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Home My WebLink About2006-092 Contract - FD Thomas C IT Y OF CONTRACTOR: F. D. Thomas Inc. ASHLAND CONTACT: Dan Thomas / Ray Kinney 20 East Main Street ADDRESS: PO Box 4663, Medford, OR 97'501 Ashland, Oregon 97520 Telephone: (541) 488-6002 TELEPHONE: (541) 664-3010 FAX: (541) 488-5311 FAX: (541)664-1105 DATE AGREEMENT PREPARED: June 15,2006 BEGINNING DATE: June 16, 2006 COMPLETION DATE: July 15, 2006 COMPENSATION: $8,725.00 - Per proposal dated 05-09-2006 SERVICES TO BE PROVIDED: Work to be performed on the WTP - Chemical BuildinQ. Contractor to repair Dryvit siding surface, pressure wash exterior surface clean, caulk, spot prime as needed. Apply one coat of Elastomeric on the body and one coat of Acrylic semigloss on all trim. Protect all basins and water surfaces. ADDITIONAL TERMS: Contract for WORK less than $25,000 CITY AND Contractor AGREE: 1. All Costs bv Contractor: Contractor shall, at its own risk and expense, perform the work described above and, unless othHrwise 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 all 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 workerlike 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. Completion Date: Contractor shall start performing the work under this contract by the date indicated above and completH the work by the completion date indicated above. 4. Compensation: City shall pay Contractor for work performed, including costs and expenses, the sum specified above. Once work commences, invoices shall be prepared and submitted by the tenth of the month for work completed in the prior month. Payments shall be made within 30 days of the date of the invoice. Should the contract be prematurely terminated payments will be made for work completed and accepted to date of termination. Compensation under this contract, including all costs and expenses of Contractor, is limited to $25,000.00 and City shall not be obligated to pay any sum in excess of $25,000.00 unless a separate written contract is enlered into by City. 5. Ownership of Documents: All documents prepared by Contractor pursuant to this contract shall be the property of City. 6. Statutory Requirements: ORS 279C.505, 279C.515, 279C.520, and 279C.530 are made part of this contract. 7. Livinq Waqe Requirements: If the amount of this contract is $15,964 or more, and Contractor is not paying prevailing wane for the work, Contractor must comply with chapter 3.12 of the Ashland Municipal Code by paying 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 work under this contract. Contractor must post the attached notice predominantly in areas where it will be seen by all employees. 8. Indemnification: Contractor 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 Ule performance of this contract by Contractor (including but not limited to, Contractor's employees, agents, and others designated by Contractor to perform work or services attendant to this contract.) Contractor shall not be held responsible for any losses, expenses, claims, subrogations, actions, costs, judgments, or other damages, directly, solely, and approximately caused by the negligence of City. 9. Termination: This contract may be terminated by City by giving ten days written notice to Contractor and may be terminated by Contractor should City fail substantially to perform its obligations through no fault of Contractor. 10. 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. Contractor shall provide workers' compensation coverage as required in ORS Ch 656 for all persons employed to perform work pursuant to this contract and prior to commencing any work, Contractor shall provide City with adequate proof of workers' compensation coverage. Contractor is a subject employer that will comply with ORS 656.017. 11. Insurance: Contractor shall, at its own expense, at all times during the term 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, owner's and contractor's protective insurance and comprehensive automobile liability including owned and non-owned automobiles. The liability under each policy shall be a minimum of $500,000 per occurrence (combined sin~i1e limit for bodily injury and property damage claims) or $500,000 per occurrence for bodily injury and $100,000 per occurrence for prcperty 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. Contractor shall submit certificates of insurance acceptable to the City with the signed contra~t prior to the commencement of any work under this agreement. These certificates shall contain provision that coverages afforded under the policies cannot be canceled and restrictive modifications cannot be made until at least 30 days prior written notice has been given to City. Each certificate of insurance shall provide proof of required insurance for the duration of the contract period. 12. Assiqnment and Subcontracts: Contractor shall not assign this contract or subcontract any portion of the work without the written consent of City. Any attempted assignment or subcontract without written consent of City shall be void. Contractor shall be fully responsible for the acts or omissions of any assigns or subcontractors and of all persons employed by them, and the approval by City of any assignment or subcontract shall not create any contractual relation between the assignee or subcontractor and City. CONTRACTOR: / _.. .,--1-1 BY R (~ L /1'~~i J 12-, Signa re n p. Y. cl(, '''1 ~t ~-f' -~. Print Name TITLE 5 II ~ ;t~ 'bt/v) . DATE 6> - d ().- 0 ~ 9 J '- /(J /-) {J... '"1'-- FederallD # ;' CITY OF ASHLAND: BY ~ ~~ ~ FINANCE DIRE (~R OR BY DATE CITY ADMINISTFlATOR (,/'U/hc; , / CONTENT REVIEW I\;~ ~t'" \ ~\;~I2-..b ~- CITY DEPARTMENT HEAD DATE I..o..? (.,- G Cr CCB Name f~ i)'I!-J?ltl(~~ CCB# /i').), 132551 TIt:..- , / < /' ACCOUNT # . " c. C. C /-/ ,/ ,-: (- c --:: :' .~~ -' City of Ashland - Business License # C-7; '(: ~ , ~'y (.-f- /' C' ::/ 'I I PURCHASE ORDER # ,/;; ;,;::: .-/ (for City purposes only) * Insurance Certificates and a completed IRS W-9 form must be submitted with signed contract. Revised 4-27-05 CITY OF AS 1-1 LAN D REQUISITION FORM THIS REQUEST IS A: D Change Order(existing PO # Date of RequElst: 112.J:p.) ~ I Required Date of Delivery/Service: I A~J!\.1 I Vendor Name Address City, State, Zip Telephone Number Fax Number Contact Name r. t). """"r ~M. ~ S -:Po ~ qCol.o~ VY\ i:DFORD O~ ~"f~ \ S"\-\ - (,..(.,.- 30\ 0 S<<f\- Cc.l.l.f-I\OS 'R~'f K. NN t5i:1 S'-\ 1- ~ 4Lt-12.~ ~ SOLICITATION PROCESS Small Procurement o Sole Source 0 Invitation to Bid o Less than $5,000 o Written findings attached (Copies on file) o Quotes (Optional) o Quote or Proposal allached Cooperative Procurement 0 Reauest for Proposal o State of ORIWA contract (Copies on file) Intermediate Procurement o Other government agency contract 0 Special I Exempt o (3) Written Quotes 0 Copy of contract attached 0 Written findings attached (Copies attached) 0 Quote or Proposal allached 0 Contract # 0 Emeraency 0 Written findings attached 0 Quote or Proposal attached DaSCiiptlon of SERVICES C-\"&rn-;Q.~L 13l~ - RGf=<'~~ JA2'1\;~i:: s-.J-.,^",\ b\.\a.f~.J tQ.E:&S"L(.(?E ~sh 6.><--k--Q1oR... S\.lQQ~QE I c:;<u.\l( I s~~ ~\~ .::zS ~~c:~. A~p11 OY) E- QDt41 of E\ I<9sksiY1(;-r'Z'lc br, tbocly ~Nd AQR1 \ \c- S'c........., '9 \cl'r- 07\... "'\L L \R- ~. t''''l::;-lc~-t l.4LL Io::::..s; IU!> o Per attached PROPOSAL IANO 1..0)<4.\ t=R SI14"Z FAC.::s:' < Item # Quantity Unit Description of MATERIALS Unit Price Total Cost TOTAL COST . Project Number _ _ _ _ _ _ - _ _ _ IIllt? ~/,G "'$".::,',~,:,.,,',,:','.i.'.', t ,,(,~ <;: . , ...' ;/,.);' .~ .. . o Per attached QUOTE Account Number~~ . ~- t 1.~ -~~"?~?.3 . Items and services must be charged to the appropriate account numbers for the financials to ref/ect the actual expenditures accurately. By signing this requisition form, I certify that the information provided above meets the City of Ashland public contracting requirements, and the documentation can be provided upon request. Employee Signal;;;': '- ~~ - SupervisorlDept. Head Signature: ~It":. ~ L----" G: Finance\ProcedureIAP\Forms\8_Requisition form revised,doc Updated on: 5/1712006 CITY OF ASHLAND, OREGON City of Ashland LIVING ALL employers described below must comply with City of Ashland laws regulating payment of a living wage. B::I:I:Dper hour effective Junia 38,. 20" (Increases annuany every .Jul1le30 ti~tft. Consumer Price Index) ~.1I ._~ Employees must be paid a living wage: ~ For all hours worked under a service contract between their employer and the City of Ashland if the contract exceeds $15,964 or more. 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 $15,964. ~ Note: "EmploYEle" does not include temporary or part- time employees hired for less than 1040 hours in any twelve-month pl~riod. For more details on applicability of this policy, pl1ease see Ashland Municipal Code Section 3.12.020. cafeteria plans (including childcare) benefits to the amount of wages received by the employee. ~ If their employer is the City of Ashland including the Parks and Recreation Department. ~ 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 ~ In calculating the living wage, employers may add the value of health care, retirement, 401 K and IRS eligible For additional information: Call the Ashland City Administrator's office at 541-488-6002 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.us. Notice to Employers: This notice must be posted predominantly in areas where it can be seen by all employees. C:ITY OF ASHLAND ACORDyy CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDNY) 06/13/2006 PRODUCER THIS CERTIFICATE IS ISSUED AS A MAlTER OF INFORMATION Woodruff-Sawyer Oregon, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOir AMEND, EXTEND OR 1001 SW 5th Avenue, Suite 1208 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Portland, OR 97204 ,(503) 416-7180 INSURERS AFFORDING CO'VERAGE i INSURED INSURER A:. SAIF Corporation IF.D. Thomas, Inc. INSURER B: iP 0 Box 4663 iMedford, OR 97501 INSURER c: ! INSURER D: I INSURER E: COVERAGES I THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING I ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR I 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. !I~~.tt TYPE OF INSURANCE POLICY NUMBER P~H~Y EFFECTIVE P~~!fJ EXPIRATION LIMITS ~NERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anv one fire) $ e---- :=J CLAIMS MADE 0 OCCUR MED EXP (Anyone person I $ "--- PERSONAL & ADV II~JURY $ e---- GENERAL AGGREGATE $ n'L AGGRnE LIMIT A~~S PER: PRODUCTS. COMf'/OP AGG $ POLICY P,~T LOC ~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) e---- I--- ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) e---- - HIRED AUTOS BODILY INJURY $ NON.OWNED AUTOS (Per accident) - - PROPERTY DAMAC;E $ i (Per accident) I ~RAGE LIABILITY AUTO ONLY. EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ i AUTO ONLY: AGG $ I EXCESS LIABILITY EACH OCCURRENCE $ =:J OCCUR 0 CLAIMS MADE AGGREGATE $ I i $ I ~ DEDUCTIBLE $ RETENTION $ $ , WORKERS COMPENSATION AND X I TVf,~$TfTU- OJH- 812175 ] 0/1/2005 ] 0/1/2006 MlTh.._ un.R _._--~ 'A EMPLOYERS' LIABILITY I E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE - EA EMPLOYEE $ 500,000 E.L. DISEASE - POLICY LIMIT $ 500,000 r- OTHER $ , i $ I $ I DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS I All Operations I Operations of the Named Insured subject to policy terms and conditions. 1 , CERTIFICATE HOLDER I I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION 10 Day Notice for Non-Payment of Premium ! SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE C,lI,NCELLED BEFORE THE EXPIRATION , City of Ashland DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOI~ TO MAIL ~ DAYS WRITTEN , Service Center 90 N. Mountain Ave. NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LI:FT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR I Ashland, OR 97520 REPRESENTATIVES. I I LOAN #: AUTHORIZED REPRESENTATIvt: ~,_ ~( , ACORD 25-S (7/97) 10 #: ~ ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A sltatement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain polides may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25-5 (7/97) I ACORDTM CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlDDIYY) 06/13/2006 i PRODUCER THIS CERTIFICATE IS ISSUED AS A MAHER OF INFORMATION i Woodruff-Sawyer Oregon, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1001 SW 5th A venue, Suite 500 HOLDER. THIS CERTIFICATE DOES NOr AMEND, EXTEND OR Portland, OR 97204 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. (503) 416-7180 INSURERS AFFORDING CCIVERAGE INSURED INSURER A Zurich American Insurance Company F.D. Thomas, Inc. INSURER B: American Zurich Insurance Company POBox 4663 Medford, OR 97501 INSURER c: INSURER D: I INSURER E: COVERAGES I THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING I 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. 1',Ni'~ TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS ~NERAL LIABILITY CP03739102 12/31/2005 12/31/2006 EACH OCCURRENCE $ 1.000.000 A X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Ally one fire) $ 300.000 I CLAIMS MADE [K] OCCUR MED EXP (Ally one personl $ 10.000 X Stop Gap - $1,000,000 PERSONAL & ADV INJURY $ 1,000,000 - GENERAL AGGREGATE $ 2,000,000 GEN'L AGG~OOE LIMIT APnS PER: PRODUCTS - COMF'/OP AGG $ 2.000.000 ~. POLICY X ~~W.,: LOC B ~TOMOBILE LIABILITY CP03739102 12/31/2005 12/31/2006 COMBINED SINGLE LIMIT $ 1,000,000 ~ ANY AUTO (Ea accident) - ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY f-- $ ~ NON-OWNED AUTOS (Per accident) I f-- PROPERTY DAMAGiE $ (Per accident) RRAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENGE $ :J OCCUR D CLAIMS MADE AGGREGATE $ $ =1 DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND Il!,g~m:m~ I [OJbl- EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ OTHER $ $ I I $ I DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS , All Operations I Operations ofthe Named Insured subject to policy terms and conditions. i I I , I I i CERTIFICATE HOLDER I I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION 10 Day Notice for Non-Paymc:nt of Premium I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Ashland DATE THEREOF, THE ISSUING INSURER WILL ENDEAVO~: TO MAIL 1L DAYS WRmEN Service Center NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LE,FT, BUT FAILURE TO DO SO SHALL 90 N. Mountain Ave. IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Ashland, OR 97520 REPRESENTATIVES. LOAN #: AUTHORIZED REPRESENTATIVE ~ ~ ( I ..ca ""'~' ACORD 25-S (7/97) 10 #: GAC:ORD CORPORATION 1988 I IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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 I:;ertificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25-5 (7/97) COATING & SPECIAL TY CONTRACTOR May 9,2006 City of Ashland Public Works/Facility Maintenance 90 North Mountain Avenue Ashland, OR 97520 Attn: Dale Peters Re: Water Treatment Plant Exterior repairs and repainting proposals We propose to provide all materials, labor and equipment necessary to complete the work as described, for the total sums listed below: 1. Operations Building: $11,285.00 deduct for use of your lift: $445.00 Repair Dryvit siding surface, pressure wash clean, caulk gutters, spot-prime as needed, then one coat of Elastomeric paint on the bOdy and one coat of Acrylic Semi-gloss on all trim. Filter basins shall be protected with tarps to prevent influence of our activities. 2. New Chemical Buifdino: $ 8,721tOO. . deduct for use of your lift: $300.00 Repair Dryvit siding surface, pressure wash clean, spot-prime as needed, then one coat of Elastomeric paint on the body and one coat of Acrylic Semi-gloss on all trim. 3. Shop Building: $ 2,025.00 - no lift required _ Pressure wash surfaces, caulk as needed, spot prime as needed. One coat of Elastomeric paint on the body and one coat of Acrylic Semi-gloss on all trim. 4. Old Chemical Building: $ 4,915.00 deduct for use of your lift: $300.00 Repair Dryvit siding surface and CMU cracks, pressure wash clean, spot-prime as needed, then one coat of Elastomeric paint on the body and one coat of Acrylic Semi-gloss on all trim. Screen tarps are to be used to protect Creek. 5. Chlorine Building: $ 6,295.00 deduct for use of your lift: $300.00 Pressure wash surfaces, caulk as needed, spot prime as needed. One coat of Ellastomeric paint on the body and one coat of Acrylic Semi-gloss on all trim. Screen tarps are to big used to protect Creek. 6. Powerhouse Roof clean: $ 2,825.00 deduct for use of your lift: $300.00 Pressure wash entire roof surface to remove moss from the composite shingles. No painting. mailing: PO Box 4663. Medford, OR 97501 . shipping: 217 Bateman Dr. . Central Point, OR 97502 Phone 541-664-3010 . 1-800-554-3010 . Fax 541-664-1105 . fdtmedford@fdthomascom COATING & SPECIALTY CONTRACTOR Ashland Water Plant painting proposal, page 2 . NOTES: 1. The deduct for the possible use of you lift shall be credited to the proposed price for that building, and only if the lift is capable of performing the tasks that we assumed need to be performed. We have figured to use a 60' articulating-knuckle boom, or a 65' straight boom w/fin~,er-jib. 2. We need to have 5 day's notice to schedule the equipment and personnel for this work. 3. Owner is to provide ample 115V, 20-amp electrical service and bathroom facilitie~s. 4. Excluded from this proposal are Overtime costs and premium costs associated with night, weekend or holiday shifts. We expect to complete the work during normal weekdlay hours. 5. Final Payment shall be invoiced net 30 days and without retention. 6. Any contract written for this work shall include this entire proposal as a whole within the contract or as a referenced attachment. 7. We are expecting to complete all of the above-listed work, or any selected portions thereof, in no more than two mobilizations. If requested, we will need to charge additional mob charges for work desired but not scheduled consecutively. We appreciate the opportunity to provide this quote. Please call with any questions. Sincerely, Dan Brewington F.D. Thomas, Inc. mailing: PO Box 4663 . Medford, OR 97501 . shipping: 217 Bateman Dr. . Central Point, OF< 97502 Phone 541-664-3010 . 1-800-554-3010 . Fax 541-664-1105 . fdtmedford@fdthomas.com File:37 [OR] [PUBLIC] [OWNER] Recording Requested by and Return F. D. Thomas, Inc. 217 Bateman Drive Central Point, OR 97502 I to: I I I I I City of Ashland Customer: P.O. #: Project: Rec ID: Job #: Cert No.: City of Ashland 1TXOSOKQH 06-01110 0000 0000 0000 0000 0575 NOTICE OF RIGHT TO LIEN FOR FURNISHING LABOR, MATERIALS OR EQUIPMENT AND REQUEST FOR COPY OF PUBLIC BOND TO THE OWNER OR REPUTED OWNER City of Ashland New Chern Building 90N. Mountain Ave. ASHLAND, OR 97520 TO ORIGINAL OR REPUTED CONTRACTOR TO LENDER, SURE TY OR BONDING CO. 1. The fallowinq is a general descriptiun of the labor,service,equipmellt or materials furnished or to be furnished by the undersigned: See Exhibit C o Estimated Price: $########## 3. The name of the person who furnished that labor, service, equipment or materials is: F. D. Thomas, Inc. 217 Baternan Drive Central Point, OR 97502 4. The name ot the person who contractRd for purchase of that labor, service, equi~@ent or material is: City of Ashland New Chern Building 90N. Mountain Ave. ASHLAND, OR 97520 5. The description of the jobsite is: City of Ashland 90 N. Mountain Ave ASHLAND, OR 97520 County of JACKSON REQUEST FOR COPY OF PAYMENT BOND AND NAME OF SURETY COMPANY TO CONTRACTING BODY: City of Ashland New Chern Building or State Comptroller The undersigned claimant hereby declares that he has supplied labor or materials as described above, that payment has not yet been made therefore, and that he hereby requests that the contracting body furnish a certified copy of the Payment Bond, if any, to the claimant, at the address listed above, and the current address of the contracting public entity. NOTICE TO PUBLIC ENTITY OR AGENCY THIS IS NOT A _Lr~". THIS IS NOT A REFLECTION ON THE INTEGRITY OF ANY CONTRACTOR OR srJ''3C(i~TRACTOR. i.i'& UNDERSIGNED HAS ENTERED Ir.frC A C\"'~~~~cr 'I'O '::C:RFC~.: ~Gr: "'0 ~_1p~ISE MATERIALS FOR THE ABOVE-DESCRIBED PUBLIC PROJECT, AND WILL LOOK TO YOU AND YOUR SURETIES FOR PAYMENT IF THE PERSON ORDERING SUCH MATERIALS AND LABOR FAILS TO PAY FOR THEM. I declare that I am read the foregoi knowledge. I d Executed at C I have my own correct. PROOF OF SERVICE BY MAIL AFFIDAVIT I declare that I served a copy of the above document, and any related documRnts, by certified or registered mail, postage prepaid, or other certified delivery, addressed to the above named parties, at the addresses listed above, on Ob/20/2006. I declare under penalty of perjury that the foregoing is true and correct. Executed at Central Point, Oregon on 06/20/2006. Prepared Shawndra IMPORTANT INFORMATION FOR YOUR PROTECTION Under Oregon's laws, those who work on your property or provide labor, equipn~nt, services, or materials and are not paid have a right to enforce their claim for payment against your property. This claim is known as a Construction Lien. If your contractor fails to pay subcontractors, material suppliers, service providers or laborers or neglects to payments, the people who are owed money can look to even if you have paid your contractor in full. suppliers, rental make other legally your property for equipment required payment, The law states that all people hired by a contractor to provide you with materials, equipment, labor, or services must give you a notice of right to a lien to let you know what they have provided. WAYS TO PROTECT YOURSELF ARE: --RECOGNIZE that this notice of a right to a lien may result in a lien against your property unless all those supplying a notice of the right to lien have been paid. --LEARN more about the lien laws and the meaning of this notice by contacting the builders board, an attorney or the firm sending you this notice. --WHEN PAYING your contractor for materials, labor, equipment or services you may make checks payable jointly to the contractor and the firm furnishing materials, equipment, labor or services for which you have received such a notice of the right to a lien. --OR use one of the methods suggested in the INFORMATION NOTICE TO OWNERS. If you have not received such a notice, contact the builders board. --GET EVIDENCE that all firms from whom you have received a notice of the right to a lien have been paid or have waived the right to claim a lien against property. --CONSULT an attorney, a professional escrow company, or your mortgage lender. File:38 [OR] [PUBLIC] [OWNER] Recording Requested by and Return F. D. Thomas, Inc. 217 Bateman Drive Central Point, OR 97502 I to: I I I I I city of Ashland Customer: P.O. #: Project: Rec ID: Job #: Cert No.: City of Ashland 1TXOSVKW9 06-01109 0000 0000 0000 0000 0585 NOTICE OF RIGHT TO LIEN FOR FURNISHING LABOR, MATERIALS OR EQUIPMENT AND REQUEST FOR COPY OF PUBLIC BOND TO THE OWNER OR REPUTED OW,ER City of Ashland New Chern Building 90N. Mountain Ave. ASHLAND, OR 97520 TO ORIGINAL OR REPUTED CONTRACTOR TO LENDER, SURETY OR BONDING CO. 1. The following is a general description of the labor, service, equipment or materials furnished or to be furnished by the undersigned: See Exhibit C ~ Estimated Price: $########## 3. The name of the person who furnished that labor, service, equipment or materials is: F. D. Thomas, Inc. 217 Bateman Drive Central Point, OR 97502 4. The name nf the person who contracted for purchase of that labor, service, equipment or material is: City of Ashland New Chern Building 90N. Mountain Ave. ASHLAND, OR 97520 5. The description of the jobsite is: City of Ashland Paint Ops Building 90 N. Mountain Ave ASHLAND, OR 97520 County of JACKSON REQUEST FOR COPY OF PAYMENT BOND AND NAME OF SURETY COMPANY TO CONTRACTING BODY: City of Ashland New Chern Building or State Comptroller The undersigned claimant hereby declares that he has supplied labor or materials as described above, that payment has not yet been made therefore, and that he hereby requests that the contracting body furnish a certified copy of the Payment Bone, it any, to the claimant, at the address listed above, and the current address of the contracting public entity. NOTICE TO PUBLIC ENTITY OR AGENCY THIS IS NOT A LIEN. THIS IS NOT A REFLECTION ON THE INTEGRITY OF ANY CONTRACTOR OR SUBCONTRACTOR. THE UNDERSIGNED HAS ENTERED INTO A CONTRACT TO PERFORM LABOR OR FURNISH MATERIALS FOR THE ABOVE-DESCRIBED PUBLIC PROJECT, AND WILL LOOK TO YOU AND YOUR SURETIES FOR PAYMENT IF THE PERSON ORDERING SUCH MATERIALS AND LABOR FAILS TO PAY FOR THEM. I declare that I am read the fore~oing knowledge. I dec r Exe,:uted at Ce Prepared by: Chuck MC[lon I have my own correct. Fax: (541) 664-1105 PROOF OF SERVICE BY MAIL AFFIDAVIT I declare that I served a copy of the above document, and any related document,o, by certified or registered mail, postage prepaid, or other certified delivery, addressed to the above named parties, at the addresses listed above, on 06/20/2006. I declare under penalty of perjury that the foregoing is true and correct. Executed at Central Point, Oregon on 06/20/2006. Prepared by: ~~ Shawndra Strusz, Contract Admin~or IMPORTANT INFORMATION FOR YOUR PROTECTION Under Oregon's laws, those who work on your property or provide labor, equipnlent, services, or materials and are not paid have a right to enforce their claim for pai~ent against your property. This claim is known as a Construction Lien. If your contractor fails to pay subcontractors, material suppliers, service providers or laborers or neglects to payments, the people who are owed money can look to even if you have paid your contractor in full. suppliers, rental make other legally your property for equipment req1.lired payment, The law states that all people hired by a contractor to provide you with materials, equipment, labor, or services must give you a notice of right to a lien to let you know what they have provided. WAYS TO PROTECT YOURSELF ARE: --RECOGNIZE that this notice of a right to a lien may result in a lien against your property unless all those supplying a notice of the right to lien have been paid. --LEARN more about the lien laws and the meaning of this notice by contacting the builders board, an attorney or the firm sending you this notice. --WHEN PAYING your contractor for materials, labor, equipment or services you may make checks payable jointly to the contractor and the firm furnishing materials, equipnent, labor or services for which you have received such a notice of the right to a lien. --OR use one of the methods suggested in the INFORMATION NOTICE TO OWNERS. If you have not received such a notice, contact the builders board. --GET EVIDENCE that all firms from whom you have received a notice of the right too a lien have been paid or have waived the right to claim a lien against property. --CONSULT an attorney, a professional escrow company, or your mortgage lender. Page 1 / 1 ~A' C I T Y 0 F CITY RECORDER'S COpy ASHLAND 20 E MAIN ST. ASHLAND, OR 97520 (541) 488-5300 6/20/2006 Iflfj""~'@] L""; 06870 WI', VENDOR: 004329 F D THOMAS PO BOX 4663 MEDFORD, OR 97501 SHIP TO: Ashland Water TreatmEmt Plant (541) 488-5345 ASHLAND, OR 97520 FOB Point: Terms: Net Req. Del. Date: 6/16/2006 Speciallnst: Req. No.: Dept.: PUBLIC WORKS Contact: Dale Peters Confirming? No BLANKET PURCHASE ORDER Contractor to repair Dryvit sidinQ surface, pressure wash exterior surface clean, caulk, spot prime as needed. Apply one coat of Elastomeric on the body and one coat of Acrylic semiQloss on all trim. Protect all basins and water surfaces. 8,725.00 Location: WTP Chemical BuildinQ Contract for Work Date of AQreement: June 15, 2006 BeQinninQ Date: June 16, 2006 Completion Date: July 15, 2006 Insurance required/On file BILL TO: Account Payable 20 EAST MAIN ST 541-552-2028 ASHLAND, OR 97520 SUBTOTAL TAX FREIGHT TOTAL 8725.00 0.00 0.00 8,725.00 ~ ~ t:>/2eJ/g f- A rized Signature VENDOR COPY