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HomeMy WebLinkAbout2020-078 PO 20200321- Greenway Spray LLC are mcoRDE9 Purchase Order ' iuFIF41 Fiscal Year 2020 Page: 1 of: 1 40)ti �� B City of Ashland - L ATTN: Accounts Payable Purchase 20 E. Main L Ashland, OR 97520 Order# 20200321 T Phone: 541/552-2010 O Email: payable@ashland.or.us V H C/O Public Works Department E GREENWAY SPRAY LLC I 51 Winburn Way. N 3155 OLD STAGE ROAD p Ashland, OR 97520 O CENTRAL POINT, OR 97502 Phone: 541/488-5347 R T Fax: 541/488-6006 —=7,77; 77;fvja_3=26'if I?Ele_=i _—•=7— 71 _.- r- a .-1 f _ gin=A F77:7_ ___ Paula Brown -- -- _L v!l�-i- --fig,- �-T• 01/31/2020 3093 FOB-ASHLAND OR/NET30 Ci Accounts Pa able ---_-- - 7.` _-�Elg.-VIE-. _ .7- Herbicide Application Airport 1 Contractor to apply herbicide at Ashland Municipal Airport 1 $4,950.0000 $4,950.00 Contract for Goods and Services Small Procurement Less than $5,000 Completion date: 03/30/2020 - Project Account: ***************GL SUMMARY*************** 085700-704100 $4,950.00 • • • By: W1 Date: k 12(, la-b Authorized Signature 1 $4,950.00 FORM #3 Y(.4 / rOSHLAND CITY OF A free ue t oOrder a Purchase Orde REQUISITION ,P O p 0 ate of request: _ i/2/20:20 _ .,- _ . .. Required date for delivery: Vendor Name Greenway Spray LLC Address,City,State,Zip 3155 Old Stage Rd, Central Point, OR 97502 Contact Name&Telephone Number Greg Stewart (541) 662-9949 Fax Number greg@greenwayspray.com SOURCING METHOD ❑ Exempt from Competitive Bidding 0 Emergency ❑ Reason for exemption: 0 Invitation to Bid (Copies on file) 0 Form#13,Written findings and Authorization ❑ AMC 2.50 Date approved by Council: 0 Written quote or proposal attached, ❑ Written quote or proposal attached _(Attach copy of council communication) _(If council approval required,attach copy of CC) ® Small Procurement Cooperative Procurement Less than$5,000 0 Request for Proposal (Copies on file) 0 State of Oregon ® Direct Award Date approved by Council: Contract# ' ® Verbal/Written quote(s)or proposal(s) —(Attach copy of council communication) 0 State of Washington Intermediate Procurement 0 Sole Source Contract# _ GOODS&SERVICES 0 Applicable Form(#5,6,7 or 8) 0 Other government agency contract $5,000 to$100,000 0 Written quote or proposal attached Agency ❑ (3)Written quotes and solicitation attached 0 Form#4, Personal Services$5K to$75K Contract# PERSONAL SERVICES 0 Special Procurement Intergovernmental Agreement $5,000 to$75,000 0 Form#9,Request for Approval 0 Agency Date original contract approved by Council: 0 Less than$35,000,by direct appointment 0 Written quote or proposal attached (Date) ❑ (3)Written proposals/written solicitation Date approved by Council: _(Attach copy of council communication) ❑ Form#4, Personal Services$5K to$75K Valid until: (Date) Description of SERVICES Total Cost Contractor to apply herbicide at Ashland Municipal Airport $:4950 Item # Quantity Unit Description of MATERIALS Unit Price Total Cost XXX XXX . XXX TOTAL,di ST ® Per attached quote/proposal 4' Project Number Account Number 085700.704100 Account Number Account Number *Expenditure must be charged to the appropriate account numbers for the financials to accurately reflect the actual expenditures. IT Director in collaboration with department to approve all hardware and software purchases: IT Director Date Support-Yes/No By signing this requisition form,I certify that the City's public contracting requirements have been satisfied, (N �Employee: � JQ 'n fY Department Head: 7g441,1,/)----• 29lZo?y (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 Finance Director-(Equal to or greater than$5,000) Date Comments: Form#3-Requisition • Contract for GOODS AND SERVICES Small Procurement Less than$5,000 CITY OT INDEPENDENT CONTRACTOR: Greenway Spray LLC ASHLAND , CONTACT: Greg Stewart 20 East Main Street ADDRESS: 3155 Old Stage Road Central Point,OR 97502 Ashland,Oregon 97520 Telephone: 541/488-5587 TELEPHONE:541-622-9949 FAX: Fax: 541/488-6006 EMAIL: greg@greenwayspray.com EFFECTIVE DATE:02/01/2020 COMPLETION DATE: March 30,2020 TOTAL COMPENSATION:Not to exceed$4,950.00 per exhibit B GOODS AND SERVICES TO BE PROVIDED:Custom spray 18 acres of weeds at the Ashland Airport with pre and post emergent herbicide. ADDITIONAL TERMS: In the event of a conflict or discrepancy among the Contract Documents,this City of Ashland Contract will be primary and take precedence,and any exhibits or ancillary agreements having redundant or contrary provisions will be subordinate to and interpreted in a manner that will not conflict with the said primary City of Ashland Contract. NOW THEREFORE,the CITY AND CONTRACTOR HEREBY AGREE as follows: 1. All Costs by Contractor: Contractor shall,provide all goods as specified above and shall at its own risk and expense,perform any work described above and,unless otherwise specified,furnish all labor,equipment and materials required for the proper performance of such work. 2. Qualified Work: Contractor has represented,and by entering into this contract now represents,that any personnel assigned to the work required under this contract are fully qualified to perform the work to which they will be assigned in a skilled and worker-like manner and,if required to be registered,licensed or bonded by the State of Oregon,are so registered,licensed and bonded.Contractor must also maintain a current City business license. 3. Ownership of Production:All documents,materials or items produced by Contractor pursuant to this contract shall be the property of City. 4. Statutory Requirements:ORS 279B.220,279B.225,279B.230,279B.235,ORS Chapter 244 and ORS 670.600 are made part of this contract. 5. Indemnification:Contractor agrees to defend,indemnify and save City,its officers,employees and agents harmless from those losses,expenses, or other damages resulting from injury to any person or damage to property arising out of or incident to the negligent performance of this contract by Contractor its employees,or agents. Contractor shall not be held responsible for any losses,expenses,or other damages,directly,solely,and proximately caused by the negligence of City. 6. Termination: City's Convenience. This contract may be terminated at any time by the City. 7. Independent Contractor Status: Contractor is an independent Contractor and not an employee of the City. Contractor shall have the complete responsibility for the performance of this contract. 8. Non-discrimination Certification:The undersigned certifies that the undersigned Contractor has not discriminated against minority,women or emerging small businesses enterprises in obtaining any required subcontracts. Contractor further certifies that it shall not discriminate in the award of such subcontracts,if any. 9. Asbestos Abatement License:If required under ORS 468A.710,Contractor or Subcontractor shall possess an asbestos abatement license. 10. Assignment and Subcontracts: Contractor shall not assign this contract or subcontract any portion of the work. 11. Use of Recyclable Products:Contractor shall use recyclable products to the maximum extent economically feasible in the performance of the contract work set forth in this document. 12. Default. The Contractor shall be in default of this agreement if Contractor commits any material breach or default of any covenant,warranty, certification,or obligation it owes under the Contract. 13. Insurance. Contractor shall at its own expense provide the following insurance: a. a. Worker's Compensation insurance in compliance with ORS 656.017,which requires subject employers to provide Oregon workers' compensation coverage for all their subject workers. Worker's compensation insurance is required if work is performed by employees, subcontractors,or volunteers. BY INITIALING THIS SENTENCE,CONTRACTOR CERTIFIES UNDER PENALTY OF LAW THAT THE WORK REQUIRED BY THIS CONTRACT SHALL BE PERFORMED SOLELY BY THE UNDERSIGNED: b. General Liability insurance with a combined single limit,or the equivalent,of not less than$1,000,000 for each occurrence for Bodily Injury and Property Damage. c. Automobile Liability insurance with a combined single limit,or the equivalent,of not less than$1,000,000 for each accident for Bodily Injury and Property Damage,including coverage for owned,hired or non-owned vehicles,as applicable. 14. Governing Law;Jurisdiction;Venue: This contract shall be governed and construed in accordance with the laws of the State of Oregon 15. THIS CONTRACT AND ATTACHED EXHIBITS CONSTITUTE THE ENTIRE AGREEMENT BETWEEN THE PARTIES. NO WAIVER,CONSENT, MODIFICATION OR CHANGE OF TERMS OF THIS CONTRACT SHALL BIND EITHER PARTY UNLESS IN WRITING AND SIGNED BY BOTH PARTIES. 16. Certification. Contractor shall sign the certification attached hereto as Exhibit A and herein incorporated by reference. 17. Consultant's compliance with Oregon Tax Law: (1) Consultant represents and warrants to the City that Consultant shall,throughout the term of this Agreement, including any extensions hereof, comply with: (i) All tax laws of the State of Oregon,including but not limited to ORS 305.620 and ORS Chapters 316,317,and 318; (ii) Any tax provisions imposed by a political subdivision of the State of Oregon applicable to Consultant;and (iii) Any rules,regulations,charter provisions,or ordinances that implement or enforce any of the foregoing tax laws or provisions. (2)Consultant represents and warrants that,for a period of no fewer than six(6)calendar years preceding the Effective Date of this Agreement,it has complied with: (i) All tax laws of the State of Oregon,including but not limited to ORS 305.620 and ORS Chapters 316,317,and 318; (ii) Any tax provisions imposed by a political subdivision of the State of Oregon applicable to Consultant;and (iii) Any rules,regulations,charter provisions,or ordinances that implement or enforce any of the foregoing tax laws or provisions. Revised 10-28-14 Page 1 of 2 • ` CONT-> TOR: CITY OF ASHLAND: By: 1 ._.. ' /I1 . - -doz.,'" By: " p1 Signature Department Head &� OS- C O c- r4-0&4 G $2,9,41,-, f Pia-- Print a/ _Print ame Print Name d DI,OE /yj EiV AZ-- 24 /4-,✓ 2v Zr) Title Date (W-9 is to be submitted with the signed contract.) Purchase Order No. ' ` `� / EXHIBIT A CERTIFICATIONS/REPRESENTATIONS: Contractor,under penalty of perjury, certifies that(a)the number shown on the attached W-9 form is its correct taxpayer ID (or is waiting for the number to be issued to it and(b) Contractor is not subject to backup withholding because (i) it is exempt from backup withholding or (ii) it has not been notified by the Internal Revenue Service (IRS)that it is subject to backup withholding as a result of a failure to report all interest or dividends, or(iii)the IRS has notified it that it is no longer subject to backup withholding. Contractor further represents and warrants to City that(a) it has the power and authority to enter into and perform the work, (b)the Contract, when executed and delivered, shall be a valid and binding obligation of Contractor enforceable in accordance with its terms, (c)the work under the Contract shall be performed in accordance with the highest professional standards, and (d) Contractor is qualified,professionally competent and duly licensed to perform the work. Contractor also certifies under penalty of perjury that its business is not in violation of any Oregon tax laws, and it is a corporation authorized to act on behalf of the entity designated above and authorized to do business in Oregon or is an independent Contractor as defined in the contract documents, and has checked four or more of the following criteria: X (1) I carry out the labor or services at a location separate from my residence or is in a specific portion of my residence, set aside as the location of the business. (2) Commercial advertising or business cards or a trade association membership are purchased for the business. XC, (3) Telephone listing is used for the business separate from the personal residence listing. (4) Labor or services are performed only pursuant to written contracts. (5) Labor or services are performed for two or more different persons within a period of one year. (6) I assume financial responsibility for defective workmanship or for service not provided as evidenced by the ownership of performance bonds,warranties, errors and omission insurance or liability insurance relating to the labor or-services to be provided. '.. /r 24--c Contractor (Date) Revised 10-28-14 Page 2 of 2 Exhibit B December 27,2019 City of Ashland Public Works/Engineering 51 Winburn Way Ashland, OR 97520 Attention: Kaylea Kathol Project Manager Kaylea, Thank you for providing Greenway Spray with the opportunity to provide an estimate for the Ashland Airport herbicide application. The scope of work is focused on the elimination of weed growth that is causing.a deterioration of the asphalt and is an obstruction to the lighting and reflectors along the taxiway and runway. Below is a breakdown of the scope of work we discussed and how we plan on targeting each of_these areas. The following areas will be sprayed with a GPS guided and calibrated spray boom: - Where visible cracks in the asphalt are closer than 8'apart. - Unpaved granite areas between the hanger doors. - The outdoor airplane parking area that adjoins the South taxiway. - 6"-12"along the edge of the runway and taxiways. The areas below would be spot sprayed using a calibrated handgun: • - 15'around drains that lead directly to streams. - Thetaxiway asphalt from where it narrows to the North end. This areas has cracks that are spaced greater then 8'. - Underneath all parked aircraft. - Where the large fuel tanks are located. - All lights and reflectors will be treated individually approximately 3' in all directions with a rectangular spray pattern. - The areas at the back of the two East airplane hangars,where the space is too narrow for equipment. Below are the products that we have chosen to use and why we think they would best suit your needs: - Alligare Glyphosate 5.4 is a glyphosate product that is labeled for aquatic sites and airports. Greenway Spray LLC will be using this product for all post emergent herbicide applications. Glyphosate is a safe contact herbicide that only affects vegetation it is sprayed on. It doesn't contain a surfactant making it a safer product where drainage is a concern. - Some of the weeds we will be targeting are star thistle, black mustard,tar weed and henbit. The pre- emergent application we recommend for the airport vegetative swale border is combination of Payload and Esplanade. This chemistry is desirable because it binds with the soil and hasta limited ability to. move.off site. It also will target many,of the weed seeds,that you currently have in the existing seed bed impeding seed germination this coming season. • - The pre-emergent we recommend for the cracks in the blacktop will be Payload. We use the same active ingredient in vineyard rows for weed suppression at the base of the grape vines. It has characteristics that allow it to bind with clay so movement is very limited. - For safety,Greenway Spray LLC will use the best surfactant package on the market. We would use Crosshair by Wilbur-Ellis for our drift control. The Rogue Valley has seen many cases of off target applications and we won't be one of them. For our spreader/sticker we would use Rainier EA labeled for airports and aquatic sites. In advance of starting the work,we will be posting the areas to be sprayed 48 hours prior to any pesticide application at the interior airport entrances. This is to notify the public of the work that will be taking place. Greenway Spray will be placing flags,as we progress through the airport,warning visitors that the area is off limits until the spray has dried. We will also coordinate with your office as to the date,the time and the method of application. It will be necessary to time this application before the rainy season ends. In order to activate the pre-emergent we will need to receive at least.5"of rain. We recommend this application takes place no later than the end of March. The application timing will be based on the weather forecast. With favorable weather we don't see this project taking more than 5 hours to complete.. Our schedule is booked fairly tight this'spring. Upon your approval,and a written notice to proceed,we will coordinate with your office to get the herbicide application done by the end of March. Greenway Spray is committed to the safe application of herbicides with the least amount of environmental impact. We do this by using products that will best control the target according to their site..We are licensed through the Oregon Department of Agriculture, bonded and insured. Herbicides will not be sprayed on ground that has standing water. Reasonable bufferswill be in place for all areas with water including streams,springs, irrigation runoff and riparian areas. Native plants and trees will NOT be sprayed,only the areas previously, approved by you. Greenway Spray is a safety first company.We supply our team with up to date training in pesticide handling and application. I have an extensive background in herbicide selection and application,and will be on this project throughout. We appreciate your interest in Greenway Spray and lookforward to doing business with the City of Ashland. If you have any questions or concerns regarding the attached estimate please feel free to contact me directly. Sincer , ewa er Greenw.f. pray LLC AG-L1015139CPA AG-L1030214CP0 (541)622-9949 ' 0G Greenway Spray LLC Estimate .3155 Old Stage Road - Central Point, OR 97502 Date Estimate# 12/27/2019 • 192 Name/Address City of Ashland Public Works/Engineering 51 Winburn Way Ashland,OR 97520 Project Description . Qty Rate.• Total. • Custom spray 18 acres of weeds at the Ashland Airport with pre and 18 275.00 4,950.00 post emergent herbicide. Areas include: All taxiway asphalt cracks and edges. . Unpaved areas,between the hanger doors. . 6"- 12"swath that follows the vegetative swale on the taxiway and - runway shoulders. Signs,lights and reflectors will be treated individually 3'in all directions with a rectangular spray pattern. • Thank you for your business: Total $4,950.00 ,. ,. 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',' . .;.::....' .. . - - ,,,. . e' 4 ... „ ' 4 •,'":',77''' ':Streams -, , , - , 44Itstkiiiv ,„. - . ._ . Herbicide_Application e.,.. • • • , . .:4 ... , .-, . :• Moroi-Drain Inlets . . . . . ... \ . • \ . ..1 , . ei' , ' C, 4/ * ..., ,,,,, \;..;'•;-''' - ' 0.,• Drains to Stream : --'_;.. - ,.1, • *. , 1:3 Drains,to Swale N •• ' i:-- ' . ': . •• •• 1N,.-' - ' ;0 • \ v. •-.---'•:;:-‘.;,- r- ._ , ,_..,. • _ • - • ....,•-•., .,.',•-,-.••_,.:,...-,-•-. ,-,..,-..-f.'-',";;,;,:;.'''.:-..;-:y,......-i. ;.--;-Y-1-',;',-'-'-fs'---.'''[.`'7.-''''..-7.-r'i :;•';'';,.-:-',..;,',''-.).-',V-.-.'';',-....T.T.- -.,7;,:1-7.'-:: ,;;;::. -.7' -...,`-:-;-;rt'-,''.:':-;;':-..,-..-:' ' .--''; .4,1-1:: =,-i,-,-,.:;'::A-•:,z..:;,.'''."i'''.i';-'',;' v ' ,',.-7';-';.:. •-;:.i. ',.'' - -'.. ,-,:. * ''.'-, • '' -. ''' ..;;.- --,' 1 ,:,--.'.::• r''-i'',. . . 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APPLICATION REPORT • * is Grower, '-'', : $ ., ; , Fiaeld : k ' £ Greenway.spray, .1cFirtA*11a,cPYP1CiR!i,AiJPo ; T • 3155 OId.Stage Rd • County Description . : Central Point Oregon.97502 - Township: • 541=622-p949 ' Range:' Section:, E'. :-:'f" nt Confgurat---' A. :plication "t° — pplic Date ime r .,_. ; . 7 wbeit . .. . 11 anon . Vehicle ` ` Kubota RTVX,1100 Timing• Pre Emerge 'Start Time 01/3112019 9 04 AT : Implement:. (ubota:RTVX 1100 Placement: Surface Broadcast End Time: 0113112019.10 05'AM Boom•Height ,20-In Nozzle PN:• • .•Red FC=ULQ12O 04 BOOn1 Pressure: • 40 PSI ' Prod uct: 'Airport hanger: Applied'Area* 10.95 ac' 3• • RateI9al) 205:+ P ` 185 205, ':,‘„,;11.11-3.65 185 - -.40400-4-1*„.-.,:....- J ©145'" 165 . ®0 145x � • • • . • --.•••,.. Crop _ ,Restrictions r :f , Ta eget Pesfis -,' > N f .:. Crop Crop Rotation Restrictions No Season;L'ong Complete Kill Growth Stage • Restricted Entry Interval(REI): 12:h • Pr%ducag:.,mary t ; -�: 6. ,•}. Name, :Manufacturer.•' EPA#.' RUP Amount Average Rate, ` Airport:hanger • No 16495 gal f 15 07,;gel/ac-,= :::,',' Water No 158:59 gal t `14 49;gal/ac Atllgare Glphosate 5.4 ' Alligare 81927,8• No 703:78 fi oz 64 29 fl oz/ac „; Payload' 1/alent 59639-120 No 109:97 oz.; .;:,..,:.'•,:.3,9:,.0...5„,..9„2/.0,.F.° ' 11-13.` Wilbur-Ellis No, 65:98 t.)-0,::::', ''•=6 03 fi;oz/ac {' Crosshair Wilbur Ellis ' No 43 99 fl oz, ' 4 02 fl ozlac ,, -.7, Operator/Supev sor ln-'''' ' tign ... " 4e 1 ', 7X e � ^ ` s. ' gnatu '� `= Operator . Stewart.Robert • - License AG-L1036056APL • f� n t' Operator ` License Supervisor fi Ucense }, t. angers Kubota RTVX 1100_090422 2019 01 31 pdf Pagel of 2 Greenway Spray LLC .3155 OId.Stage Rd fr , -4' Lig pit ' Central Point Oregon 97502 54142:2-4,9,49,' C ..A PPL! ATtON REPORT Y Grower ' •Field --1{ . x, Greenway'Spray LLC Field: Runway,taxiways 'Farm , Ashland Municipal Airport 3155 Old'Stage Rd County: Description; Central Point Oregon„97502 Township . . ” ' • ' ..4,),-62219949 .Range: . . Section: • Equipment�Configuration Application A. Appi(cation;Da#e�l.�#z'ime t: vehicle Kubota'RTVX 1100- ` ' Timing Start Time - 01/31/2019.10 31 Anii.1 .- Implement: I<ubota.RTVX 1100 . Placement: SurfaceBroadcast : End Time; 01/31/2019, 111 AM 1 ' BoomHeight, ' 20 In Nozzle PN:" Red FC-ULD120-04 , .. Boom.Pressure: 40 PSI • Product: Runtiva s ` ". _ App ied4trea: 9.02 ac • `_Rate(gal) " ;,_" . <1205 4,- - -:-1.!111145 205. • .N®165 15 • ■ 14S 165: ®0-14.5` t Crop rictions rgt Rest' '° ` . w.� Crop Crop Rotation Restnctions: No •' ' Season,Long Complete Kill ' - Growth Stage , Restricted Entry,lnterval(REI): 12h ` }_ - ProductSurmmary ,, : ' JA _ § " ' Name -•. Manufacturer ., 'EP4,:# RUP Amount 4 Average Rate Runways No 133,86 gal,: -,14 83 gal/ac Water No 127:43 gal ',• ,� '14 12 gallas Ailigare Glphosate 5;4 Alligere • 81927-8 No 571 15 II oz- _•,63 29 fl•oz/ac - Panoramic_.25L Al igare 68222-141-81927 No 102:63 II of "1137-fl,ozlac Payload. _ . Valent- • 59639-120 No 102:63oz. . '11:37 oz/ac; Esplanadef200SC I Bayer Cropscienc 432-1516 ' No •59:7911 of: •: ,6 63 f1-oz/ac - 11 - Wilbur Ellis No • 53:55 fl oz '. • • '5.9311 oz/ac .' R ' Crosshair ,Wilbur Ellis No 35;70 fl 02 �3 96 fl oz/ac Operator`/Si701e01sorr:information s ._ u Operator Stewart Robert License. ,AD.;L1.0360,5601;. Operator: License: Supervisor License Runway,taxiways Kubota R7VX 1100.103127:2019 01 31 df 4 „ , ��,-� .. .. -'• p - Page i a(�2 • n rr /� TOWNS CENTRE INS PRO/IREll/UE° 315 SE 7TH STREET COMMERCI�4L GRANTS PASS,OR 97526 1-541-476-3311 Policy number: 03967552-3 Underwritten by: ARTISAN AND TRUCKERS CASUALTY CO_ January 24,2020 Page 1 of 2 Certificate of Insurance Certificate Holder Additional Insured CITY OF ASHLAND 20 EAST MAIN ST ASHLAND,OR 97520 Insured Agent/Surplus Lines Broker GREENWAY SPRAY LLC TOWNE CENTRE INS 3155 OLD STAGE RD 315 SE 7TH STREET CENTRAL POINT,OR 97502 GRANTS PASS,OR 97526 This document certifies that insurance policies identified below have been issued by the designated insurer to the insured named above for the period(s)indicated. This Certificate is issued for information purposes only. It confers no rights upon the certificate holder and does not change,alter,modify,or extend the coverages afforded by the policies listed below. The coverages afforded by the policies listed below are subject to all the terms,exdusions,limitations,endorsements,and conditions of these policies. Policy Effective Date: Dec 8,2019 Policy Expiration Date: Dec 8,2020 Insurance coverage(s) Limits BODILY INJURY/PROPERTY DAMAGE $1,000,000 COMBINED SINGLE LIMIT UNINSURED MOTORIST BODILY INJURY $1,000,000 COMBINED SINGLE LIMIT EMPLOYERS NON-OWNED AUTO BIPD $1,000,000 COMBINED SINGLE LIMIT HIRED AUTO BODILY INJURY/PROPERTY DAMAGE $1,000,000 COMBINED SINGLE LIMIT Description of LocationNehicles/Special Items Scheduled autos only 2005 DODGE RAM 2500 3D6WS26D05G832400 UNINSURED MOTORIST PROPERTY DAMAGE $20,000 W/$200 DED($300 IF HIT&RUN) PERSONAL INJURY PROTECTION $15,000 COMPREHENSIVE $500 DED COLLISION $500 DED RENTAL REIMBURSEMENT $30 PER DAY($900 MAX) ROADSIDE ASSISTANCE SELECTED 1992 FORD F250 1FTHX26G6NKB46378 ,UNINSURED MOTORIST PROPERTY DAMAGE $20,000 W/$200 DED($300 IF HIT&RUN) PERSONAL INJURY PROTECTION $15,000 ROADSIDE ASSISTANCE SELECTED Continue Policy number: 03967552-3 Page 2 of 2 2017 DNS TRLR BLDRS TRAILER 1D9D1VC2XHM731023 Stated Amount $2,600 COMPREHENSIVE $250 DED 2017 FORD F350 1FTRF3B63HEE26630 UNINSURED MOTORIST PROPERTY DAMAGE $20,000 W/$200 DED.($300 IF HIT&RUN) PERSONAL INJURY PROTECTION $15,000 COMPREHENSIVE $500 DED COLLISION $500 DED RENTAL REIMBURSEMENT $30 PER DAY($900 MAX) ROADSIDE ASSISTANCE SELECTED 2015 HOMEMADE TRAILER 99999999999999999 Certificate number 02420NET552 Please be advised that additional insureds and loss payees will be notified in the event of a mid-term cancellation. Form 5241(10/02) www.saif.com gl■ � Work.Oregon. 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 Greenway Spray LLC SAIF Corporation 3155 Old Stage Rd Portland Service Center Central Point,Or 97502-1478 503.673.5283 servic@saif.com Issued 01/24/2020 Limits of liability Policy 857891 Bodily Injury by Accident $1,000,000 each accident Period 02/01/2020 to 02/01/2021 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. Authorized representative )62) Kerry Bamett President and CEO • 400 High Street SE Salem,OR 97312 P:800.285.8525 Poticy_OLC{LCertificateonnsurance F:503.584.9812 Ac'aRD_ CERTIFICATE OF LIABILITY INSURANCE DATE(MWDDIYYYY) w. -`L..:; :;_.::; 02/07/2019 • ' THIS CERTIFICATE fS 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 tho 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 sueh endorsement(s).: ' . 'PRODUCER TOwne.Centre Insurance Service,•4.0 are"BRIAN'SEAGOE ., • 315 SE 7th Street: PHONE (541)•476-3311 z FAX 641 476-5626 Grants Pass OR'97526 IA/C.No.Etrtl: #Iuc.No): ) _ • • EDORE ESS Brian cis.biz ADgR __ INSURER(S)AFFORDING COVERAGE __ _ T____NAIL dr . INsuRERA:Scottsdale Insurance Company 1 INSURED GREENWAY SPRAY LLC INSURER®:Artisan and Truckers Casualty Co' �~ 3155 OLD STAGE RD Navigators Specialty ----•.____.. .._ CENTRAL POINT OR 97502 �NsuAERc 9. p, clalty Insurance Co INSURER D: INSURER E: i—_ • INSURER F: _ I COVERAGES CERTIFICATENUMBER: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;TERMOR 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.L_IMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. „ ILTR 1 TYPE OF IHSURJINC• 8A ''''''��POLICY EFF POLICY!XP -.`."..-...-._, _"'!._.. _. NSD WVD - POLICY NUMBER I(MWDDIYYYn,IMMIDO� LIMITS ✓ COMMERCIAL GENERAL LUIBIUTf ` ILL/1 CPS 2929545 02/15/2019 02/15/2020 • Ei cH occuRRENCE $1,000,000 _ A 1 CLAIMS-WOE ✓� _ OCCUR ,PREMISEacarrrcrt�j 5 100,000 - MED EXP(Any ule person) S 5,0_0_0 . PERSONALBADV INJURY 51r000r000 .-__ GEN'LAGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE S2,000,000 POLICY O Jig [J LOC PRODUCTS-COMPIOP.AGG�s2AOo,000�^ OTHER: I S AUTOMOBILE LU EIUTY lbjeU03967552.2 12/08/2018 121812019 :i OM iPts LIMIT I S 1,000,000 B ANY AUTO BODILY INJURY)Par person) S • AUTOOWNED SCHEDULED - --- AUTOS ONLY AUTOS BODILY INJURY(Per eocidunt) S ✓ HIRED -J NON-OWNED PROPERTY DAMAGE 's -------- - AUTOS ONLY .1:.., ALTOS ONLY 1.t mI UMBREU.ALIAB ✓, DccuR 1111NYI9EXCN00557Q1 02/1512019 02!1512020 (EACH OCCURRENCE 1 52.000,000 • C r/ EXCESSUAB CLAIMS-MADE AGGREGATE • 1 S 2,900,000 QED , `SURETENTIONS ; - �f�--- __._ WORKERS COMPENSATION LJ PER jj DTH- t S IE AND EMPLOYERS•LAWN • Y/N U STATUTE.1- ER - ANYPROPRIETORIPARTNER1EXECU IVE E.L. OFFICEWMEMBEREXCLLWED? a EACH ACCIDENT5 NIA __ __ ....___ (MyyandatoryInNH) E.L.DISEASE-.EA EMPLOYE S OESeCRa1P('IONN OF OPERATIONS below ' El:DISEASE DISEASE•POLICY UNIT i S -_.�.___ LJL__7 i 0o I DO , DESCRrP ION OF OPERATIONS I LOCATIONS/VEHICLES'(ACORD 101.Addlllonal Remarks Schaduls.may ba t tteclnd Noma spate Is roguirad) Certificate holder Is listed as an additional Insured. CERTIFICATE HOLDER CANCELLATION CITY OF ASHLAND • 20 EAST MAIN ST SHOULD ANY'OF THE ABOVE DESCRIBEDPOLICIES BECANCELLED BEFORE . ASHLAND,OR 97520 THE- EXPIRATION DATE.THEREOF, NOTICE WILL "BE- DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. •' -AUTHORIZEDREPRESENTATNE - ,d6av . , . -. •��` 1988.20.-'r CORD CORPORATION. All rights reserved.'• ACORD25(2016/03) ••The-ACORD name and logo are registered marks of ACORD Produced 1»Tng Forma Boss Web**aro www:FormaBoss.tom(c)Improsshn PublisFilei R00.208.1977 ..' .� ENDORSEMENT SCoTTSDALE INZRANCE COMPANY NO. • ATTACHED TO AND ENDORSER ENT EFFECTIVE DATE • FORM IND APART OF (123:11 A M.STANDARD TIME NAMED,INSURED AGENT NO. POUCY NUMBER CPS2929545 02/15/201:9 Greenway Spray LLC 46006 •R THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART With respect to this endorsement, SECTION II -WHO IS a. All work, including materials, parts.Or equip- AN INSURED is amended to include as an additional in- ment furnished in connection with such Work, sured any person or organization whom you are required on the project (other than service, mainte- to add as an additional insured on this policy under a writ- nance or repairs)to be performed by oron be- ten contract, written agreement or written permit which half of the additional insured(s) at the location must be: of the covered operations has been com- a. Currently in effect or,becoming effective during plated; or the term of the policy; and b. That portion of"your work"out of which the in- b. Executed prior to the "bodily injury, "property jury or damage arises has been put to its in- damage,"or"personal and advertising injury." tended use by any person or organization other than another contractor or subcontractor The insurance provided to these additional insureds is lim- engaged in performing operations for a princi- ited as follows: pal as a part of the same project. 1. That person or organization is an additional in- 3. The limits of insurance applicable to the additional sured only with respect to liability for "bodily insured are those specified in the written contract, Injury,""property damage"or"personal and adver- written agreement or written permit oriel the.Decla- • tising injury"caused,in whole or in part,by: rations for this policy,whichever is.less.These ism its of insurance.are inclusive of,and not in addition a. Your acts or omissions;or to, the Limits of Insurance shown in the Declare- b. The acts or omissions of those acting on your tions for this policy. behalf. 4. Coverage is not provided for"bodily injury,""prop- A person's or organisation's status as an additional arty damage,"or "personal and.advertising injury" insured under this endorsement ends when arising out of the sole negligence of the additional your operations for that additional insured are insured. completed. • 5. The insurance provided to the additional insured 2. With respect to the insurance afforded to'these ad- does not apply to "bodily injury," "property dam- ditional insureds, the following exclusions are age," or "personal and advertising injury" arising added to item 2. Exclusions of SECTION I - out of an architect's, engineer's or,surveyor's ren- COVERAGES: dering of or failure to render any professional serv- ices including: This insurance.does not apply to "bodily injury," "property damage"or"personal and advertising in- jury"occurring after: V Includes copyrighted m aterial.of ISO Properties,Inc.,with Its permission. Copyright,ISO Properties,Inc.,2004 GLS-150s(7-06) Page 1 of 2 INSURED r ' a. The preparing, approving or failing to prepare written contract specifically requires that this,insur- or approvemaps,shop drawings,opinions, re ance be primary. ports, surveys, field orders,,change orders or • drawings and specifications;and When this insurance is excess,we will have no du ty under SECTION I-COVERAGES to.defend the. b. Supervisory, inspection, architectural or engi- additionalinsured against any"suit"if any other in- neering activities. surer has a duty to defend the additional.insured . 6. Any coverage provided hereunder will be excess against that"suit" If no other insurer defends, we over any.other valid and collectible insurance avail- will undertake to do so, but we will be entitled to the additional insured's rights against all those oth- able to the additional insured whether primary, ex- er insurers. cess, contingent or on any other basis unless a • AUTHORIZED REPRESENTATIVE DATE Includes copyrighted material of ISO Properties;Inc.,with its permIsslon: Copyright;ISO Properties,Ina.,2004 • GLS-150s(7-08) Page 2 of 2 • PRIO EIlirr. 4dditional Insured Endorsement Name of Person or Organization City of Ashland 20 East Main St Ashland;OR 97520 The person or organization named above is an insured with respect to such liability coverage as is afforded by the policy but this insurance applies to said insured only as a person liable for the conduct of another insured and then only to the extent of that liability.We also agree with you that insurance provided by this endorsement Will be primary for any power unit specifically described on the Declarations Page. Limit of Liability Bodily Injury each person/ each accident Property Damage each accident Combined Liability$1,000,000 each accident All other terms,limits and provisions of this policy remain unchanged. This endorsement applies to Policy Number: 03967552-2 Issued to(Name of Insured): GREENWAY SPRAY LLC Effective date of endorsement 12/08/2018 Policy expiration date: 12/08/2019 Form 1198(01/04)