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HomeMy WebLinkAbout2021-116 PO 20220122- American Leak Detection Purchase Order .1 J 7 9 r_, 4;_; ;,; ,;-pri Fiscal Year 2022 Page: 1 of:.1 7-..-- roirt=OE i=1"} €i lki r'7 B City of Ashland =_ �F : ,�uI,; si7m1EElS I ATTN: Accounts Payable20 E. Main Purchase L Ashland, OR 97520 Order# 20220122 T Phone: 541/552-2010 O Email: payable@ashland.or.us V H C/O Facilities Maintenance Div E AMERICAN LEAK DETECTION I 90 North Mountain Ave N 2831 BULLOCK RD p Ashland, OR 97520 O MEDFORD, OR 97504 Phone: 541/488-5358 R T Fax: 541/552-2304 = __s z :Wit: Baa�[E E - E -Y __ _— __ -- _ ____- __ - - �' �:®" ��E t -�-�{.s[��-:�� :;a Eicl_�==E;��=Ei �`���EI��r -_ - �1- ...l��e�._ __-_=-- _(541) 535-5325 David Arnold Si 6-1.1- 'a s'i_El lEs 9I=1E =Y-� sY=ei=1.!:7"a .�_ —�� -_q=e .;;;41;i:277:-€770-W-±7.-1.-=-1151.1T3_�-__i �1a _ --- -.. - E€?�- � 1 ,epE =---: � 9§?I=E!=a ie,I, �3l,eiE_':_ { 09/01/2021 328 FOB ASHLAND;OR City Accounts Payable _ _ _ _ a-�.--_ TT __'._ _..— _...�= � � �` = � —. -"-- @ .tee;=.,.�w ' �A@EEE-14d Water Leak Detection Services 1 On-call water leak detection services 1.0 $2,000.00 $2,000.00 Goods and Services Agreement(Less than $25,000) Completion date: June 30, 2022 Project Account: *************** GL SUMMARY*************** 088400-602400 $2,000.00 I I- 91- By: Date:Date: _ Authorize ignature _ .-"E r —= `= °= $2,000.00 . rit,t,e,„2..... e(vc 1 FORM #3 CITY OF A requestfor a Purchase Order' g� ASHLAND �� 8 /6/2021 REQUISITION7Date of request: Required date for delivery: Vendor Name American Leak Detection Address,City,State,Zip 2821 Bullock Road,Medford,OR 97504. Contact Name&Telephone NumberMelanie Fleming 541-772-5325 melanie@americanleak.com Email address SOURCING METHOD ❑ Exempt from Competitive Bidding 0 Emergency ❑ Reason for exemption: ❑ Invitation to Bid 0 Form#13,Written findings and Authorization ❑ AMC 2.50 Date approved by Council: 0 Written quote or proposal attached ❑ Written quote or proposal attached (Attach copy of council communication) If council as'royal required,attach col of CC ® Small Procurement 0 Request for Proposal Cooperative Procurement Not exceeding$5,000 Date approved by Council: 0 State of Oregon ® Direct Award _(Attach copy of council communication) Contract# ❑ Verbal/Written quote(s)or proposal(s) 0 Request for Qualifications(Public Works) 0 State of Washington Date approved by Council: Contract# (Attach copy of council communication) 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 0 Written quote or proposal attached Intergovernmental Agreement ❑ (3)Written quotes and solicitation attached 0 Form#4,Personal Services>$5K&<$75K Agency PERSONAL SERVICES 0 Special Procurement 0 Annual cost to City does not exceed$25,000. Greater than$5,000 and less than$75,000 0 Form#9,Request for Approval Agreement approved by Legal and approved/signed by I ❑ 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&<$75K' Valid until: (Date) approval required.(Attach copy of council communication) Description of SERVICES Total Cost Water leak detection services for FY22 $2,000:00'..' Item# Quantity Unit Description of MATERIALS Unit Price Total Cost • ❑ Per attached quotelproposal ,." TOTALCOST 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 approve - ardware and software purchases: IT Director Date Support-Yes/No By signing this requisition form,I certify that the City's pub c cont:cling requirements have been satisfied. I Employee: � �r .�- Department head: ��Li4/ ?"//i..-= Z/ (Equal to or greater than$5,000) Department ManagerlSupervisor: City Administrator: (Equal to or greater than$25,000) Funds appropriated for current fiscal year: YES/NO Deputy Finance Director-(Equal to or greater than$5,000 Date Comments: Form#3-Requisition GOODS AND SERVICES AGREEMENT(LESS THAN$25,000) PROVIDER: American Leak Detection CITY O F PROVIDER'S ASHLAND CONTACT: Melanie Fleming 20 East Main Street Ashland,Oregon 97520 ADDRESS: 2821 Bullock Road Telephone: 541/488-5587 Medford, OR 97504 Pax: 541/488-6006 PHONE: 541-772-5325 This Goods and Services Agreement (hereinafter "Agreement") is entered into by and between the City of Ashland, an Oregon municipal corporation (hereinafter "City") and American Leak Detection, (a domestic/foreign business corporation)("hereinafter"Provider"),for water leak detection services. 1. PROVIDER'S OBLIGATIONS 1.1 Provide water leak detection services for FY22 as set forth in the "SUPPORTING DOCUMENTS" attached hereto and,by this reference,incorporated herein.:Provider expressly acknowledges that time is of the essence of any completion date set forth in the SUPPORTING DOCUMENTS, and that no waiver or extension of such deadline may be authorized except in the same manner as herein provided for authority to exceed the maximum compensation. The services defined and described in the "SUPPORTING DOCUMENTS"shall hereinafter be collectively referred to as"Work." 1.2 Provider shall obtain and maintain during the term of this Agreement and until City's final acceptance of all Work received hereunder,a policy or policies of liability insurance including commercial general liability insurance with a combined single limit, or the equivalent, of not less than $2,000,000 (two million dollars)per occurrence for Bodily Injury and Property Damage. 1.2.1 The insurance required in this Article shall include the following coverages: • Comprehensive General or Commercial General Liability, including personal injury, contractual liability,and products/completed operations coverage; and • Automobile Liability. • Workers' Compensation 1.2.2 Each policy of such insurance shall be on an"occurrence" and not a"claims made" form,and shall: • Name as additional insured "the City of Ashland, Oregon, its officers, agents and employees" with respect to claims arising out of the provision of Work under this Agreement; • Apply to each named and additional named insured as though a separate policy had been issued to each, provided that the policy limits shall not be increased thereby; • Apply as primary coverage for each additional named insured except to the extent that two or more such policies are intended to "layer" coverage and, taken together, they provide total coverage from the first dollar of liability; • Provider shall immediately notify the City of any change in insurance coverage • Provider shall supply an endorsement naming the City,its officers,employees and agents as additional insureds by the Effective Date of this Agreement; and Page 1 of 6: Goods and Services Agreement between the City of Ashland and American Leak Detection o Be evidenced by a certificate or certificates of such insurance approved by the City. 1.3 Provider shall, at its awn 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 Workunder 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 c 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 suboontractor and the City. t I i 2. CITY'S OBLIGATIONS , �,Gr 2,1 City shall pay Provider the su •• • -_ : .-_. = as specified in the SUPPORTING DOCUMENTS. 2.2 In no event shall Provider's total of all compensation and reimbursement under this Agreement exceed the sum of$5,000.00,live 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 I delivered or expenses incurred without authorization as provided herein is done at Provider's own risk and as a volunteer without expectation of compensation or reimbursement. • Page 2 of 6: Goods and Services Agreement between the City of Ashland and Bill's Glass • J 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. 3.3 Provider is not entitled to,and expressly waives all claims to City benefits such as health and disability insurance,paid leave,and retirement. 3.4 This Agreement embodies the full and complete understanding of the parties respecting the subject matter hereof. It supersedes all prior agreements,negotiations,and representations between the parties, whether written or oral. 3.5 This Agreement may be amended only by written instrument executed with the same formalities as this Agreement. 3.6 The following laws of the State of Oregon are hereby incorporated by reference into this Agreement: ORS 279B.220,279B.230 and 279B.235. 3.7 This Agreement shall be governed by the laws of the State of Oregon without regard to conflict of laws principles. Exclusive venue for litigation of any action arising under this Agreement shall be in the Circuit Court of the State of Oregon for Jackson County unless exclusive jurisdiction is in federal court, in which case exclusive venue shall be in the federal district court for the district of Oregon. Each party expressly waives any and all rights to maintain an action under this Agreement in any other venue,and expressly consents that, upon motion of the other party, any case may be dismissed or its venue transferred,as appropriate,so as to effectuate this choice of venue. 3.8 Provider shall defend, save, hold harmless and indemnify the City and its officers, employees and agents from and against any and all claims, suits, actions, losses, damages, liabilities, costs, and expenses of any nature resulting from, arising out of, or relating to the activities of Provider or its officers, employees,contractors, or agents under this Agreement. 3.9 Neither party to this Agreement shall hold the other responsible for damages or delay in performance caused by acts of God, strikes, lockouts, accidents, or other events beyond the control of the other or the other's officers, employees or agents. 3.10 If any provision of this Agreement is found by a court of competent jurisdiction to be unenforceable, such provision shall not affect the other provisions,but such unenforceable provision shall be deemed modified to the extent necessary to render it enforceable,preserving to the fullest extent permitted the intent of Provider and the City set forth in this Agreement. 3.11 Deliveries will be F.O.B destination.Provider shall pay all transportation and handling charges for the Goods. Provider is responsible and liable for loss or damage until final inspection and acceptance of the Goods by the City. Provider remains liable for latent defects,fraud,and warranties. 3.12 The City may inspect and test the Goods. The City may reject non-conforming Goods and require Provider to correct them without charge or deliver them at a reduced price,as negotiated. If Provider does not cure any defects within a reasonable time, the City may reject the Goods and cancel this Page 3 of 6: Goods and Services Agreement between the City of Ashland and American Leak Detection Agreement in whole or in part. This paragraph does not affect or limit the City's rights, including its rights under the Uniform Commercial Code, ORS Chapter 72 (UCC). 3.13 Provider represents and warrants that the Goods are new, current, and fully warranted by the manufacturer. Delivered Goods will comply with SUPPORTING DOCUMENTS and be free from defects in labor,material and manufacture. Provider shall transfer all warranties to the City. 4. SUPPORTING DOCUMENTS The following documents are, by this reference, expressly'incorporated in this Agreement, and are collectively referred to in this Agreement as the "SUPPORTING DOCUMENTS:" • The Provider's hourly rate sheet. • The Provider's firm price bid(s) for each individual project. 5. REMEDIES 5.1 In the event Provider is in default of this Agreement, City may, at its option,pursue any or all of the remedies available to it under this Agreement and at law or in equity, including,but not limited to: 5.1.1 Termination of this Agreement; 5.1.2 Withholding all monies due for the Work that Provider has failed to deliver within any scheduled completion dates or any Work that have been delivered inadequately or defectively; 5.1.3 Initiation of an action or proceeding for damages, specific performance, or declaratory or injunctive relief; 5.1.4 These remedies are cumulative to the extent the remedies are not inconsistent, and City may pursue any remedy or remedies singly,collectively, successively or in any order whatsoever. 5.2 In no event shall City be liable to Provider for any expenses related to termination of this Agreement or for anticipated profits. If previous amounts paid to Provider exceed the amount due,Provider shall pay immediately any excess to City upon written demand provided. 6. TERM AND TERMINATION 6.1 Term This Agreement shall be effective from the date of execution on behalf of the City as set forth below (the "Effective Date") and shall continue in full force and effect until June 30, 2022, unless sooner terminated as provided in Subsection 6.2. 6.2 Termination 6.2.1 The City and Provider may terminate this Agreement by mutual agreement at any time. 6.2.2 The City may,upon not less than thirty (30) days'prior written notice, terminate this Agreement for any reason deemed appropriate in its sole discretion. 6,2.3 Either party may terminate this Agreement,with cause, by not Iess than fourteen(14) days' prior written notice if the cause is not cured within that fourteen (14) day period after written notice. Such termination is in addition to and not in lieu of any other remedy at law or equity. 7. NOTICE - Whenever notice is required or permitted to be given under this Agreement, such notice shall be given in writing to the other party by personal delivery, by sending via a reputable commercial overnight courier, or by mailing using registered or certified United States mail, return receipt requested,postage prepaid, to the address set forth below: If to the City: Page 4 of 6: Goods and Services Agreement between the City of Ashland and American Leak Detection City of Ashland Facilities Maintenance Department Attn: David Arnold 20 E.Main Street - Ashland, Oregon 97520 Phone: (541) 552-2292 With a copy to: City of Ashland—Legal Depaitinent 20 E.Main Street Ashland, OR 97520 Phone: (541) 488-5350 If to Provider: American Leak Detection Attn: Melanie Fleming 541-772-5325 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; (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: (1) All tax laws of the State of Oregon, including but not limited to ORS 305.620 and ORS chapters 316, 317, and 318; (ii) Any tax provisions imposed by a political subdivision of the State of Oregon applicable to Provider;and (iii) Any rules,regulations,charter provisions,or ordinances that implement or enforce any of the foregoing tax laws or provisions. 9.2 Provider's failure to comply with the tax laws of the State of Oregon and all applicable tax laws of any political subdivision of the State of Oregon shall constitute a material breach of this Agreement. Further, any violation of Provider's warranty, as set forth in this Article 9, shall constitute a material breach of this Agreement. Any material breach of this Agreement shall entitle the City to terminate this Agreement and to seek damages and any other relief available under this Agreement, at law, or in equity. Page 5 of 6: Goods and Services Agreement between the City of Ashland and American Leak Detection IN WITNESS WHEREOF the parties have caused this Agreement to be signed in their respective names by their duly authorized representatives as of the dates set forth below. CITY OF ASHLAND: American Leak Detection(PR%JVIDER): By: By: Signature Signature McAviie )/eIYm ih IPrinted/Name Printed Name �,//ff / e_ aor t 5 StA/9 ;4A 1-400 1.<Keq e Title Title Date Date (W-9 is to be submitted with this signed Agreement) Purchase Order No. • • • Page 6 of 6: Goods and Services Agreement between the City of Ashland and American Leak Detection AMERICAN DETECTION THE ORIGINAL LEAK SPECIALISTS` April 30,2021 } Nicole Graham City of Ashland 90 North Mountain Avenue Ashland, OR 97520 Dear Nicole, Thank you for giving us the opportunity to provide leak detection services to the City of Ashland. General leak detection on service lines and irrigation systems: Two hour minimum$425 and$195 each additional hour. Leak detection on large municipal transmission lines: Two hour minimum$525 and$195 each additional hour. Additional fee for use of inert gas—Nitrogen and Helium Minumum$25 After hours or emergency rates:Overtime rate at 11/2times standard rates, • • Sincerely, C)// Melanie Fleming 541/772-5325 X1003 Ii • Oregon & SW Washington 2821 Bullock Road Medford, OR 97504 541.772.5325 fax 541.772.3148 www.AmericanLeakDetection.com Each office Is Independently owned and operated • �-� BOTEINC-01 D1 LSNYDER ACORL ' DATE(MMIDDJY YY) CERTIFICATE OF LIABILITY INSURANCE 6/9/2021 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(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER License#954553 CONTACT Franchise Division NAME: AssuredPartners of Ohio LLC,Franchise Division PHONEFAX . 3900 Kinross Lakes Parkway#300 (A/C,No,Ext): (A/C,No): Richfield,OH 44286 Miss:Franchisecerts@assuredpartnersoh.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Cincinnati Insurance Company 10677 INSURED INSURER B Travelers Casualty&Surety 19038 Boterman's Inc.dba American Leak Detection INSURER C: 2821 Bullock Road INSURER D Medford,OR 97504 INSURER E: I 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. ICY EXP TR TYPE OF INSURANCE ANS°WVD POLICY NUMBER (R MM/DDIYYYYL(MMI DIIYYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE X OCCUR EPP 0393352 7/1/2021 7/1/2022 DAM ISE (EaTa 500,000 X X PREMISES/Ea occurrence) $ 10,000 MED EXP(Anyone person) $ PERSONAL&ADV INJURY j 2,000,000 GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 4,000,000 POLICY 5Ea LOC PRODUCTS-COMP/OPAGG $ 4,000,000 OTHER:General Aggregate $ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accident) ANY AUTO _ EPP 0393352 7/1/2021 7/1/2022 BODILY INJURY(Per person) $ _ X AUTOSONLY SCAUTBODILY INJURYp (Per accidenll $ I X AUTOS ONLY X AUTOS ONLY (Perr accident)AMAGE UMBRELLA LIAB J OCCUR EACH OCCURRENCE B EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY �,/N PER ERH ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ i OFFICER/MEMBER EXCLUDED? N/A (Mandatory In NH) E.L-DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ B Professional Liab. 105636058 7/1/2021 7/112022 Each Occurrence 500,000 i I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) The City of Ashland,Oregon,Its officers,agents and employees are additional insured as required by contract or agreement • • CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Ashland ACCORDANCE WITH TTHE POLICY P OVIS ONSCE WILL BE DELIVERED IN 20 East Main Street Ashland,OR 97520 AUTHORIZED REPRESENTATIVE g44e/art • ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. • The ACORD name and logo are registered marks of ACORD THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CONTRACTORS ADDITIONAL INSURED - AUTOMATIC STATUS WHEN REQUIRED IN WRITTEN CONTRACT, AGREEMENT, PERMIT OR AUTHORIZATION Thls endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Additional Insured - Owners, Lessees Or (1) The Coverage Part to which this Contractors - Automatic Status For Other endorsement is attached pro- Parties When Required In Written Contract vides coverage for"bodily injury" Or Agreement With You or "property damage" included 1. Section II - Who Is An Insured is within the "products-completed amended to include as an additional in- sured operations hazard"; and any person or organization you (2) The written contract or written have agreed in writing in a contract or agreement requires you to pro- agreement to add as an additional in- vide additional insured coverage sured on this Coverage Part. Such per- included within the "products- son(s) or organization(s) is an additional completed operations hazard" insured only with respect to liability for: for that person or organization. a. "Bodily injury", "property damage" or If the written contract or written "personal and advertising injury" agreement requires you to provide caused, in whole or in part, by the additional insured coverage included performance of your ongoing opera- within the "products-completed oper- tions by you or on your behalf, under ations hazard" for a specified length that written contract or written of time for that person or organiza- agreement.Ongoing operations does tion, the "bodily injury" or "property not apply to "bodily injury'or"proper- damage" must occur prior to the ex- ty damage"occurring after: piration of that period of time in order (1) All work, including materials, for this insurance to apply. parts or equipment furnished in If the written contract or written connection with such work, on agreement requires you to provide the project (other than service, additional insured coverage for a maintenance or repairs) to be person or organization per ISO addi- performed by or on behalf of the tional insured endorsement form additional insured(s) at the loca- number CG 20 10,without specifying tion of the covered operations an edition date, this Paragraph b. has been completed; or does not apply to that person or or- (2) That portion of"your work"out of ganization. which the injury or damage aris- 2. If the written contract or written agree- es has been put to its intended ment described in Paragraph 1. above use by any person or organiza- specifically requires you to provide addi- tion other than another contrac- tional insured coverage to that person or tor or subcontractor engaged in organization; performing operations for a prin- cipal as a part of the same pro- a. Arising out of your ongoing opera- ject; and tions or arising out of"your work";or b. "Bodily injury" or "property damage" b. By way of an edition of an ISO addi- caused, in whole or in part, by"your tional insured endorsement that in work" performed under that written cludes arising out of your ongoing contract or written agreement and in- operations or arising out of "your cluded In the "products-completed wore; operations hazard", but only if: Includes copyrighted material of Insurance GA 472 09 17 Services Office, Inc.,with its permission. Page 1 of 3 then the phrase caused, in whole or in This insurance does not apply to: part, by in Paragraph A.1.a.and/or Para- graph A.1.b. above, whichever applies, is a. "Bodily injury", "property damage" or replaced by the phrase arising out of. "personal and advertising injury"aris ing out of operations performed for 3. With respect to the insurance afforded to the federal government,state or mu- the additional insureds described in Para- nicipality; or graph A.1.,the following additional exclu- sion applies: b. "Bodily injury" or "property damage" included within the "products- This insurance does not apply to "bodily completed operations hazard." injury", "property damage" or "personal C. The insurance and advertising injury" arising out of the afforded to additional insureds rendering of, or the failure to render, any described in Paragraphs A.and B.: professional architectural, engineering or surveying services, induding: 1. Only applies to the extent permitted by Y 9 law; and a. The preparing, approving or failing to 2. Will not be broader than that which you prepare or approve, maps, shop are required by the written contract, writ- drawings, opinions, reports, surveys, ten agreement, written permit or written field orders, change orders or draw- authorization to provide for such addition- ings and specifications; or al insured; and b. Supervisory, inspection, architectural 3. Does not apply to any person, organize- or engineering activities. tion, state, governmental agency or sub- This exdusion applies even if the claims division or political subdivision specifically against any insured allege negligence or named as an additional insured for the other wrongdoing in the supervision, hir- same project in the schedule of an en- ing, employment,training or monitoring of dorsement added to this Coverage Part. others by that insured, if the "occurrence" D. With respect to the insurance afforded to the which caused the "bodily injury"or"prop- additional insureds described in Paragraphs erty damage", or the offense which A.and B ,the following is added to Section III caused the"personal and advertising inju- -Limits Of Insurance: ry", involved.the rendering of, or the fail- ure to render, any professional architec- The most we will pay on behalf of the addi- tural, engineering or surveying services. tional insured is the amount of insurance: 4. This Paragraph A.does not apply to addi- 1, Required by the written contract, written tional insureds described in Paragraph B. agreement, written permit or written au- B. Additional Insured -State Or Governmental t Bon described in Paragraphs A. Agency Or Subdivision Or Political Subdi- vision anndd B.;; or - Automatic Status When Required 2. Available under the applicable Limits of In Written Permits Or Authorizations Insurance shown in the Declarations; 1. Section II - Who Is An Insured is whichever is less. amended to include as an additional in- sured any state or governmental agency This endorsement shall not increase the appli- or subdivision or political subdivision you cable Limits of Insurance shown in the Decla- have agreed in writing in a contract, rations. agreement, permit or authorization to add E. Section 'IV - Commercial General Liability as an additional insured on this Coverage Conditions is amended to add the following: Part. Such state or governmental agency or subdivision or political subdivision is an Automatic Additional Insured Provision additional insured only with respect to op- erations performed by you or on your be- This insurance applies only if the "bodily inju- half for which the state or governmental ry" or "property damage" occurs, or the "per- agency or subdivision or political subdivi- sonal and advertising injury' offense is corn- sion issued, in writing, a contract, agree- mitted: ment, permit or authorization. 1. During the policy period; and 2. With respect to the insurance afforded to 2. Subsequent to your execution of the writ- the additional insureds described in Para- ten contract or written agreement, or the graph B.1., the following additional exclu- issuance of a written permit or written au- sions apply: thorization, described in Paragraphs A. and B. Includes copyrighted material of Insurance GA 472 09 17 Services Office, Inc.,with its permission. Page 2 of 3 • • F. Except when G.below applies, the following is 1. The additional insured is a Named In- added to Section IV - Commercial General sured under such other insurance; and Liability Conditions, 5. Other Insurance, and supersedes any provision to the contrary: 2. You have agreed in writing in a contract, agreement, permit or authorization de- When Other Additional Insured Coverage scribed in Paragraph A. or B.that this in- Applies On An Excess Basis surance would be primary to any other in- surance available to the additional in- This insurance is primary to other insurance sured. available to the additional insured described in Paragraphs A.and B.except: As used in this endorsement, wrap-up insur- 1. As otherwise provided in Section IV - ance means any insurance provided by a con- Commercial General Liability Condi- solidated (wrap-up)insurance program. tions, 5. Other Insurance, b. Excess In- Primary And Noncontributory Insurance surance; or When Required By Written Contract, 2. For any other valid and collectible insur- Agreement, Permit Or Authorization ance available to the additional insured as Except when wrap-up insurance applies to the an additional insured by attachment of an claim or "suit' on behalf of the additional in- endorsement to another insurance policy sured, this insurance is primary to and will not that is written on an excess basis. In such seek contribution from any other insurance case, this insurance is also excess. available to the additional insured described in Paragraphs A.and B.provided that: G. The following is added to Section IV -Com- mercial General Liability Conditions, 5. 1. The additional insured is a Named In- Otherinsurance, and supersedes any provi- sured under such other insurance; and sion to the contrary: 2. You have agreed in writing in a contract, Primary Insurance When Required By Writ- agreement, permit or authorization de- ten Contract, Agreement, Permit Or Au- scribed in Paragraph A. or B.that this in- thorization surance would be primary and would not seek contribution from any other insur- Except when wrap-up insurance applies to the ance available to the additional insured. claim or "suit' on behalf of the additional in- sured, this insurance is primary to any other As used in this endorsement, wrap-up insur- insurance available to the additional insured ance means any insurance provided by a con- described in Paragraphs A. and B. provided solidated (wrap-up)insurance program. that: Includes copyrighted material of Insurance GA 472 09 17 Services Office, Inc.,with its permission. Page 3 of 3 www.saif.com saih :0. 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 Botermans Inc SAIF Corporation American Leak Detection Portland Service Center 2831 Bullock Rd 503.673.5283 servic@saif.com Medford,Or 97504-4132 Issued 08/05/2021 Limits of liability Policy 938060 Bodily Injury by Accident $1,000,000 each accident Period 04/01/2021 to 04/01/2022 Bodily Injury by Disease $1,000,000 each employee Body Injury by Disease $1,000,000 policy limit Description of operations/locations/special items 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 CAt- Chip Terhune President and CEO 400 High Street SE Salem,OR 97312 P:800.285.8525 Policy_OLCA Certiricate011nsurance F:503.584.9812