Loading...
HomeMy WebLinkAbout2002-171 CONT Chg Order - Eric Artner ConstREQUEST FOR CHANGE ORDER OWNER: City of Ashland 20 East Main St. Ashland, Or. 97520 Date: 9/25/2002 Time Soent To Research & Create This RCO: RCO#: 1 PROJECT: Ashland police Dept. Lobby Renovation 1155 East Main St. Ashland, OR. 97520 ARCHITECT: Carlos Delgado 545 A St. Ashland- OR_ 97520 REF: ITEM: 1 Armortex Bullet Resistant front door $3,833 2 Door #4 double door 3 Installation of each item above Subtotal Subtotal Profit & Overhead The Contract sum will be (increased)(decreased)(unchanged) by this change request $3,833 The Contract time will be increased) (decreased)(unchanged) by this change request ACCEPTANCE You are hereby authorized to furnish all materials & labor required to complete the work mentioned in this request, only when fully signed below Accepted by: Architect: C , %13 1 Date: Contractor: Date: Eric Artner Construction Inc. Owner: Date: CA CCB #463241 PO Box 609 OR CCB #146654 Jacksonville, OR 97530 (541) 899-4423 fax (541) 899-7513 REQUEST FOR CHANGE ORDER OWNER: City of Ashland 20 East Main St. Ashland, Or. 97520 Date: 9/26/2002 Time Spent To Research & Create This RCO: RCO#: 2 PROJECT: Ashland police Dept. Lobby Renovation 1155 East Main St. Ashland, OR. 97520 ARCHITECT: Carlos Delgado 545 A St. Ashland. OR_ 97520 REF: ITEM: Difference from our proposal and contract price $90 Subtotal Subtotal Profit & Overhead The Contract sum will be (increased)(decreased)(unchanged) by this change request $90 The Contract time will be kincreased)(decreased)(unchanged) by this change request ACCEPTANCE You are hereby authorized to furnish all materials & labor required to complete the work mentioned in this request, only when fully signed below Accepted bv: Architect:= Date: Contractor: Date: Eric Artner Construction Inc. Owner: Date: CA CCB #463241 RO Box 609 OR GCB #146654 Jacksonville, OR 97530 (541) 899-4423 fax (541) 899-7513 CITY C :)F ASHLAND REQUISITION No. PW - FY 2002 Department Police Department Vendor Eric Artner Construction, Inc, PO Box 609 Jacksonville, OR 97530 Account No. 110.06.11.05.704100 Date October 11, 2002 Requested Delivery Date ASAP Deliver To Dawn Lamb Via (.Note . Please allow approximately two(2) weeks for delivery on items not generally caried in stored, and approximately two (2) months on printing jobs.) Item No. Quantity Unit Description Use of Purchasing Office Only Unit Price Total Price PO No. Contract for the Police Department Lobby Renovation Project No. 02-16 $ 55,674.00 Change Order No. 1 for Door Frame Purchase and Installation $ 3,833.00 Change Order No. 2 for discrepancy in contract cost from proposal cost $ 90.00 TOTAL S 59,597.00 for Kari: BID /RFP / EXEMPT: Bid Contract Start Date: November 2, 2002 Contract Completion Date: January I, 2003 Insurance on file: YES NO Project No: 02-16 Job No. Unit No. I hereby certify that the above items are necessary for the operation of this department and are budgeted Department Head or Authorized Person Issued By Date Received By L"t IFAMI G:Pubwrkslengldeptadminlengineerlproject102-16 Artner Requisition.As From:ERIC ARTNER CONSTRUCTION, INC 541 899 7513 02/07/2003 17:20 #793 P.002/002 OWNER: City of Ashland 20 East Main St. Ashland, Or. 97520 Date: 12/4/2002 Time Snent To Research & Create This RCd- fax PO Box 609 OR 97530 1 ) 899-4423 1 899-7513 RCO#: 3 PROJECT: Ashland police Dept Lobby Renovation 1155 East Main St. Ashland, OR. 97520 ARCHITECT. Carlos Delgado 545 A St. OchltbnA r10 0749fl x.fllr.:?:::r..y:.?..:..-..., c:::..?::-::r...: :rr. :C.c:.C1":7.Y:llpraGlT+x.: ,... •:..c:x::nfµ:!x:::::r:::::•-::.::::•:.1:::::::•::::.:...:.:. .. REF: ITEM: Credit for flooring in restroom. ($600) Per meeting with Dennis Nicely and Dale Peters owner will do flooring. Subtotal Subtotal Profit & Overhead The Contract sum will be (increased)(decreased)(unchanged) by this change request $600 The Contract time will be (increased)(decreased)(unchanged) by this change request ACCEPTANCE You are hereby authorized to furnish all materials & labor required to complete the work mentioned in this request, only when fully signed below Accepted by: Architect: Date: Contractor: Date: Eric Artner Construction Inc. Owner: Date: REQUEST FOR CE ANGE ORDER CITY OF ASHLAND CONTRACT FOR PUBLIC WORKS CONSTRUCTION ` soff-' ? between theCity4 Contract made this ,;2e ? clay of 6;-- e, Ashland, ("City") and Eric Artner Construction "(Contractor"). City and Contractor agree: 1. Contract Documents: This contract is made as a result of an Advertisement for Bid issued by City for the Ashland Police Department Lobby Renovation Project No. 02-16. Contractor was awarded the bid as the lowest responsible bidder. In the event of any inconsistencies in the terms of this contract, the contract documents defined in the Advertisement for Bid and Contractor's bid, this contract shall take precedence over the contract documents which shall take precedence over the bid. 2. Scope: Contractor shall begin and complete the project described in the contract documents within the time prescribed in the contract documents. The following exceptions, alterations, or modifications to the contract documents are incorporated into this contract: Revised bid schedule dated September 9, 2002 from Eric Artner Construction. 3. Price & Payment: City shall pay Contractor amounts earned under the contract. All payments will be made at the times and in the manner provided in the contract documents. 4. Bond: Contractor shall, within five days after execution of the contract and prior to doing any work under the contract, furnish bond to the City of Ashland in a form and with a surety satisfactory to City in the penal sum of $55,674.00 conditioned upon the faithful performance of this contract upon the part of the Contractor. 5. Default: A default shall occur under any of the following circumstances: 5.1 If the Contractor fails to begin the work under contract within the time specified, or fails to perform the work with sufficient workers or equipment or with sufficient materials to insure the prompt completion of the project, or shall neglect or refuse to remove materials or perform anew such work as shall be rejected as defective or unsuitable, or shall discontinue the prosecution of the work. 5.2 If the Contractor shall become insolvent or declared bankrupt, or commit any act of bankruptcy or insolvency, or allow any final judgment to stand against the Contractor unsatisfied for a period of forty-eight (48) hours, or shall make an assignment for the benefit of creditors. 5.3 From any other cause whatsoever, shall not carry on the work in an acceptable manner. 6. Remedies: In addition to the rights and remedies to which the City may be entitled by law for the enforcement of its rights under this contract, City shall have full power and authority, without violating this contract, to take prosecution of the work from the Contractor, and appropriate or use any or all of the materials and equipment on the ground that may be suitable and acceptable and may cause a contract for the \\COMPAQI\DATA\GOV\pub-wrks\eng\dept-admin\ENGINEER\PROJECT\2002\02-16 Performanc Bond and Contract.doc completion of this contract according to its terms and provisions, or use such methods as required for the completion of the contract, in any acceptable manner. All costs and charges incurred by the City together with the costs of completing the work under the contract, shall be deducted from any money due or which shall become due the Contractor. In case the expense so incurred by the City shall be less than the sum which would have been payable under the contract if it had been completed by the Contractor, then the Contractor shall be entitled to received the difference less any damages for delay to which the City may be entitled. In case such expense shall exceed the sum which would have been payable under the contract, the Contractor and the surety shall be liable and agree to and shall pay the City the amount of the excess with damages for delay of performance, if any. T 7. City of Ashland Living Wage. If the contract amount for the contract awarded as a result of this RFP is $15,000 or more, the offeror selected will be required to comply with chapter 3.12 of the Ashland Municipal Code to pay a living wage, as defined in this chapter, to all employees performing work under this contract and to any subcontractor who performs 50% or more of the service work under this contract. 8. Prevailing Wage Rates: The Contractor shall pay a fee equal to one- tenth of one percent (0.1 percent) of price of this Contract. The fee shall be paid on or before the first progress payment or 60 days from the date work first begins on the Contract, whichever comes first. The fee is payable to the Bureau of Labor & Industries and shall be mailed or otherwise delivered to the Bureau at the following address: Bureau of Labor & Industries Wage & Hour Division Prevailing Wage Unit 800 N. E. Oregon Street #32 Portland OR 97232 The Contractor shall fully comply with the provisions of ORS 279.348 through 279.365 pertaining to prevailing wage rates. CONTRACTOR CITY OF ASHLAND By: C---- B : ';1 ' Gfeg-SrojeS Its.. ? c?`(\e0 City Administrator -, . By: Its: REVIEWED AS TaCONTENT: By: Department Head Date: Coding: I??> o?,1t ?S ?C?yICT, (F i use only) \\COMPAQI\DATA\GOV\pub-wrks\eng\dept-admin\ENGINEER\PROJECT\2002\02-16 Performanc Bond and Contract.doc CITY OF ,-ASHLAND August 28, 2002 Eric Artner Eric Artner Construction PO Box 609 Jacksonville OR 97530 RE: ASHLAND POLICE DEPARTMENT LOBBY RENOVATIONS, PROJECT NO. 02-16 Dear Eric: Thank your for submitting your bid on the Ashland Police Department Lobby Renovations. After opening the bid we were put back by the difference of cost from our estimate. We would like to pursue negotiations for this contract to see if the costs can be lowered to accommodate our budget. I am including some suggested items from the bid schedule to be discussed: Item 6. Doors, Frames and Hardware: The reconfiguring of the existing main door and existing bathroom door can be accomplished by in house personnel. Item 9B. Paint Interior Only: All painting of interior walls can also be accomplished in house. Item 11. Acoustical Ceiling: The acoustical ceiling work can be accomplished by in house personnel. Item 12. HVAC: All HVAC work can be accomplished in house. Item 14. Electrical: All electrical including call phone purchase and installation can be accomplished in house. Construction Schedule change: Would there be a cost difference if the start date of construction was revised to November 1, 2002? FILE COPY PUBLIC WORKS Tel: 541488-5587 20 E. Main Street Fax: 541-488-6006 Ashland,www. ashland.or, usOregon 97520 TTY: 800-735-2900 F~i~'~ C:\WINDOWS\TEMP\02-16 EA Negotiate Lb' (APD- cados revision).doc If you are willing to negotiate these costs further with staff please contact me so that we can set a meeting time within the next week or so. Please call me at 488-5587 to schedule the meeting. Again, thank you for taking the time to submit a bid on our project. Sincerely, Dawn Lamb Administrative Assistant CC: Carlos Delgado Dale Peters Mike Bianca PUBLIC WORKS Tel: 541-488-5587 20 E. Main Street Fax: 541-488-6006 Ashland, Oregon 97520 TTY: 800-735-2900=, www.ashland.or.us 17 CMINDOWSITEMPl02-16 EA Negotiate Ltr (APD - carios revision).doc Frorn:ERIC ARTNER CONSTRUCTION, INC 541 899 7513 09/09/2002 I4:27 4024 P..002/006 To: City of Ashland Attn. Dawn Lamb From: Dennis Nicely Re: Ashland Police -Department Lobby Renovations. "Dear Dawn, 9-9-02 Please review revised quote noting that_Eric_Artner Construction Inc. will not have anything to do with the five items listed in your letter to us dated 8-28-02. 1. Item 6 Doors, Frames -acrd Hardware 2. Item 9B Paint interior only 3. Item 11 Acoustical ceilings 4. Item 12_HVAC 5. Item 14 Electrical Sincerely Dennis Nicely CA CCB 0483241 PO Box 609 OR CCB #146654 Jacksonville, OR 97530 541) 899-4423 -fax 541)-899-7513 From:ERIC ARTNEP, CONSTRUCTION, INC 541 899 75.13 09/09/2002 14:2$4024 P.005/006 PAGE 14 ASHLAND POLICE DEPARTMENT LOBBY-RSNOVATIONS 'PROJECT-NO.-0216 BID FORM General Contractor: Cj=f-jSV I1Ac_ . (.:+ exw, Ir ca 3 r_-!Y.CV__,r.0W V E Representative: ORAk_ j. *, 0-1v V_V (Note: All prices include labor and materials) 1. General Conditions ........... .................................. ...... 2. Demolition Costs ......................................................... 3. Trash & Haul-Off ......................................................... 4. Carpentry .................................................................... 5. Millwork/Cabinetry ..... ................................................. 6, Doors, Frames, & Hardware ...................................... 7. Glass & Glazing ........................................................... ` a. Drywall, framing, & hardware....... 9. Wall-Finishes ............................................................... ° a- Tape Bed & Texture b. Paint Interior -Only ................................................... 10. Flooring ..................................................................... 11. Acoustical Ceiling .......................................................... 12. HVAC ......................................................................... t a. Labor ..................................................................... ................................ b. Equipment ............................... c. Ducts & Distribution ................................................. 13. Plumbing ..................................................................... 14. Electrical....................... ..................... .................... a. Main Service ........................................................... b. Sub Panels ............................................................ c. HVAC ..................................................................... -d. Lighting, Outlets, Switches................. ..................... e. Signage ........................... ........ ........ ........................ $?_._Q. $__ 3k Q4 $ 2010 $ __-2- .- ?. cft $ 2.*:] so $ $_2..- $ i ©r-. $ .tat:'lwt+ $, $---? $ rb?..L $_?. $ UGOMPAQt1DATAtCiUVWub-wrnsWngW*pt-edminlENGINEER\PROJECT2002442.16 ASO Police Depatin+ent LcOby Renovation Bid Oocument.doc From:ERIC ARTNER C TRUCTION. INC 541 899 7513 09/Q9/2002 14:28 #024 P_.000AXFi PAGE 15 16 Supervision & Expenses .................................... .......... $ l C) 40%.0 17. Receiving and Storing_. ....................._..........__. .......... $ 18 General Construction Subtotal ........................... .......... Arliz_ 19. General Contractor's Overhead & Profit % $ 3 106 20. Subtotal ............................................................ .......... $ J Ir Z t 21. Bid Bond Fee...... ............................................ .......... $ Z 22. State Tax ..................... 23. GENERAL CONTRACTOR GRAND-TOTAL ..... ......... $ 557 4 (Sum of lines 20, 21, & 22) 24. Alternative: 1. C-arp-PJ A W.alibese per specification -by the Owner $ A Contact Dale Peters, Facility Maintenance, 552-2292 a?-Ait e#+ves Accepted by Owner $ } 25. Permit Fee NA - by owner $1, Addenda included: Signed: Date: 0 Superintendent _ _ pr L ?osi Y .?. . l1COMPAoitoATAIGCV\pub-wrks%enptidept-adminlENGINEI!R PRQJECT%2002\02-t8 ASO Police Department Lobby Renovption Bid Document-doc CITY OF ASHLAND A request for a Purchase Order REQUISTION FORM THIS IS A REQUEST FOR A: [ X ] Change Order (existing PO# 3716 ) Vendor Name: Address: City, State, Zip Phone: Project Title: Project Number: Services Only Solicitation Process': F) Exempt [ ] 3 written Quotes (copies attached) [ ] Sole Source [ X ] Invitation to Bid (copies on I[ ] Less than $5000 ([ ] Request for Proposal (copies on file) Description Total Cost Lobby renovations at the Ashland Police Department. S 56,674M Oft m] ct Cdst Change Order No. 1 $ 3 g Prior Changb Order Change Order No. 2 $ Prior Ch Order Change Order No. 3 $ (6 '00 $ 58,913X;00 REVISEUCOWMCT Employee Signature NOTE. By signing Date of Request: 2!92103 Required Date of Delivery/Service ASAP ERIC ARTNER CONSTRUCTION, INC. PO BOX 609 JACKSONVILLE OR 97530 5411899-4423 ASHLAND POLICE DEPARTMENT LOBBY RENOVATIONS 02-16 Account Number 110.06.11.05.704100 "Please attach the Original signed contract and Insurance Certificates. Account Number Supervisor/ Dept. Head Signature: z&A?& ets with Ctiy of Ashland Solicitiation Process requirements and can be provide en necessary. G: PutnvrksNEngW2-16 EA CO 3.xls Updated on: 7/15102 ACORD CERTIFICATE OF LIABILITY INSURANCILOPID s DATE(MMIDDIYY) THE-1 09/27/02 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE House of Insurance HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 243 SW "J" Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Grants Pass OR 97526 Phone:541-479-2667 Fax:541-479r-2669 INSURERS AFFORDING COVERAGE INSURED INSURER A: Unl and Insurance Co Eric Artner INSURER B: dba Eric Artner Construction Inc . INSURER C: 3826 Jonathan Way t OR 97502-1099 C t l P i INSURER D: en ra o n INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSIR LTR TYPE OF INSURANCE POLICY NUMBER POLICY I= DATE M POLICY EXN DATE MMIDWW LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fire) $ I CLAIMS MADE ? OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ RO- LOC POLICY PJECT AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT A ANY AUTO CM006497 11/05/01 11/05/02 (Ea accident) $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY- EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTOONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR E] CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND ' TORY LIMITS ER EMPLOYERS LIABILITY E.L. EACH ACCIDENT $ E.L. DISEASE-EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS GGK I ItR;A 1 t MLRAMK N ADDITIONAL INSURED; INSURER LETTER: CANCELLATION 0000000 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE T14E EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAUL AD_ DAYS WRITTEN City of Ashland NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Attn: Mike Bianca 20 East Main St . IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Ashland OR 97520 REPRESENTATIVES. arnan gs c Steve Will ft -r-1 11 -1 ACORD CERTIFICATE OF LIABILITY INSURANCE OPID S DATE(MM/DD/YY) THE-1 09/19/02 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE House of Insurance HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 243 SW "J" Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Grants Pass OR 97526 Phone:541-479-2667 Fax:541-479-2669 INSURERS AFFORDING COVERAGE INSURED INSURER A: Unlgard Insurance Co INSURER B: Eric Artner Eric Artner Construction INSURER C: 3826 Jonathan Way INSURER D: Central Point OR 97502-1099 INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN R LTR TYPE OF INSURANCE POLICY NUMBER DP LIATEY EFFE MM/DD/YY TIVE POLICY DA ATE MM/DDIYY EXPIRATION LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fire) $ CLAIMS MADE a OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GL AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ PRO n LOC JECT AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT A ANY AUTO CM006497 11/05/01 11/05/02 (Ea accident) $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS NON-OWNED AUTOS BODILY INJURY $ (Per accident) PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND TORY S1 JOTH ER I - _ - -- EMPLOYERS' LIABILITY E.L. EACH ACCIDENT -- __ _ __-" - $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Project: Ashland Police Department, 1155 East Main Street, Ashland, OR 97520; Job #02-16 GER I If-IGATE HULDER N ADDITIONAL INSURED; INSURER LETTER: CANCELLATION 0 0 0 0 0 0 0 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN City of Ashland NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Attn: Mike Bianca IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 20 East Main St., Ashland OR 97520 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Steve Willist ACORD 25-S (7197) ©ACORD CORPORATION 1988 ACORDM woERT1rn.PP%i c Ur LIALSIL1 fY INSURANCE 09/19 D9/19/20IDD/0 02 PRODUCER (541)857-0679 FAX (541)857-9883 Ashland Insurance, Inc. 1245 N Riverside #23 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Medford, OR 97501 Thomas Wil son INSURERS AFFORDING COVERAGE INSURED Eric Artner Construction, Inc. INSURER A: SAIF Corporation 3826 Jonathan Way INSURER B: Central Point, OR 97502 INSURERC: INSURER D: INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR POLI CY EFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER AT MM1DD E D DA TE MM1DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fire) $ CLAIMS MADE 1-1 OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY PRO LOC JECT AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR ? CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND 522849 07/01/2002 07/01/2003 TORY LIMITS ER A EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ 500, OO E.L. DISEASE - EA EMPLOYE $ S00,000 E.L. DISEASE - POLICY LIMIT $ S00,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS 'ob location: Ashland Police Department 155 East Main St. shland, Or 97520 job # 02-16 CERTIFICATE HOLDER I I ADDITIONAL INSURED- INSURER LETTER- CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL City of Ashland 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Attention: Mike Bianca BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 20 East Main St. OF ANY KIND UPON THE ITS AGENTS R PRES ATIVES. Ashland, OR 97520 AUTHORIZED RE TATIVE Thomas Wilson dr2r? AL;UKU ZO-, (1/V I) v (VAGUKU GUKPUKA 1 IUN 19SS y CITY OF ASHLAND 20 E MAIN ST. ASHLAND, OR 97520 (541) 488-5300 VENDOR: 004094 ERIC ARTNER CONSTRUCTION PO BOX 609 JACKSONVILLE, OR 97530 FOB Point: Terns: Net Req. Del. Date: 11/02/2002 Special Inst: CITY RECORDER'S COPY Page 1 / 1 DATE 77-? PO NUMBER 10/31/2002 03716 SHIP TO: City of Ashland - Police Dept. 1155 E MAIN STREET ASHLAND, OR 97520 Req. No.: Dept.: POLICE Contact: Scott Fleuter Confirming? No Gtttanti ? U rl tion Unit Price Ext Prlce THIS IS A REVISED PURCHASE ORDER 1 NKET PURCHASE ORDER Contract for the Police Department 55,674.00 L*bv, 'Renovation Protect No. 02-16 Start Date: November 2, 2002 C6 npW6on Date: January 1, 2003 Insurance required/On file Cbanqe Order No. 1 for Door Frame 3,833.00 Purchase and Installation (ange Order No. 2 for discrepancy in 90.00 contract cost from proposal cost Wised purchase order 02/1412003 600.00 Change Order 3 - Credit for floor in 46troom. Owner will do flooring. SUBTOTAL 58 997.00 BILL TO: Account Payable TAX 0.00 20 EAST MAIN ST FREIGHT 0.00 541-552-2010 TOTAL 58,997.00 ASHLAND, OR 97520 I munmumtw I Aknowtt Account Dumber I Amount E11 ye2 Au ed Signature VENDOR COPY CITY RECORDER'S COPYPage 1,1 CITY OF ASHLAND 20 E MAIN ST. ASHLAND, OR 97520 PO 03716 (541) 488-5300 VENDOR: 004094 SH~P TO: City of Ashland - Police Dept. ERIC ARTNER CONSTRUCTION 1155 E MAIN STREET PO BOX 609 ASHLAND, OR 97520 JACKSONVILLE, OR 97530 FOB Point: Req. No.: Terms: Net Dept.: POLICE Req. Del. Date: 11/02/2002 Contact: Scott Fleuter Special Inst: Confirming? No BLANKET PURCHASE ORDER Police Department Lobby Renovation Project No. 02-16 SUBTOTAL 59,597.00 BILL TO: Account Payable TAX 0.00 20 EAST MAIN ST FREIGHT 0.00 541-552-2010 TOTAL 59,597.00 ASHLAND, OR 97520 ~un~Number : ~ount E 110.06.11.05.704100 59,597.00 ~uthorized Signature VENDOR COPY CiTY OF SHLAND NOTICE OF TRANSMITTAL TO: KARI OLSON DATE: OCTOBERN~4, 2002 PURCHASING PROJECT: ASHLAND POLICE DEPARTMENT RENOVATIONS JOB NO.: 02-16 SUBJECT: CONTRACT DOCUMENTS THE FOLLOWING ITEMS ARE BEING SENT TO YOU: Please find attached one original signed contract with Eric Artner Construction and requisition for the contract cost. Please issue a purchase order with the inclusion of change orders one and two which are also attached. Insurance certificates are attached for this work. Thanks. ENCLOSED ~ UNDER SEPARATE COVER REMARKS: COPIES TO: Department of Public Works By: Dawn Lamb~-~ Title: AdministraJ, i've Assistant PUBLIC WORKS Tel: 541-488-5587 20 E. Main Street Fax: 541488-6006 www.ashland.or.usAShland' Oregon 97520 TTY: 800-735-2900 G:\pub-wrks\eng\dept-admin\ENGINEER\PROJEC'r~2002\02-16 In house Kad NOT,doc