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HomeMy WebLinkAbout2021-206 PO 20210284- Greenway Spray LLC i . O Purchase Order Fiscal Year 2021 Page: 1 of: 1 'T€=0�AF tg1-i,Li===„;r% e =_z= §k=_- B -City of Ashland ATTN: Accounts Payable purchase Ashland,OR97520 Orderer` 20210284 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 oT Fax:541/488-6006 =`•MP=eTE:E€Nell(=a s€Lri=l:—_-.---eLoS;ls�{3 _S!= `-._} _ - _ _.—...-_ — _ _. _._ �iGi:r�=GS°{�Rlt=lgt�i k��l.l��--- ! 61 ftp1u=.1, itcl€18 _ — — Scott Fl ury s _ 02/18/2021 3093 FOB ASHLAND OR/ ET30 City Accounts Payable - g1_i,—hA a1 rot. _ —81T-F4 Routine Herbicide Application e . Ls 1 Routine herbicide application for pavement protection at Ashland 1.0 $4,950.00 - $4,950,00 Municipal Airport Contract for Goods and Services Small Procurement Less than $5,000 Completion date: June 30,2021 Project Account: *****+k*********GL SUMMARY*************** 085700-602353 $4,950.00 • • • • By: Date: - /7 = C Au or zed Signature s: $4,950.00 FORM #3 CiTY OF -ASHLAND A request tor a Purchase Order a EQUHS TION U ,,_+ d a Df request: 1/27/2021 Required date for delivery: , Vendor Name Greenway Spray LLC • Address,City,State,Zip 3155 Old Stage ltd, Central Point, OR 97502 Contact Name&Telephone Number Greg Stewart (541) 662-9949 Fax Number , greg@greenwayspray.aom i SOURCING METHOD ❑ Exempt from Competitive Bidding 0 Emergency ❑ Reason for exemption: ❑ Invitation to Bid (Copies on Ole) ❑ 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 ProcurementCooperative Procurement Less than$5,000 0 Request for Proposal (Copies on file) 0 State of Oregon ❑ DirectAward Dale approved by Council:_(Attach copy of council communication} Contract 11 ® Verbal/Written quote(s)or proposal(s) 0 Stale of Washington Intermediate Procurement 0 Sole Source Contract# GOODS&SERVICES 0 Applicable Form(115,6,7 or 8) 0 Other government agency contract $5,000 to$100,0000 Written quote or proposal attached Agency ❑ (3)Written quotes and solicitation attached 0 Form#4, Personal Services$5K to$75K Contract 11 PERSONAL SERVICES 0 Special Procurement Intergovernmental Agreement $5,000 to$75,000 0 Form#9,Request for Approval 0 Agency approved by Council: t conra ❑ Less than$35,000,by direct appointment 0 Written quote or proposal attached Date original ) (pate ❑ (3)Written proposalslvritten solicitation Date approved by Council: _(Attach copy of council communication) 111 Form#4, Personal Services$5K to$75K Valid until: Dale Description of SERVICES Total Cost Routine herbicide application for pavement protection at Ashland Municipal Airport Item # Quantity Unit Description of MATERIALS Unit Price Total Cost xxx xxx xxx TOTAL COST ® Per attached quote/proposal Project Number Account Number 085700.602353 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, �; �l I`1 ✓i Y U1 - NAPied pAird 12' 2taL) Employee; Department +�-►. i; al noraterthan$5,000) Department ManagerlSupervisor: City Admi [rater: h . =� , . ,/ aqua to or Greater than$25,000) 'Funds appropriated for current fiscal year: YyS-/'WO /7 7-6?----/ Finance Director•(Equal to orgre erlhe' 5,000) Date Comments: Form#3-Requisition Contract for GOODS AND SERVICES Small Procurement Less than 55,000 C,r.T Y OF INDEPENDENT CONTRACTOR: Greenway Spray LLC ASH LAND CONTACT: Greg Stewart 20 East Main Street ADDRESS: 3155 Old Stage Road Central Point,OR 97502 Ashland,Oregon 97520 g Telephone: 541/488-5587 TELEPHONE:541-622-9949 FAX: Fax: 541/488-6006 EMAIL:gregggreenwayspray.com EFFECTIVE DATE:1/26/2021 COMPLETION DATE: June 30,2021 TOTAL COMPENSATION:Not to exceed$4,950.00 per exhibit B GOODS AND SERVICES TO BE PROVIDED:Routine herbicide application for pavement protection at Ashland Municipal Airport 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 2796.220,2796.225,2796.230,2796.235,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: O 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 (ill) Any rules,'regulations,charter'provisions,or ordinances that implement or enforce any of the foregoing tax laws or provisions. Revised io-28-14 Page 1 of 2 ' CONT CTOR: CITY OF ASHLAND: Y By: Signatu a •`= ` + ead -E � T-. Prin Name Print Name T'le Date (W-9 is to be submitted with the signed contract.) Purchase Order No. 10' �` eezto4 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: )c (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. X (2)Commercial advertising or business cards or a trade association membership are purchased for the business. X (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. X (5)Labor or services are performed for two or more different persons within a period of one year. X (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. 2-1 Contractor , (Date) Revised 10-28-14 Page 2 of 2 www.saif.com • Sal'- 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 01/26/2021 Limits of liability Policy 857891 Bodily Injury by Accident $1,000,000 each accident Period 02%01/2021 to 02/01/2022 Bodily Injury by Disease $1,000,000 each employee Body Injury by Disease $1,000,000 policy limit Description of operations/locations/special items important This certificate is issued as a matter of information only and confers no rights to the certificate holder.This certificate does not amend,eidend 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 Kerry Barnett President and CEO • 400 High Street SE Salem,OR 97312 P:800.285.8525 Policy_OLCA CertificateOfinsurance F:503:584:9812 cmoi CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) :., ''''4.,: :-3:7:-.: ,_ 02/04/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR-:,NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL.INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to,the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER Towne Centre Insurance Service,LLC CONTACT BRIAN SEAGOE 315 SE 7th Street NAME: -- Grants Pass OR 97526 1. PHONE No. tl,(541)476-3311 �iaC.No):(541)476-5626 ADDRESS;Brian©tcis.biz . INSURERLS)AFFORDING COVERAGE f_ NAIC IS INSURER A.Scottsdale Insurance Company INSURED GREENWAY SPRAY LLC • INSURER B:Artisan and Truckers Casualty Company I 3155 OLD STAGE RD -- _---• - CENTRAL POINT OR 97502 INSURER C: ( INSURER 0: — I ._ ,._ INSURER E: tINSURER F: I COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. .. INSR crIBRI POLICY EFF POLICY EXP ---- -- --__ _._. LTR TYPE OF INSURANCE �yp POLICY NUMBER IMM!DD u_-IIYYYYL(MMIDDM/YY) LIMITS i/ COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 A CLAIMS MADE El OCCUR CPS-7304245 15-AMKGEICMLIIT5D304245 1512021 2/1512022 PREMISES(Ea occurrence) $100r000— _„ -- _,__ MED EXP(Anyone person) ... $5,000 PERSONAL&ADV INJURY 51,000,000 GENt AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY El JECT El LOC PRODUCTS-COMPIOP AGO 52,000,000 _-- OTHER: $ AUTOMOBILE LIABILITY u u rea eB2EDSINGLE LIMIT $1,000,000 B ANY AUTO 039675524 112108/2020 12/08/2021 BODILY INJURY(Per person) $ OWNED ,— SCHEDULED BODILY INJURY(Per accident) $------ ___. — _ AUTOS ONLY AUTOS HIRED , NON-OWNED PROPERTY DAMAGE -' cci AUTOS ONLY AUTOS ONLY _leg ader)T S —..____m,_ -- S UMBRELLA UAB ✓ OCCUR LI 11 EACH OCCURRENCE $2,000,000 A y" EXCESS LIAB — CLAIMS-MADE XBS-0133806 . 2/15/2021 2/15/2022 --— _ AGGREGATE $2,000,000 DED RETENTION S - S _ _–y WORKERS COMPENSATION 1 r r , AND EMPLOYERS'LIABILITY Y/N u STATUTE l� I ERH�_, Mµ u ANYPROPRIETOR/PARTNERJEXECUTIVE E.L.EACH ACCIDENT S OFFICERIMEMBEREXCLUDED? n NIA ._._..._.___,. (Mandatory In NH) EL DISEASE-EA EMPLOYEE $ If yes Os under E.L.DISEASE-POLICY LIMIT $ —_r DESCRIPTIIPTION OF OPERATIONS below Luu 00 a.o . DESCRIPTION OF OPERATIONS!LOCATIONS 1 VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) CERTIFICATE HOLDER IS ADDED AS ADDITIONAL INSURED • CERTIFICATE HOLDER CANCELLATION CITY OF ASHLAND 20 EAST MAIN ST SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE ASHLAND,OR 97520 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN • ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVi 461 ,✓v[�(J�pV ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD Produced using Forms Boss Web software.www.FormsBoss.com;?Impressive Publishing 800.208-1977 • ENDORSEMENT Jjk SCOTTSDALE INSURANCE COMPANY NO. ATTACHED TO AND EJ CRBENENT EFFECTIVE DATE FORMINO A PART OF (t=of AA.STANDARD TM) NAMED INSURED AGENT NO. POLICY NUMBER CPS7304245 02/15/2021 GREENWAY SPRAY LLC 46006 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 to on the project (other than service, mainte- add as an additional insured on this policy under a written nance or repairs) 10 be performed by or on contract,written agreement or written permit which must be: behalf of the additional insured(s)at the loca- a Currently in effect or becoming effective during tion of the covered operations has been com- the term of the policy;and plated;or 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 The insurance provided to these additional insureds is lim- other than another contractor or subcontrac- ited as follows: tor engaged in performing operations for a 1. That person or organization is an additional insured principal as a part of the same project. only with respect to liability for "bodily injury," 3. The limits of insurance applicable to the additional °property damage" or °personal and advertising insured are those specified in the written contract, injury'caused,in whole or in part,by written agreement or written permit or in the Decla- rations for this policy, whichever is less.These lim- a. Your acts or omissions;or Its of Insurance are Inclusive of, and not in addition b. The acts or omissions of those acting on your to, the Limits of Insurance shown in the Declare- behalf. tions for this policy. A person's or organization's status as an addi- 4. Coverage is not provided for "bodily injury.° tional insured under this endorsement ends when "property damage," or "personal and advertising your operations for that additional insured are injury' arising out of the sole negligence of the completed. additional insured. 2. With respect to the insurance afforded to these 5. The insurance provided to the additional insured additional insureds, the following exclusions are does not apply to°bodily injury,'°property damage," added to item 2. Exclusions of SECTION I— or"personal and advertising injury° arising out of COVERAGES: an architect's, engineer's or surveyor's rendering of or failure to render any professional services This insurance does not apply to °bodily injury," including: "property damage" or °personal and advertising injury"occurring after: includes copyrighted material of ISO Properties,Inc.,with its permission. Copyright.ISO Properties,Inc.,2004 GLS-150s(7-06) Page 1 of 2 a. The preparing, approving or failing to prepare written contract specifically requires that this insur- or approve maps,shop drawings, opinions, re- ance be primary. ports, surveys, field orders, change orders or When this insurance is excess,we will have no du- drawings and specifications;and ty under SECTION 1—COVERAGES to defend the b. Supervisory, inspection, architectural or engi- additional insured against any"suit"if any other in- neering activities. surer has a duty to defend the additional Insured against that "suit." If no other insurer defends, we 6. Any coverage provided hereunder will be excess will undertake to do so,but we will be entitled to the over any other valid and collectible insurance avail- additional insured's rights against all those other able to the additional insured whether primary,ex- insurers. cess, contingent or on any other basis unless a l AUTHORIZED REPRESENTATIVE DATE Includes copyrighted material of ISO Properties,Inc.,with its permission. Copyright,ISO Properties,Inc.,2004 GLS-150s(7-06) Page 2 of 2 RECEIVED. 02/05/2021 02:09PM 5414765626 Towne Centre Ins 02/05/21 16:14:26 888-776-4737 -> 5414765626 808-776=4737 Page 002 PROGRfll/!/r COMMERCIAL Policy number: 03967552 Underwritten by: Artisan and Truckers Casualty Co. insured: - GREEN'WAYSPRAYLLC February 5,2021 Policy Period: 12/08/2020 - 12/08/2021 Mailing Address Artisan and Truckers Casualty Co. Additional insured endorsement PO BOX 94739 _ Cleveland,OH 44101 1-800-444-4487 Name of Person or Organization For customer service,24 hours a day, CITY OF ASHLAND 7 days a week 20 EAST MAIN ST ASHLAND, OREGON 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 forthe 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 Issued to(Name of Insured): GREENWAY SPRAY LLC Effective date of endorsement 12/08/2020 Policy expiration date: 12/08/2021 EC/1111198(01/04) M C1.