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HomeMy WebLinkAbout2021-172 PO 20220117- Party Time Enterprises Inc NS 1141 .� � 0 Purchase Order (........_...„." .�� p ryp/',��' LJ ��'yp fL�('���/ ���y�y[ ,��p�-aj1hy L?�`'' 'J�}J Fiscal Year 2022 Page: 1 of: 1 �'R Vr7� tl Y qgeY 1J' � G = - _ `_.\� wrl�e -oq g L1 a SkLYIIi 3 :`-- w- -— e�Voi aF= f-ai��L i slat $f is B Ashland Parks Commission _;_.-4._---::„.:-,,--____ „--...- — -- � 20 E. Main ATTN: Accounts Payable Purchase , L Ashland, OR 97520 Order# 20220117 T Phone: 541/552-2010 0 Email: payable@ashland.or.us V S CIO Parks Department E PARTY TIME ENTERPRISE INC H Admin Office . I 340 South Pioneer N 5143 S 6TH ST D P Ashland, OR 97520 O KLAMATH FALLS, OR 97603 T Phone: 541/488-5340- R • o Fax: 541/488-5314 vi:J®[e21=Fe�:EJ�I:.Q 6 RQ 21:.J —-=7.4:z-=7.4:z S 6 6L5'g- 0013=IaLaIe=6g:S51ol �IIBIE=�a-�=1aI �S_ __----. == 17:1?iia1E7–B2�Sis]6:IRLE1-,.'._ – _. _ Michael Black @ � :ems-= -:Me eJ o1®ii eI=]=—af- 'ai_isuiae= &-i-r7 i�Iai`1ag:ItS9f. =— === Fir1 T5444[_®SA_oal�. 10/11/2021 6356 FOB ASHLAND OR/NET30 Parks Accounts Payable -its r-�-�i�ltlt®� P 7100?0 -.-n--,."-_-,-. .0r_ - - -- Parks Electric Mowers 1 EVO 74R350 1.0 EACH $35,008.0000 $35,008.00 74" Rear Discharge Electric Mower with 35kWh Battery including additional line items on quote, Per attached Sales Quote No. 20500017 Department: Parks Equipment#1237 Project Account: $35,008.00 2 RIVAL RVL60R220 1.0 EACH $25,058.0000 $25,058.00 60" Rear Discharge Electric Mower with 22kWh Battery, including • additional line items on quote, Per attached Sales Quote No. 20500017 Department: Parks , Equipment#1238 Project Account: $25,058.00 3 RIVAL RVL60R220 1.0 EACH $25,058.0000 $25,058.00 60" Rear Discharge Electric Mower with 22kWh Battery, including additional line items on quote, Per attached Sales Quote No. 20500017 Department: Parks Equipment#1239 Project Account: $25,058.00 • 4 SHIPPING 1.0 EACH $1,300.0000 $1,300.00 Goods and Services Agreement(Greater than $35,000) Completion date: January 31, 2022 Project Account: $1,300.00 *************** GL SUMMARY*************** 121000 -703000 $86,424.00 • B '/l Date: �Lr �r-® , By: Au orized Signature 1 $86,424.00 )4e,e_e_2 oyfelv ,...... 44- , , 7_ , ,,,-1- 4 v 6'L)1 Uv0� FORM#3 CiTYIOF s l / 7 '.S H LAN D A f'c'fiUt:t,'t:fora �v'!96'?;iII�I��e�!_� ,r) �e � 0 < REQUISITION ( Date of request: 08/1312021 . Required date for delivery: Vendor Name64'bPower Pao Rental&Sales Address,City,State,Zip 5143 South Sixth Street Klamath Falls OR 97603 ' Contact Name&Telephone Number 541-884-0114 Email address • SOURCING METHOD . ❑ Exempt from Competitive Bidding ❑ Emergency ❑ Reason for exemption: 0 Invitation to Bid - 0 Form#13, ritten findings •nd Authorization ❑ AMC 2.50 Date approved by Council: 0 Written quo:or propos attached ❑ Written quote or proposal attached (Attach copy of council communication) (If council ap•royal r•+red,attach copy of CC) ❑ Small Procurement ❑ Request for Proposal Coo•erative Pr• ur•.- ent Not exceeding$5,000 Date approved by Council: 0 Stale of Ore lir ❑ Direct Award _(Attach copy of council communication) Contract# :'.6 ❑ VerballWrit-a •-.. -•..-- _ ❑ Request for Qualifications(Public Works) ❑ Slate of I ashin'.on / o a- .'proved by Council: Con .ct# 1 1 (Att.; copy of council communication) 0 0,er government age'! contract + I, • mediate Procurement / / ,, ❑ Sole''time 'gency GOODS&SERVICES / ❑ Applica ale Form(#5,6,7 or 8) Contract# Greater than$5,000 and less tha $100,000 ❑ Writt--quote or proposal attached Intergovernmental Agreement 0 (3)Written bids&solicitation attached ❑ : #4,Personal Services$5K to$75K Agency PERSONAL SERVICES I Special Procurement 0 Annual cost to City does not exceed$25,000. reater than 5 000 and less than . :,' 0 Form#9,Request for Approval Agreement approved by Legal and approved/signed by k ess an 35,010 • appointment ❑ Written quote or proposal attached City Administrator.AMC 2.50.070(4) :• . sposals&solicitation attached Date approved by Council: ❑ Annual cost to City exceeds$25,000,Council ❑ Form#4,Personal Services$5K to$75K Valid until: Date approval required.(Attach copy of council communication) . Description of SERVICES Total Cost Electric Mowers . eebiet- 86,424.00. Item# Quantity — Description of MATERIALS Unit Price Total Cost 7 74v'f v e.ZeY G(4. • 5o 0.61, 4"a 1Ag �� '' }CSA•'4�e_t-�r �/Ltswa,/ 74o SA 'a (A.37 p 'X..",-� ,G w_, ��_ ©�� ❑ Per attached quotelproposal . �[-.� c�T, 6 Project Number_____ ---- - Account Number 1 2 1 D e a-7 0 3 0 0 0 .86..424:00 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,m�iI certify that the Ci1y's public contracting requirements have been satisfied. gg-� � Employee: /��/�G Department Head: .i�G 4. b' t Equal to or greater than$5,000) Department ManagerlSupervisor: City Administr or: i /�� (Equal to or greater than$25,000) Funds appiopilated for current fiscal year: YES/NO til/( 7 J4 202.1 Finance Director-(Equaltoe greaterthan$5j000) Dale Comments: • Form tl3-Requisition -fits rAMP Rea& &SaleS RENTAL & SALES INC. 5143 South Sixth Street • Klamath Falls, OR 97603 • 1(541)884-0114 • Fax: (541) 884-509E partytimeenterprise@gmail.com website: www.partytimeoregon.com • www.powerpacrentals.com Sales Quotation Information ' .Y Sbld:To,!?a�ity�'; �.,�, Sales Quote No. 20500017 AUTHORIZED DEALER ACQUISITION QUOTE 100 S MAIN ST Document Date 07/26/2021 -- WEST LEBANON NH 03784 Customer No. • 11167511 Currency USD Contact Person Tina Wright Validity Start Date 07/26/2021 V-lidity End Date 08/27/2021 Ship-To-Party AUTHORIZED DEALER ACQUISITION QUOTE 100 S MAIN ST • WEST LEBANON NH 03784 Header.Information . • Purchase Order No: ASHLAND PARKS& RECREATION Pm-chase Order Date: Gross Weight: 4,749.060 LB • NI t Weight: 4,210.090 LB Volume: 725,396.833 "3 Delivery Date: 08/06/2021 Terms of payment: Payable immediately without deduction Terms of Delivery: EXW DELIVERING PLANT Item Material Quantity Price Price Unit Amount 10 EV074R350 1.000 EA 34,499.00 USD 1 EA 34,499.00 EVO, 74 REAR DISCHARGE, 35 kWh BAT 40 AMGUPNI2 1.000 EA 50.00 USD 1 EA 50.00 PLASTIC RECEIVER FOR ORV&JACK 50 FI-LED-AFB 1.000 EA 300.00 USD 1 EA 300.00 LED AMBER FLASHING BEACON (FI) 60 AMGUPN11 1.000 EA 159.00 USD 1 EA 159.00 FRONT CYLINDER ZTR JACK 14" 70 RVL60R220 2.000 EA 24,549.00 USD 1 EA 49,098.00 RIVAL, 60 REAR DISCHARGE, 22 kWh BAT 100 AMGUPNII 2.000 EA 159.00 USD 1 EA 318.00 FRONT CYLINDER ZTR JACK 14" 110 AMGUPNI2 2.000 EA 50.00 USD 1 EA 100.00 PLASTIC RECEIVER FOR ORV&JACK • s party. ...' . .. ..'� 1 , 111' e v Rental &Sal RENTAL & SALES INC. X17 5143 South Sixth Street • Klamath Falls, OR 97603 (541) 884-0114 •,Fax: (541)884-5096 partytimeenterprise@gmail.com website:www.partytimeoregon.com • www.powerpacrentals.com • Sales Quotation Item Material Quantity Price Price Unit Amount 120 FI-LED-AFB 2.000 EA 300.00, USD 1 EA 600.00 LED AMBER FLASHING BEACON (FI) Items total: 85,124.00 Shipping 1,300.00 Shipping Discount 0.00 Subtotal: 86,424.00 Final amount: 86,424.00 • • 1 GOODS AND SERVICES AGREEMENT (GREATER THAN $35,000) PROVI•DER: Power Pac Rental & Sales CITY OF PROVIDER'S CONTACT: Michele Havird \LSH LAN D 20 East Main Street ADDRESS: 5143 South Sixth Street Ashland, Oregon 97520 Klamath Falls, Oregon 97603 Telephone: 541/488-5587 Fax: 541/488-6006 PHONE: 541-884-0114 This Goods and Services Agreement (hereinafter "Agreement") is entered into by and between the City of Ashland, an Oregon municipal corporation (hereinafter "City"), and Power Pac Rental & Sales, an assumed business name of Party Time Enterprise, Inc., a domestic business corporation(hereinafter"Provider"), for the purchase of one 74"and two 60"rear discharge electric Mean Green lawn mowers. 1. PROVIDER'S OBLIGATIONS 1.1 Provide one 74" and two 60" rear discharge electric Mean Green lawn mowers and accessories 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 goods and services defined and described in the"SUPPORTING DOCUMENTS" shall hereinafter be collectively referred to as the"Goods." • 1.2 Provider shall obtain and maintain during the term of this Agreement and until City's final acceptance of all Goods 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; and • 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 the Goods 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; • Page 1 of 6: Goods and Services Agreement between the City of Ashland and Power Pac Rental and Sales • • 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. 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. As evidence of the insurance required by this Agreement,the Provider shall furnish an acceptable insurance certificate prior to commencing delivery of the'Goods. 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 $22,310.46 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 any services or delivering any Goods pursuant to this Agreement and to any Subcontractor who performs 50% or more of the services under this Agreement. Provider is also required to post the notice attached hereto as "Exhibit A"predominantly in areas where it will be seen by all employees. { 2. CITY'S OBLIGATIONS 2.1 City shall pay Provider the sum of$86,424.00 (eighty-six thousand four hundred and twenty-four dollars) as provided herein as full compensation for the Goods 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 $86,424.00 (eighty-six thousand four hundred and twenty-four dollars) (this is maximum,not to exceed amount of entire Agreement)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 Goods which would cause this maximum sum to be exceededand that any authorization from the responsible official must be in writing. Provider further acknowledges that any Goods provided or 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 Goods from Provider and is free to procure similar types of goods and services from other providers in its sole discretion. Page 2 of 6: Goods and Services Agreement between the City of Ashland and Power Pac Rental and Sales • • 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 Provider shall not assign this Agreement or subcontract any portion of the work or Goods to be provided hereunder without the prior written consent of the City. Any attempted assignment or subcontract without written consent of the City shall be void. Provider shall be fully responsible for the acts or omissions of any assigns or subcontractors and of all persons employed by them, and the approval by the City of any assignment or subcontract shall not create any contractual relation between the assignee or subcontractor and the City. 3.5 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. 3.6 This Agreement may be amended only by written instrument executed with the same formalities as this Agreement. -3.7 The following laws of the State of Oregon are hereby incorporated by reference into this Agreement: ORS 279B.220,279B.230 and 279B.235. 3.8 This Agreement shall be governed by the laws of the State of Oregon without regard to conflict of laws principles. Exclusive venue for litigation of any action arising under this Agreement shall be in the Circuit Court of the State of Oregon for Jackson County unless exclusive jurisdiction is in federal court, in which case exclusive venue shall be in the federal district court for the district of Oregon. Each party expressly waives any and all rights to maintain an action under this Agreement in any other venue, and expressly consents that, upon motion of the other party, any case may be dismissed or its venue transferred, as appropriate, so as to effectuate this choice of venue. 3.9 Provider shall defend,save,hold harmless and indemnify the City and its officers,employees and agents from and against any and all claims, suits, actions, losses, damages, liabilities, costs, and expenses of any nature resulting from, arising out of, or relating to the activities of Provider or its officers, employees, contractors, or agents under this Agreement. 3.10 Neither party to this Agreement shall hold the other responsible for damages or delay in performance caused by acts of God,strikes,lockouts,accidents,or other events beyond the control of the other or the., other's officers, employees or agents. 3.11 If any provision of this Agreement is found by a court of competent jurisdiction to be unenforceable, such provision shall not affect'the other provisions, but such unenforceable provision shall be deemed modified to the extent necessary to render it enforceable, preserving to the fullest extent permitted the intent of Provider and the City set forth in this Agreement. 3.12 Deliveries will be F.O.B destination Ashland,Oregon. 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. Page 3 of 6: Goods and Services Agreement between the City of Ashland and Power Pac Rental and Sales • 3.13 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). 3.14 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 4.1 The following documents are, by this reference, expressly incorporated in this Agreement, and are collectively referred to in this Agreement as the "SUPPORTING DOCUMENTS:" • The City's written Invitation to Bid—Equipment dated July 12,2021 • The Provider's complete written Sales Quotation No. 20500017 dated July 26,2021 4.2 This Agreement and the SUPPORTING DOCUMENTS shall be construed to be mutually complimentary and supplementary wherever possible. In the event of a conflict which cannot be so resolved, the provisions of this Agreement itself shall control over any conflicting provisions in any of the SUPPORTING DOCUMENTS. In the event of conflict between provisions of two of.the SUPPORTING DOCUMENTS,the several supporting documents shall be given precedence in the order listed in Article 4.1. 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 Goods that Provider has failed to deliver within any scheduled completion dates or any Goods 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 Tem.!. 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 January 31, 2022, unless sooner terminated as provided in Subsection 6.2. 6.2 Termination 6.2.1 The City and Provider may terminate this Agreement by mutual agreement at any time. 6.2.2 The City may, upon not less than thirty (30) days' prior written notice, terminate this Agreement for any reason deemed appropriate in its sole discretion. Page 4 of 6: Goods and Services Agreement between the City of Ashland and Power Pac Rental and Sales • • 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 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: Ashland Parks and Recreation Attn: Michael Black,Director 20 E. Main Street • Ashland, Oregon 97520 Phone: (541) 488-5340 With a copy to: • City of Ashland—Legal Department 20 E.Main Street Ashland, Oregon 97520 Phone: (541)488-5350 If to Provider: Power Pac Rental and Sales 5143 South Sixth Street Klamath Falls, Oregon 97603 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: (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 Page 5 of 6: Goods and Services Agreement•between the City of Ashland and Power Pac Rental and Sales • • I • i • (iii) Any rules,regulations, charter pr oI1I isions,or ordinances that implement or enforce any of the foregoing tax laws or provision ., 9.2 Provider's failure to comply with the lax laws a the Stale of Oregon and all applicable tax laws of any political subdivision of the State of Oregon shall,; onstitute a material breach ofthis Agreement. Further, any violation of Provider's warranty, as set fort i in this Article 9, shall constitute a material breach of this Agreement. Any material breach of thl: Agreement shall entitle the City to terminate this Agreement and to seek damages and any other r'liefavailable tinder this Agreement,at law,or in equity. • IN WITNESS WHEREOF the parties have caul d this Agreement to be si gned.in their respective names b by their duly authorized representatives as of the dates seli forth below. CITY m F A HLAND: I? WER PAC RENTAL& SALE (PRO\iIDER): • By: 3yWied 'ty Manager Pro Tem Signature • COW LW/3 Printed Name ": Printed Name • DateTtle 104 Date Purchase Order No. i� W-9 is to be submitted with this signed Agreement) • APPROVED AS TO FORM: • Interim 'City Attorney S • • 7•.?d' 2/' • • Date • • Page 6 o1'6: Goods and Services Agreement between the City orAshta Id and Power Pae Rental and Sales A D® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY). 9/13/2021 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 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 ARA Insurance Services, Inc. PHONE Jessica Coffey FAX 102 N.W. Parkway (A/c.No.Extt:800-821-6580 (Arc,No):816-474-1931 Kansas City MO 64150 ADDRIESS: JCoffey@arainsure.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:AXIS Insurance Company 37273 INSURED PAOROD2 INSURER B: Party Time Enterprises,.Inc DBA Power Pac Rentals and Sales INSURER C: 5143 South 6th St INSURER D: Klamath Falls OR 97603 INSURER E: INSURER F: • COVERAGES CERTIFICATE NUMBER:1455492097 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP wLIMITS LTR INSD VD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY Y Al PAOR002-029655-11 5/5/2021 5/5/2022 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED CLAIMS-MADE X OCCUR PREMISES Ea occurrence) $100,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY PEC LOC • PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ A AUTOMOBILE LIABILITY Y AlPAOR002-029655-11 5/5/2021 5/5/2022 COMBINED SINGLE LIMIT $ (Ea accident) 1.000.000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS XX NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS _ AUTOS (Per accident) A UMBRELLA LIAB X OCCUR A5PAOR002-029656-11 • 5/5/2021 5/5/2022 EACH OCCURRENCE $1,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Rental/Sales Inventory • Al PAOR002-029655-11 5/5/2021 5/5/2022 Actual Loss Sustained Special Form/Theft Deductible 1,000 • DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) Additional Insured General Liability The certificate holder listed below is an additional insured for commercial general liability insurance to the extent that coverage is afforded by form ARAX 30 01 08 12 attached. • CERTIFICATE HOLDER CANCELLATION • SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN • ' ACCORDANCE WITH THE POLICY PROVISIONS. City of Ashland 20 East Main Street AUTHORIZED REPRESENTATIVE Ashland OR 97520 ARA Insurance I ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. • ADDITIONAL INSURED - AUTOMATIC STATUS WHEN REQUIRED BY WRITTEN CONTRACT, AGREEMENT OR PERMIT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Section II —Who Is An Insured isamended to include as an additional insured any person, organization, state or governmental agency or subdivision, or political subdivision when you and such person(s) or organization(s) have agreed in writing in a contract or agreement that such person(s) or organization(s) is to be named as an additional insured on your policy, subject to the following provisions: A. The contract, agreement or permit must be in effect during the policy period shown in the Declarations, and must have:been executed prior to the"bodily injury," property damage" or"personal and advertising injury." B. The person, organization, state or governmental agency or subdivision or political subdivision is an insured only with respect to liability for"bodily injury", "property damage"or"personal and advertising injury"caused, in whole or in part, by: 1. The ownership, maintenance.or use of that part of the premises leased to you subject to the following additional exclusions: (a) This insurance does not apply to any"occurrence"which takes place after you cease to be a tenant in that premises. (b) This insurance does not apply to any structural alterations, new construction or demolition operations performed by or on behalf of the person or organization added as an insured. 2. Your acts or omissions, or the acts or omissions of those acting on your behalf, in the performance of • your ongoing operations for the additional insured(s), subject to the following additional exclusions: (a) This insurance does not apply to"bodily injury" or"property damage"occurring after all work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance, or repairs) to be performed by or on behalf of the additional insured(s) has been completed. • (b) This insurance does not apply to"bodily injury"or"property damage"occurring after that portion of "your work"out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. (c) This insurance does not apply to"bodily Injury", "property damage"or"personal and advertising injury"arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: • (i) The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys,field orders, change orders or drawings and specifications; or (ii) Supervisory, inspection, architectural or engineering activities. 3. The maintenance, operation or use of equipment leased to you by such person(s) or organization(s). This.insurance does not apply to any"occurrence"which takes place after the equipment lease expires. 4. Operations performed by you or on your behalf for which the state or governmental agency or subdivision or political subdivision has issued a permit or authorization, subject to the following provisions: ARAX 30 01 0812 Includes copyrighted material of the Insurance Services Office,Inc.used with its permission Page 1 of 2 (a) This insurance does not apply to"bodily injury,""property damage,"or"personal and advertising injury" arising out of the operations performed for the federal government, state or municipality. (b) This insurance does not apply to"bodily injury"or"property damage" included within the"products- completed operations hazard." 5. Their liability as a grantor of a franchise to you. 6. Their liability as a grantor of a license to you. A person(s) or organization(s) status as an additional insured under this provision ends when: (a) The license granted to you by such person(s) or organizations(s) expires; or (b) Your license is terminated or revoked by such person(s) or organizations(s) prior to expiration of the license as stipulated by the contract or agreement. • • • • • • ARAX 30 01 0812 Includes copyrighted material of the Insurance Services Office,Inc.used with its permission Page 2 of 2 POLICY NUMBER:Al PAOR002-029655-11 COMMERCIAL AUTO CA 20 48 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM • BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to, coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. - This endorsement identifies person(s) or organization(s) who are "insureds"for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured:Party Time Enterprises, Inc DBA Power Pac Rentals and Sales Endorsement Effective Date:05/05/2021 • SCHEDULE Name Of Person(s) Or Organization(s): Blanket as required by written contract Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Each person or organization shown in the Schedule is an "insured"for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph A.1. of Section II — Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I — Covered Autos Coverages of the Auto Dealers Coverage Form. CA 20 48 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 1 COMMERCIAL GENERAL LIABILITY • CG 20 01 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART • PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance (2) You have agreed in writing in a contract or Condition and supersedes any provision to the agreement that this insurance would be contrary: primary and would not seek contribution Primary And Noncontributory Insurance from any other insurance available to the additional insured. This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and • • • • • CG 20 01 0413 © Insurance Services Office, Inc., 2012 Page 1 of 1