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Home My WebLink About2006-129 Contract - FD Thomas JUL-~~-~~ ~:36 FD THOMAS I NC 541 664 1105 P.01 June 20. 2006 City of Ashland pubnc WorksIFacility Maintenance 90 North Mountain Avenue Ashland. OR 97520 Attn: Dafe Peters RE: Exterior Log Cabln at Pioneer Han We propose 10 provide an materials. labor and equipment necessary to complete the work. as described, for the sums listed below: Lump sum of $ 5280.00 Specifications: Preesure Wash Spot prime as necessary Two Coats of Exterior Finish to match existing. Sinceraly . /I~ rlx~ Ray Kinney Mailing: PO Box 44$03 · Mectfoni, OR 97501 · ~ppil'l9= 217 Bstc.trntIn Dr. . Cantrat PaInt. OR !97502 Phone 641-664-3010. 1-&JO~3010. F'me 541-664-1105. fdtm~as.COl:n. ACORDN CERTIFICATE OF LIABILITY INSURANCE I DATE(IIIIIDDIYY} 06/13/2006 PRODUCER THIS CERTIFICATE IS ISSUED AS A MAneR 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 NOT AMEND, EXTEND OR Portland, OR 97204 ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. (503) 416-7180 INSURERS AFFORDING COVERAGE 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 I 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 ~\ND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 1f'l1: TYPE OF INSURANCE POUCY NUMBER POLICY EI'FEC11VE POLICY EXPIRATION L*1T8 ~ERAL UA8lurY CP03739102 1213112005 1213112006 EACH OCCURRENCE, S 1.000.000 A X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anv one hI S 300 000 l CLAIMS MADE 00 OCCUR MED EXP (Anyone p'"t~1 S to.Ooo X. Stop Gap - $1,000,000 PERSONAL & AfYoIINJURY S 1.000.000 GENERALAGGRE~.TE S 2.000.000 - ~'LAGGREOO LIMIT nS PER: PRODUCTS - COMP}OP AGG s 2.000.000 POUCY X ~ LOC B ~08ILE UABlurY CP03739102 12131/2005 1213112006 COMBINED SINGLE IJMlT $ 1,000,000 X ANY AUTO (& 8CdcIeN) - ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (.... peI'IClI\) X HIRED AUTOS BODILY INJURY - $ ~ NON-OWNED AUTOS (Pw acddenl) PROPERTY DAMAGlE $ (Per acddenl) REUABlurY AUTO ONLY - EA ACCIDENT S ANY AUTO OTHER THAN EA N:;C S AUTO ONlY: AGG S EXCESS UABlurY EACH OCCURRENC:e s 0' OCCUR 0 CLAIMS MADE AGGREGATE S S =i DEDUCTIBLE S RETENTION $ S WORKERSCOIIPENSATION AND I WCSTATU-,I IO,I,t'- EMPLOYERS' UABlurY E.L EACH ACClDElfl' S E.L DISEASE - EA I:MPLOYEE S E.L DISEASE - POlJCY UMIT $ OTHER S S S DESCRIPTION OF OPERATIONSILOCATIONSlVEHICLE8lEXCLU8IONS ADDED BY ENDOR8EIIIENT/lIPECIAL PROVIIIONS All Operations . Operations of the Named Insun:d subject to policy terms and conditions. . CERTIFICATE HOLDER I I ADDI110NAL INSURED' INSURER LETTER: CANCELLATION 10 Day Notice for Non-Payment ofPmnium SHOULD ANY OF THE A8O\/E DEBc:RlBED POLICIES BE CA.NCI;LLED BEFORE THE EXPIRATION City of Ashland DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOl~ TO MAIL ~ DAYS WRITI'EN Service Center NOTICE TO THE CERTIFICATE HOLDER NAIlED TO THE UEFT, BUT FAlWRE TO DO 80 SHALL 90 N. Mountain Ave. IMPOSE NO OBlJGATlON OR UABIUTY OF ANY KIND Uf'ON THE INSURER, IT8 AGENTS OR Ashland, OR 97520 REPRESENTAllVES. I LOAN #: AUTHORIZED REPRESENTATIVE ~ I ACORD 25-8 (7/97) 10 #: (iAl::ORD CORPORATION 1988 I ACQRD", CERTIFICATE OF LIABILITY INSURANCE I DATE (llIIIDDIYY) 0611312006 PRODUCER THIS CERnFICATE IS ISSUED AS A MATTER OF INFORMATION Woodruff-Sawyer Oregon, Inc. ONLY AND CONFERS NO RIGHTS UPC)N THE CERnFICATE HOLDER. THIS CERnFICATe DOES N01' AMEND, EXTEND OR 1001 SW 5th Avenue, Suite 1208 ALTER THE COVERAGE AFFORDED BY 'rHE POUCIES BELOW. 'Portland, OR 97204 (503) 416-7180 INSURERS AFFORDING CO'IIERAGE INSURED INSURER A: SAIF Comomtion F.D. Thomas, Inc. INSURER B: POBox 4663 Medford, OR 97501 INSURER C: INSURER D: I INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDIC:ATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIF:IC:ATE 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. I!'I~ TYPE OF INSURANCE POLICY NUMBER ~ EFFECTIVE POUCY EXPlRA110N UIIIT8 ~NERAL UABlUTY EACH OCCURRENOE $ COMMERCIAL GENERAl UABIUTY FIRE DAMAGE (Any ,_ finll $ I ClAIMS MADE D OCCUR MED EXP INrY one D_I $ I.....- PERSONAl & AIN IlilJURY $ I.....- GENERAl AGGREGIl.TE $ ~'LAGG~n UMIT?lS PER: PRODUCTS. COMP/OP AGG $ POLICY ~,g: LOC ~OM08ILE UABIUTY COMBINED SINGLE UMIT $ fW'( AUTO lEa -*lent) - - ALl OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per peraI) - - HIRED AurOS BODILY INJURY $ NON.QWNED AUTOS (Per ac:ddenl) - - PROPERTY DAMAGiE $ (Per -*lent) ~GE UABlUTY AUTO ONLY - EA Al::CIDENT $ fW'( AUTO OTHER THAN EA Al::c $ AUTO ONLY: AGG $ EXCESS UABlUTY EACH OCCURRENC::E $ 0' OCCUR 0 ClAIMS MADE AGGREGIl.TE $ $ R DEDUCTIBLE $ RETENTION $ $ . woRKEJia COMPENSATION AND 812175 10/1/2005 10/1/2006 X IT~~T~'W-RILlo~ A . EMPLOYERS' UABlUTY $ 500,000 E.L EACH Al::cIDENT E.L DISEASE - EA EMPLOYE! $ 500,000 E.L DISEASE - POUCY UMIT $ 500 000 OTHER S S S DESCRIPTION OF OPERATION8ILOCATlON8IVEHICI.E8CLU8ION8 ADDED BY ENDORBEIIENTI8PECIAL PROVl8IONS All Operations Operations of the Named Insured subject to policy terms and conditions. CERTIFICATE HOLDER I I ADDITIONAL INSURED; INSURER LErTER: CANCELLAnON 10 Day Notice for NOD-Paym.cnt of Premium SHOULD ANY OF THE ABOVE DESCRIBED POUClES BE ClINCELLED BEFORE THE EXPIRATION City of Ashland DATE THEREOF, THE ISSUING INSURER WILL ENDEAvOIR TO IIAIL ~ DAYS WRITTEN Service Center NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LlEFT, BUT FAILURE TO DO so SHAU 90 N. Mountain Ave. Ashland, OR 97520 IMPOBE NO OBUGA11ON OR UA8RJTY OF ANY KIND UIOON THE INSURER, ITS AGENTS OR REPRESENTATIVES. I LOAN #: AUTHORIZED REPRE8ENrATIVE ~ ~ ~ C " ACORD 25-8 (7/97) 10 #: Ci AICORD CORPORA nON 1988 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 C9rtificate 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 affinnatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25-8 (7/97) ! I C IT Y OF CONTRACTOR: FD Thomas ASHLAND CONTACT: Ray Kinney 20 East Main Street Ashland, Oregon 97520 ADDRESS: PO Box 4663, Medford, OR 97501 Telephone: (541) 488-6002 FAX: (541) 488-5311 TELEPHONE: (541) 664-3010 DATE AGREEMENT PREPARED: July 19, 2006 FAX: (541) 664-1105 BEGINNING DATE: July 24,2006 COMPLETION DATE: September 1, 2006 COMPENSATION: $5,280.00, Per attached proposal dated June 20,2006 SERVICES TO BE PROVIDED: Contractor to provide all labor, materials and equipment to pressure wash, prime and apply two (2) co~ exterior finish to PIONEER HALL. C/ 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 otherwise 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 complete 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 entered 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 $16,936 or more, and Contractor is not paying prevailing walle 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 the 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 sinQlle 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. Contractor shall submit certificates of insurance acceptable to the City with the signed contract 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. C01ACTOR: BY a, cJ~n~ --R~ ~l(.~~~;~e~ TITLE~ ~J7AJ. ~t DATE 7'J./J oG FederallD# q ~....lO it I ~q CCB NameYU t~1ItOS 1 ~\(. CCB # 7'2. ~ Lt CITY OF ASHLAND: BY ~~~ FINANCE DIRECl1l R OR BY CITY ADMINISTFIATOR DATE CONTENT REVIEW ~ CIT DEPARTMENT HEAD '7~: /0 l- I DATE City of Ashland - Business License # \0 :"'JCCI ACCOUNT # //~t'" C G P- ~/' ~--C 7 CJ 3' c?-cJ PURCHASE ORDER # t:J ~-; r ~; / (for City purposes only) * Insurance Certificates and a completed IRS W-9 form must be submitted with signed contract. Revised 4-27-05 ~.. .-a~ CIT\f Pt:CORDI:.:R~S COpy Page 1 / 1 CITY OF ASHLAND 20 E MAIN ST. ASHLAND, OR 97520 (541) 488-5300 06961 VENDOR: 004329 F D THOMAS PO BOX 4663 MEDFORD, OR 97501 SHIP TO: Ashland Building Maintenance (541) 488-5358 90 N MOUNTAIN AVENUE ASHLAND, OR 97520 FOB Point: Terms: Net Req. Del. Date: 7/24/2006 Speciallnst: Req. No.: Depl: PUBLIC WORKS Contact: Dale Peters Confirming? No BLANKET PURCHASE ORDER Contractor to provide all labor , materials, and eQuipment to pressure wash, prime, and apply two (2) coats of exterior finish to PIONEER HALL. 5,280.00 Contract for Work Date of aQreement: 07/19/2006 BeQinninQ date: 07/24/2006 Completion date: 09/10/2006 Insurance reQuired/On file BILL TO: Account Payable 20 EAST MAIN ST 541-552-2028 ASHLAND, OR 97520 SUBTOTAL TAX FREIGHT TOTAL ~ ~ ..,~~-' A ized Signature VENDOR COPY CITY OF ASHLAND, OREGON City of Ashland LIVING ~A' Employees must be paid a living wage: employer, if the employer has cafeteria plans (including ten or more employees, and childcare) bene'fits to the has received financial amount of wagEls received by assistance for the project or the employee. ~ For all hours worked under a business from the City of service contract between their Ashland in excess of ~ Note: "Employ,ee" does not employer and the City of $16,936. include temporary or part- Ashland if the contract time employees hired for less exceeds $16,936 or more. ~ If their employer is the City of than 1040 hours in any Ashland including the Parks twelve-month period. For ~ For all hours worked in a and Recreation Department. more details on applicability month if the employee of this policy, please see spends 50% or more of the ~ In calculating the living wage, Ashland Municipal Code employee's time in that month employers may add the value Section 3.12.m!O. working on a project or of health care, retirement, portion of business of their 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 Ibe seen by all employees. <:ITY OF ASHLAND P"~ .-::-~~, ,: ~~"~"' (",,::;:'~.: CIITY OF AS 1-1 LAN D REQUISITION FORM THIS REQUEST IS A: o Change Order(existing PO # Date of Request: I\BJ4,,- ~ I Required Date of Delivery/ServicEl: I I . Vendor Name Address City, State, Zip Telephone Number Fax Number Contact Name FI:> Tt4~S --=to '"B 0-,( 4 Co to ~ VY) Ero1=o~t> \ 0 fC. 4., ~t..t - :50l0 "~'i ...., \OS' ie.14'j l(i~N&l 9.]SO I SOLICITATION PROCESS S all Procurement Less than $5,000 o ~IOA~J Intermediate Procurement o (3) Written Quotes (Copies attached) Sole Source o Written findings attached o Quote or Pro sal attached CooDerative Procurement o State of ORIWA contract o Other government agency contract o Copy of contract attached o Contract # o Invitation to Bid (Copies on file) Description of SERVICES i't2o.J\de. ~n l~\c,otl..JM*~\S ~~ ~"')r~-t- 4-.0 ~su.l2e- ~":i.S'h J 1'.tlty\oE: ~^,I> :lrf}Y '2.. C!JOi4'IS o~ E;Ct- ~~,..,;)\,~ ~ -:r~0V\~ t...~ll , o Per attached PROPOSAL Item # Quantity Unit Description of MATERIALS Unit Price Total Cost Project Number _ _ _ _ _ _ . _ _ _ c:q;; J t I.- <T V/. 7 f' (. ~l~ ~./f o Per attached QUOTE Account Number ~lQ .Q~. ~ 2.: ro1o~lQO . Items and services must be charged to the appropriate account numbers for the financials to reflect 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 provi on request. SupervisorlDepl Head Signature: ~ '--- G: Finance\Procedure\AP\Forms\B_Requisition form revised.doc Updated on: 5/1712006