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\.!:S
.. CITY OF ASHLAND, OREGON
City of Ashland
LIVING
ALL employers described
below must comply with City
of Ashland laws regulating
payment of a livinQ waQe.
~~,
Employees must be paid a
living wage:
II!Dper hour effective June 30, 2005
(Increases annually every June 30 by the
Gonsumer Price Index)
~ For all hours worked under a
service contract between their
employer and the City of
Ashland if the contract
exceeds $16,379 or more.
~ For all hours worked in a
month if the employee spends
50% or more of the
employee's time in that month
working on a project or portion
of business of their employer,
if the employer has ten or
more employees, and has
received financial assistance
for the project or business
from the City of Ashland in
excess of $16,379.
~ If their employer is the City of
Ashland includingl the Parks
and Recreation Department.
~ In calculating the living wage,
employers may add the value
of health care, retirement,
401 K and IRS eli!~ible
cafeteria plans (including
childcare) benefits to the
amount of wages received by
the employee.
~ Note: "Employee" does not
include temporary or part-time
employees hired for less than
1040 hours in any twelve-
month period. For more
details on applicability of this
policy, please see Ashland
Municipal Code Section
3.12.020.
For additional information:
Call the Ashland City Administrator's office at 541-488-E)002 or write to the City Administrator,
City Hall, 20 East Main Street, Ashland, OR 97520 or visit the city's website at www.ashland.or.u8.
Notice to Employers: This notice must be posted predominantly in areas where it can bie seen by all
employees.
CITY OF
ASlHLAND
A CORDTM CERTIFICA TE OF LIABILITY INSURANCE I DATE (MM/DD/YYYY)
12/10/04
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Maloy Risk Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
100 Village Blvd Suite 200 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Princeton, NJ 08540-7104
609987-0221 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSJRER A: St. Paul Fire & Marine
Project A, Inc. INSJRER B:
340 A Street, Building 1 INSJRER c:
Ashland, OR 97520 INSJRER D:
INSJRER E:
Client#: 10118
PROJEC1
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED N,A.MED 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 ~DD'L Pci'.kf~~:~~~~~~~)E p~~fJ (~X~~6i~I~N
LTR NSRC TYPE OF INSURANCE POLICY NUMBER LIMITS
A GENERAL LIABILITY VP06301136 12/16,/04 12/16/05 EACH OCCURRENCE: $1 OOO,OOL '-
I---
L COMMERCIAL GENERAL LIABILITY ~~~~~~J9E~~~J~~~nce) $250,000
I--- ~ CLAIMS MADE [K] OCCUR MED EXP (Anyone pEirson) $10000
PERSONAL & ADV INJURY $1 000,000
I--
GENERAL AGGREGJl,TE $2000.000
I--
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2000,000
n n PRO- nLOC
POLICY JECT
~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $
ANY AUTO (Ea accident)
-
ALL OWNED AUTOS BODILY INJURY
- $
SCHEDULED AUTOS (Per person)
-
HIRED AUTOS BODIL Y INJURY
- $
NON-OWNED AUTOS (Per accident)
-
- PROPERTY DAMAGE: $
(Per accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
=1 ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $
=:J OCCUR D CLAIMS MADE AGGREGATE $ -
$
=l DEDUCTIBLE $
RETENTION $ $
I WC STATU-.I IOJ~-
WORKERS COMPENSATION AND TORY LIMITS
EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $
If yes. describe under E.L. DISEASE - POLICY LIMIT $
SPECIAL PROVISIONS below
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
I
CERTIFICATE HOLDER
I
CANCELLATION
ACORD 25 (2001/08) 1 of 2
#S 19553/M 19525
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL --30..- DAYS ,^,<ITTE~'
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
it> (:.t. /1/~'J...eJ('~f_' Jl.~ .
SEC
@ ACORD CORPORATION 1988
City of Ashland
20 East Main Street
Ashland, OR 97520
C\TY RECORDER'S COpy
Page 1 / 1
~~,
CITY OF
ASHLAND
20 E MAIN ST.
ASHLAND, OR 97520
(541) 488-5300
DATE
9/6/2005
IE
PO NUMBER
06271
VENDOR: 000712
PROJECT A, INC
340 A STREET
ASHLAND, OR 97520
SHIP TO: City of Ashland
(541 ) 488-6002
20 E MAIN STREET
ASHLAND, OR 97520
FOB Point:
Terms: Net 30 days
Req. Del. Date: 7/1/2005
Speciallnst:
Req. No.:
Dept.: ADMINISTRATION
Contact: Ann Seltzer
Confirming? No
UnitPrice
Exf. Price
,000.00
$250 per month for 12 months $3000
PSK
Date of aqreement: 07/20/2005
Beqinninq date: .07101/2005
Completion date: 06/30/2005
BILL TO: Account Payable
20 EAST MAIN ST
541-552-2028
ASHLAND, OR 97520
SUBTOTAL
TAX
IFREIGHT
TOTAL
3000.00
0.00
0.00
3,000.00
Account Number
E 710.01.02.00.60410
Project Number
Amount
3 000.00
Account Number
Project Number
Amount
VENDOR COPY
CITY OF
AS:HLAND
REQUISITION FORM
Date of ReqUlest:
THIS REQUEST IS A:
D Change Order( existing PO #
Required Date of Delivery/Service:
Vendor Name
Address
City, State, Zip
Telephone Number
Fax Number
Contact Name
~;}!ijei! If-
\. fLjiJ If \ jkRa-t
--]i f..,
-.-/ f /11 ! ,;tG'[< f ~
ijl~ - /)0>
/J ~ Iu. J..
IJ. .J /l-
(JJl --'
Intermediate Procurement
D (3) Written Quotes
(Copies attached)
e Source
en findings attached
D Quote or Pro osal attached
Cooperative Procurement
D State of ORJWA contract
D Other government agency contract
o Copy of contract attached
o Contract #
o Invitation to Bid
(Copies on file)
D Reauest for Prol:losal
(Copies on file)
D Special I Exempt
D Written findings attached
D Quote or Pro sal attached
D Emeraencv
D Written findings attached
D Quote or Pro sal attached
Description of SERVICES
bJt/;' ~ --!.75-V fa! ~",i0 ~ ~}fJtI()
D Per attached PROPOSAL
Item #
Quantity
Unit
Description of MATERIALS
Unit Price
Total Cost
Project Number ______. ___
D Per attached QUOTE
Account Number 7L:2. [JJ . ~ ~~ - JpP.ff t);J
* Items and services must be charged to the appropriate account numbers for t!?e finanGiafs to reflect the actual expenditures accurately.
By signing this requisition form, I certify that the information provided above meets the City of Ashland ~u . cont,.,
and the documentation can b provided upon request.
/" 1 I ~ (
Employee Signature: ! . t/vu I .L l/ Supervisor/Dept. Head Signature: \)
G: Finance\Procedure\AP\Forms\8_Requisition form revised.doc
Updated on: 8/30/2005
August 30, 2005
Sole Source
Written Findings
Jim Teece
Project A
Proj ect A. was selected in 1999 to provide web hosting and web development services for
the City of Ashland.