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HomeMy WebLinkAbout2021-197 PO 20210253- Construction Engineering Consultants Inc i • Purchase Order Fiscal Year 2021 Page: 1 of: 1 I.. _��telllr_�ii1�T�� zalEeul B City of Ashland _ ATTN:Accounts Payable Purchase 20E. Main Order# 20210253 Ashland,OR 97520 T Phone:541/552-2010 O Email: payable@ashland.or.us ✓ H C/O Public Works Department E CONSTRUCTION ENGINEERING CONSULTANTS INC I 51 Winburn Way N PO BOX 1724 • p Ashland,OR 97520 D• MEDFORD,OR 97501 Phone:541/488-5347 T Fax: 541/488-6006 " • - ' lel rl-E'-"fl 1 l-�a.:el F IJ.='Y_rmi 0I'lis cLl'—moi=l,tfll•iI 11. Eii,,I I-I-• Scott Fleury_.__ _ inc tittaoi wF4"IEi I I-1 n_mt�Il<<_= 11_. 1i�3 i . i a.l — _ ;Eri i_i :l-IeliJe 01/22/2021 939 FOB ASHLAND OR/NET30 . City Accounts Payable °i151�11 ��`i� =.. = — ��F� JI`11 I ( _LT L_ =1s` 1=I' Ashland Ditch Culverts 1 Topo survey culvert designs and construction design of Ashland 1.0 $21,800.00 $21,800.00 Ditch Culvert replacements(Weller culvert and Strawberry culvert) Personal Services Agreement(Less than$25,000) Completion date: June 30,2021 Project Account: ***************GL SUMMARY''************** 081500-604100 $21,800.00 • • • • • • • • • • • • By / Date/a•-",/-7-4,--/ uth•rize.•Signa ure '.21 800.00 { • FORM #3 CITY O F A request for a Ptlrchaso ,O D C ASHLAND REQUQSIITKON / Date of request: 01/2112021 • Vendor Name Construction Engineering Consultants Address,City,State,Zip PO Box 1724 Medford,OR 97501 Contact Name Tony Bakke - Telephone Number 541-7794266 ext 231 Email address • tony(lgcecengineering.com • SOURCING METHOD ❑ Exempt from Competitive Bidding D 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 ❑ Request for Proposal (Copies on file) D State of Oregon ❑ Direct Award Date approved by Council: Contract# (Attach copy of council communication) ❑ VerbaVWrilten quote(s)or proposal(s) ❑ Stale of Washington intermediate Procurement ❑ Sole Source Contract# GOODS&SERVICES 0 Applicable Form(115,6,7 or B) 0 Other Agency government agency contract $5,000 to$100,000 0 Written quote or proposal attached O (3)Written quotes and solicitation attuched 0 Form#4, Personal Services$5K to$75K Contract# PERSONAL SERVICES ❑ Special Procurement intergovernmental Agreement $5,000 to$75,000 0 Form#9,Request for Approval ❑ Agency ■ Less than$35,000,by direct appointmentDate original contract approved by Council: ❑ PP 0Written quote or proposal attached (Dale) El (3)Written proposalsiwritten solicitation. Date approved by Council: _(Attach copy of council communication)ae O Form#4, Personal Services$5K to$75l( Valid until: (Date) Description of SERVICES Total Cost Topo survey,culvert designs and construction design of Ashland Ditch Culvert replacements(Weller ' • 1, • • ;`• Culvert and Strawberry culvert) _ ' $21;800:00 Item# Quantity Unit Description of MATERIALS Unit Price Total Cost i • DI Per attached quotelproposal • . •--TOTAL:COST Expenditure must be charged to the appropriate;account numbers.for the financials to reflect the actual expenditures accurately. Project Number_ _ _ _ __•._ _ _ Account Number o 8 1 .5 .0 0.6 0 4 1 0 0 $_r_ z 1,8 0 0.00 Project Number _ Account Number - Project Number — _ _ Account Number $ _ _ ___ _•_ _ IT Director in collaboration with department to ápprove all,haidware'and software.puichases: . By signing this requisition nnform,((IIc�ce��rtifyJJthat the City's public contracting requirements have been satisfied IT Director Date Support-Yes/No Employee:amo IL 11 41'IAY - Qmv,pto Department Head: Equal or greater than$5,000) Department Manager/Supervisor: City Ad! ni'strator: /Equa oorgreater than$25,000) Funds appropriated tor currant fiscal year• /NO /�R8 ce Director (Equaito oft ,000) Date Comments: Form#3-Requisition • PERSONAL SERVICES AGREEMENT (LESS THAN $25,000) CONSULTANT: Construction Engineering Consultants,Inc. CITY OF �S H LAN D ADDRESS: PO Box 1724 20 East Main Street Medford, OR 97501 Ashland, Oregon 97520 Telephone: 541/488-5587 TELEPHONE: 541-779-5268 Fax: 541/488-6006 EMAIL: tony@cecengineering.com • This Personal Services Agreement (hereinafter "Agreement") is entered into by and between the City of Ashland, an Oregon municipal corporation (hereinafter "City") and Construction Engineering Consultants, Inc., a domestic professional corporation("hereinafter"Consultant"),for topo survey,culvert designs and construction design of Ashland Ditch Culvert replacements (Weller Culvert and Strawberry culvert). NOW THEREFORE, in consideration of the mutual covenants contained herein,the City and Consultant hereby agree as follows: 1. Effective Date and Duration: This Agreement shall become effective on the date of execution on behalf of the City, as set forth below(the"Effective Date"), and unless sooner terminated as specifically provided herein, shall terminate upon the City's affirmative acceptance of Consultant's Work as complete and Consultant's acceptance of the City's final payment therefore, but not later than June 30, 2021. 2. Scope of Work: Consultant will provide topo survey, culvert designs and construction design of Ashland Ditch Culvert replacements (Weller Culvert and Strawberry culvert) as more fully set forth in the Consultant's Proposal dated 1/4/2021,which is attached hereto as "Exhibit A"and incorporated herein by this reference. Consultant's services are collectively referred to herein as the "Work." 3. - Supporting Documents/Conflicting Provisions: This Agreement and any exhibits or other supporting documents shall be construed to be mutually complementary 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 exhibits or supporting documents. 4. All Costs Borne by Consultant: Consultant shall, at its own risk,perform the Work described above and, unless otherwise specified in this Agreement, furnish all labor, equipment, and materials required for the proper performance of such Work. 5. Qualified Work: Consultant has represented, and by entering into this Agreement now represents,that all personnel assigned to the Work to be performed under this Agreement are fully qualified to perform the service 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. Page 1 of 6: PERSONAL SERVICES AGREEMENT BETWEEN THE CITY OF ASHLAND AND CONSTRUCTION ENGINEERING CONSULTANTS 6. Compensation: City shall pay Provider for its Work at the hourly rates as set forth in Exhibit"A", which is attached hereto and incorporated herein by this reference, as full compensation for Provider's performance of all Work under this Agreement. In no event shall Consultant's total of all compensation and reimbursement under this Agreement exceed the sum of$21,800.00 (not to exceed)without the express,written approval from the City official whose signature appears below, or such official's successor in office. Payments shall be made within 30 days of the date of receipt by the City of Consultant's invoice. Should this Agreement be terminated prior to completion of all Work,payments will be made for any phase of the Work completed and accepted as of the date of termination. 7. Ownership of Work/Documents: All Work,work product, or other documents produced in furtherance of this Agreement belong to the City,and any copyright,patent,trademark proprietary or any other protected intellectual property right shall vest in and is hereby assigned to the City. 8. Statutory Requirements: The following laws of the State of Oregon are hereby incorporated by reference into this Agreement: ORS 279B.220, 279B.230 and 279B.235. 9. Living Wage Requirements: If the amount of this Agreement is $22,002.43 or more, Consultant is required to comply with Chapter 3.12 of the Ashland Municipal Code by paying a living wage, as defined in that chapter,to all employees performing Work under this Agreement and to any Subcontractor who performs 50%or more of the Work under this Agreement. Consultant is also required to post the notice attached hereto as "Exhibit B"predominantly in areas where it will be seen by all employees. 10. Indemnification: Consultant hereby agrees to defend, indemnify, save, and hold City, its officers, employees, and agents harmless from any and all losses, claims, actions, costs, expenses,judgments, or other damages resulting from injury to any person (including injury resulting in death), or damage (including loss or destruction)to property, of whatsoever nature arising out of or incident to the performance of this Agreement by Consultant(including but not limited to, Consultant's employees, agents, and others designated by Consultant to perform Work or services attendant to this Agreement). However, Consultant shall not be held responsible for any losses, expenses, actions, costs,judgments, or other damages, caused solely by the gross negligence of City. 11. Termination: a. Mutual Consent. This Agreement may be terminated at any time by the mutual consent of both parties. b. City's Convenience. This Agreement may be terminated by City at any time upon not less than thirty (30) days',prior written notice delivered by certified mail or in person. c. For Cause. City may terminate or modify this Agreement, in whole or in part, effective upon delivery of written notice to Consultant, or at such later date as may be established by City under any of the following conditions: i. If City funding from federal, state, county or other sources is not obtained and continued at levels sufficient to allow for the purchase of the indicated quantity of services; ii. If federal or state regulations or guidelines are modified, changed, or interpreted in such a way that the services are no longer allowable or appropriate for purchase under this Agreement or are no longer eligible for the funding proposed for payments authorized by this Agreement; or Page 2 of 6: PERSONAL SERVICES AGREEMENT BETWEEN THE CITY OF ASHLAND AND CONSTRUCTION ENGINEERING CONSULTANTS iii. If any license or certificate required by law or regulation to be held by Consultant to provide the services required by this Agreement is for any reason denied,revoked, suspended, or not renewed. d. For Default or Breach. i. Either City or Consultant may terminate this Agreement in the event of a breach of the Agreement by the other. Prior to such termination the party seeking termination shall give to the other party written notice of the breach and its intent to terminate. If the party committing the breach has not entirely cured the breach within fifteen(15) days of the date of the notice, or within such other period as the party giving the notice may authorize in writing, then the Agreement may be terminated at any time thereafter by a written notice of termination by the party giving notice. ii. Time is of the essence for Consultant's performance of each and every obligation and duty under this Agreement. City, by written notice to Consultant of default or breach, may at any time terminate the whole or any part of this Agreement if Consultant fails to provide the Work called for by this Agreement within the time specified herein or within any extension thereof. iii. The rights and remedies of City provided in this subsection(d) are not exclusive and are in addition to any other rights and remedies provided by law or under this Agreement. 12. Independent Contractor Status: Consultant is an independent contractor and not an employee of the City for any purpose. 13. Assignment: Consultant shall not assign this Agreement or subcontract any portion of the Work without the written consent of City. Any attempted assignment or subcontract without written consent of City shall be void. 14. Default. The Consultant shall be in default of this Agreement if Consultant: commits any material breach or default of any covenant,warranty, certification, or obligation under the Agreement; institutes an action for relief in bankruptcy or has instituted against it an action for insolvency; makes a general assignment for the benefit of creditors; or ceases doing business on a regular basis of the type identified in its obligations under the Agreement; or attempts to assign rights in, or delegate duties under,this Agreement. 15. Insurance. Consultant shall, at its own expense,maintain the following insurance: a. Workers' Compensation. Consultant shall obtain and maintain Workers' Compensation insurance in compliance with ORS 656.017,which requires subject employers to provide Oregon Workers' Compensation coverage for its subject workers, unless such employers are exempt under ORS 656.126. If exempt under ORS 656.126, Consultant shall certify such exemption to the City. b. Professional Liability insurance with a combined single limit, or the equivalent, of not less than $2,000,000 (two million dollars)per occurrence. This is to cover any damages caused by error, omission or negligent acts related to the Work to be provided under this Agreement. c. 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,Death, and Property Damage. d. Automobile Liability insurance with a combined single limit, or the equivalent, of not less than $1,000,000 (one million dollars)for each accident for Bodily Injury and Property Damage, including coverage for owned,hired or non-owned vehicles, as applicable. Page 3 of 6: PERSONAL SERVICES AGREEMENT BETWEEN THE CITY OF ASHLAND AND CONSTRUCTION ENGINEERING CONSULTANTS e. Notice of cancellation or change. There shall be no cancellation, material change, reduction of limits or intent not to renew the insurance coverage(s)without thirty (30)days' prior written notice from the Consultant or its insurer(s)to the City. f. Additional Insured/Certificates of Insurance. Consultant shall name the City of Ashland, Oregon, and its elected officials, officers and employees as Additional Insureds on any insurance policies, excluding Professional Liability and Workers' Compensation,required herein, but only with respect to Consultant's services to be provided under this Agreement. The consultant's insurance is primary and non-contributory. As evidence of the insurance coverages required by this Agreement, the Consultant shall furnish acceptable insurance certificates and endorsements prior to commencing the Work under this Agreement. 16. Nondiscrimination: Consultant 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 any Work under this Agreement when employed by Consultant. Consultant agrees to comply with all applicable requirements of federal and state civil rights and rehabilitation statutes,rules and regulations. Further, Consultant 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. 17. Consultant's Compliance With Tax Laws: 17.1 Consultant represents and warrants to the City that: 17.1.1 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. 17.1.2 Consultant, 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 Consultant; and (iii) Any rules,regulations, charter provisions, or ordinances that implement or enforce any of the foregoing tax laws or provisions. 18. Governing Law; Jurisdiction: This Agreement shall be governed and construed in accordance with 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 Page 4 of 6: PERSONAL SERVICES AGREEMENT BETWEEN THE CITY OF ASHLAND AND CONSTRUCTION ENGINEERING CONSULTANTS 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. 19. 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, by mailing using registered or certified United States mail, return receipt requested,postage prepaid, or by electronically confirmed at the address or facsimile number set forth below: If to the City: Public Works Department Attn: Kevin Golden 20 East Main Street Ashland, Oregon 97520 With a copy to: City of Ashland—Legal Department 20 E. Main Street Ashland, Oregon 97520 If to Consultant: Construction Engineering Consultants PO Box 1724 Medford, OR 97501 20. Amendments. This Agreement may be amended only by written instrument executed by both parties with the same formalities as this Agreement. 21. THIS AGREEMENT AND THE ATTACHED EXHIBITS CONSTITUTE THE ENTIRE UNDERSTANDING BETWEEN THE PARTIES. THERE ARE NO UNDERSTANDINGS, AGREEMENTS, OR REPRESENTATIONS, EITHER ORAL OR WRITTEN,NOT SPECIFIED HEREIN REGARDING THIS AGREEMENT. CONSULTANT,BY SIGNATURE OF ITS AUTHORIZED REPRESENTATIVE,HEREBY ACKNOWLEDGES THAT HE/SHE HAS READ THIS AGREEMENT,UNDERSTANDS IT,AND AGREES TO BE BOUND BY ITS TERMS AND CONDITIONS. 22. Certification. Consultant shall execute the certification attached hereto as "Exhibit C" and incorporated herein by this reference. Page 5 of 6: PERSONAL SERVICES AGREEMENT BETWEEN THE CITY OF ASHLAND AND CONSTRUCTION ENGINEERING CONSULTANTS 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: CONSTRUCTION ENGINEERING CONSULTANTS (CONSULTANT): By: Ar4.t e By: Signature t xc r Ft.Eua 770in• Printed Name (f Printed Name pu(4.tc oleic -s lx 2f[Mt �'`''v >`t3• i2;+"11- Title Title vizi 2flLi 00 r(202( ate Date (W-9 is to be submitted with this signed Agreement) 01 Purchase Order No. 0 7 c-3 Page 6 of 6: PERSONAL SERVICES AGREEMENT BETWEEN THE CITY OF ASHLAND AND CONSTRUCTION ENGINEERING CONSULTANTS Exhibit A co� U�1� ENGINEERING SULTA-g INC. P.O.BOX 1724•MEDFORD,OR 97501 •PH(541)779-5268 Professional SeNIces Es i nate Date:January 04,2021 To: City of Ashland Public Works Department Attn: Kevin Golden Project: Ashland Ditch Culvert Replacement—Weller Culvert and Strawberry Culvert Estimated Fee: $17,800 to$21,800 (Time and Materials) • Progress billings shall be monthly based on actual hours and expenses. Tasks and Deliverables: A. Topo Survey ($1,500-$2,500) 1. Provide topo survey and utility locates for design purposes B. Structural design of Head Walls ($6,800-$7,800) 1. Provide structural calculations and design of head walls and outfalls. C. Culvert Design &CDs ($9,500-$11,500) 1. Provide preliminary culvert design and pipe material for review by City. 2. Provide conceptual plans showing the anticipated location of new culverts. 3. Provide culvert sizing based on the Ashland Canal Piping Report, by Adkins Engineering. 4. Provide final engineered construction drawings Submitted By: `' - Date: /74(i2(-9A( ony B kke, Vice President Accepted By: Date: City of Ashland Public Works Dep. • COsrf RUC\ 41. ENGINEERING VSULTA INC. P.O. BOX 1724 • MEDFORD, OR 97501 • PH (541)779-5268 Hourly Fee Schedule Principal $150.00 per hour Project Engineer $110.00 - $130.00 per hour Engineering Technician Ill $95.00 - $110.00 per hour Engineering Technician II $85.00 - $95.00 per hour Engineering Technician I $65.00 - $85.00 per hour EXHIBIT B CITY OF ASHLAND, OREGON City of Ashland LIVING ALL employers described WAG E below must comply with City of Ashland laws regulating •a ment of a livin• wale. $15.74 per hour, effective June 30, 2020: The Living Wage is adjusted annually every VMS June 30 by, the Consumer Price Index. Employees must be paid a portion of business of their 401K and IRS eligible living wage: employer, if the employer has cafeteria plans(including ten or more employees, and childcare) benefits to the has received financial amount of wages received by assistance for the project or the employee. D For all hours worked under a business from the City of service contract between their Ashland in excess of D Note: For temporary and employer and the City of $22,002.43. part-time employees,the Ashland if the contract Living Wage does not apply exceeds$22,002.43 or more. D If their employer is the City of to the first 1040 hours worked Ashland, including the Parks in any calendar year. For D For all hours worked in a and Recreation Department. more details, please see month if the employee'spends Ashland Municipal Code 50%or more of the D In calculating the living wage, Section 3.12.020. employee's time in that month employers may add the value working on a project or of health care, retirement, For additional information: Call the Ashland City Administrator's office at 541-488-6002 or write to the City Administrator, City Hall, 20 East Main Street, Ashland, OR 97520, or visit the City's website at www.ashland.or.us. Notice to Employers: This notice must be posted predominantly in areas where it can be seen by all employees. CITY OF ,AS HLAN D Page 1 of 1: EXHIBIT B EXHIBIT C CERTIFICATIONS/REPRESENTATIONS: Consultant, by and through its authorized representative,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) Consultant 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. Consultant further represents and warrants to City that: (a) it has the power and authority to enter into this Agreement and perform the Work, (b)the Agreement,when executed and delivered, shall be a valid and binding obligation of Consultant enforceable in accordance with its terms, (c)the work under the Agreement shall be performed in accordance with the highest professional standards, and(d)Consultant is qualified,professionally competent,and duly licensed(if applicable)to perform the Work. Consultant also certifies under penalty of perjury that its business is not in violation of any Oregon tax laws, it is an independent contractor as defined in the Agreement, it is authorized to do business in the State of Oregon,and Consultant has checked four or more of the following criteria that apply to its business. .)< (1)Consultant carries out the work or services at a location separate from a private residence or is in a specific portion of a private 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. (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)Consultant assumes financial responsibility for defective workmanship or for service not provided as evidenced by the ownership of performance bonds, warranties,errors and omission(professional liability)insurance or liability insurance relating to the Work or services to be provided. Consultant's signature O1'1I r(2oz Date Page 1 of 1: EXHIBIT C www.saif.com ■ Sal Wofe.rk. Li Oregon. Oregon Workers' Compensation Certificate of Insurance 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 Construction Engineering Consultants SAIF Corporation PO Box 1724 Portland Service Center Medford, Or 97501-0134 503.673.5283 servic@saif.com Issued 01/15/2021 Limits of liability Policy 497145 Bodily Injury by Accident $500,000 each accident Period 10/01/2020 to 10/01/2021 Bodily Injury by Disease $500,000 each employee Body Injury by Disease $500,000 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 (ZD Kerry Barnett President and CEO 400 High Street SE Salem,OR 97312 P:800.285.8525 Policy_OLCA CertificateOfinsurance F:503.584.9812 AC ® $ 1 A.� CERTIFICATE OF LIABILITY INSURANCE DA01/15/2021�1f1f) , 1, THIS CERTIFICATE IS ISSUED ASA 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 COIVSTITUTE'A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. '1 11: i IMPORTANT:If the certificate holder is an ADDmONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or beenilorsed:If SUBROGATION IS WAIVED,subject to the terms and conditions of the pol icy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER , CONTACT NAME: Joseph Raybum(730937V) PHONE ' 11. FAX 3619 Aviation Way Ste 101 (A/c,NO,EXT):541_772_616711' (A/C,NO):541-779-5848 E-MAIL ' Medford OR 97504-9830 ADDRESS: jraybum@farmerSagent.com INSURER(S):AFFORDING COVERAGE NAIC# INSURED INSURER A: Truck InsurariCejExchange 21709 INSURER B: Farmers Insuran',ce Exchange 21652 CONSTRUCTION ENGINEERING 'INSURERC: Mid Century Insurance Company 21687 PO BOX 1724 INSURER D: • 1 1' 1 I' MEDFORD OR 97501 INSURER E: 1" INSURER F: 11 COVERAGES CERTIFICATE NUMBER: IIS REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAME ABOVE FOR THE POLIO'PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WI IICI I THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL TH E TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY)HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDTL SUBR POUCY NUMBER POLICY EFF j POUCYEXP LIMITS LTR INSD WVD (MM/DD/YYYY) (MM/DO/YYYY) COMMERCIAL GENERAL UABILITY • EACH OCCURRENCE S CLAIMS-MADE OCCUR ' ij DAMAGE TO RENTED PREMISES(Ea Occurrence) MED EXP(Any one person) $ PERSONAL&ADV INJURY S GEN'L AGGREGATE UMITAPPUES PER: I GENERALAGGREGATE 5 POUCY n PROJECT n LOC PRODUCTS-COMP/OP AGG 5 OTHER: , S COMBINED SINGLE UMIT AUTOMOBILEUABIUTY $ 1,000,000 I• (Ea accident) ANY AUTO BODILYINJURY(Perperson) S B OWNEDAUTOS vSCHEDULED , I : ONLY /� AUTOS Y N 034996076 05/10/2020 '05/10/2021 BODILY INJURY(Per accident)S HIRED AUTOS X NON-OWNED I 11 PROPERTY DAMAGE S ONLY AUTOS ONLY , (Per accident) ' 5 UMBRELLA UAB II OCCUR ' 1 EACH OCCURRENCE 5 EXCESS UAB CLAIMS-MADE AGGREGATE 5 DED RETENTION$ j I • $ WORKERS COMPENSATION 1 PER 1 OTHER S AND EMPLOYERS'LIABILITY STATUTE ANY PROPRIETOR/PARTNER/ Y/N ;N/Q ii E.L.EACH ACCIDENT 5 EXECUTIVE OFFICER/MEMBER EXCLUDED?(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE 5 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ • • DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more spac i is'required) 1 !I: . , .;' 1L CERTIFICATE HOLDER CANCELLATION 1 II. CITY OF ASHLAND PUBLIC WORKS DEPARTMEN- SHOULD ANY OF THE ABOVE DESCRI:ED,POUCI , „ti•NCELLED,BEFORETHEEXPIRATION 20 E MAIN ST DATE THEREOF,NOTICEWILLBEDE i.pDINA CO•..ANCEW':• THE POLICY PROVISIONS. • AUTHORIZED REPRESENTATIVE: I r I '� ASHLAND OR 97520 I' ACORD 25(2016/03) • ©1988 r ire RD CORP i411"- e N.All Rights Reserved 71-17A4 11-1R The ACORD name and loon are registered marks of ACORD• ARD® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) •I 01/15/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Susan Wilson NAME: Brown&Bown Northwest PHONE (541)772-1111 FAX (AIC,No,Ext): (A/C,No): 3256 Hillcrest Park Drive E-MAIL swilson@bbnw.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC/t Medford OR 97504INSURER A: Continental Casualty Company 20443 INSURED INSURER B: Lloyds of London Construction Engineering Consultants,Inc. INSURER C: P O Box 1724 INSURER D: INSURER E: Medford OR 97501 INSURERF: COVERAGES CERTIFICATE NUMBER: CL2041602052 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 ADDL NUNR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DDIYYYY) (MM/DDIYYYY) LIMITS X COMMERCIAL GENERAL LIABILITYX X EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE n OCCUR DAMAGESO RENTED300000 PREMISES(Ea occurrence) $ , MED EXP(Any one person) $ 10,000 - A 2067238517 03/15/2020 03/15/2021 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X JEa LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: Employment Practices $ 10,000 AUTOMOBILE LIABILITY GFtMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) $ A OWNED SCHEDULED 2067238517 03/15/2020 03/15/2021 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS XHIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) $ UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ 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 $ B (Errors&Omissions) Professional Liability B0621PCONS022520 06/03/2020 06/03/2021 Limit $2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) General Liability Policy includes Blanket Additional Insured&Blanket Waiver of Subrogation coverage as required by written contract per endorsement SB146968B(attached). Re: Ashland Ditch Culvert Replacement CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN City of Ashland ACCORDANCE WITH THE POLICY PROVISIONS. 20 E Main Street AUTHORIZED REPRESENTATIVE • Ashland OR 97520 KA(— ' ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 8B 1469 CNA s(Ed.616) IMPORTANT: THIS ENDORSEMENT CONTAINS DUTIES THAT APPLY TO THE ADDITIONAL INSURED IN THE EVENT OF OCCURRENCE, OFFENSE, CLAIM OR SUIT. SEE PARAGRAPH C., OF THIS ENDORSEMENT FOR THESE DUTIES. BLANKET ADDITIONAL INSURED ENDORSEMENT WITH PRODUCTS-COMPLETED OPERATIONS COVERAGE BLANKET WAIVER OF SUBROGATION Architects, Engineers and Surveyors This endorsement modifies insurance provided under the following: BUSINESSOWNERS LIABILITY COVERAGE FORM BUSINESSOWNERS COMMON POLICY CONDITIONS A. Who Is An Insured is amended to include as an insured any person or organization whom you are required to add as an additional insured on this policy under a written contract or written agreement; but the written contract or written agreement must be: 1. Currently in effect or becoming effective during the term of this policy; and 2. Executed prior to the: a. "Bodily injury"or"property damage";or b. Offense that caused the"personal and advertising injury"; for which the additional insured seeks coverage B. The insurance provided to the additional insured is limited as follows: 1. The person or organization is an additional insured only with respect to liability for "bodily injury", "property damage"or"personal and advertising injury"caused in whole or in part by: a. Your acts or omissions;or b. The acts or omissions of those acting on your behalf, in the performance of your ongoing operations specified in the written contract or written agreement; or c. "Your work" that is specified in the written contract or written agreement, but only for "bodily injury" or "property damage"included in the"products-completed operations hazard", and only if: (1) The written contract or written agreement requires you to provide the additional insured such coverage; and (2) This Coverage Part provides such coverage. 2. The Limits of Insurance applicable to the additional insured are those specified in the written contract or written agreement or in the Declarations of this policy, whichever is less. These Limits of Insurance are inclusive of, and not in addition to,the Limits of Insurance shown in the Declarations. 3. The insurance provided to the additional insured does not apply to"bodily injury", "property damage" or"personal and advertising injury"arising out of an architect's, engineer's, or surveyor's rendering of or failure to render any professional services including: a. The preparing, approving, or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications by any architect, engineer or surveyor performing services on a project of which you serve as construction manager; or b. Inspection, supervision, quality control, engineering or architectural services done by you on a project of which you serve as construction manager. SB146968B(6-16) Page 1 of 2 Copyright,CNA All Rights Reserved. CNA SB146968B (Ed.6-16) 4. The insurance provided to the additional insured does not apply to"bodily injury", "property damage"or"personal and advertising injury" arising out of construction or demolition work while you are acting as a construction or demolition contractor. C. Under Businessowners Liability Conditions, the condition entitled Duties In The Event of Occurrence, Offense, Claim or Suit is amended to add the following: An additional insured under this endorsement will as soon as practicable: 1. Give written notice of an occurrence or an offense to us which may result in a claim or"suit"under this insurance; 2. Tender the defense and indemnity of any claim or"suit"to us for a loss we cover under this Coverage Part; 3. Except as provided for in paragraph D.2.below: a. Tender the defense and indemnity of any claim or"suit"to any other insurer which also has insurance for a loss we cover under,this Coverage Part;and b. Agree to make available any other insurance which the additional insured has for a loss we cover under this Coverage Part. We have no duty to defend or indemnify an additional insured under this endorsement until we receive written notice of a claim or"suit"from the additional insured. D. With respect only to the insurance provided by this endorsement, the condition entitled Other Insurance of the BUSINESSOWNERS COMMON POLICY CONDITIONS is amended to delete paragraphs 2. and 3. and replace them with the following: 2. This insurance is excess over any other insurance available to the additional insured, whether primary, excess, contingent or on any other basis, But if required by the written contract or written agreement, this insurance will be primary and noncontributory relative to insurance on which the additional insured is a Named Insured. 3. When this insurance is excess, we will have no duty under Business Liability insurance to defend the additional insured against any"suit' if any other insurer has a duty to defend the additional insured against that"suit" If no other insurer defends, we will undertake to do so, but we will be entitled to the additional insured's rights against all those other insurers. When this insurance is excess over other insurance, we will pay only our share of the amount of the loss, if any, that exceeds the sum of (a) The total amount that all such other insurance would pay for the loss in the absence of this insurance; and (b) The total of all deductible and self-insured amounts under all that other insurance. We will share the remaining loss, if any, with any other insurance that is not described in this Excess Insurance provision and was not bought specifically to apply in excess of the Limits of Insurance shown in the Declarations of this Coverage Part. N E. The condition entitled Transfer of Rights of Recovery Against Others to Us of the BUSINESSOWNERS COMMON POLICY CONDITIONS is amended to deleted paragraph 2.and replace it with the following: 2. We waive any right of recovery we may have against any person or organization with whom you have agreed to waive such right of recovery in a written contract or agreement because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included within the"products-completed operations hazard." All other terms and conditions of the Policy remain unchanged. SB146968B(6-16) Page 2 of 2 Copyright,CNA All Rights Reserved. 1/13/2021 Business Registry Business Name Search Business Registry Business Name Search New Search Business Entity Data 01-13-2021 08:30 Registry Nbr Entity Type Entity_ Jurisdiction Registry Date Next Renewal Date Renewal Due? Status 329293-82 DBC ACT OREGON 02-01-1993 02-01-2021 YES Entity Name ]CONSTRUCTION ENGINEERING CONSULTANTS, INC. Foreign Name Online Renewal: Renew Online Click here to generate and print an annual report. New Search Associated Names Type IPPB 'PRINCIPAL PLACE OF BUSINESS � I Addr 1 132 WEST MAIN ST STE 103 Addr 2 CSZ MEI DFORD bOR 197501 1 f Country 'UNITED STATES OF AMERICA Please click here for general information about registered agents and service of process. Type A GT I' GISTERED AGENT Start Date 12-30-2015 Resign Date Name MARK 1W IKAMRATH Addr 1 132 WEST MAIN ST STE 103 Addr 2 CSZ MEDFORD OR 97501 I Country 'UNITED STATES OF AMERICA Type IMAL [MAILING ADDRESS l Addr 1 PO BOX 1724 Addr 2 CSZ 'MEDFORD [OR 97501 1 Country 'UNITED STATES OF AMERICA - A , I I I 1 8 egov.sos.state.or.us/br/pkg web_name_srch_inq.show_detl?p_be_rsn=489788&p_srce=BR_INQ&p.print=TRUE 1/3 1/13/2021 Business Registry Business Name Search Type 'PRE 'PRESIDENT I Resign Date I Name IMARK IW IKAMRATH I I Addr 1 132 W MAIN ST SUITE 103 Addr 2 CSZ MEDFORD OR 97501 Country ITED STATES OF AMERICA Type 'SEC 'SECRETARY J I Resign Date Name TONY I IBAKKE I ' Addr 1 132 W MAIN ST SUITE 103 Addr 2 CSZ EDFORD OR 97501 Country TED STATES OF AMERICA New Search Name History Business Entity Name Name Name Start Date End Date Type Status CONSTRUCTION ENGINEERING CONSULTANTS, INC. EN CUR 02-01-1993 Please read before ordering Copies. New Search Summary History Image Transaction Effective Name/Agent Available Action Date Date Status Change Dissolved By AMENDED ANNUAL REPORT 01-20-2020 FI AMENDED ANNUAL REPORT 01-22-2019 FI AMENDED ANNUAL REPORT 01-23-2018 FI AMENDED ANNUAL REPORT 01-27-2017 FI AMENDED ANNUAL REPORT 12-30-2015 FI Agent - AMENDED ANNUAL REPORT 01-09-2015 FI AMENDED ANNUAL REPORT 01-03-2014 FI AMENDED ANNUAL REPORT 02-15-2013 FI ' AMENDED ANNUAL REPORT 01-05-2012 FI AMNDMT TO ANNUAL 02-02-2011 FI egov.sos.state.or.us/br/pkg_web_name_srch_inq.show detl?p_be_rsn=489788&p_srce=BR_INQ&p_print=TRUE 2/3 1/13/2021 Business Registry Business Name Search RPT/INFO STATEMENT I E ANNUAL REPORT PAYMENT 02-01-2011 SYS ANNUAL REPORT PAYMENT 01-27-2010 01-25-2010 SYS ANNUAL REPORT PAYMENT 01-07-2009 01-06-2009 SYS ANNUAL REPORT PAYMENT 01-09-2008 01-08-2008 SYS ANNUAL REPORT PAYMENT 01-31-2007 01-30-2007 SYS ANNUAL REPORT PAYMENT 12-30-2005 SYS ,ANNUAL REPORT PAYMENT 01-24-2005 SYS ANNUAL REPORT PAYMENT 12-29-2003 SYS ANNUAL REPORT PAYMENT 01-10-2003 SYS ANNUAL REPORT PAYMENT 01-08-2002 SYS CHANGED RENEWAL 02-27-2001 FI ANNUAL REPORT PAYMENT 01-23-2001 SYS AMENDED RENEWAL 03-01-2000 FI STRAIGHT RENEWAL 12-21-1998 FI STRAIGHT RENEWAL 12-29-1997 FI • CHANGED RENEWAL 12-29-1997 FI NB AMENDMENT 02-10-1997 FI STRAIGHT RENEWAL 01-07-1997 FI CHANGED RENEWAL 01-07-1997 FI STRAIGHT RENEWAL 01-26-1996 FI AMENDED RENEWAL 02-02-1995 FI AMENDED RENEWAL 02-25-1994 FI NEW FILING 02-01-1993 FI © 2021 Oregon Secretary of State. All Rights Reserved. ., egov.sos.state.or.us/br/pkg web_name_srch_inq.show detl?p_be_rsn=489788&p_srce=BR_INQ&p_print=TRUE 3/3