HomeMy WebLinkAbout2003-196 PO - TAP InterieTAP Zntertie ~Toint Venture
155 North First Street
P.O. Box 3275
Central Point, OR 97502
(541) 664-6674
Invoice # J.0055
Invoice Dote
10/06/03
'['NVOICE TO:
City of Ashland
Attn: Paula Brown
20 E Main
Ashland OR 97520
DESCRIPTION ZNVOICE AMOUNT
Insurance Expense
for the period covering
,Tuly :1, 2003 through ~Tune 30, 2004
$2,609.08
INVOICE TOTAL
$2,609.08
For internal use only: Cust#1502 DR: 10-1599 CR: 10-3Z02-10-100
Approved for payment
Do Not F'~'/
0 G U E
Fax: 541 664-7027
Community Development
Rogue Valley Council of Governments
Central Point 541-664-6674 · Medford 541-779-6785 · Grants Pass 541-474-5947
Ihe Rogue ValhT
('oun~il of
of local gol'ernmenti
Member
Jurisdictinns
Associate Members
Octobe~ 6,
T():
Bott3 Wheeler. Talent City Manager
Jim Wear. Phoenix l'ublic Works l)ircclor
Ihntla Brox~n. Ashland Public Works I)irector ~
I have rcccntl3 received the insurance policy and invoice. City Counly Insurance
Serxiccs sent all information to 'lorn Kc~mdy Tom assumed Ihat they had also sent
me a cop3. Ifc delixcrcd all information to me last week.
If you have questions please telephone mc at 664-6676 cxl. 201.
Sincerely.
Foley o,'
Communil) l)cvelopment Specialist
Address 155 N. First Street · Maik P.O. Box 3275 · Central Point, OR 97502
CITY COUNTY INSURANCE SERVICES
TALENT/ASHLAND/PHOENIX INTERTIE
07/01/2003 TO 06/30/2004
Total Bill $13,455.79
Cost sharing is done on a per flow basis, determined at the beginning of the
project as follows:
Talent 58.83% Talent's Share $7,916.04
Ashland 19.39% Ashland's Share $2,609.08
Phoenix 21.78% Phoenix's Share $2,930.67
Property and/or Liability
Invoice
Member
Talent/Ashland/Phoenix Intertie
C/O Rogue Valley COG
P.O,Box 3275
Central Point, OR 97502
Property/Liability Agent
Security Insurance Agency Inc.
707 Murphy Rd
Medford, OR 97504
Member # Effective Date Invoice Date Invoice #
50282 07/01/2003 O8/15/2003 TAP-12003-O0
Expiration Date
06/30/2004
Coverage
Initial Contribution
General Liability
Auto Liability
Limit: 51,000,O00
$6,575.93
S194.30
Liability Total
Auto Physical Damage
Property (Excluding Electrical Injury)
Boiler and Machinery (Including Equipment Breakdown/Electrical Injury)
Optional Excess Earthquake
Optional Excess Flood
Optional Excess Crime
Annual Contribution
Multi Line Credit
$6,770.23
50.00
55,744.45
$1,066.25
5o.oo
50.00
$o.oo
513,580.93
($125.14)
Total Due
513,455.79
Make Checks Payable To
Total Due
513,455.79
City County Insurance Services
1212 Court St. NE, Ste. 301
Salem, Oregon 97301
(503) 585-1121 or (800) 922-2684 voice
(503) 585-1140 fax
CITY OF ASHLAND
20 E MAIN ST,
ASHLAND, OR 97520
(541) 488-5300
CITY RECORDER'S COPY
DATE
10/23/2003
Page 1 / 1
PO NUMBER 1
04582
VENDOR: 006368
TAP INTERTIE JOINT VENTURE, A DIVISION OF F
P O BOX 3275
CENTRAL POINT, OR 97502
SHIP TO: Ashland Public Works
(541) 488-5587
27-1/2 N MAIN STREET
ASHLAND, OR 97520
FOB Point:
Terms: Net 20 days
Req. Del. Date:
Special Inst:
Req. No.:
Dept.: PUBLIC WORKS
Contact: Paula Brown
Confirming? No
Description
TAP Insurance Expenses FY04
BILL TO: Account Payable
20 EAST MAIN ST
541-552-2028
ASHLAND, OR 97520
Unit Price Ext, Price
2,609.08
SUBTOTAL 2,609.08
TAX 0.01
FREIGHT 0.00
TOTAL 2,629.081
Account Number Amount Account Number Amount
E 670.08.15.00.605210
_ _2,60~.0~8
Authorized Signature
VENDOR COPY
ORIGINAL
REQUISITION
-ASHLAND
No. PW262-
2004
Department., PW- Engineering- WATER Date October 14, 2002
\
Vendor I RVCOG Requested Delivery Date now
[, ~/! ~ ~,~ ~- PO Box 3275 Deliver To
Central Point, OR 97502 Via ?AULA BROWN
Accotuit N o. 670,08.15.00,r~.0.~01}0' ~ (* Note: Please allow approximately t~o(2) ~ceks for deliveD, on items not
Item No Quantity Unit Description Usc of Purchasing Office
Unit Pricc I'otal Price PO No
I TAP(Insurance Expenses - FY04 $2,609.08
for Kari:
BID /RFP / EXEMPT: I EXEMPT
Cootract Start Date:
Contract Completion Date: .June 30, 2004
Insurance on file: I YES I NO
Project No: na
Job No. Unit No.
Issued By Date Received By