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HomeMy WebLinkAbout2021-109 PO 20220103- Bugs Northwest Purchase Order 'MS ,l CF1R nPiN-` Fiscal Year 2022 Page 1 of 1 THIS PO NUMBER IEJS APPEARQN ALL TN�OICES,.AND s�PPI�IG p000iGIENTS- B City of Ashland ATTN: Accounts Payable L 20 E. Main Purchase 20220103 Ashland, OR 97520 Order# T Phone: 541/552-2010 O Email: payable@ashland.or.us V H CIO Facilities Maintenance Div EBUGS NORTHWEST I 90 North Mountain Ave 2027 SW G ST p Ashland, OR 97520 GRANTS PASS, OR 97526 Phone: 541/488-5358 O T Fax: 541/552-2304 R O 1 Uendorphone Nuri be 31/endor=x NU nber_,,____R7Mrditi Nu nher_ 1 David Arnold _:Date Ordered Verrdor=Number __Date Required Freight Methpdrreffls _l Departmertiard tion_i_ 08/19/2021 1287 FOB ASHLAND OR/NET30 City Accounts Payable -- 'r= 'Descrptio n%I'art(Ya— _ C,�'IY_. =Item#�= _ ,..._ �. N EVOMPAWhit-Prig �,;_-Extended�rce s On-call Wildlife Control 1 On-call Wildlife Control 1.0 $10,000.00 $10,000.00 Goods and Services Agreement(Less than $25,000) Completion date: June 30,2022 Project Account: *************** GL SUMMARY*************** I 088400-602400 $10,000.00 _ I n l By: i Date: Authorized Signature PO Total_ =- $10,000.00 • FORM#3CITY OF $4,F, of, ,, el (g' SHLAND A request for a PurCna9/Urd REQUISITION Date of request: 8/5/2021 Required date for delivery: Vendor Name Buqs Northwest Address,City,State,Zip 2027 SW G Street.Grants Pass.'OR 97526 Contact Name&Telephone Number Sue Klekar 541-472-5003 buasnorthwest20130gmail.com Email.address SOURCING METHOD ❑ Exempt from Competitive Bidding '❑ Emergency O Reason for exemption: 0 Invitation to Bid 0 Form#13,Written findings and Authorization ❑ AMC 2.50 Date approved by Council: 0 Written quote or proposal attached ❑ Written quote or proposal attached (Attach copy of council communication) I (If council approval required,attach copy of CC) T] Small Procurement 0 Request for Proposal I Cooperative Procurement Not exceeding$5,000 Date approved by Council: I 0 State of Oregon O Direct Award _(Attach copy of council communication) I Contract# 0 Verbal/Written quote(s)or proposal(s) ❑ Request for Qualifications(Public Works) 0 State of Washington Date approved by Council: Contract# (Attach copy of council communication) ❑ Other government agency contract Intermediate Procurement 0 Sole Source I Agency GOODS&SERVICES 0 Applicable Form(#5,6,7 or 8) Contract# Greater than$5.000 and less than.$100,000 0 Written quote or proposal attached i Intergovernmental Agreement ® (3)Written quotes and solicitation attached 0 Form#4,Personal Services>$5K&475K Agency PERSONAL SERVICES 0 Special Procurement 0 Annual cost to City does not exceed$25,000. Greater than$5,000 and less than$75.000 0 Form#9,Request for Approval Agreement approved by Legal and approvedlsigned by ❑ Direct appointment not to exceed$35,000 0 Written quote or proposal attached City Administrator.AMC 2.50.070(4) O (3)Written proposals/written solicitation Date approved by Council: 0 Annual cost to City exceeds$25,000,Council ❑ Form#4,Personal Services>$5K 8 475K Valid until: (Date) approval required.(Attach copy of council communication) Description of SERVICES Total Cost As Needed Wildlife Control for FY22 $10,000,00 Item# Quantity Unit Description of MATERIALS Unit Price Total Cost • U Per attached quotelproposal - I . 'TOTAL COST-' • Project Number __ . Account Number 088400-602400 III 'Expenditure must be charged to the appropriate account numbers for the financials to accurately reflect the actual expenditures. IT Director in collaboration with department to approve all hardware and software purchl ses: IT Director Date Support-Yes/No By signing this requisition form,I certify that the City's rc co cling requirements have been satisfied. G r Employee: .. .),,,....---F- 77.-:97 Department Head: 7'e.,.., %� o-//Q/ �`Lc_ (Equal to or greaterthan$5,000) Department Manager/Supervisor: City Admini tor: (Equal to or greater than$25,000) Funds appropriated for current fiscal year:: YES/NO tI F-0Y-21 Deputy Finance Director-(Equal to or greater than$5,000) Date Comments: Form#3-Requisition it • . . . . . . • .. 4 .. . • . . . . . . . - • . • . . . . . . . • .• . . . . . . • . . • •. . . . . • • . • • . • ., . . ' . • • • GOODS AND SERVICES AGREEMENT(LESS THAN$25,000) . 1 • . . - . . . . . , . . . • • . • •• • . • • • . . • • .- • '. . - PROVIDER: Bugs Northwest. -. '. ••. . .. . . 1 . • . . . . • . . • . . • • .. 41le. •91 .. PROVIDER'S . . . • • .. ASHLAND • - CONTACT: . • • ' .Sue Klekar • I . . • . . . • .. • • • 20 East•Main Street , . . • ' - . • • • egon• Ashland,Or97520 . 'ADDRESS: . 2027 SW G Street •• • • . • • • Telephone:. 541/488-5587 - .• • • . Grants Pass,OR 97526 ' ' • . - . • • - • 'Fax: 541/488-6006 • . • .• . .. . : . • . .• • . ; PHONE:- • 541-472-5003 . ' . . . . • • •. .• • . . .• . . . : .. - .• • . •• . • • . . 1• . . . . . . . • . • . -• ' • • . • . . . This'Goods.and Services Agreement (hereinafter"Agreement") is entered into by and between the City of ; . • 1 .. . Ashland,•an Oregon municipalcorporation (hereinafter "City") and Bugs Northwest, (a domestic/foreign • • 'buiriess corporation)*("hereinafter"Provider"),for Wildlife Control. ' • , - • . . . ( PROVIDER'S OBLIGATIONS :- ' • 1.1 Provide as needed Wildlife Control for'FY22 as set forthin the "SUPPORTING DOCUMENTS" • attached hereto and;by this reference,incorporated herein. Pr4vider expressly acknowledges that time . • • is of the essence of any completion date set forth in the SUPPORTING DOCUMENTS,and that no • . .r waiver or.extension of such deadline may be authorized except in the same manner as herein provided ' for authority to exceed the maximum compensation. The 1 services defined and described in the . - "SUPPORTING DOCUNENTS"shall hereinafter be Collectively referred to as"Work." , , • • . . . . • 1.2. _Provider shall obtain and maintain during the term of this Agreement and until Eity'S final acceptance ' . of all Work receivedhereunder,a policy or Policies of liability insurance including commercial general . • • liability insurance with.a combined Single limit,'or Ake equivalent,of not less than$2,000,000(two . . - million dollars)per occurrence for Bodily Injury and Property Damage. . . . • • • • • 1 . . - . . ° 1.2.1 The insurance required in this Article shall include the following coverages: • • Comprehensive General or Commercial General Liahiliti, including personal injury, . contractual liability,and products/completed operations coverage; and • 1 . . .. • • . • Automobile Liability. . . . ., • • Workers'Compensation • • 0 • , • . •. . • 1 .• 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 . 00 • • . .issued to each,provided that the policy limits shall' not be increased thereby; 1 • Apply as primary coverage for each additional named-insured except to'the extent that• • • • twoor rhore'such policies are intended to "laYer".coverage and;taken together,they .. . provide total coverage from the first dollar of liability; .• i • • . • ' . • Provider shall immediately notify the City of any change in insurance Coverage. • • •. • ProVideishall supply an endorsement naming-the City,its officers,employees and agents • . - as additional insureds by the Effective Date of this Agreement; and ° ' • • • . Page 1 of 6: Goods and Services Agreement between the Cityof Ashland andpugs Northwest ' . ' • • • . . . . • • . . . . . . . . . • • • : . . . ' . . . . "7 • • • : Be evidenced by a certificate or certificates of su h insurance approved by the City. 1.3 Provider shall,at its own expense,maintain Worker's Compensation insurance in compliance with ORS 656.017,which requires subject employers to provide wirkers',compensation coverage for all of • ' • its.subject workers. 1.4 Provider agrees that no person shall,on the grounds ofrace,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 1 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 'performingWork under this Agreement and to any • '. Subcontractor who performs 50%or more of the Work under this Agreement.•Provider is also required . • to post the notice attached hereto as"Exhibit A"predominantly in areas where it will be seen by all employees. •• . 1.7 Assignment: Provider shall not assign this Agreement or subcontract any.portion of the Work to.be • provided hereunder.without the prior written consent of the City. Any attempted assignment or • subcontract without written consent of the City shall be void. Provider shall be fully responsible for the • • -acts or omissions of any assigns or subcontractors•and of all persons employed by them,and the approval by the City of any assignment or subcontract.shall not create any contractual relation between the assignee or subcontractor and the City. . . • 2..CITY'S OBLIGATIONS. ' • ' 2.1 . City shall pay Provider.the sum 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$10,000.00,ten tlionsand dollars without express,written approval from the City official • • whose signature appears below,or such official's successor in ioffice. 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 . • . 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. ' • Page 2 of 6: Goods and Services Agreement betweenthe.City of Ashland and Buys Northwest • . 1 • • 3.2 Provider is an independent contractor and not aa employee or agent of the City for any purpose. • - . 1 . 3.3 Provider is not entitled to,and expressly waives all claims to City benefits such as health and disability • • insurance;paid leave,and retirement ' • •- 3.4 This Agreement.embodies the full and complete understanding of the parties respecting the subject matter hereof'It supersedes all prior agreements,negotiations,and representations between the parties, • . . whether written or oral. . 3.5 This Agreement may be amended only by written instrument executed with the same formalities as this • Agreement ' ' ' ' - 3.6 The following•laws of the State of Oregon are hereby incorporated by reference into.this Agreement: ORS 279B.220,279B.230 and 279B.235. • 3.7 i hisAgreement 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 hi the Circuit-Court of the State of Oregon for Jackson County unless exclusive jurisdiction is in federal court, in which case exclusive venueshall be in the federal district court for the district of Oregon. Each party . expressly waives any and all rights to maintain an action under this Agreement in any other venue,and - expressly consents that, upon motion.of the other party,•any case may be'dismissed or its venue transferred;as appropriate,so as to effectuate this choice of venue: • . 3.8 Provider shall defend, save, hold harmless and indemnify the • City.and its officers, employees and agents from and against any and all claims, suits,.actions, losses, damages, liabilities, costs, and. of any nature resulting from;arising out.oi;or relating to the activities of Provider or its •• officers,employees,contractors,or agents under this Agreement • 3.9 Neither party to.this Agreement shall hold the Other responsible for damages or delay in performance . • caused by acts of God,strikes,lockouts,accidents,or other events beyond the control of the other or ' the other's officers,employees or agents. • ' 3.10 If any provision of.this Agreement is found by a court of competent jurisdiction to be unenforceable, . ' - such•provision shall not affect the other provisions,but such unenforceable provision shall be deemed . modified to the extent necessary to tender it enforceable,preserving to the fullest extent permitted the . •intent of Provider and the City set forthin this Agreement . ` ' 3.11 Deliveries will be F.O.B destination.Provider shall pay all transportation and handling•charges for the . - Goods.Provider is responsible and liable for loss or damage until final inspection and acceptance of • • the-Goods by the City. Provider remains liable for latent defects,fraud,and warranties.: . ' 3.12 The City•may inspect and test the.Goods.The City may reject non-conforming Goods and require • Provider to correct them without charge or deliver them at a reduced price,as negotiated.If Provider does not cure any defects within a reasonable time,the City may reject the Goods and cancel this • • 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). - Page 3 of 6: Goods and Services Ageement between the City of Ashland and Bugs Northwest • • 3:13 Provider represents sand warrants that the Goods are new, current, and•fully.warranted by the manufacturer.Delivered Goods will comply with SUPPORTING DOCUMENTS and befree 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 Provider's hourly rate sheet. . • .The Provider's firm price bid(s)for each individual project. S. REMEDIES • 5.1 In the event Provider is in default of this Agreement,City may,at its option,pursue any or all of the . . remedies available to it'under this Agreement and at law or in equity,including,but not limited to: • 5.1.1 Termination of this Agreement; ' 5.1.2 Withholding all monies due for the Work that Provider has failed to'deliver within any scheduled completion dates or any Work that have been delivered inadequately or defectively; 5.1.3 Initiation of an action or proceeding for damages, specific performance, or declaratory or injunctive relief; • 5.1.4 These remedies are cumulative to the,extent the.remedies are not inconsistent, and City may _ pursue anyremedy or remedies singly,collectively,successively or in any order whatsoever. • 5.2 In no event shall City be.liable to Provider for any expenses related to termination of this Agreement 'or for anticipated profits.If previous amounts paid to Provider exceed the amount due;Provider shall . pay immediately any excess to City upon written.demand provided.. • • 6. TERM AND TERMINATION . . 6,1 Tenn • This Agreement shall be effective from the date of execution on behalf of the City as set forth below • •(the"Effective Date") and shall continue in full force and effect until June 30,2022,unless sooner • terminated as provided in Subsection 6.2. ' • . 6.2 Termination . •' • • 6.2.1 The City and Provider may terminate this Agreement by mutual agreement at any time. 6.2.2 The City may,upon not less than thirty(30)days'prior written notice,terminate this Agreement • for any reason deemed appropriate in its sole discretion. 6.2:3 Either party may terminate this Agreement,with cause,by not less than fourteen(14)days'prior written notice if the cause is not,cured within that fourteen(14)day period after written notice. • Such termination is in pd clition to and not in lieu of any other'remedy at law or equity.. 7. NOTICE . .. . Whenever notice is required orpermitted 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 • • • Facilities Maintenance_Department • Attn: David Arnold . • Page 4 of 6: Goods and Services Agreement between the City of Ashland.and Bugs orthwest .; . • 20 E.Main Street • • • Ashland,Oregon 97520 • • Phone:(541)552-2292 . . . • With a copy to: ' • city of Ashland—Legal Department • 20 E.MainStreet ' • • • .. • Ashland,OR 97520 • • • - Phone:(541)488-5350 . ' . • If to Provider: ' • Bugs Northwest • • . .Attn:Sue Klekar • • • 541-472-5003 . • " 8. WAIVER OF BREACH ' . One or more waivers or failures to_object by.either party to the other's breach of any provision,term, condition,•or covenant contained in this Agreement shall not be construed as a waiver of any subsequent . breach,'whether or not of the same nature. ' . . • 9. PROVIDER'S COMPLIANCE WITH TAX LAWS • • 9.1 Provider represents and warrants to the City that: • •. 9.1.1 Provider shall,throughout the 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; •• • Cu)• 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 avail ble under this Agreement,at law,or in equity • • IN WITNESS WHEREOF.the parties have caused this Agreement to be signed in their respective ' names by their duly authorized representatives as of the dates set forth 1 elow. '. • ' Page 5 of 6: Goods and Services Agreement between the City of Ashland and Bugs Northwest • • • CITY OF ASHLAND: Bugs hwest(PRO I i ! / By: AfC . .iii. Signature Si: ' . /l�le,�• t?nr+5on . rtiiv•d . Printed Name - [� Printed Name �q�-� c (,J¼ S -' ' s tle Title • • • --/(- a •• Date •Date is to be submitted with this signed Agreement) • • Purchase Order No. 4;2-O (e).5- • • • • • • • • • • • • • • • Page 6 of& Goods and Services Agreement between the City of Ashland and Bugs Northwest s x{ / fa 4$ ugs Northfflest 2027 SW G St,Grants Pass,Or.97526 bugsnorthwest2oi3@gmaiLeom 5414472.5003 MAY 5,2021 SCHEDULE OF LABOR RATES Depending on scope of work,prices may range from$100.00-150.00/per hour, as a base rate, including materials used. There is a minimum charge rate of$95.00 service fee. • . '.:...:'. ....-.VA-ifillit;' - . • ..„,.1..,...;itQ.,tt,arp5,....&.• . . COUNTRY , . • ' FINANC.IAL,. _.--- •.:',.. :f._,T414,V137g','::;' RE MI UM NOTICE. • Notice Date:March 08,2021 • Auto Account Number:.0009988087 . ''...,-rtli,N'''..C'•,..•'. •;--••„.41--qp,V-- f., • . oir,,,ei.'..,. ..•• *,,,te! • . . . Or: • YOUR PREMIUM DETAILS • • • r'4e''. , • „ • .• tzg. • :•,..i...-4 m AUTO INSURANCE Policy Number Vehicle(s) Your policy activity • Amount billed•-, 'i4c.i A36A4937683 2004 Font f Policy term Policy Renewal $1,780.03 i .0 • kangerA8470 effective ate 04/11/21 4 1 • 04/11/21-10/11/21 2009 Ford I F71501371943•I • ' ?,:5';',"' . • • 2009 Ford . RangerA5107.6. • .. • . • : 2009 Ford .• ..1 R ! 56314631 •'1 • • . . ' - CONTACT US Contact COUNTRY® • Contact your COUNTRY • ••••1 - .• - Phone • • Financial®representative . • 1,866-COUNTRY(14165-268-6879) ........:.., • • :1. • • . Didyou,cncw.you can ' . Mailing Address Dabble D Derensld- ...ti • •pay:onOne?':.• '• . .. . •COUNTRY.Mutual Insurance comp205 NodliWest Eat rants Pass;OR 97525 . . . . • any° G• .....• •. • • Pp:Box,2100 I ;.:.:1, . • . .:., •,• .. .. .. • • . •,.... .• .•!. Blooningten,•IL 61702-2100 ' (641y479-0362 , • . • .....n:........re:.....Itl:vo.d....e:.,hbcoteu.dntryfirraerensldneoogial:untryficoinidnaonbclalc.d1.:orenInski :,,, • • • . .• '.:.•:'••• •.":•:.:•.'';.1.'•'A•WYNTRT-1841:•:•.; v: ..-.': • .... '"••;•••••,....4;.f.q7;Mig...:.•.:WcNi•-•1'•'*...*.O.PAP,:::.X.:,'S•i::!.**•:.,••.:*. ,.:,.. z•• . • ••• -. • • ... :. ;'. . • • • - .. : . . . . . . . • • • i' . . . . .-: .• •. ". .•-• .. ' - . . • . . .;, ' ' • • • '' • • "••• • • • •.' ' •.. .-. • • •• • • . Ka'':. ••-•• :' • : • . . •. •.:. ..... :.. . • . • • .. . . . . . . .. . t.::,•:,.•••::...j.... •:. 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IMPORTANT: If the Certificate holder Is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed. • If SUBROGATION IS.WANED,subject to the terms and conditions of the.polTcy,certaInlpblicies may require an endorsemenL.A statement on ' • this certificate does not confer rights to the certificate holder In lieu of such endorsement(s), , PIWOUCER CONTACT NAME: Housepcmunt SlsKryou Insurance Marketplace,Inc. ' fA"@"r o. .(541)479-6672 T . 704 Sw 4th Street - SAIL rArc NeI: (541)474632 ' ADDRESS: I . INSURER(S)AFFOROBIG COVERAGE NAIC6 Grants Pass OR 97526 . INSURERS: .1. • INSURED - INSURER B: • • Green Line Corporation . 'INSURER C: • -• 551 Sw G Street INSURER 0: . . • INSURER E: I . Grants Pass - . OR 97526 INSURER F: I " • COVERAGES - . CERTIFICATE NUMBER: ' I 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 CONTRACTOR 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 REDUCEDE-FBY ��PAID,CLAIMS.INs LTR ADOL TYPE OF INSURANCE • MSrL SUER wvn 'PoLICY NUMBER IMM 1YIYY1-Yl (OPr00.vVD I • LIMITS COMMERCIALGENERALOARIUTY EACH OCCURRENCE • S CLAIMS-MADE El OCCUR DAMAGE 10 REN1 hD •• ; PREMISES Me o,cm,ance) S .. MED EJ�PNY one Person) S PERSONAL&ADVS1JURY S _ - GENT.AGGREGATE LIMIT APPLIES PER:. GENERAL AGGREGATE $ _ POLICY ElLOC PRODUCTS-COMP/OP AGO $ • • • OTHER: S • • AUTOMOBLLE LIABILITY • COMBINED SINGLE LIMIT S ' - (Ea eretlenU• ' ANY AUTOBOOBY INJURY(Per potion) $ • • —OWNED —SCHEDULED AUTOS ONLY _AUTOS BODILY INJURY(Peremidenl) S HHROS ED NOONLY ._AUTOS ONLY ED PROPERTY DAMAGE S • . — (Per(oxidant) _ $ UMBRELLA UAB _OCCUR • 1 • EACH OCCURRENCE $ — EXCESS LIAB CLAIMS-MADE AGGREGATE S DEO I I RETENTION$' • $ • • WORKERS COMPENSATION • I SI'TrUTE I I EER AND EMPLOYERS'UABIUTY • ANY PROPRIETOR/PARTNE)LECUTIVE YIN EL EACH ACCIDENT $500.000 A DIOFFICER/MEMBER Hu 747737 • : 04/)12021 04/012022 Ifan,desoiln H) . EL DISEASE-EA EMPLOYEES 500,000 DESCRIPTION OF OPERATIONS behw - EL DISEASE-POLICY UMIr $500.000 • DESCRIPTION OF OPERATIONS I LOCATIONS I VEHCLES(ACORD^1e1,Additional Remark.SekM.obmo .dul.,may be If reapara is requited) •CERTIFICATE HOLDER - CANCELLATION I • • • SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE • - THE EXPIRATION DATE THEREOF, NOTICE WILL. BE DELIVERED IN CITY OFASFILAND, ACCORDANCE WRH'IHEPOUCY PROVISIONS. 20 E MAIN'ST AUTNORIZETI REPRESENTATNE . I Ashland - • ' OR 97520 • • ' Fax: Email: . O 1988-2015 ACORD CORPORATION.All rights reserved. • ACORD 25(2016103) - '. . The ACORD name and logo are registered marks of ACORD • • • • • POLICY NUMBER:.LGL0000759 07 • • COMMERCIAL GENERAL LIABILITY • • . CG 2010 04.13 • • THIS ENDORSEMENT CHANGESTHE POLICY. PLEASE READ IT CAREFULLY.•• • • .ADDITIONAL INSURED - OWNERS, LESSEES OR . • . • CONTRACTORS -SCHEDULED PERSON OR • - ORGANIZATION . . • This endorsement modifies insurance provided under the following: • COMMERCIAL GENERAL LIABILITY COVERAGE PART ' - . • • SCHEDULE •. • ' - • '• . Name Of Additional Insured Person(s) • ' ' ' • Or Organization(s) Location(s)Of Covered Operations City of Ashland-20 E.Main St Ashland,OR•97520 All Locations Per.Written,Contract • • • • Information required to con•iplete this Schedule,if not'shown above,will be shown in the Declarations. ' I • • • - A. Section II—Who Is An Insured is amended to B. With respect to the insurance afforded to these - include as an additional insured the person(s)or •• -additional I insureds, the following additional organization(s) shown in the Schedule, but orily . exclusions apply: • ' with respect to liability for•"bodily injury","property• This•insurance doee not apply to"bodilyinjury"or • damage" or 'personal and advertising injury' "property damage"occurring after. - caused,in whole or in part,by: 1. Your acts or omissions;or . 1. All work,including materials,parts or equ•ipment • • furnished in connection with'such work,on,the 2. The acts or omissions of those acting on your project'(other than service, maintenance or behalf, - • • repairs)to be performed by or on behalf of the in the performance of your'ongoing operations for additional insured(s) at the'location of the, • .the additional insured(s) at the' location(s) • covered,operations has been completed;or • • designated above.• -2. That portion of"your work" out of which the However. . • .. injury or.damage arises.has been'put to its 1. The insurance afforded to such additional intended'use by any person or organization • insured onlyapplies to the extentpermitted'additbyother than another contractor or subcontractor pP - engaged in performing operations fora principal • law;•and •as a pait of the same project. . . 2. If coverage provided to the additional insured is - • . • . . required.by a contract or agreement, the • insurance afforded to such additional insured- . • • • will not be broader than that which you are . • required by.the contract or•agreement to provide . . • - . for such.additional insured: ' CG 2010 0413 ©Insurance Services Office,Inc.,2012 Page 1 of 2 ' • • • • • • • • • • C.With respect to the insurance afforded to these 2. Available under the applicable Limits of additional insureds, the following is added to Insurance shown in the Declarations; Section III—Limits Of Insurance: whichever is less. • • If coverage provided to the additional insured is • This endorsement shall not increase the applicable required by a contract or agreement,the most we Limits of Insurance shown in the Declarations. • will pay on behalf of the additional insured;is the amount of insurance: . • • • • 1. Required by the contract or agreement;or, • • • . i. • • • • • • • • • • • • • • • • • • • • • • • • • • . • • • • • • • • • • • • • Page 2 of 2 ` ©Insurance Services Office,Inc„12012 CG 20 10 0413 •• . . POLICY NUMBER:LGL0000759 07 - • THIS ENDORSEMENT CHANGES THE POLICY.:PLEASE READ IT CAREFULLY. - ADDITIONAL INSURED(INCLUDING COMPLETED OPERATIONS) . AUTOMATIC STATUS WHEN REQUIRED INWRITTENAGREEMENT WITH YOU •. . • • • The insurance provided by this endorsement shall not serve to increase our limits of Insurance as described In SECTION Ill-LIMITS OF ' INSURANCE • This endorsement modifies Insuranceprovided under the following:• ' . • COMMERCIAL GENERAL LIABILITY COVERAGE PART - • . • • A. Section II—Who Is An Insured is amended to include as an additional insured any person'or organization for whom you are performing operations when you and such person or organization have agreed in writing in a coritract or written agreement that such • person or organization be added as an additional insured on your policy',.Such person.or organization is an additional insured only. • with respect to liabilityfor. . , , • I ' 1. .'bodily injury',"property damage"or'personal and advertising injury"caused,in whole or in part,by: - • a.• Your acts or omissions;or . . •b. The acts or.omissions of those acting on your behalf in the performance nce of your ongoing operations.and.for that additional insured. • . . . '2.• bodily injury'or'property damage"included•in the"products-completed operations hazard"(completed.operations)in - respect of'your work'performed for that additional insured B. This insurance shall be considered primary if any other valid and collectible Insurance is available to any person.or organization included as an additional insured under this endorsement and such other insurance shall be excess of and will riot contribute to the • insurance afforded bythis endorsement " . •• • C. We will waive any right of recovery we may have against any person or organization�whom you have agreddlo waive such right of • -recovery in a written contract or written agreement because of payments we make far injury or damage arising out of your ongoing -operations or'your work"done under a contract with that person or organization' included.within the'products-completed operations hazard.° I D. With respect to the insurance afforded to these additional Insureds,the following additional exclusion applies: • • This insurance does not apply to"bodily injury",."property damage°or"personal'and advertising injury'arising out of the rendering • of,or the failure to render,any professional architectural,engineering or surveying services,including: • , .. ' 1. The preparing,approving,or fairing to prepare or•approve,maps,shop drawings,opinions,reports,surveys,field orders, - change orders or drawings and specifications;•or • 2.• Supervisory,inspection,architectural or engineering activities. '• • • . All.other terms,conditions and exclusions under the policy are applicable to this Endorsement and remain unchanged.. • • • • • • CG 78 27 0213 .. ©2013 Gemini Insurance Company(A Berkley Company) . • • Page 1 of 1 •• • • • • • . • DATE(MMIDDIYYYY) A" , ,: • CERTIFICATE OF LIABILITY INSURANCE I. I7/22/2021 . 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 en ADDITIONAL INSURED,the'policy(les)must by 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 UPCA Inc. SME?CT LIPCA,Inc." ' ' PO Box 80663 • ' Baton Rouge• ,LA 70898 P• HONE Nn.EMI.(225)927-3283 I(rc,Nol:(225)927-3295 ams, Infogip,'ca.DOM • . INSURER(S)AFFORDING COVERAGE rAIC It ' • ' Insurance'INSURER A: Gemini Insunce Company _ , -10833 _ INSURED Green Line Corporation INSURERS:• . • • • Bugs Northwest' • - • 2027 SW G St INSURER c: Grants Pass,OR 97526 INSURER D: i• • - • INSURERE: • INSURER F: • . COVERAGES •CERTIFICATENUMBER:67337 • REVISION NUMBER:20200910. • 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 CONDmON OFANY CONTRACT TO, 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 CONDRIQNS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. - INSR TYPE OF INSURANCE IINSR WVD • POLICY NUMBER POLICYEFF IPOLICYE%P • IMOlIc YrinEFF IPOLIC EXP LIMITS GENERAL LIABILITY' • EACH OCCURRENCE S 2,000,000 • • ✓ COMMERCIAL-GENERAL LVreILITY • DAMLU,E(0 RFNI ED I� • i ✓ •LGL0000759 07 9/10/2020 9/10/2021 PREMISES(Ea Decal s 100,000 I CWI MSMADE I I OAR MEDI EXP(Any one person) 3 5,000 A ✓ oaduaMo 1;000 PERSONAL aADV INJURY S 2,000,000 t -MoranLiabilitykrc:uded at party CrabGENERAL AGGREGATE S -4,000,000 " - �GEN•LAGGRE(G�ATEUNITAP(F�UESPER:' - PRODUCTS-COMP/OP AGG 5 4,000,000 • --ail POLICY FIEF JE F I I LOC• • S . AUTOMOBILE LIABMY IIEeecddEennUENGLE UMI' 5 ANY AUTO BODILY INJURY(Per person) S —ALL -SCHEDULED - BODILY INJURY(Peraotlderd) S • HIRED AUTO _ctruu NON-OlP DAMAGE S — S UMBRELLA LIAR _OCCUR EACH OCCURRENCE S —RECESS URD' ' •CLAIMS-MADE . • • AGGREGATE S . DED•I I RETENTIONS • • II S WORKERS COMPENSATION - IPER STATUr13 I PR AND EMPLOYERS'LJABILITY. • YIN • • ANY PROPIUETORJPARTNEIEIECUTIVE -NIA .E.L EACH ACCIDENT S OFFICER/MEMBER EXCLUDED? . ' . (MandataryInNH) • EL DISEASE-EA EMPLOYEE S . OFSCRIFDDNOF OPERATONS beta/ • - 1 E.I.DISEASE-PODGY UMIT S DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 1S1,Addrdenaf Remarks Schedule,maybe aBa<hed Oman'space is regaling) ' Pest and Wildlife Services • . City of Ashland Is Included as.an additional Insured Including waiver of subrogation on a primary&non- contn'butary basis with respect general liability per endorsements CG2010&CG 78 27 0213 when required by written contract • Ih • , CERTIFICATE HOLDER • CANCELLATION I ' •City of Ashland I • • 20 B.Main St • SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Ashland,OR 97520 .' THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN • ' ACCORDANCE WRH171E POLICY PROVISIONS:. . 1 • . , AUTHOR®REPRESENTATIVE . ACORD 25(2014/01) • • . . - (91988.2014 ORD 20;ION:All rights reserved. • . .The ACORD name and logo are registered marks of ACORD• , Point of Date of Initial Parking Structure/ B- Rate Letter of Compan+A1:H127y Name Accepted Restrictions Recommendations Contact/Number Contact Street N Building Sheet/Proposal Condolences Bugs NorthWest Sue Parking Structure 22-Jan Yes No Restrictions Sue Klekar 541 472 5003 22-Jan B-Street 12-Mar <bugsnorthwest2013@gmail.com> Just Bugs Pest Control Diane/Debra 21-Jun N/A NITF N/A No Birds Bugs/Mice/Rats 541 292 6998 No Skunks/Possom/Ect — Just Bugs Pest Control -- — — <justbugsor@gmail.com> Pointe Pest Control Chelsea 22-Jun N/A NITF N/A No Birds 541 526 5692 No Skunks/Possom/Ect All Natural Pest Control Andy 14-Jul N/A NITF N/A No Birds Recommended Bugs NW 541 537 4835 No Skunks/Possom/Ect Southern Oregon Humane Society 541 779 3215 14-Jul N/A NITF N/A Wildlife Images 541 476 0222 14-Jul N/A NITF N/A Rehabilitation Facility Grants Pass No Pick Up or Removal Oregon Fish And Wildlife Mathew 14-Jul N/A NITF N/A Recommended Bugs NW Medford 541 826 8774 s Y