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HomeMy WebLinkAbout1999-155 Grant - Childrens Dental Clinic CITY OF ASHLAND FINANCIAL ASSISTANCE AWARD CONTRACT CITY: CITY OF ASHLAND 20 E Main Street Ashland OR 97520 (541) 488-5300 FAX: (541) 488-5311 GRANTEE: Children's Dental Clinic Address: 2825 Barnett Road Medford, OR 97504 Telephone: 541-608-4249 Date of this agreement: July 1, 1999 Amount of grant: $1250 Budget subcommittee: Social Services Contract made the date specified above between the City of Ashland and Grantee named above. RECITAL: City has reviewed Grantee's application for a grant and has determined that the request merits funding and the purpose for which the grant is awarded serves a public purpose. City and Grantee agree: 1. Amount of Grant. Subject to the terms and conditions of this contract and in reliance upon Grantee's approved application, the City agrees to provide funds in the amount specified above. 2. Use of Grant Funds. The use of grant funds are expressly limited to the activities in the grant application with modifications, if any, made by the budget subcommittee designated above. 3. Unexpended Funds. Any grant funds held by the Grantee remaining after the purpose for which the grant is awarded or this contract is terminated shall be returned to the City within 30 days of completion or termination. 4. Financial Records and Inspection. Grantee shall maintain a complete set of books and records relating to the purpose for which the grant was awarded in accordance with generally accepted accounting principles. Grantee gives the City and any authorized representative of the City access to and the right to examine all books, records, papers or documents relating to the use of grant funds. 5. Default. If Grantee fails to perform or observe any of the covenants or agreements contained in this contract or fails to expend the grant funds or enter into binding legal agreements to expend the grant funds within twelve months of the date of this contract, the City, by written notice of default to the Grantee, may terminate the whole or any part of this contract and may pursue any remedies available at law or in equity. Such remedies may include, but are not limited to, termination of the contract, stop payment on or return of the grant funds, payment of interest earned on grant funds or declaration of ineligibility for the receipt of future grant awards. 6. Amendments. The terms of this contract will not be waived, altered, modified, supplemented, or amended in any manner except by written instrument signed by the parties. Such written modification will be made a part of this contract and subject to all other contract provisions. 7. Indemnity. Grantee agrees to defend, indemnify and save City, its officers, employees and agents harmless from any and all losses, claims, actions, costs, expenses, judgments, subrogations, 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 Grantee (including but not limited to, Grantee's employees, agents, and others designated by Grantee to perform work or services attendant to this agreement). Grantee shall not be held responsible for damages caused by the negligence of City. 8. Insurance. Grantee shall, at its own expense, at all times for twelve months from the date of this agreement, maintain in force a comprehensive general liability policy including coverage for contractual liability for obligations assumed under this Contract, blanket contractual liability, products and completed operations, and owner's and contractor's protective insurance. The liability under each policy shall be a minimum of $500,000 per occurrence (combined single limit for bodily injury and property damage claims) or $500,000 per occurrence for bodily injury and $100,000 per occurrence for property damage. Liability coverage shall be provided on an "occurrence" not "claims" basis. The City of Ashland, its officers, employees and agents shall be named as additional insureds. Certificates of insurance acceptable to the City shall be filed with City's Risk Manager prior to the expenditure of any grant funds. 9. Merger. This contract constitutes the entire agreement between the parties. There are no understandings, agreements or representations, oral or written, not specified in this contract regarding this contract. Grantee, by the signature below of its authorized representative, acknowledges that it has read this contract, understands it, and agrees to be bound by its terms and conditions. GRANTEE CITY OF ASHLAND BY/'~~'Y'J ~/~/,~ ~/~BY ,~/' Its ~y,~-~ m ~ c,,N'l' /~irector of Finance BY Its Content review by: Department Head Form review by:/""--" (City Attorney) Coding: (for City use only) PAGE 2-GRANT AGREEMENT II November 5,1998 Finance Department Attention: Administrative Assistant City of Ashland 20 East Main Street Ashland, OR 97520 Ladies and Gentlemen: Re: Asante Health System Certificate of Insurance Enclosed herewith is an original Certificate of Insurance for the Asante Health System and its affiliated entities, as it respects the liability of the Named Insured arising from their support of the Children's Dental Clinic at Rogue Valley Medical Center. If you have any questions or need additional information, please feel free to contact me at (541) 608-4133. Sincerely, Robert B. Doolen Senior Vice President for Financial Services/CFO prl Enclosure Asante@ HEALTH SYSTEM Rogue Valley Medical Center. Three Rivers Community Hospital & Health Center Hearthstone. Rogue Valley Serenity Lane. Southern Oregon Health Trust. Home Medical 2650 Siskiyou Boulevard, Sle. 200. Medford. Oregon 97504,8389 541.1770,4100 Fax: 541.1734,5931 SURED Health Future/Asante Health System - Rogue Valley Me 2650 Siskiyou Blvd. Medford, OR 97504 TIllS CERTIFICATE IS ISSUED AS A MATIER OF INFORMATION ONLY AND CONFERS NO RIGIITS UPON TIlE CERTIFICATE HOLDER. TIllS CERTIFICATE DOES NOT AMEND, EX'IEND, OR ALTER TIlE COVERAGE AFFORDED BY TIlE POUCIES BELOW. TIllS IS TO CERTIFY 'IHAT TIlE POUCIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO TIlE INSURED NAMED ABOVE FOR TIm POUCY PERIOD INDICATED. NOTWTI1ISTANDING ANY REQUIREMENT, TERM, OR CONDmON OF ANY CONTRACT OR OTImR DOCUMENT WITH RESPECT TO WHICH TIllS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, TIm INSURANCE AFFORDED BY TIlE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL TIm TERMS, EXCLUSIONS AND CONDmONS OF SUCH POUCIES. TYPE OF INSURANCE POLICY NUMBER POUCY EFFECTtVE POUCY EXPIRAl10N LIMITS APPLICABLE DAlE (MMIDDm'l DAlE (MMIDDm'l EACH OCCURRENCE $1,000,000 COMMEROAL GENERAL UAaUTY DOCCU_NCE 98K036-MY 08/01/98 08/01/01 ANNUAL AGGREGATE Unlimited PERSONAL & ADVERTISING INJURY INCL MEDICAL PROFESSIONAL UABlUlY INCL DOCCUAFENCE APE: DAMAGE (Anyone Are) PRCDUCTS-COMPIOPS AGGREGATE Unlimited EACH OCC Nee A GA UMBRElLA FORM 98L036-MY 08/01/98 08/01/01 $10,000,000 Unlimited On-iER lHAN UMBRELlA FO~ OTHER EACH CU N AGGAEGA TE DESCRIPTION: The Certificate Holder, Its Offtcers & Its Employees are Additional Insureds as respects the liability of the Named Insured, arising from their support of the Children's Dental Clinic at Rogue Valley Medical Center. PROVIDER INFORMATION: SHOUlD ANY OF lliE ABOVE DESCRIBED POUCIES BE CANCEllED BEFORE lliE EXPIRATION DATE lliEREOF, lliE ISSUING COMPANY WIUL ENDEAVOR TO MAIL 30 DAYS WRITI'ENNOTICE TOlliE CERTIFICATE HOLDER NAMED TO lliE RIGHT; FAll..URE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBUGATION OR UABIIlTY OF ANY KIND UPON lliE COMPANY, ITS AGENTS OR REPRESENTATIVES. City of Ashland Ashland, Oregon Alln: Administrative Assistant Finance Department Authorized Repr..._ ~/Uk~< ./4 CITY OF ASHLAND FINANCIAL ASSISTANCE AWARD CONTRACT CITY: CITY OF ASHLAND 20 E Main Street Ashland OR 97520 (541) 488-5300 FAX: 541 488-5311 GRANTEE: Children's Dental Clinic of Jackson County Address: 2825 Barnett Road Medford OR 97504 Tele hone: 541 608-4249 Date of this a reement: June 19, 1998 1. Amount of rant: $1,040 Contract made the date specified above between the City of Ashland and Grantee named above. RECITAL: City has reviewed Grantee's application for a grant and has determined that the request merits funding and the purpose for which the grant is awarded serves a public purpose. City and Grantee agree: 1. Amount of Grant. Subject to the terms and conditions of this contract and in reliance upon Grantee's approved application, the City agrees to provide funds in the amount specified above. 2. Use of Grant Funds. The use of grant funds are expressly limited to the activities in the grant application with modifications, if any, made by the budget subcommittee designated above. 3. Unexpended Funds. Any grant funds held by the Grantee remaining after the purpose for which the grant is awarded or this contract is terminated shall be returned to the City within 30 days of completion or termination. 4. Financial Records and Inspection. Grantee shall maintain a complete set of books and records relating to the purpose for which the grant was awarded in accordance with generally accepted accounting principles. Grantee gives the City and any authorized representative of the City access to and the right to examine all books, records, papers or documents relating to the use of grant funds. 5. Default. If Grantee fails to perform or observe any of the covenants or agreements contained in this contract or fails to expend the grant funds or enter into binding legal agreements to expend the grant funds within twelve months of the date of this contract, the City, by written notice of default to the Grantee, may terminate the whole or any part of this contract and may pursue any remedies available at law or in equity. Such remedies may include, but are not limited to, termination of the contract, stop payment on or return of the grant funds, payment of interest earned on grant funds or declaration of ineligibility for the receipt of future grant awards. 6. Amendments. The terms of this contract will not be waived, altered, modified, supplemented, or amended in any manner except by written instrument signed by the parties. Such written modification will be made a part of this contract and subject to all other contract provisions. 7. Indemnity. Grantee agrees to defend, indemnify and save City, its officers, employees and agents harmless from any and all losses, claims, actions, costs, expenses, judgments, subrogations, 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 Grantee (including but not limited to, Grantee's employees, agents, and others designated by Grantee to perform work or services attendant to this agreement). Grantee shall not be held responsible for damages caused by the negligence of City. 8. Insurance. Grantee shall, at its own expense, at all times for twelve months from the date of this agreement, maintain in force a comprehensive general liability policy including coverage for contractual liability for obligations assumed under this Contract, blanket contractual liability, products and completed operations, and owner's and contractor's protective insurance. The liability under each policy shall be a minimum of $500,000 per occurrence (combined single limit for bodily injury and property damage claims) or $500,000 per occurrence for bodily injury and $100,000 per occurrence for property damage. Liability coverage shall be provided on an "occurrence" not "claims" basis. The City of Ashland, its officers, employees and agents shall be named as additional insureds. Certificates of insurance acceptable to the City shall be filed with City's Risk Manager prior to the expenditure of any grant funds. 9. Merger. This contract constitutes the entire agreement between the parties. There are no understandings, agreements or representations, oral or written, not specified in this contract regarding this contract. Grantee, by the signature below of its authorized representative, acknowledges that it has read this contract, understands it, and agrees to be b nd b its terms and conditions. 1, CITY OF ASHLAND - BY-/fif ~ Irector of Finance ---- BY Its Content review bY:-IJ(- epartment Head Form review by: v (City Attorney) Coding: (for City use only) PAGE 2-GRANT AGREEMENT (G:\BUDGEnSocial SBrviceslSS Grant Contracts 1998.wpd) It'nI Agl.'ncg, Inc. 540 Lakl.' Cook Road Dl.'l.'rfil.'ld, IL 60015-5290 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICA TE HOLDER. THIS CERTIFICATE DOES NOT AMENO. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE INSUREO COMPANY A LETTER COMPANY B LETTER COMPANY C LETTER COMPANY D LETTER Health Future/Rogue Valley nedical Center 2650 Siskiyou Blyd. nedford, DR 97504 THIS IS TO CERTIFY THAT 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 CDNDITIONS OF SUCH POLICIES. TYPE OF INSURANCE POLICY NUMBER POliCY EFHCTlIIE OATE lMM/OO/VYI POLICV EXPIRATION DATE IMM/OOIYVI ALL LIMITS IN THOUSANDS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY X DOCCURRI'CE ~ER S & CONTAACTORS PROTECTIVE P"nf I i.h 97K036 1/01/97 GE'ERAl AGGREGATE $ >ROOuCT5COMPI0I'S AGGREGATE $ 1/01198 PERSONAL & AOVERTi5"G "JURY $ EACH OCCURRE'CE $ fiRE DAMAGE iANY ONE "REI $ ME01CAl ExPE'5E IANY ONE PERSONI $ C5l $ 800JlY INJURY ;PEA PERSONI $ _I Y INJURY ~NTI $ 1/01198 eACH OCCURRENCE $ 10,000 _RTV Oo\MAGE $ 97L036 1101197 $ 10,000 AND EMPLOYERS' LIABILITY $ $ $ lEACH ACCIDENT) (OISEASE.POlICY lIMIT) lOISEASE.EACtt EMPlOYEE I STATUTORY OTHER ol/~y flood E4I-~jd~ g/; tJ! DESCRIPTION OF OPERA TlONS I LOCATIONS /VEHICLES! RESTRICTIONS I SPECIAL ITEMS The Certificate Holder, its Officers & Its [nplogees are Additional Insureds as respl.'cts the liability of the Haned Insured, arising fron their support of the C'ildre.'s De.tal Cli.ic at Rogue Valley nedical Center. ',fFMBFRSHIP .J.MS ,1; ASANTE HEALTH SYSTEM Rogue Valley Medical Cttnter Tnr" RI~'$ Community Hospital & Health Centlltr HearthslonIJ Genesis R<<oV4ity Center SouttJl!Hfl Or~ Heatrh Tl\Ist Home Mediuf l.,4edtord, OR ASHLAND COMMUNITY HOSPITAL Ashland. OR BAY AREA HOSPITAL ':oos Bay. OR CIRSTCARE HEN.... TH 4:0dfly. OR ,;000 SAMARITAN HOSPITAl.. ';;Jf'Valhs. OR 'AERLE WEST MEDICAL CENTER ".'amatfl Falls, OR '.'ID-COLUMBIA MEDICAL CENTER . "e Dalles. OR '-?[GON HEAL TH SCIENCES ',.''vER$Ir'r , -"7.3..,d. OR - CHARE5 MEDICAL CENTER ,.""] OR :~Q.C1.dIL 'LUMelA MEMORIAL HOSPITAL . rd. OR ~:JL'GLAS COMMUNITY HOSPITAL ::: 'setJurg. OR ":>00 SHEPHERD COMMUNrTY . ~'::!:'ITAL ,,'-~.s:['r- OR ;;.:J ,""OE RONDE HOSPITAL 1 G:ande. OR ~WER UMPQUA HOSPITAL "'ifd5;Jor1, OR 'c"'C Y ,\'E:JICAL CENTER '_'seblJ'g, OR "IDV4llEY fifAlTfiCAAf./NC -:ar-.;:m OR -KIFIC RETIREMENT SERVICES C:1Jgue Valley Manor) '.f<J(Jford. OR ;4CRED HEART MEDICAL [".TER ::"..'~. OR ~ ... r 4:\' "'-HONY HOSPITAL ',";;1..,_'''. OR . E~ rO,....l-.fOSP/rAL ,'<J"~cn OR . .1~:.OWA I;~EMORIAL HOSPITAL -',.':J"se, OR heAtrh " FUTURE, LLC February 10, 1998 TO WHOM IT MAY CONCERN: This is to outline the malpractice and general liability policies now in force and effect for the Asante Health System from January 1, 1997 to August 1, 1998. These policies are with American Continental Insurance Company, Deerfield, illinois. Policy #97K036 (primary policy) ~ $1,000,000 per occurrence, no aggregate Policy #97L036 (umbrella policy) - $10,000,000 per occurrence, no aggregate Policy #97V036G (super excess): $10,000,000 per occurrence, annual aggregate: $10,000,000 Yours very truly, 825 E. MAIN, SUITE D, MEDFORD, OREGON 97504, (541) 772-3062 II April 1, 1998 Mr. RobertD. Nelson, ARM Risk Management Analyst City of Ashland City Hall Ashland, OR 97520 Dear Mr. Nelson: Re: Children's Dental Clinic Confirmation of the malpractice and general liability insurance coverage for entities of the Asante Health System is enclosed as requested in your letter of January 8, 1998. Our policy period was extended from January I, 1997, to August I, 1998. I apologize for the delay in getting this information to you. If you have any questions or need additional information, please feel free to contact me at 608-4133. Sincerely, ~~/~~dv Paula R. Latvala Administrative Assistant Financial Services Enclosure Asante@ HEALTH SYSTEM Rogue Valley Medica! Center. Three Rivers Community Hospital & Health Center Hearthstone. GeneJis Recovery Center. Southern Oregon Health Trust. Hrmze Medical, Inc. 2650 Siskiyou Boulevard, Ste. 200, Medford, Oregon 97504-8177 541/608-4100 Fax: 541/608-5931 - -- CITY OF ASHLAND FINANCIAL ASSISTANCE AWARD CONTRACT CITY: CITY OF ASHLAND 20 E Main Street Ashland OR 97520 (541) 488-5300 FAX: 541 488-5311 Date of this a reement: Jul 1, 1997 1. Amount of rant: $1,000 GRANTEE: Children's Dental Clinic of Jackson County Address: 2825 Barnett Road Medford OR 97504 Tele hone: 541 608-4249 Contract made the date specified above between the City of Ashland and Grantee named above. RECITAL: City has reviewed Grantee's application for a grant and has determined that the request merits funding and the purpose for which the grant is awarded serves a public purpose. City and Grantee agree: 1. Amount of Grant. Subject to the terms and conditions of this contract and in reliance upon Grantee's approved application, the City agrees to provide funds in the amount specified above. 2. Use of Grant Funds. The use of grant funds are expressly limited to the activities in the grant application with modifications, if any, made by the budget subcommittee designated above. 3. Unexpended Funds. Any grant funds held by the Grantee remaining after the purpose for which the grant is awarded or this contract is terminated shall be returned to the City within 30 days of completion or termination. 4. Financial Records and Inspection. Grantee shall maintain a complete set of books and records relating to the purpose for which the grant was awarded in accordance with generally accepted accounting principles. Grantee gives the City and any authorized representative of the City access to and the right to examine all books, records, papers or documents relating to the use of grant funds. 5. Default. If Grantee fails to perform or observe any of the covenants or agreements contained in this contract or fails to expend the grant funds or enter into binding legal agreements to expend the grant funds within twelve months of the date of this contract, the City, by written notice of default to the Grantee, may terminate the whole or any part of this contract and may pursue any remedies available at law or in equity. Such remedies may include, but are not limited to, termination of the contract, stop payment on or return of the grant funds, payment of interest earned on grant funds or declaration of ineligibility for the receipt of future grant awards. - - 6. Amendments. The terms of this contract will not be waived, altered, modified, supplemented, or amended in any manner except by written instrument signed by the parties. Such written modification will be made a part of this contract and subject to all other contract provisions. 7. Indemnity. Grantee agrees to defend, indemnify and save City, its officers, employees and agents harmless from any and all losses, claims, actions, costs, expenses, judgments, subrogations, 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 Grantee (including but not limited to, Grantee's employees, agents, and others designated by Grantee to perform work or services attendant to this agreement). Grantee shall not be held responsible for damages caused by the negligence of City. 8. Insurance. Grantee shall, at its own expense, at all times for twelve months from the date of this agreement, maintain in force a comprehensive general liability policy including coverage for contractual liability for obligations assumed under this Contract, blanket contractual liability, products and completed operations, and owner's and contractor's protective insurance. The liability under each policy shall be a minimum of $500,000 per occurrence (combined single limit for bodily injury and property damage claims) or $500,000 per occurrence for bodily injury and $100,000 per occurrence for property damage. Liability coverage shall be provided on an "occurrence" not "claims" basis. The City of Ashland, its officers, employees and agents shall be named as additional insureds. Certificates of insurance acceptable to the City shall be filed with City's Risk Manager prior to the expenditure of any grant funds. 9. Merger. This contract constitutes the entire agreement between the parties. There are no understandings, agreements or representations, oral or written, not specified in this contract regarding this contract. Grantee, by the signature below of its authorized representative, acknowledges that it has read this contract, understands it, and agrees to be bound by its terms and conditions. GRANTEE ~ BY ;? e.~ Its ,P~~. ~-.t- ~~.-. - ",fl." bl . C~~:,.~;.... BY Its CITY OF ASHLAND BY&'(;;-4A'~/ Irector of Finance Content review b~ Department Head Form review by: t---- (City Attorney) Coding: (for City use only) PAGE 2-GRANT AGREEMENT (g;\budget\socialselssgrant.frm) ... CITY OF ASHLAND FINANCIAL ASSISTANCE AWARD CONTRACT CITY: CITY OF ASHLAND GRANTEE: Children's Dental Clinic 20 E. Main St. Address: 2825 Barnett Rd. Ashland, Oregon 97520 Medford, OR 97504 (541) 482-3211 FAX: (541) 488-5311 Telephone: (541) 770-4249 FAX: Date of this agreement: July 1, 1996 ~1. Amount of grant: $520 ~2. Budget subcommittee: Social Services Contract made the date specified above between the City of Ashland and Grantee named above. RECITAL: City has reviewed Grantee's application for a grant and has determined that the request merits funding and the purpose for which the grant is awarded serves a public purpose. City and Grantee agree: 1. Amount of Grant. Subject to the terms and conditions of this contract and in reliance upon Grantee's approved application, the City agrees to provide funds in the amount specified above. 2. Use of Grant Funds. The use of grant funds are expressly limited to the activities in the grant application with modifications, if any, made by the budget subcommittee designated above. 3. Unexpended Funds. Any grant funds held by the Grantee remaining after the purpose for which the grant is awarded or this contract is terminated shall be returned to the City within 30 days of completion or termination. 4. Financial Records and Inspection. Grantee shall maintain a complete set of books and records relating to the purpose for which the grant was awarded in accordance with generally accepted accounting principles. Grantee gives the City and any authorized representative of the City access to and the right to examine all books, records, papers or documents relating to the use of grant funds. 5. Default. If Grantee fails to perform or observe any of the covenants or agreements contained in this contract or fails to expend the grant funds or enter into binding legal agreements to expend the grant funds within twelve months of the date of this contract, the City, by written notice of default to the Grantee, may terminate the whole PAGE 1-GRANT AGREEMENT (p:formslgrant.K) or any part of this contract and may pursue any remedies available at law or in equity. Such remedies may include, but are not limited to, termination of the contract, stop payment on or return of the grant funds, payment of interest earned on grant funds or declaration of ineligibility for the receipt of future grant awards. 6. Amendments. The terms of this contract will not be waived, altered, modified, supplemented, or amended in any manner except by written instrument signed by the parties. Such written modification will be made a part of this contract and subject to all other contract provisions. 7. Indemnity. Grantee agrees to defend, indemnify and save City, its officers, employees and agents harmless from any and all losses, claims, actions, costs, expenses, judgments, subrogations, 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 Grantee (including but not limited to, Grantee's employees, agents, and others designated by Grantee to perform work or services attendant to this agreement). Grantee shall not be held responsible for damages caused by the negligence of City. 8. Insurance. Grantee shall, at its own expense, at all times for twelve months from the date of this agreement, maintain in force a comprehensive general liability policy including coverage for contractual liability for obligations assumed under this Contract, blanket contractual liability, products and completed operations, and owner's and contractor's protective insurance. The liability under each policy shall be a minimum of $500,000 per occurrence (combined single limit for bodily injury and property damage claims) or $500,000 per occurrence for bodily injury and $100,000 per occurrence for property damage. Liability coverage shall be provided on an "occurrence" not "claims" basis. The City of Ashland, its officers, employees and agents shall be named as additional insureds. Certificates of insurance acceptable to the City shall be filed with City's Risk Manager prior to the expenditure of any grant funds. 9. Merger. This contract constitutes the entire agreement between the parties. There are no understandings, agreements or representations, oral or written, not specified in this contract regarding this contract. Grantee, by the signature below of its authorized representative, acknowledges that it has read this contract, understands it, and agrees to be bound by its terms and conditions. GRANTEE ~~&P~~ Its BY Its CITY OF ASHLAND BY 1#1I~ Dire or of Finance Content review ~ Form review by: . ~ ((.ity Attorney) Coding: (for city use only) ~ PAGE 2-GRANT AGREEMENT (p:formslgrantK) C I T Y o F ASHLAND C I T Y HAL L - ASHLAND, OREGON 97520 telephone (code 503) 482-3211 July 15, 1996 Michael R. Boldt, DMD, Board President Children's Dental Clinic 2825 Barnett Rd. Medford, OR 97501 Dear Michael R. Boldt, DMD, Board President: The City of Ashland Budget for the 1996-97 fiscal year was approved by the City Council on May 22nd. Your annual grant of $520 is included in this budget. One payment is scheduled to be sent the Friday following the City's receipt of the enclosed contract with signature. The City requires grant recipients to supply a certificate of lnsurance. We appreciate your providing us with an up to date certificate that names the City of Ashland, its officers and employees, as additional insureds, and would remind you at this time that your current certificate expires on 1/1/97. Sincerely, J~r Director of Finance - - CITY OF ASHLAND FINANCIAL ASSISTANCE AWARD CONTRACT CITY: CITY OF ASHLAND GRANTEE: Children's Dental Clinic 20 E. Main St. Address: 2825 Barnett Rd. Ashland, Oregon 97520 Medford, OR 97504 (503) 482-3211 Telephone: (503) 770-4249 FAX: (503) 488-5311 FAX: Date of this agreement: July 1, 1995 , 1. Amount of grant: $500 '2. Budget subcommittee: Social Services Contract made the date specified above between the City of Ashland and Grantee named above. RECITAL: City has reviewed Grantee's application for a grant and has determined that the request merits funding and the purpose for which the grant is awarded serves a public purpose. City and Grantee agree: 1. Amount of Grant. Subject to the terms and conditions of this contract and in reliance upon Grantee's approved application, the City agrees to provide funds in the amount specified above. 2. Use of Grant Funds. The use of grant funds are expressly limited to the activities in the grant application with modifications, if any, made by the budget subcommittee designated above. 3. Unexpended Funds. Any grant funds held by the Grantee remaining after the purpose for which the grant is awarded or this contract is terminated shall be returned to the City within 30 days of completion or termination. 4. Financial Records and Inspection. Grantee shall maintain a complete set of books and records relating to the purpose for which the grant was awarded in accordance with generally accepted accounting principles. Grantee gives the City and any authorized representative of the City access to and the right to examine all books, records, papers or documents relating to the use of grant funds. 5. Default. If Grantee fails to perform or observe any of the covenants or agreements contained in this contract or fails to expend the grant funds or enter into binding legal agreements to expend the grant funds within twelve months of the date of this contract, the City, by written notice of default to the Grantee, may terminate the whole or any part of this contract and may pursue any remedies available at law or in equity. PAGE 1-GRANT AGREEMENT IG:\JILLIWP\BUDGETlHRGRANTS.DOC) - - Such remedies may include, but are not limited to, termination of the contract, stop payment on or return of the grant funds, payment of interest earned on grant funds or declaration of ineligibility for the receipt of Mure grant awards. 6. Amendments. The terms of this contract will not be waived, altered, modified, supplemented, or amended in any manner except by written instrument signed by the parties. Such written modification will be made a part of this contract and subject to all other contract provisions. 7. Indemnity. Grantee agrees to defend, indemnify and save City, its officers, employees and agents harmless from any and all losses, claims, actions, costs, expenses, judgments, subrogations, or other damages resulting from injury to any person (including injury resulting in death,) or damage Oncluding loss or destruction) to property, of whatsoever nature arising out of or incident to the performance of this agreement by Grantee (including but not limited to, Grantee's employees, agents, and others designated by Grantee to perform work or services attendant to this agreement). Grantee shall not be held responsible for damages caused by the negligence of City. 8. Insurance. Grantee shall, at its own expense, at all times for twelve months from the date of this agreement, maintain in force a comprehensive general liability policy including coverage for contractual liability for obligations assumed under this Contract, blanket contractual liability, products and completed operations, and owner's and contractor's protective insurance. The liability under each policy shall be a minimum of $500,000 per occurrence (combined single limit for bodily injury and property damage claims) or $500,000 per occurrence for bodily injury and $100,000 per occurrence for property damage. Uability coverage shall be provided on an "occurrence" not "claims. basis. The City of Ashland, its officers, employees and agents shall be named as additional insureds. Certificates of insurance acceptable to the City shall be filed with City's Risk Manager prior to the expenditure of any grant funds. 9. Merger. This contract constitutes the entire agreement between the parties. There are no understandings, agreements or representations, oral or written, not specified in this contract regarding this contract. Grantee, by the signature below of its authorized representative, acknowledges that it has read this contract, understands it, and agrees to be bound by its terms and conditions. GRANTEE ~ CITY OF ~HLAND BY k<. BY ~f'U' ~ Its ~ DirQflor ill ,nonce BY Content revlew1iY) Its . Form review ~ Coding: or ity use on PAGE 2-GRANT AGREEMENT IG;IJILLIWP\BUDGEnHRGRANTS.DOCI - C IT Y HAL L C I T Y o F ASHLAND ASHLAND, OREGON 97520 telephone (code 503) <482-3211 May 24, 1995 Michael R. Boldt, DMD, Board President Children's Dental Clinic 2825 Barnett Rd. Medford, OR 975dt Dear Dr. Boldt: The City of Ashland Budget for the 1995-96 fiscal year was approved by the City Council on May 16th. Your annual grant of $500 is included in this budget. One payment is scheduled for July 28, 1995. Please complete the enclosed contract and return it to me prior to July 24, 1995. The City requires grant recipients to supply a certificate of insurance that names the City of Ashland, its officers and employees as additional insureds, and would remind you at this time that your current certificate expires January 1, 1996. Sincerely, Jill Turner Director of Finance -- ......." CITY OF ASHLAND FINANCIAL ASSISTANCE AWARD CONTRACT . CITY: CITY OF ASHLAND GRANTEE: Children's Dental Clinic 20 E. Main St. Address: 2825 Barnett Rd. Ashland, Oregon 97520 Medford, OR 97501 (503) 482-3211 Telephone: (503) 773-6281 ext 4249 FAX: (503) 488-5311 FAX: Date of this agreement: July 1, 1994 , 1. Amount of grant: $420 '2. Budget subcommittee: Health and Human Resources Contract made the date specified above between the City of Ashland and Grantee named above. RECITAL: City has reviewed Grantee's application for a grant and has determined that the request merits funding and the purpose for which the grant is awarded serves a public purpose. City and Grantee agree: 1. Amount of Grant. Subject to the terms and conditions of this contract and in reliance upon Grantee's approved application, the City agrees to provide funds in the amount specified above. 2. Use of Grant Funds. The use of grant funds are expressly limited to the activities in the grant application with modifications, if any, made by the budget subcommittee designated above. 3. Unexpended Funds. Any grant funds held by the Grantee remaining after the purpose for which the grant is awarded or this contract is terminated shall be returned to the City within 30 days of completion or termination. 4. Financial Records and Inspection. Grantee shall maintain a complete set of books and records relating to the purpose for which the grant was awarded in accordance with generally accepted accounting principles. Grantee gives the City and any authorized representative of the City access to and the right to examine all books, records, papers or documents relating to the use of grant funds. 5. Default. If Grantee fails to perform or observe any of the covenants or agreements contained in this contract or fails to expend the grant funds or enter into binding legal agreements to expend the grant funds within twelve months of the date of this contract, the City, by written notice of default to the Grantee, may terminate the whole or any part of this contract and may pursue any remedies available at law or in equity. PAGE 1-GRANT AGREEMENT (p:formolgrant.KI -. ~ Such remedies may include, but are not limited to, termination of the contract, stop payment on or return of the grant funds, payment of interest earned on grant funds or declaration of ineligibility for the receipt of future grant awards. 6. Amendments. The terms of this contract will not be waived, altered, modified, supplemented, or amended in any manner except by written instrument signed by the parties. Such written modification will be made a part of this contract and subject to all other contract provisions. 7. Indemnity. Grantee agrees to defend, indemnify and save City, its officers, employees and agents harmless from any and all losses, claims, actions, costs, expenses, judgments, subrogations, 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 Grantee (including but not limited to, Grantee's employees, agents, and others designated by Grantee to perform work or services attendant to this agreement). Grantee shall not be held responsible for damages caused by the negligence of City. 8. Insurance. Grantee shall, at its own expense, at all times for twelve months from the date of this agreement, maintain in force a comprehensive general liability policy including coverage for contractual liability for obligations assumed under this Contract, blanket contractual liability, products and completed operations, and owner's and contractor's protective insurance. The liability under each policy shall be a minimum of $500,000 per occurrence (combined single limit for bodily injury and property damage claims) or $500,000 per occurrence for bodily injury and $100,000 per occurrence for property damage. Liability coverage shall be provided on an "occurrence" not "claims" basis. The City of Ashland, its officers, employees and agents shall be named as additional insureds. Certificates of insurance acceptable to the City shall be filed with City's Risk Manager prior to the expenditure of any grant funds. 9. Merger. This contract constitutes the entire agreement between the parties. There are no understandings, agreements or representations, oral or written, not specified in this contract regarding this contract. Grantee, by the signature below of its a'uthorized representative, acknowledges that it has read this contract, understands it, and agrees to be bound by its terms and conditions. CITY OF ASHLAND BY r;Iil{lil.~/ Di c of Finance Content review by: << (Dept. Head) Form review by: v-L-- (City Attorney) Coding: . (for city use only) PAGE 2-GRANT AGREEMENT Ip:formslgrant.KI C I T Y o F ASHLAND C I T Y HAL L ASHLAND, OREGON 97520 lelephone (code 503) 482-3211 May 25, 1994 Children's Dental Clinic Michael R. Boldt, DMD, Board President 2825 Barnett Rd. Medford, OR 97501 The Ashland City Council approved the 1994-95 fiscal year on May 17, 1994. $420 is included in this budget. You receive one payment on July 22, 1994. budget for the Your grant of are scheduled to Please complete the enclosed contract and return it to me prior to June 24, 1994. Additionally, the City is requesting that your agency provide insurance certifi- cation indicating liability coverage of not less than $500,000 per occurrence. The City of Ashland, its officers and employees should be named as additional insureds. If you already have a certificate on file with the City, please remember to send us an updated certificate upon renewal. Sincerely, Jill Turner Director of Finance H: Villlwplbudgetlhrbgt94 .Itr