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HomeMy WebLinkAbout2021-115 PO 20220106-Just Bugs Pest Control REcOR d Purchase Order • ValFiscal Year 2022 Page: 1 of: 1 _• g orog l5,of l-__ii —a Ao —. B City of Ashland - -- ATTN:Accounts Payable Purchase Ashland, OR97520 Order# 20220106 T Phone:541/552-2010 O Email: payable@ashland.or.us • V H C/OFacilities Maintenance Div E JUST BUGS PEST CONTROL I 90 North Mountain Ave N PO BOX 746 p Ashland, OR,97520 O EAGLE POINT,OR 97524 Phone: 541/488-5358 R T Fax: 541/552-2304 a 5.0.E 15[e�f;12121-1-7- M--M iOffiE H$Il s�23051•,I`I_I=' -- ---- .55ti i,_12`"- :)13eL;- David Arnold �ataTriter W- __ ___ 1 - — _-fit .-,._` n- err .to 08/25/2021 6348 FOB ASHLAND OR/NET30 City Accounts Payable On-call Pest Control 1 On-call Pest Control Services 1.0 $6,000.00 $6,000.00 Goods and Services Agreement(Less than $25,000) Completion date: June 30, 2022 Project Account: ***************GL SUMMARY*************** 088400-602400 • $6,000.00 f'.bd1 Date: By: /V Authorized Signature ; omko _ ___ $6,000.00 WI _.,... toj, ciiiya,pee . FORM#3 CITY OF / D A5 LAN it A mg Li 1:i!Io a 1..111,11l1E;c' Or':1 I /®a � �40 • F';E U H S TI(i, `,� Date of request: 8/5/2021 ' Required date for delivery: . Vendor Name Just Bugs Pest Control • Address,City,State,Zip PO Box 746.Eagle Point,OR 97624 Contact Name&Telephone Number Debra Kenny 541-292-6998 iustbuosor(mgmali.com Email address SOURCING METHOD ❑ Exempt from Competitive Bidding ❑ Emergency • ❑ Reason for exemption: 0 Invitation to Bid 0 Form#13,Written findings and Authorization ❑ AMC 2.50 Date approved by Council:_ ❑ Written quote or proposal attached ❑ Written quote or proposal attached (Attach copy of council communication) (If council approval required,attach copy of CC) ❑ Small Procurement ❑ Request for Proposal •Cooperative Procurement • Not exceeding$5,000 Date approved by Council: ❑ State of Oregon ❑ Direct Award (Attach copy of council communication) Contract# ❑ Verbal/Written quole(s)or proposal(s) ❑ Request for Qualifications(Public Works) ❑ State of Washington Date approved by Council: Contract# (Attach copy of council communication) 0 Other government agency contract Intermediate Procurement 0 Sole Source Agency GOODS&SERVICES 0 Applicable Form(#5,6,7 or 8) Contract# Greater than$5,000 and less than$100,000 ❑ Written quote or proposal attached Intergovernmental Agreement - ® (3)Written quotes and solicitation attached 0 Form#4,Personal Services 45K&<$75K Agency PERSONAL SERVICES 0 Special Procurement 0 Annual cost to City does not exceed$25,000. Greater than$5.000 and less than$75,000 ID Form#9,Request for Approval` Agreement approved by Legal and approved/signed by ❑ Direct appointment not to exceed$35,000 ❑ Written quote or proposal attached CityAdministrator.AMC 2.50.070(4) ❑ (3)Written proposals/written solicitation Date approved by Councll: ❑ Annual cost to City exceeds$25,000,Council ;❑ Form#4,Personal Services 45K&<$75K Valid until: (Date) • ,approval required.(Attach copy of council communication) Description of SERVICES Total Cost Pest Control for FY22 $6,000.00 Item# Quantity Unit Description of MATERIALS Unit Price Total Cost O Per attached quotelproposal TOTAL,COST $ Project Number _ Account Number 088400-602400 • 'Expenditure must be charged to the appropriate account numbers for the financials to accurately reflect the actual expenditures. IT Director in collaboration with department to a awl all hardware and software purchases: IT Director Date Support-Yes/No By signing this requisition form I certify that th City s public ontracling requirements have been satisfied. • 7 Employee: O Department Head: :Gf C . -/(--.).( , (Equal to or greater than$5,000) • / Department ManagerlSupervlsor: City Adminlstr tor: (Equal to or greater than$25,000) Funds appropriated for current fiscal year: YES/NO AiA/`_--- 1-1-Z1 DeputyieDirector-(Equal foorgreater lhan$5,000) Date • Comments: • Form#3-RequisitIon - • GOODS AND SERVICES AGREEMENT(LESS THAN$25,000) PROVIDER: Just Bugs Pest Control CITY OF PROVIDER'S AS H LAN D CONTACT: Debra Kenny 20 East Main Street Ashland,Oregon 97520 ADDRESS: PO Box 746 Telephone: 541/488-5587 Eagle Point,OR 97524 Fax: 541/488-6006 PHONE: 541-292-6998 This Goods and Services Agreement (hereinafter "Agreement") is entered into by and between the City of Ashland,an Oregon-municipal corporation(hereinafter"City")and Just Bugs Pest Control,(a domestic/foreign business corporation)("hereinafter"Provider"),for pest control.services. 1. PROVIDER'S OBLIGATIONS 1.1 Provide pest control services as set forth in the"SUPPORTING DOCUMENTS" attached hereto and, by this reference,incorporated herein. Provider expressly acknowledges that time is of the essence of any completion date set forth in the SUPPORTING DOCUMENTS,and that no waiver or extension of such deadline may be authorized except in the same manner as herein provided for authority to exceed the maximum compensation. The services defined and described in the "SUPPORTING DOCUMENTS"shall hereinafter be collectively referred to as"Work." 1.2 Provider shall obtain and maintain during the term of this Agreement and until City's final acceptance of all Work received hereunder,a policy or policies of liability insurance including commercial general liability insurance with a combined single limit, or the equivalent, of not less than $2,000,000 (two million dollars)per occurrence for Bodily Injury and Property Damage. 1.2.1 The insurance required in this Article shall include the following coverages: • Comprehensive General or Commercial General Liability, including personal injury, contractual liability,and products/completed operations coverage; and • Automobile Liability. • Workers'Compensation 1.2.2 Each policy of such insurance shall be on an"occurrence"and not a"claims made"form,and shall: • Name as additional insured "the City of Ashland, Oregon, its officers, agents and employees" with respect to claims arising out of the provision of Work under this Agreement; • Apply to each named and additional named insured as though a separate policy had been issued to each,provided that the policy limits shall not be increased thereby; • Apply as primary coverage for each additional named insured except to the extent that two or more such policies are intended to "layer" coverage and, taken together, they provide total coverage from the first dollar of liability; - • Provider shall immediately notify the City of any change in insurance coverage • Provider shall supply an endorsement naming the City,its officers,employees and agents as additional insureds by the Effective Date of this Agreement; and • Be evidenced by a certificate or certificates of such.insurance approved by the City. Page 1 of 6: Goods and Services Agreement between the City of Ashland and Just Bugs Pest Control • 1.3 Provider shall, at its own expense, maintain Worker's Compensation insurance in compliance with ORS 656.017,which requires subject employers to provide workers' compensation coverage for all of its subject workers. 1.4 Provider agrees that no person shall, on the grounds of race, color,religion, creed, sex,marital status, familial status or domestic partnership, national origin, age, mental or physical disability, sexual orientation, gender identity or source of income, suffer discrimination in the performance of this Agreement when employed by Provider. Provider agrees to comply with all applicable requirements of federal and state civil rights and rehabilitation statutes,rules and regulations. Further,Provider agrees not to discriminate against a disadvantaged business enterprise, minority-owned business, woman- owned business, a business that a service-disabled veteran owns or an emerging small business enterprise certified under ORS 200.055,in awarding subcontracts as required by ORS 279A.110_ 1.5 In all solicitations either by competitive bidding or negotiation made by Provider for work to be performed under a subcontract, including procurements of materials or leases of equipment, each potential subcontractor or supplier shall be notified by the Providers of the Provider's obligations under this Agreement and Title VI of the Civil Rights Act of 1964 and other federal nondiscrimination laws. 1.6 Living Wage Requirements: If the amount of this Agreement is $22,002.43 or more, Provider is required to comply with Chapter 3.12 of the Ashland Municipal Code by paying a living wage, as defined in that chapter, to all employees performing Work under this Agreement and to any Subcontractor who performs 50%or more of the Work under this Agreement. Provider is also required to post the notice attached hereto as "Exhibit A"predominantly in areas where it will beseen 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$6,000.00,five thousand dollars without express,written approval from the City official whose signature appears below,or such official's successor in office_ Provider expressly acknowledges that no other person has authority to order or authorize additional Work which would cause this maximum sum to be exceeded and that any authorization from the responsible official must be in writing. Provider further acknowledges that any Work delivered or expenses incurred without authorization as provided herein is done at Provider's own risk and as a volunteer without expectation of compensation or reimbursement. 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. Page 2 of 6: Goods and Services Agreement between the City of Ashland and Just Bugs Pest Control 3.3 Provider is not entitled to,and expressly waives all claims to City benefits such as health and disability insurance,paid leave, and retirement. 3.4 This Agreement embodies the full and complete understanding of the parties respecting the subject matter hereof. It supersedes all prior agreements,negotiations,and representations between the parties, whether written or oral. 3.5 This Agreement may be amended only by written instrument executed with the same formalities as this Agreement. 3.6 The following laws of the State of Oregon are hereby incorporated by reference into this Agreement: ORS 279B.220,279B.230 and 279B.235. 3.7 This Agreement shall be governed by the laws of the State of Oregon without regard to conflict of laws principles. Exclusive venue for litigation of any action arising under this Agreement shall be in the Circuit Court of the State of Oregon for Jackson County unless exclusive jurisdiction is in federal court, in which case exclusive venue shall be in the federal district court for the district of Oregon. Each party expressly waives any and all rights to maintain an action under this Agreement in any other venue,and expressly consents that, upon motion of the other party, any case may be dismissed or its venue . transferred,as appropriate,so as to effectuate this choice of venue. 3.8 Provider shall defend, save, hold harmless and indemnify the City and its officers, employees and agents from and against any and all claims, suits, actions, losses, damages, liabilities, costs, and expenses of any nature resulting from, arising out of, or relating to the activities of Provider or its officers,employees,contractors, or agents under this Agreement. 3.9 Neither party to this Agreement shall hold the other responsible for damages or delay in performance caused by acts of God, strikes,lockouts,accidents,or other events beyond the control of the other or the other's officers,employees or agents. 3.10 If any provision of this Agreement is found by a court of competent jurisdiction to be unenforceable, such provision shall not affect the other provisions,but such unenforceable provision shall be deemed modified to the extent necessary to render it enforceable,preserving to the fullest extent permitted the intent of Provider and the City set forth in this Agreement. 3.11 Deliveries will be F.O.B destination.Provider shall pay all transportation and handling charges for the Goods..Provider is responsible and liable for loss or damage until final inspection and acceptance of the Goods by.the City. Provider remains liable for latent defects,fraud,and warranties. 3.12 The City may inspect and test the Goods. The City may reject non-conforming Goods and require Provider to correct them without charge or deliver them at a reduced price, as negotiated.If Provider does not cure any defects within a reasonable time, the City may reject the Goods and cancel this Agreement in whole or in part.This paragraph does not affect:or limit the City's rights, including its rights under the Uniform Commercial Code,ORS Chapter 72(UCC). 3.13 Provider represents and warrants that the Goods are new, current, and fully warranted by the manufacturer. Delivered Goods will comply with SUPPORTING DOCUMENTS and be free from defects in labor,material and manufacture.Provider shall transfer all warranties to the City. Page 3 of 6: Goods and Services Agreement between the City of Ashland and Just Bugs Pest Control 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. 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; 5.12 Withholding all monies due for the Work that Provider has failed to deliver within any scheduled completion dates or any Work that have been delivered inadequately or defectively; 5.1.3 Initiation of an action or proceeding for damages, specific performance, or declaratory or injunctive relief; 5.1.4 These remedies are cumulative to the extent the,remedies are not inconsistent, and City may pursue any remedy or remedies singly,collectively,successively or in any order whatsoever. 5.2 In no event shall City be liable to Provider for any expenses related to termination of this Agreement or for anticipated profits. If previous amounts paid to Provider exceed the amount due,Provider shall pay immediately any excess to City upon written demand provided. 6. TERM AND TERMINATION 6.1 Term This Agreement shall be effective from the date of execution on behalf of the City as set forth below (the "Effective Date") and shall continue in full force and effect until June 30, 2022,unless sooner terminated as provided in Subsection 6.2. 6.2 Termination 6.2.1 The City and Provider may terminate this Agreement by mutual agreement at any time. 6.2.2 The City may,upon not less than thirty(30)days'prior written notice,terminate this Agreement for any reason deemed appropriate in its sole discretion_ 6.2.3 Either party may terminate this Agreement,with cause,by not less than fourteen(14)days'prior written notice if the cause is not cured within that fourteen(14)day period after written notice. Such termination is in addition to and not in lieuof 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 Facilities Maintenance Department Attn: David Arnold 20 E.Main Street Ashland, Oregon 97520 Phone:(541)552-2292 Page 4 of 6: Goods and Services Agreement between the City of Ashland and Just Bugs Pest Control With a copy to: City of Ashland—Legal Department 20 E.Main Street Ashland,OR 97520 Phone:(541)488-5350 If to Provider: Just Bugs Pest Control Attn:Debra Kenny 541-292-6998 8. WAIVER OF BREACH One or more waivers or failures toobject 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; (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_ 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. • Page 5 of 6: Goods and Services Agreement between the City of Ashland and Just Bugs Pest Control CITY OF ASHLAND: Just Bugs Pest Control(PROVIDER): By: .[C— By: 1E:— "ZerViVC Signature Signature �.ae( 41 er'1 ay1 ` 5 1c c ` i n1.19 JJ Printed Name ICA Printed Name (1' 4arS 1'� >°l fry 44 cx c x' • Title Title iziaD21 - Date Date (W-9 is to be submitted with this signed Agreement) �D D / D6 Purchase Order No. Page 6 of 6: Goods and Services Agreement between the City of Ashland and Just Bugs Pest Control . : II • �. „I'- ' .`fin I — st1 e I s lc i `—�`PEST`�i O ell. PO BOX 746 06/22/2021 Eagle Point OR 97524 Phone:541-292-6998 E-mail:iustbugsor@gmail.com Bid Proposal for the City of Ashland This bid is for Quarterly outside pest control service.There are free callbacks between services if needed. We treat every Spring with 2 products to help with ant control in occupied buildings. We have no contracts,agreements only. 20 E Main St. City Hall $100 21 Winburn Way Community Development $100 40 N Main St. Police Station $50 90 N Mtn.Ave. Service Center $380 1155 E Main St. Police $100 1175 E Main St. Justice Center $100 1291 Oak St. Hardesty Property $185 440 Normal Ave. Cemetery $160 403 Dead Indian Airport $225 Memorial Hwy Total: $1400 Sincerely, Debra Kenny Just Bugs Pest Control • • 7 ® ACORO CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 08/04/2021 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 Debbie.D Reed NAME: Insurance Marketplace,Inc. (NC.No.Ext): (541)779-0177 (AC. No):(541)772-8235 1998 Sky Park Dr • ADDRESS: debbie@insmarket.com Medford,OR 97501 • INSURER(S)AFFORDING COVERAGE NAIC II • INSURERA: Mutual of Enumclaw 14761 INSURED INSURER B Debra Kenny DBA:Just Bugs Pest Control INSURER C: PO Box 746 INSURERD: Eagle Point,OR 97524 INSURERE: INSURER F: I COVERAGES CERTIFICATE NUMBER: 00024546-394507 REVISION NUMBER: 7 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF IY ADDL SUER -- POLICY EFF POLICY EXP I LIMITS LTR INSO WVD POLICY NUMBER • (MM/DONYYYY) (MMIDDYYY] COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S DAMAGE TO RENTED I CLAIMS-MADE OCCUR PREMISES(Ea oewlrence) S MED EXP(Any one person) 5 PERSONAL 8 ADV INJURY S GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S POLICY I I PaI j LOC PRODUCTS-COMP/OP AGG S OTHER: A AUTOMOBILE LIABILITY CPP0018707 07/31/2021 07/31/2022 {EOa aBe lciNdeD15INGLE LIMIT s 1,000,000 ANY AUTO BODILY INJURY(Per person). S OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) S X HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) I S UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS-MADE AGGREGATE S DED RETENTIONS S WORKERS COMPENSATION AND EMPLOYERS'LIABILITY ST TUTE ERH ANY PROPRIETOR/PARTNERIEXECUTIVE Y� N)A E.L,EACH ACCIDENT S OFFICER/MEMBER EXCLUDED? f I (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE S If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS!LOCATIONS!VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached it more space Is required) City of Ashland is additional Insured • CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE L BE DELIVERED IN City of Ashland ACCORDANCE WITH THE POLICY PROVISIONS.20 East Main Street Ashland,OR 97520 AUTHO IZED REPRESENTATIVE 8 /LG (DDR) ©198 5 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Printed by DOR on August 04,2021 at 10:56AM COMMERCIAL AUTO EA99101113 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BUSINESS AUTO ENHANCEMENT ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM With respect to coverage provided by this endorsement,the provisions of the Coverage Form apply unless modified by this endorsement. The following changes revise SECTION I—COVERED The coverage that applies is the same as the AUTOS coverage provided for the vehicle being replaced. Paragraph C.1. is deleted and replaced with the Physical Damage Coverage is extended to the following: temporary substitute auto for the lesser of the 1. Trailers following number of days: • a. "Trailers" with a load capacity of 2,000 1. The number of days reasonably required to pounds or less designed primarily for travel repair or replace the covered "auto"that is out on public roads;or of service;or b. "Trailers" designed primarily for travel on 2. 30 days. public roads when: The following changes revise SECTION II —LIABILITY (1) Pulled by an owned private passenger COVERAGE auto specifically described in Item The following is added to Paragraph A.1.: Three of the Declarations as a covered d. Blanket Additional Insured "auto" for Liability Coverage under this Coverage Form;and Any person or organization that you are required to include as an additional insured (2) Not used for business, farming or on this Coverage Form in a written contract ranching purposes. or agreement that is signed and executed Private passenger auto means a motor by you before the"bodily injury"or"property vehicle of the private passenger, station damage"occurs and that is in effect during wagon,pickup or van type designed for use the policy period is an"insured"for Liability on public highways and subject to motor Coverage, but only for damages to which vehicle registration. this insurance applies. The following is added: A person's or organization's status as an D. Temporary Substitute Autos—Physical Damage additional insured under this endorsement ends when your contract or agreement with If Physical Damage Coverage is provided by this such person or organization ends. Coverage Form, the following types of vehicles are also covered "autos" for Physical Damage The Limits of Insurance applicable to the Coverage: Additional Insured are those specified in the written contract or agreement but not more Any "auto" you do not own while used with the than the Limits of Insurance specified in the permission of its owner as a temporary substitute Declarations of this policy. The Limits of for a covered "auto"you own that is out of service Insurance applicable to the Additional because of its: Insured are inclusive of and not in addition 1. Breakdown; to the Limits of Insurance shown in the 2. Repair; declarations for the Named Insured. 3. Servicing; This Coverage does not apply to lessors of leased"autos". 4. "Loss";or 5. Destruction. EA 99 10 11 13 Includes copyrighted material of Insurance Services Office,Inc.,with its permission Page 1 of 4 e. Broadened Named Insured under this policy. No deductible applies to Any business entity newly acquired or this coverage_ formed by you during the policy period (1) We will pay only for those expenses provided you own 51% or more of the incurred as a result of a covered "loss" business entity and the business is not occurring during the policy period separately insured for Business Auto beginning 24 hours after the"loss" and Coverage. Coverage is extended up to a ending, regardless of the policy's maximum of 90 days following acquisition expiration, with the lesser of the or formation of the business entity or until following number of days: the end of the policy period, whichever (a) The number of days reasonably comes first. required to repair or replace the f. Employee Hired Auto covered "auto". If"loss" is caused An"employee"of yours is an"insured"while by theft, this number of days is operating an "auto" hired or rented under a added to the number of days it contract or agreement in that "employee's" takes to locate the covered "auto" name, with your permission, while and return it to you;or performing duties related to the conduct of (b) 10 days. your business. (2) Our payment under this Coverage Paragraphs A.2.a.(2) and A.2.a.(4) are deleted and Extension (4.a.) is limited to the lesser replaced with the following: of the necessary and actual expenses 2. Coverage Extensions incurred or the maximum amount shown,$250. a. Supplementary Payments (2) Upto $2,500 for cost of bail bonds (3) Coverage under this Coverage Extension (4.a.) does not apply while (including bonds for related traffic law there are spare or reserve "autos" violations) required because of an available to you for your operations. "accident"we cover. We do not have to The following is added to Paragraph A.4.: furnish these bonds. (4) All reasonable expenses incurred by c. Transportation Expenses - Theft of a the "insured" at our request, including Private Passenger Auto actual loss of earnings up to$300 a day In the event of"loss" to a covered private because of time off from work. passenger type "auto" caused by a total The following changes revise SECTION III—PHYSICAL theft which is covered by Comprehensive or DAMAGE COVERAGE Specified Causes of Loss Coverage on this policy, we will pay up to$25 per day to a This coverage applies only for a covered "auto" for maximum of $500 for transportation which Physical Damage Coverage is provided for on expenses incurred by you as a result of that this policy. "loss". The following is added to Paragraph A.3: (1) We will pay for transportation expenses Glass Repair—Waiver of Deductible incurred during the period beginning No deductible will apply to glass breakage if such 264 hours(11 days)after the"loss". glass is repaired in a manner acceptable to us (2) Regardless of the policy's expiration, rather than replaced. our reimbursement of your Paragraph A.4.a. is deleted and replaced with the transportation expenses under this following: Coverage Extension will end when the covered "auto" is returned to your use 4. Coverage Extensions or we pay for its"loss". a. Limited Rental Reimbursement or Travel (3) No deductible applies to this Coverage Expense Extension. We will pay up to $25 per day to a d. Tapes,Records and Discs maximum of$250 for rental reimbursement We will pay for "loss" to tapes, records, expenses for the rental of an"auto"or other compact discs, or other similar devices transportation expense incurred by you because of"loss"to a covered "auto"which used with audio, visual or dataelectronic . is covered by Comprehensive, Specified devices. Causes of Loss, or Collision coverage (1) We will pay only if the tapes, records, compact discs,or other similar devices: EA 99 10 11 13 Includes copyrighted material of Insurance Services Office,Inc.,with its permission Page 2 of 4 (a) Are your property or that of a family (d) Animals, private passenger"autos," member; or motorcycles,aircrafts, boats or any (b) Are the property of an "employee" other motorized vehicles or their using a covered "auto" in your equipment, furnishings or business affairs at the time of the appurtenances. "loss";and (e) Equipment or accessories while (c) Are in a covered "auto" which your Travel Trailer, "Camper" or sustains other covered "loss" under Motor Home is leased or rented to Comprehensive or Collision any organization or any person coverage at the time of the"loss"to other than you or a family member. tapes, records, compact discs, or (2) The maximum we will pay for"loss" is other similar devices. the lesser of: (2) The most we will pay for "loss" under (a) The actual cash value of the this Coverage Extension(4.d.)is$200. personal property at the time of (3) Physical Damage Coverage provisions loss"; apply to this coverage, except that any (b) The cost of repairing the damage; deductible applicable to or Comprehensive or Collision coverage (c) The cost of replacing the damaged does not apply to this Coverage personal property with other Extension (4.d.). personal property of like kind, The exclusion referring to tapes, records, condition,quality and value. discs or other similar audio, visual or data g. Vacation Expense Allowance electronic devices designed for use with audio, visual or data electronic equipment We will pay you$50 per day to a maximum does not apply. of$500 for extra expenses when a Travel e. Camper Bodies Trailer, "Camper" or Motor Home is a scheduled auto for physical damage In the event of a "loss" to a detached coverage, and the Travel Trailer, "Camper" "camper," physical damage coverage will or Motor Home: apply as if it were part of the covered"auto" (1) Is damaged or destroyed and is on which it is rated. uninhabitable;and f. Contents of a Travel Trailer, Camper or (2) While being used for vacation purposes Motor Home within the policy period. When a Travel Trailer, "Camper" or Motor Extra expenses must be supported by Home is a scheduled auto for physical receipts or other valid evidence. damage coverage,we will pay up to $1,000 for"loss"to personal property belonging to The following is added to Paragraph A.: you or a family member that is within the 5. Extra Expense—Broadened Coverage Travel Trailer, "Camper" or Motor Home. We will pay for the direct expense of the We will pay up to$250 for"loss"to personal returning of a stolen covered"auto"to you. We property belonging to you or a family will pay only for those covered"autos"for which member that is outside the Travel Trailer, you carry Comprehensive or Specified Causes "Camper"or Motor Home. of Loss Coverage. This coverage will only (1) We will not pay for"loss"to: apply to vehicles recovered inside the 48 (a) Articles carried or held for sale, contiguous United States. This coverage does storage or repairs, or for later not apply to an"auto"we deem a total"loss". delivery;goods kept to show or sell; The following is added to Paragraph B.3.a.: or theatrical wardrobes. Airbag Coverage—Accidental Deployment (b) Business,store of office furniture or However, this exclusion does not apply to the equipment. unintended inflation of an airbag if the inflation (c) Records or accounts, money, is caused by mechanical or electrical bullion,deeds, contracts, evidences breakdown. of debt,securities,tokens or tickets, stamps in current use or. manuscripts. EA 99 10 11 13 Includes copyrighted material of Insurance Services Office,Inc.,With its permission Page 3 of 4 • The following changes revise SECTION IV — The following changes revise SECTION V — BUSINESS AUTO CONDITIONS DEFINITIONS The following is added to Paragraph A.2.a.: The following is added: Amended Duties in the Event of an Accident, Q. "Camper" means a portable dwelling unit without Claim,Lawsuit or Loss axles or wheels that has been manufactured for However, this duty is only required when the 'attachment on the bed of a pickup truck to be used "accident"is known to: for casual travel or camping. (1) You,if you are an individual; (2) A partner,if you are a partnership; (3) A member, if you are a limited liability company;or (4) An executive officer or insurance manager, if you are a corporation. The following is added to Paragraph A.: 6. Blanket Waiver of Subrogation We waive any right of recovery we may have against any person or organization to the extent required of you by a written contract executed prior to any"accident"because of payments we make for damages under this coverage form. The following is added to Paragraph B.2.: Unintentional Failure to Disclose Hazards Any unintentional failure to disclose all exposures or hazards existing as of the effective date of the Business Auto Coverage Form or at any time during the policy period will not invalidate or adversely affect the coverage for such exposure or hazard. However,you must report the undisclosed exposure or hazard to us as soon as reasonably possible after its discovery. Paragraph B.5.b. is deleted and replaced with the following: b. For Hired Auto Physical Damage Coverage,the following are deemed to be covered "autos"you own: (1) Any covered "auto" you lease, hire, rent or borrow;and (2) Any covered "auto" hired or rented by your "employee" under a contract in that individual "employee's" name, with your permission, while performing duties related to the conduct of your business. However, any "auto" that is leased, hired, rented or borrowed with a driver is not a covered"auto". The following is added to Paragraph B.5. e. To the extent required by an"insured contract", this insurance is primary on behalf of the additional insured, and any other insurance maintained by the additional insured is excess and not contributory with this insurance. If the "insured contract" does not require this provision,then Paragraph a.above will apply. EA 99 10 11 13 Includes copyrighted material of Insurance Services Office,Inc.,with its permission Page 4 of 4 A G D® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 07/28/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the poliicy(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 NAME: Insurance Marketplace,Inc HONNo_F:nl: FaC,Not: PO Box 278 E-MAILESS: INSURER(S)AFFORDING COVERAGE NAIC# Medford OR 97501 INSURER A: Mesa Underwriters Specialty Insurance Co. 36838 INSURED INSURER B: Debra K Kenny DBA:Just Bugs Pest Control INSURER C: PO Box 746 INSURER D: INSURERE: Eagle Point OR 97524 _INSURER F: COVERAGES CERTIFICATE NUMBER: 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. INSRTRTYPE OF INSURANCE ADDL SUER POLICY NUMBER (MNWDIYYYY) (MIA/OD/WW1 LIMITS X COMMERCIAL GENERAL LIABILITY - EACH OCCURRENCE s 2,000,000 �/ DAMAGE TO RENTED CLAIMS-MADE X OCCUR PREMISES(Ea ocanrence) $ 100,000 MED EXP(Any one person) $ 5,000 A Y MP0046003014426 03/01/2021 03/01/2022 PERSONALSADVINJURY s 2,000,000 GENT.AGGREGATE LIMIT APPUESPER GENERAL AGGREGATE $ 2,000,000 X POLICY JECaT F I LOC PRODUCTS-COMP/OP AGG I s Included • OTHER: _ I$ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT I S (Ea accident) ANY AUTO BODILY INJURY(Per person) S OWNED 'SCHEDULED BODILY INJURY(Per accident) S AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE ' AUTOS ONLY _AUTOS ONLY (Per accident) 5 UMBRELLA MB _ OCCUR EACH OCCURRENCE S _ EXCESS UAB CLAIMS-MADE AGGREGATE S DED RETENTIONS $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN STATUTE ER ANYPROPRIETORIPARTNERIEXECUTIVE NIA E.LEACH ACCIDENT S OFFICER/MEMBEREXCLUDED7 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ Ir yes,desuibe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule.may be attached U more space 15 required) City of Ashland,It's officers,Agents and Employees are named as additional insured(s)per form CG2012 04/13 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE'DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION. DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Ashland,It's officers,Agents and Employees ACCORDANCE WITH THE POLICY PROVISIONS. • 20 East Main Street AUTHORIZED REPRESENTATIVE (ilp /: Ashland OR 97520 ! ©1988-2015 ACOR CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks'of ACORD • POLICY NUMBER: MPO 046003014426 COMMERCIAL GENERAL LIABILITY CG 20 12 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - STATE OR GOVERNMENTAL AGENCY OR SUBDIVISION OR POLITICAL SUBDIVISION - PERMITS OR AUTHORIZATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE State Or Governmental Agency Or Subdivision Or Political Subdivision: CITY OF ASHLAND 20 EAST MAIN STREET ASHLAND, OR 97520 Information required to complete this Schedule, if not shown above,will be shown in the Declarations. A. Section II — Who Is An Insured is amended to 2. This insurance does not apply to: include as an additional insured any state orI a: "Bodily injury", "property damage" or governmental agency or subdivision or political ' "personal and advertising injury" arising out subdivision shown in the Schedule, subject to the following provisions: , of operations performed for the federal government,state or municipality; or 1. This insurance applies only with respect to b. "Bodilyinjury" operations performed by you or on your behalf hithe "propertycdamage" included within "products-completed for which the state or governmental agency or operations hazard". subdivision or political subdivision has issued a permit or authorization. B. With respect to the insurance afforded to these additional insureds, the following is added to However: Section III—Limits Of Insurance: a. The insurance afforded to such additional If coverage provided to the additional insured is insured only applies to the extent permitted required by a contract or agreement,the most we by law;and will pay on behalf of the additional insured is the b. If coverage provided to the additional amount of insurance: insured is required by a contract or 1. Required by the contract or agreement;or agreement, the insurance afforded to such additional insured will not be broader than 2. Available under the applicable Limits of that which you are required by the contract Insurance shown in the Declarations; or agreement to provide for such additional whichever is less. insured. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 2012 04 13 ©Insurance Services Office, Inc.,2012 Page 1 of 1 Insured Copy www.saif.com saiF :: Oregon Workers' Compensation Certificate of Insurance Certificate holder: CITY OF ASHLAND 20 EAST MAIN STREET ASHLAND, OR 97520 The policy of insurance listed below has been issued to the insured named below for the policy period indicated.The insurance afforded by this policy is subject to all the terms,exclusions and conditions of such policy;this policy is subject to change or cancellation at any time. Insured Producer/contact Debra Kenny United Insurance Agencies Just Bugs Pest Control United Insurance Agencies PO Box 746 541.242.6464 workerscomp@uiaoregon.com Eagle Point, Or 97524-0746 Issued 07/16/2021 Limits of liability ' • Policy 882935 Bodily Injury by Accident $500,000 each accident Period 07/01/2021 to 07/01/2022 Bodily Injury by Disease $500,000 each employee Body Injury by Disease $500,000 policy limit Description of operations/locations/special items All operations • Important This certificate is issued as a matter of information only and confers no rights to the certificate holder.This certificate does not amend,extend or alter the coverage afforded by the policies above.This certificate does not constitute a contract between the issuing insurer,authorized representative or producer and the certificate holder. CANCELLATION: - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED TO THE POLICYHOLDER AND CERTIFICATE HOLDER IN ACCORDANCE WITH THE POLICY PROVISIONS AND OREGON LAW.SAIF WILL ENDEAVOR TO PROVIDE WRITTEN NOTICE WITHIN 30 DAYS WHENEVER POSSIBLE. Authorized representative CZ( t- e Chip Terhune President and CEO • 400 High Street SE Salem,OR 97312 P:800.285.8525 F:503.584.9812 PolicyOLCA CertificateOflnsurance Company Name Point of Exterior Application Rate. Accepted Letter of Notes • Contact/Number Evaulation Sheet/Proposal Condolences • Bugs North West Sue Not Needed Received 24 Jun 12-Jul No Restrictions Sue Klekar 541 472 5003 <bugsnorthwest2013@gmail.com> - - i Just Bugs Pest Control Diane/Debra 0900 21 Jun Received 22 Jun 12-Jul No Birds Bugs/Mice/Rats 541 292 6998 Attended by Ben No Skunks/Possom/Ect Just Bugs Pest Control <justbugsor@gmail.com> Pointe Pest Control Chelsea 0800 22 June Received 29 Jun 12 Jul No Birds 541 526 5692 Attended by Kyle No Skunks/Possom/Ect 3690 Each 1/4 Application { " f