- the Products-completed Operations Ag- duce the Location General Aggre- gregate Limit, and not reduce the Gen- gate Limit for that designated "loca- eral Aggregate Limit nor the Construction tion". Such payments shall not re- Project General Aggregate Limit. duce the General Aggregate Limit 4. If the applicable construction project has shown in the Declarations nor shall been abandoned, delayed, or aban- they reduce any other Location Gen- doned and then restarted, or if the au- eral Aggregate Limit for any other thorized contracting parties deviate from single designated"location". plans, blueprints, designs, specifications (4) The limits shown in the Declarations or timetables, the project will still be for Each Occurrence, Damage To deemed to be the same construction pro- Premises Rented To You and Medi- ject. cal Expense continue to apply. How- . 5. The provisions of Section III—Limits Of ever, instead of being subject to the Insurance not otherwise modified by this General Aggregate Limit shown in endorsement shall continue to apply as the Declarations, such limits will be stipulated subject to the applicable Location General Aggregate Limit. 2. General Aggregate Limits Of insurance— 2. For all sums which the insured becomes Per Location legally obligated to pay as damages a. For all sums which the insured becomes caused by"occurrences"under Section I legally obligated to pay as damages — Coverage A, and for all medical ex- caused by"occurrences" under Section I penses caused by accidents under Sec- - Coverage A, and for all medical ex- tion I—Coverage C,which cannot be at- penses caused by accidents under Sec- tributed only to operations at a single"lo- • tion I — Coverage C, which can be at- cation": tributed only to operations at a single"lo- a. Any payments made under Cover- cation". age A for damages or under Cover- (11) A separate Location General Aggre- age C for medical expenses shall re- gate Limit applies to each"location", duce the amount available under the and that limit is equal to the amount General Aggregate Limit or the Prod- of the General Aggregate Limit ucts-completed Operations Aggre- . shown in the Declarations. • gate Limit, whichever is applicable; and b. Such payments shall not reduce any Location General Aggregate Limit. RLI INSURANCE COMPANY RGL 365 01 19 Contains copyrighted material of Page 6 of 8 Insurance Services Office, Inc.with its permission f .3. When coverage for liability arising out of your partners who is an individual(if you the"products-completed operations haz- are a partnership),one of your managers • ard" is provided, any payments for dam- (if you are a limited liability company), ages because of"bodily injury"or"prop- one&your trustees who is an individual erty damage" included in the "products- (if you are a trust), or an "employee" completed operations hazard"will reduce (such as an insurande,loss control or risk the Products-completed Operations Ag- manager or administrator)designated by gregate Limit, and not reduce the Gen- you to give such notice. eral Aggregate• Limit nor the Location General Aggregate Limit. Knowledge by:any other "employee" of 4.. For the purposes of this endorsement, an "occurrence or offense does not im- the Definitions Section is amended by ply that you also have such knowledge. , the addition of the following definition: Notice of an"occurrence"or of an offense "Location"means premises involving the which. may.result in .a claim will be same or connecting lots, or premises deemed to be given as soon as practice- whose connection is interrupted only by ble to us if it is given in good faith as soon a street,-roadway, waterway or right-of- as practicable to your workers' compen- way of a railroad.: sation, accident, or health insurer. This 5. The provisions of Section Ill— Limits Of applies only if you subsequently.give no- Insurance not otherwise modified by this - tice of the "occurrence" or offense to us endorsement shall continue to apply as as soon as practicable after you, one of stipulated. your"executive officers"(if you are a cor- poration), one of your partners who is an • L. Damage To Premises Rented To You Limit individual (if you are a partnership), one Paragraph 6. is deleted and replaced by the of your managers(if you are a limited lia- bility company), one of your trustees who 'following: is an individual (if you are a trust), or an 6. Subject to paragraph 5. above, which- "employee" .(such as an insurance, loss ever applies, the Damage To Premises control or risk manager or administrator) Rented To You Limit is the most we will _ designated by you to give such notice pay under Coverage A for damages be- discovers that the "occurrence" or of- cause of "property damage" to any one fense may involve this policy. • premises, while rented to you, or in the To the extent possible, notice should in- case of fire, explosion, lightning, smoke dude: resulting from such fire; or water while • rented to you or temporarily occupied by (1) How, when and where the "occur- you with permission of the owner. rence"or offense took place; • SECTION IV—COMMERCIAL GENERAL LIA- (2) The names'and addresses of any in- BIUTY CONDITIONS jured persons and witnesses; and (3) The nature and location M. Knowledge And Notice Of Occurrence Or or damage arising out of the"occur- Offenserrence"or offense. Paragraph 2.a. Duties In The Event of Oc- N. Unintentional Omission currence,Offense,Claim Or Suit is deleted and replaced by the following: The following is added,to paragraph 6. Rep- resentations: a. Notice of an"occurrence"or of an offense which may result in a claim must be given However, the unintentional omission of, as soon as practicable after knowledge of or unintentional error in; any information the"occurrence"or offense has been re- provided by you which we relied upon in ported to you, one of your"executive of- issuing this policy shall not prejudice your ficers" (if you are a corporation), one of rights under this insurance. This provi- sion does not affect our right to collect additional premium or to exercise our RLI INSURANCE COMPANY RGL 365 01 19 Contains copyrighted material of Page 7 of 8 Insurance Services Office, Inc.with its permission • r right of cancellation or nonrenewal in ac- Q. Amended Insured Contract Definition cordance with applicable insurance laws 1. Paragraph 9.a. is deleted and replaced or regulations. by the following: O. Waiver Of Transfer Of Rights Of Recovery a. A contract for a lease of premises. Against Others To Us However,that portion of the contract indemni- The following is added to paragraph 8. for a lease of premises that• Transfer of Rights of Recovery Against damageam any person or organizationxps for Others to Us: by water, fire, explosion, lightning,or smoke resulting from fire However, we waive any rights of recov- to premises while rented to you or ery we may have against any person or temporarily occupied by you with organization because of payments'we permission of the owner is not an"in- make for "bodily injury", "property dam- sured contract"; age", "personal injury and advertising in- 2. Paragraph 9.c. is deleted and replaced jury"arising out of: by the following: a. Premises owned by you,temporarily c. Any easement or license agreement occupied by you with permission of the owner,or leased or rented to you; 3. Subsection 9.f.(1) is deleted.4. The fol- lowing is added to the end of pare- b. Ongoing and completed operations graph 9.: The insurance provided by the above definitions of "Insured performed by you, or on your behalf, under a contract or agreement with Contract" shall be excess over any valid and collectible Railroad Protec- that person or organization; tive Liability insurance available to an c. Your"work"; or insured , whether primary, excess, "Your products", contingent or on any other basis, ex- d. cept for the insurance purchased We waive these rights only where you specifically by you to apply in excess have agreed to do so as part of a contract of the Limits of Insurance shown in or agreement entered into by you before the declarations for this Coverage the "bodily injury". or "property damage" Part. occurs or the "personal and advertising injury"offense is committed. SECTION V-DEFINITIONS P.Amended Bodily Injury Definition Paragraph 3. is deleted and replaced by the following: 3. "Bodily injury" means injury to the body, sickness, disease, or death. "Bodily in- jury" also means mental injury, mental • anguish, emotional distress, pain and suffering, or shock resulting from injury to the body, sickness, disease or death of any person. • • ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED. RLI INSURANCE COMPANY RGL 365 01 19 Contains copyrighted material of - Page 8 of 8 Insurance Services Office, Inc.with its permission • • THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDIIT9ONAL 9NSU .ED • This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section II — Who Is An Insured is reports, surveys, field orders, amended to.include as an additional in- change orders or drawings and sured any person or organization for specifications; or whom,you are performing operations . when you and such person or organiza- tion have agreed in a written contract or tectural or engineering activities. agreement that such person or organi- 2. "Bodily injury" or "property'damage" zation is to be added as an additional occurring after: insured on your policy. Such person or organization is an additional insured on- a. All work, including materials, ly with respect to"bodily injury or"prop- parts or equipment furnished in • erty damage" caused by your negli- connection with such work, on • gence in the performance of your ongo- the project (other than service, ing operations performed for that addik. maintenance or repairs) to be tional insured. • performed by or on behalf of the • additional insured(s) at the loca- A person's or organization's status as tion of the covered operations an additional insured under this en- • has been completed;or dors'ement ends when your operations b. That portion of"your work"out of for that additional insured are complet- ed. which the injury or damage aris- es•has been put to its intended To the extent required under said written use by any person or organiza- contract or agreement, this policy will tion other than another contrac- apply as primary insurance to additional tor or subcontractor engaged in insureds and other insurance which may • performing operations for a prin- be available to such additional insureds cipal as a part of the same.pro- will be non-contributory.We waive our ject. right of recovery against such additional insureds. 3. "Bodily injury", "property damage" or occurring or commencing before B. With respect to the insurance afforded to execution of the written contract or these additional insureds; the following agreement that requires such per- additional exclusions apply: son or organization be added as an This insurance does not apply to: additional insured on your policy. 1. "Bodily injury", "property damage" or C. Definitions arising out of the rendering of, or the "Ongoing,operations" means operations • failure to render, any. professional not included in the "products-completed architectural, engineering or survey- operations hazard." ing services, including but not limited to: a. The preparing, approving, or • failing to prepare or approve, maps,shop drawings, opinions, ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED. • RGL 371 0716 • RLI INSURANCE COMPANY Page 1 of 1 Contains copyrighted material of Insurance Services Office,Inc.with its permission State Farm Mutual Automobile Insurance Company PO Box 853922 Richardson, TX75085-3822 -' t't i+,•, �:fir.. AT1 010786 0008 A-07313 A FREI, DAVID&CORIO,, JENNIFER AUTO E�°�,��`�� L 1930DST �,...., VANCOUVER WA 98663-3334 {* ' PREMIUM PAID:$391.76 DO NOT PAY. mil}}1}Ilii}1111}111111}i}111111}}I111l1}II111}III}lui9ti1}}1 Your premium Is billed through the State Farm Payment Plan State Farm Payment Plan Number: 1057279515 11.cv F',� xa4t,'�s.TFi: o.�a_...-...,»-....._....,-.,•. .....:�...d••.... - -t?s.7r.<neA.`:aSn.•! (A O Your State Farm Agent JOSE INIGUEZ Policy Number: 3214018-F20-47M Office;360-574-5222 Policy Period:June 20,2021 to December 20,2021 Address: 1307 NE 78TH ST STE B1 Vehicle: VANCOUVER,WA 98665-9672 2016 CHEVROLET COLORADO Ifyou have a new ordiiferentcar,have added any drillers,orhave moved, please contact your agent, DAVIDFREI PrincipalDriver: Thank you for choosing State Farm. ' Your policy has the Guaranteed Renewal Endorsement. information from your check-to make an electronic fund When you provide a check as payment,you authorize us transfer,funds may be withdrawn from your account as soon either touse information from your check to make a as the same day we receive your payment,and you will not one-time electronic fund transfer from your account or to receive your check back from your financial institution. process the payment as a check transaction,-When we use Policy Number:3214018-F20-47M Page number 1 of 4 Prepared May 14,2021 1004583 143562 202 01-15-2018 � 1 esr • ;P"y� { � 7 5'ki h'n ys_"J .� �"• S a17!": 3 t r. e•F • {. 4 t`-s x;• t �� fs ' �c s 6 ' t ya s '�a r .. .,a, !h. lir'' 3t is `t' �-1-f ‘-'�.4i ��i '�� a a ��. L�r . E.�' � NOW y f r can '2 ld�j r+pa i r: .n,, thorn c, 3 -r N•O2 `i�ou , k i i , �!'paes xd 1a We've teamed up with Trupanion®to offer your dog or cat the medical coverage they x • may need.Helping to make sure your best friend receives the care they deserve. To find out how you can get industry leading coverage, ' text PET to 78836 or visit statefarm.comfpetmed. ••,' 3 TPPe( 024147 .a a • h � VEHICLE INFORMATION Review your policy information carefully.If anything is incorrect,or if there are any changes to your vehicle.information,please let us know right away. • -VehicleIdentification Vehicle Description Number(VIM) Who principally drives this vehicle? How is this vehiclenormally used? 2016 CHEVROLET COLORADO 10CGSCE14G1210990 , DAVID FREI,a married male,who will be Business. age 63 as or June 20,2021. Other Household Vehicle(s) • Your premium may be.influenced by other State Farm policies that currently insure the,following vehicle(s) • in your household: 2005 VOLKSWAGEN JETTA 2019 SUMMIT AD08518TA2 • 1988 FORD RANGER The premium for this renewal was determined using an the vehicle safety discount that is applied to each make and annual mileage this vehicle is expected to be driven that model. In addition,we review the comprehensive,collision, was developed from information we obtained or was bodily injury and property damage claim experience provided by you.Please contact us if you expect your annually to determine which makes and models have annual mileage to change over the next year, earned decreases or increases from State Farm's standard Premium Adjustment rates. If any changes result from our reviews, adjustments Each year,we review our medical payments and personal are reflected in the rates shown on,this renewal notice. injury protection coverages claim experience to determine DRIVER 1IFORMATIOs: Other Household Driver(s) In addition to the Principal Driver(s)and Assigned Driver(s),your premium may be influenced by the • drivers shown below and other individuals permitted to • drive your vehicle. This list does not extend or expand coverage beyond that contained in this automobile policy. The drivers listed below are the drivers'reported to us that most frequently drive other vehicles in your • household. JENNIFER CORIO Principal Driver&Assigned Drivers premium may be influenced by the information shown for For each automobile,the Principal Driver is the individual these drivers, who most frequently drives it. • Each driver is designated as an Assigned Driver on the • • household automobile that they most frequently drive.Your • Policy Number:321 4018-F20-47M - Page number 2 of 4 Prepared May 14,2021 • i , 1 1 • t�i.:4 Ei74 's;',;? ,spy y,•, If PORTAMT NOTICE REGARDING YOUR PREMIUM State Farm works hard to offer you the best combination of You have the right to request,no more than once during a price,service,and protection. The amount you pay for 12-month period,that your policy be re-rated using a current va automobile insurance is determined by many factors such credit-based insurance score.Re-rating could result in a as the coverages you have,where you live,the kind of car lower rate,no change in rate,or a higher rate, you drive,how your car is used,who drives the car, and information from consumer reports. 11.o COVERAGE AND LIMITS See your policy for an explanation of these coverages, A Liability Bodily Injury 250,000/500,000 - Property Damage 100,000 $187,05 P1 Personal Injury Protection Includes Medical 10,000 Income Loss 200/wk/1yr $18.14 D Comprehensive $30.55 G 250 Deductible Collision $110.32 H Emergency Road Service $4.46 U Underinsured Motor Vehicle Bodily Injury 100,000/300,000 $39,53 U1 Underinsured Motor Vehicle Property Damage 100,000 $1.71 Total Prerrfiurr ''$394:76 If any coverage you carry Is changed to give broader you the broader protection without issuing a new policy, protection with noadditional premium charge,we will give starting on the date we adopt the broader protection. I SCO.ItNTS These adjustments have already been applied to your premium. Multiple Line V Multicar V Vehicle Safety Accident-Free V $35 9 otal�r)iscbunts . . . . .. • SURCHARGES AND DISCOUNTS AUTOMOBILE RATING PLAN -Applies to private qualify,this discount applies as long as there are no passenger cars only. chargeable accidents,and may even increase over time. Accident-Free Discount =Once your policy has been in Gadd Driving Discount -Newer policyholders who do not force for at least three years with no chargeable accidents, yet qualify for our Accident-Free Discount (available after you may qualify for our Accident-Free Discount. Once you three years with no chargeable accidents)may already be receiving a Good Driving Discount.This discount continues • (continued on next page) Policy Number:321 4018-F20-47M Page number 3 of 4 Prepared May 14,2021 024148 cab ra'` tela, :) to apply until your policy qualifies for the Accident-Free Discount will continue and no surcharge will apply.The Discount as long as there are no chargeable accidents and surcharge for each accident depends upon the number and no new drivers.If you add new drivers, they must also timing of the accidents,and each accident surcharge will qualify in order for your Good Driving Discountto continue, remain in effect up to three years. Chargeable Accidents -For new business rating,:an Surcharges will be removed if'the company is given accident is chargeable if it results in$750 or more of satisfactory evidence that the driver involved is no longer a damage to any property. For renewal business, an accident member of the household or will not be driving the oar in the is chargeable as of the date State Farm pays at least$750 future.If that driver is insured on another State Farm policy, (for accidents occurring on or after April 1, 1999)under his or her driving record will be considered in the rating of property damage liability and collision coverages for an the other policy. at-fault accident. • These discounts and surcharges do not apply to all Surcharges-If there are chargeable accidents,you may coverages.For complete details,see your State Farm agent. lose your Good Driving Discount or Accident-Free Discount : Your Vehicle Safety Discount has been increased for your and receive accident surcharges.But if the accident is the. personal injury protection and medical payments coverage. first to become chargeable in nine years and this policy has been in force for at least that long,the Accident-Free ADDITIONAL INFORMATION If any information on this renewal notice is incomplete or information regarding discounts or coverages,see your inaccurate,or if you want to confirm the information we have State Farm agent or visit statefarm.com®. in our records,please contact your agent. For additional Buykig a new ear?Remember in contact your agent! When you buy an additional car or one that replaces a car already on your policy,you need to report the change to your agent promptly. Even though the dealership you purchased the car from may•offer to notify your agent t r insurance company,you,as the named insured,are responsible for reporting all changes to your auto policy.By contacting your agent,you can help: avoid any complications or lack of coverage in the event of an accident or loss, o avoid insurance verification problems with a lienholder,the police,or the department of motor vehicles,and 9 ensure that you receive any new discounts you may be entitled to, Your current State Farm policy automatically provides certain coverages for a new or replacement oar for up to a specified,limited number of days after you take possession of the car.Please refer to your policy for the number of days that applies in your state. If you have any questions about coverage for a newly acquired car,please contact your State Farm agent, Disclaimer.'This message is provided for informational purposes only and does not grant any Insurance coverage. The terms and conditions of coverage are set forth in your State Farm Car Policy booklet, the most recently issued Declarations Page,and any applicable endorsements, • • • •• Policy Number:321 4018-P20-47M Page number 4 of 4 Prepared May 14,2021