HomeMy WebLinkAbout2007-230 Contract - Evergreen Job & Safety
CONTRACT
Contractor services contract made on the date specified below in Recital A between the City and
Contractor as follows:
Recitals:
A. The following information applies to this contract:
CITY: CITY OF ASHLAND
City Hall
20 E. Main St.
Ashland, Oregon 97520
(541) 488-6002
FAX: 541 488-5311
Contractor:
Address:
Telephone:
FAX:
EVERGREEN JOB & SAFETY TRAINING
309 KNOCH AVENUE
SUSANVILLE CA 96130
530/257-7812
530/257-8266
Date of this agreement:
Februa 18, 2007
11 B: RFP date: December 4, 2001 ~ J91?-
Pro osal date: Janua 12,2007
3.2. Contractin officer: PAULA C. BROWN, PE
& Public Works De artments
7.1. Contractor's re resentative: Dou Lindstrom
119.3. Maximum contract amount: NTE $37,000.00 for FY07 t:'tle. ~,\<Z$..
~~ -.,....." &'(;If/., F'1oil % f'to?
B. On the date noted above, City issued a request for proposals (RFP) for ork needed by City
for the project described above. Contractor submitted a proposal in response to the RFP on the
date noted above.
C. After reviewing Contractor's proposal and proposals submitted by other offerors, City selected
Contractor to provide the services covered by the RFP.
City and Contractor agree as follows:
1. Relationship of Contract Documents: In response to the RFP, Contractor submitted a
proposal which included a scope of services attached as Exhibit A. Except as provided in
paragraph 1.1, in the event of any inconsistencies in the terms of this contract, the RFP or the
Contractor's proposal, this contract shall take precedence over the RFP which shall take
precedence over the proposal.
1.1. Exceptions: none
2. Duration. This Agreement shall be effective upon approval and execution by both
City of Ashland and the Consultant. The term of this Agreement shall terminate after the
expiration of one year from the date of execution by both parties, unless administratively
extended in writing as provided for herein. The City of Ashland Public Contracting Officer or
Public Works Director may extend this Agreement by twelve (12) months by indicating in writing
to the Consultant that an extension of the Agreement is sought under the same terms and
conditions of this Agreement. The extension shall be effective upon receipt of a document from
PAGE 1-CONTRACT
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an authorized representative of the Consultant that the Consultant agrees to the extension under
the same terms and conditions. Only one twelve month extension is permitted administratively.
2. Relationship between City and Contractor: Contractor accepts the relationship of trust and
confidence established between Contractor and City by this contract. Contractor covenants with
the City to perform services and duties in conformance to and consistent with the standards
generally recognized as being employed by professionals of Contractor's caliber in the locality of
the project. Contractor further covenants to cooperate with City, City's representatives,
contractors, and other interested parties in furthering the interests of City with respect to the
project.
3. Definitions: Generally words, terms and phrases used in this contract shall have the meaning
ascribed to them in the construction industry, unless the context clearly indicates otherwise. As
used in this contract:
3.1. "City" means the City of Ashland, Oregon.
3.2. "Contracting officer" means the person specified in Recital A above or that person's
designee.
3.3. "Project" means the project described in Recital A.
3.4. "Work" or "Services" shall mean all labor, materials, plans, specifications, opinions,
reports, and other services and products which Contractor is required to provide under this
contract.
4. Term: The term of this contract shall commence on the date specified in Recital A above and
end on completion of all services required by this contract unless sooner terminated as provided
in this contract. The term may be ext~nded by mutual agreement of the parties for no more than
three years.
5. Authority of Contractina Officer: The contracting officer shall have the authority to act on
behalf of City in the administration and interpretation of this contract. The contracting officer shall
have complete authority to authorize services, transmit instructions, receive information, interpret
and define City's policies and make other decisions with respect to Contractor's services.
6. Services: Contractor shall provide services to City that are described in the RFP and the
proposal.
6.1. In connection with the services described in the RFP, Contractor shall:
6.1.1. Consult appropriate representatives of City to clarify and define
City's requirements relative to the services.
6.1.2. Review available data relative to the services.
6.1.3. Identify data which is not available and is needed to fulfill the
services, and act as City's representative in obtaining such data.
6.1.4. Prepare monthly progress reports to the contracting Officer on the
status of services.
6.2. Contractor shall commence performance of services within five days after receiving
written authorization from the contracting officer for work described in the RFP. Contractor shall
perform the services as expeditiously as is consistent with professional skill and care and the
orderly progress of the project. Upon request of City, Contractor shall submit for City's approval,
a schedule for the performance of work elements described in the RFP. Each schedule shall
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include allowance for periods of time required for City's review and approval of Contractor's
services. Each schedule, approved by City, shall become a part of this contract.
6.3. Contractor shall perform the services as an independent contractor in accordance
with generally accepted standards in Contractor's profession. Contractor shall be responsible for
the professional quality, technical accuracy and the coordination of all services performed by
Contractor. Contractor shall, without additional compensation, correct or revise any error or
deficiencies in the services that are caused by Contractor's negligence. City's review, approval,
acceptance of, or payment for, any of the services shall not be construed to waive any of City's
rights under this contract or of any cause of action arising out of Contractor's services. In the
event of any breach of this contract by Contractor or negligent performance of any of the
services, City's cause of action against Contractor shall not be deemed to accrue until City
discovers such breach or negligence, or should have, with reasonable diligence, discovered
such breach or negligence. The preceding sentence shall not be construed, however, to allow
City to prosecute an action against Contractor beyond the maximum time limitation provided by
Oregon law.
7. Assionment of Contractor's Personnel:
7.1. The services covered by this contract shall be rendered by, or under the supervision
of the person specified in Recital A above, who shall act as Contractor's representative in all
communications and transactions with City.
7.2. Contractor will endeavor to honor reasonable specific requests of City with regard to
assignment of Contractor's employees to perform services if the requests are consistent with
sound business and professional practices.
8. Responsibilities of City:
8.1. City will cooperate fully with Contractor to achieve the objectives of this contract.
8.2. City will provide information, documents, materials and services that are within the
possession or control of City and are required by Contractor for performance of the services.
8.3. City will arrange for access to, and make all provisions for Contractor to enter upon,
public and private property as required for Contractor to perform the services.
8.4. City will provide all permits necessary for completion of the project.
8.5. The contracting officer will act as liaison between City, Contractor, public agencies,
and others involved in the project.
9. Payment:
9.1. City shall pay Contractor for services and reimburse Contractor for expenses
incurred by Contractor in performance of services in accordance with a payment schedule to be
submitted by Contractor and accepted by City. No reimbursement will be made for expenses that
are not specifically itemized in this payment schedule without prior approval by the contracting
officer.
9.2. Contractor shall submit monthly invoices to City for Contractor's services within ten
days after the end of the month covered by the invoice.
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9.3. Total payments under this contract or any amendments shall not exceed the sum
specified in Recital A above.
10. Compliance with Law:
10.1. This contract will be governed by and construed in accordance with laws of the
State of Oregon. Contractor shall promptly observe and comply with all present and future laws,
orders, regulations, rules and ordinances of federal, state, City and city governments with
respect to the services including, but not limited to, provisions of ORS 279B.220, 279B.225,
279B.230, 279B.235, ORS Chapter 244 and ORS 670.600 are made part of this contract.
10.2. Pursuant to ORS 279C.520(2) any person employed by Contractor who performs
work under this contract shall be paid at least time and a half pay for all overtime in excess of 40
hours in anyone week, except for persons who are excluded or exempt from overtime pay under
ORS 653.010 to 653.261 or under 29 U.S.C. Sections 201 to 209.
10.3. Contractor is a "subject employer" as defined in ORS 656.005 and shall comply
with ORS 656.017. Prior to commencing any work, Contractor shall certify to City that Contractor
has workers' compensation coverage required by ORS Chapter 656. If Contractor is a carrier
insured employer, Contractor shall provide City with a certificate of insurance. If Contractor is a
self-insured employer, Contractor shall provide City with a certification from the Oregon
Department of Insurance and Finance as evidence of Contractor's slitlUl>. 1'/1 3'-12- R 4
10.4. If the amount of this contract is $1 €l,936 ur more, Contractor Is required to 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 service work under this contract. Contractor is also required to post
the attached notice predominantly in areas where it will be seen by all employees.
11. Ownership of Documents: All documents prepared by Contractor pursuant to this contract
shall be the property of City. To the extent permitted by law, City shall, within the limits of the
Oregon Tort Claims Act, defend, indemnify and hold harmless Contractor, its Contractors,
agents and employees against all damages, claims, expenses and losses arising out of any
reuse of plans, specifications and other documents prepared by Contractor without prior written
authorization of Contractor.
12. Records:
12.1. Contractor shall develop and maintain complete books of account and other
records on the services which are adequate for evaluating Contractor's performance. Contractor
shall maintain records in such a manner as to provide a clear distinction between the
expenditures and revenues related to the project and the expenditures and revenues related to
Contractor's other business.
12.2. Contractor's books and records shall be made available for inspection by City at
reasonable times, to verify Contractor's compliance with this contract. City shall have the right to
request an audit of Contractor's books and records by a certified public accountant retained by
City.
13. Indemnification: Contractor shall defend, indemnify and save City, its officers, agents, and
employees harmless from any and all claims, actions, costs, judgments, damages or other
expenses resulting from injury to any person (including injury resulting in death,) or damage to
property (including loss or destruction), of whatsoever nature arising out of or incident to the
negligent performance of this contract by Contractor (including but not limited to, the negligent
PAGE 4-CONTRACT
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acts or omissions of 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 claims, actions, costs, judgments, damages or other expenses, directly and proximately
caused by the negligence of City.
14. Insurance:
14.1. Contractor shall, at its own expense, at all times during the term of this contract,
maintain in force:
14.1.1. A comprehensive general liability policy including coverage for contractual
liability for obligations assumed under this contract, blanket contractual liability, products and
completed operations and owner's and contractor's protective insurance;
14.1.2. A professional errors and omissions liability policy; and
14.1.3. A comprehensive automobile liability policy including owned and
non-owned automobiles.
14.2. The coverage under each liability insurance policy shall be equal to or greater than
the limits for claims made under the Oregon Tort Claims Act with minimum coverage of
$500,000 per occurrence (combined single limit for bodily injury and property damage claims) or
$500,000 per occurrence for bodily injury and $100,000 per occurrence for property damage.
14.3. Liability coverage shall be provided on an "occurrence" basis. "Claims made"
coverage will not be acceptable, except for the coverage required by subsection 13.1.2.
14.4. Contractor shall submit certificates of insurance acceptable to the City with the
signed contract prior to the commencement of any work under this agreement. Each certificate
shall state that coverage afforded under the policy cannot be cancelled or reduced in coverage
cannot be made until at least 30 days prior written notice has been given to City. A certificate
which states merely that the issuing company "will endeavor to mail" written notice is
unacceptable.
15. Default:
15.1. There shall be a default under this contract if either party fails to perform any act or
obligation required by this contract within ten days after the other party gives written notice
specifying the nature of the breach with reasonable particularity. If the breach specified in the
notice is of such a nature that it cannot be completely cured within the ten day period, no default
shall occur if the party receiving the notice begins performance of the act or obligation within the
ten day period and thereafter proceeds with reasonable diligence and in good faith to effect the
remedy as soon as practicable.
15.2. Notwithstanding subsection 15.1, either party may declare a default by written
notice to the other party, without allowing an opportunity to cure, if the other party repeatedly
breaches the terms of this contract.
15.3. If a default occurs, the party injured by the default may elect to terminate this
contract and pursue any equitable or legal rights and remedies available under Oregon law. All
remedies shall be cumulative.
15.4. Any litigation arising out of this contract shall be conducted in Circuit Court of the
State of Oregon for Jackson County.
16. Termination without Cause:
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16.1. In addition to the right to terminate this contract under subsection 15.3, City may
terminate by giving Contractor written notice within thirty days after execution of the contract or
within sixty days prior to the termination date.
16.2. In addition to the right to terminate this contract under subsection 15.3, Contractor
may complete such analyses and records as may be necessary to place its files in order and,
where considered necessary to protect its professional reputation, to complete a report on the
services performed to date of termination.
16.3. If City terminates the contract under subsection 16.2, Contractor shall be paid for all
fees earned and costs incurred prior to the termination date. Contractor shall not be entitled to
compensated for lost profits.
17. Notices: Any notice required to be given under this contract or any notice required to be
given by law shall be in writing and may be given by personal delivery or by registered or
certified mail, or by any other manner prescribed by law.
17.1. Notices to City shall be addressed to the contracting officer at the address provided
for the City in Recital A above.
17.2. Notices to Contractor shall be addressed to the Contractor's representative at the
address provided for the Contractor in Recital A above.
18. Assiqnment: City and Contractor and the respective successors, administrators, assigns and
legal representatives of each are bound by this contract to the other party and to the partners,
successors, administrators, assigns and legal representatives of the other party. Contractor shall
not assign or subcontract Contractor's rights or obligations under this contract without prior
written consent of City. Except as stated in this section, nothing in this contract shall be
construed to give any rights or benefits to anyone other than City and Contractor.
19. Modification: No modification of this contract shall be valid unless in writing and signed by
the parties.
CONSULTANT ~
BY 31~j\' ~
Fed. 10 # C, g -oY'i SJ. "3
CITY
BY ~ ~//~1~fr7
BY
IWED AS TO CONTENT
City Department Head
Date: z,~".
BY
Date:
PAGE 6-CONTRACT
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G. Cost of Services
ELECTRIC DEPARTMENT
Twelve (12) Programs presented on one day per month.
July I, 2006
Basic Rate for J6 - 20 emoJovees and twelve (\2) Programs:
Yearly Total at $1,518.40 / Program for twelve (\2) Programs:
Monthly Billing:
$ 1.518.40 / Program
$ 18.220.80/ Year
$ 1.518.40 / Month
The above rates are subject to a 4% annual increase set forth as follows:
July I, 2007
Basic Rate for J6 - 20 emoJovees and twelve (12) Programs:
Yearly Total at $1.579.14/ Program for twelve (\2) Programs:
Monthly Billing:
$ 1.579.14/ Program
$ 18.949.68/ Year
$ 1.579.14/Month
July 1,2008
Basic Rate for J 6 - 20 emoJovees and twelve (\2) Programs:
Yearly Total at $1.642.31/ Program for twelve (\2) Programs:
Monthly Billing:
$ 1.642.31/ Program
$ 19.707.72/ Year
$ 1.642.31/ Month
Cost of additional Employee Training Materials will be discussed and agreed to between Customer and Evergreen prior to
Evergreen supplying said materials.
PUBLIC WORKS DEPARTMENT
Twelve (\2) Programs presented on one day per month.
July 1,2006
Basic Rate for uo to 60 emoJavees and twelve (\2) Programs:
Yearly Total at $1,554.80 / Program for twelve (\2) Programs:
Monthly Billing:
$ 1.554.80 Program
$ 18.657.60/ Year
$ 1.554.80 / Month
The above rates are subject to a 4% annual increase set forth as follows:
July I, 2007
Basic Rate for J6 - 20 emoJovees and twelve (12) Programs:
Yearly Total at $1.616.99/ Program for twelve (12) Programs:
Monthly Billing:
$ 1.616.99/ Program
$ 19.403.88/ Year
$ 1.616.99/ Month
July I, 2008
Basic Rate for J6 - 20 emoJovees and twelve (\2) Programs:
Yearly Total at $1.681.67 / Program for twelve (\2) Programs:
Monthly Billing:
$ 1.681.67/ Program
$ 20.180.04 / Year
$ 1.681.67 / Month
Cost of additional Employee Training Materials will be discussed and agreed to between Customer and Evergreen prior to
Evergreen supplying said materials.
Fo,m W-9
Request for Taxpayer
Identification Number and Certification
Give form to the
requester. Do not
send to the IRS.
(Rev. January 2003)
Department or the Tre85Ur)'
Imemal RevenueSefVice
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Check appropriate box; Sole proprietor
Address (number, street. and apt. or suite no.
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q~ { 0
Tax a er Identification Number (TIN)
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O 0 0 Exempt from backup
Partnership Other.... ._unu.._..n__ withholding
Requester's name and address (optional)
Enter your TIN in the appropriate box. For individuals, this is your social security number (SSN).
However, for a resident alien. sole proprietor, or disregarded entity. see the Part I instructkHls on
page 3. For other entities, it is your employer identification number (EIN). If you do not have a number,
see How to get a TIN on page 3.
Note: If the account is in more than one name, see the chart on page 4 for guidelines on whose number
to enter.
I Social security number
I I + I + I
or
Certification
Under penalties of perjury, I certify that:
1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me), and
2. I am not subject to backup withholding because: (a) I am exempt from backup withholding. or (b) I have not been notified by the Internal
Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has
notified me that I am no longer subject to backup withholding, and
3. I am a U.S. person (including a U.S. resident alien).
Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup
withholding because you have failed to repon all interest and dividends on your tax return. For real estate transactions, item 2 does not apply.
For mortgage interest paid. acquisition or abandonment of secured property. cancellation of debt. contributions to an individual retirement
arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the Certification. but you must
provide your correct TIN. (See the instructions on page 4.)
Sign
Here
Signature of
U.S. person ...
Purpose of Form
A person who is required to file an information return with
the IRS. must obtain your correct taxpayer identification
number (TIN) to report. for example. income paid to you. real
estate transactions. mortgage interest you paid. acquisition
or abandonment of secured property. cancellation of debt. or
contributions you made to an IRA.
U.S. person. Use Form W-9 only if you are a U.S. person
(including a resident alien). to provide your correct TIN to the
person requesting it (the requester) and. when applicable. to:
1. Certify that the TIN you are giving is correct (or you are
waiting for a number to be issued),
2. Certify that you are not subject to backup withholding.
or
3. Claim exemption from backup withholding if you are a
U.S. exempt payee.
Note: If a requester gives you a form other than Form W-9
to request your TIN, you must use the requester's form if it is
substantially similar to this Form W-9.
Foreign person. If you are a foreign person, use the
appropriate Form W-B (see Pub. 515, Withholding of Tax on
Nonresident Aliens and Foreign Entities).
Date ...
3/:;J. >1/0
Nonresident alien who becomes a resident alien.
Generally, only a nonresident alien individual may use the
terms of a tax treaty to reduce or eliminate U.S. tax on
certain types of income. However, most tax treaties contain a
provision known as a "saving clause." Exceptions specified
in the saving clause may permit an exemption from tax to
continue for certain types of income even after the recipient
has otherwise become a U.S. resident alien for tax purposes.
If you are a U.S. resident alien who is relying on an
exception contained in the saving clause of a tax treaty to
claim an exemption from U.S. tax on certain types of income.
you must attach a statement that specifies the following five
items:
1. The treaty country. Generally. this must be the same
treaty under which you claimed exemption from tax as a
nonresident alien.
2. The treaty article addressing the income.
3. The article number (or location) in the tax treaty that
contains the saving clause and its exceptions.
4. The type and amount of income that qualifies for the
exemption from tax.
5. Sufficient facts to justify the exemption from tax under
the terms of the treaty article.
Cat. No. 10231X
Form W~9 (Rev. 1-2003)
ACORD. CERTIFICATE OF LIABILITY INSURANCE OP ID :P~ DATE (MM/DDIYYYY)
EVERG- 02/27/07
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Hays Affinity So1utions HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
1250 24th St NW Suite 725 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Washington DC 20037
Phone: 202-263-4000 Fax: 202-263-4001 INSURERS AFFORDING COVERAGE NAICI
,,,,",RED INSURERA-.. Llovds of London
INSURERB:
Ever7reen Job & Safety Trng. INSURER c:
Doug as Lindstrom
309 Knoch Aven3~ INSURER 0:
Susanville CA 130
INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN JSSUED TO THE INSURED NAMED ABOVE FOR THE POlICY PERtoO INotCATED. NOTWIlHSTANDING
ArN REQUIREMENT, TERM OR CONDITION OF AMY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THtS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICES DESCRIBED HEREIN IS SUBJECT TO All THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE UUITS SHO'NN MAY HAVE BEEN REDUCED BY PAtDClAIMS. ~~
~ lYPE OF INSURANCE POUCY_ DATE'.~ UMlTS
~ERAL UABlUTY EACH OCCURRENCE .2,000,000
A X COMMERClAl GENERAl.. LIABilITY 0702MFAOOO080 02/05/07 02/05/08 PREMISES Ea occurence\ . 50 , 000
! ClAIMS MADE ~ OCCUR MED EXP (Any one person) .2.000
- PERSONAl & AIJ\/ INJURY .2,000,000
- GENERAL AGGREGATE .4,000,000
~~AGG~En~APnS PER: PRODUCTS - COMPIOP AGG .2,000,000
POUCY JECT lOC
AUTOMOBILE UABlUTY COMBINED SINGlE LIMIT
~ .
ANY AUTO tea accident)
-
- All OWNED AUTOS BOOR. Y INJURY
(pe.-person) .
- SCHEDULED AUTOS
- HIRED AUTOS BODILY INJURY
(Per accident) .
I-- NON-QWNED AUTOS
I-- PROPERTY DAMAGE .
(Pe>'-l
RARAG'~rrY AUTO ONLY - EA ACCIDENT .
ANY AUTO OTHER THAN EAACC .
AUTO ONLY: AGG .
3~UMBRELLA UABlUTY EACH OCCURRENCE .
OCCUR 0 ClAIMS MADE AGGREGATE .
.
=1 ~DUC11BlE .
RElENTION . .
WORKERS COMPENSATION AND ITORY~LIMHs livER
EMPLOYERS' UABlUTY E.L. EACH ACCIOENT .
At('( PROPRIETORIPARrNERJEXECUTJVE
OFFICERJMEMBER EXCLUDED? E.L DISEASE - EA EMPLOYEE $
~~~~beIow E.L DISEASE. POLICY LIMIT .
OTHER
A E&O Liabi1i.ty 0702MFAOOO080 02/05/07 02/05/08 Per Claim $2,000,000
Aggreaate $4 000 000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHIClES I EXCLlJSK)NS ADDED BY ENDORSEMENT I SPECSAL PR<NISIONS
Ci ty of Ashland
Electric Department
Attn: Scott Johnson
90 North Mountain Ave
Ashland OR 97520
CANCELLATION
COAEDOO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, TIE tssUNG INSURER WIlL ENDEAVOR TO MAIL ~ DAYS WRITTEN
NOTICE TO THE CERTIRCATE HOlDER NAMED TO THE LEFT, Bur FAILURE TO 00 so SHALL
IMPOSE NO OBUGATION OR UABtLm' OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
R
@ACORDCORPORATION1988
CERTlFICA TE HOLDER
ACORD 25 (2001108)
ACORD. CERTIFICATE OF LIABILITY INSURANCE OP 10 :P~ DATE IMMlDDIYYYY)
8VERG- 02127/07
PftOOUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Hays Affinity Solutions HOLDER. THIS CERTIFICATE DOeS NOT AlIENO, EXTEND OR
1250 24th St NW Suite 725 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Washington DC 20037
Phone: 202-263-4000 Fax: 202-263-4001 INSURERS AFFORDING COVERAGE MAIC.
INSURED INSURER A: Llovda of London
INSURER B:
I!lve~een Job & Safety Trng. INSURER C:
08~g as Lindstrom
3 Knoch Avenue INSURER D:
Susanville CA 96130
INSURER E:
COVERAGES
THE POUClES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE NiUREO NAMED ABOVE FOR THE POUCY PEmOO INDICATED. NOTWITHSTANDING
M<< REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT wmt RESPECT TO WHICH TH&S CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCEAFFORDED BY THE POlIC1ES DESCRIBED HEREIN IS SUBJECT TO AlL THE TERMS. EXCLUSIONS AND CONDITIONS Of SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BV PAID ClAIMS.
~ TYPE OF INSURANCE POLICY NUMBER DATEi".,o~ .'m~ UM!TS
~ERAL LIABILITY EACH OCCURRENCE $ 2 .000 ,000
A X COMMERCIAL GENERAl. UABIlITY 0702MFAOOO080 02/05/07 02/05/0B ~ ~~\ $ 50,000
I CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $ 2,000
f- PERSONAl & ACN INJURY $ 2 ,000,000
f- GENERAL AGGREGATE $4,000,000
hL~ntWMrnSPER PRODUCTS. COMPIOP AGG $ 2 ,000 ,ODD
PQUCY ~~ LOC
~lI1"OMOBILE LIABILITY COM8lNEO SINGLE UMIT $
ANY AUTO (Ea acddeot)
-
- All OWNED AUTOS BODILY INJURY
(Pe<".....,l $
- SCHEDUlED AUTOS
- HIflEI) AUTOS BODILY INJURY
$
NON-OWNED AUTOS (per accident)
-
PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY. EA ACC1DENT $
R _AUTO OTHER THAN EAACe $
AlITO ONLY: AGG $
EXCESSIUMIlREl. UABIJTY EACH OCCURRENCE $
t-:rOCCUR 0 CLAIMS MADE AGGREGAlE. $
$
=i ~OOCllBLE $
REm<mN $ $
WORKERS COMPENSATION AND ITO,\"'?LIMITs I lom-
EMPLOYERS" LIABILITY E.L EACH ACCIDENT
AN{ PROPRIETORIPARTNERIEXECUT1VE $
OFF1CER/t.EMBER EXClUDED? E.L. DISEASE - EA EMPLOYE $
~._unde< E.L. DISEASE - POLICY llMlT $
CIAl PROVISIONS below
OTHER
A 8&0 Liability 0702MFAOOO080 02/05/07 02/05/0B Per Claim $2,000,000
Aaareaate $4,000 000
DESCRIPT10N OF OPERATIONS I LOCATIONS I VEHICLES I'E)(CLU5K)NS ADDED BY ENDORSEMENT' SPECIAL PROVISIONS
City of Ashland Public Works
Mike Morrison
90 North Mountain Ave
Ashland OR 97520
CANCELLATION
COAPWOO SHOULD ANY OF THE ABOVE DESCRl!ED POUCIES BE CANCELLED BEFORE THE EXPIRATION
DATETHEREOF. THE tSSUIMG INSURERWtLL ENDEAVOR TO MAIL ~ DAYSWRlTTEN
NoncE TO THE CERnACATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SOSHALL
IMPOSE NO OBUGATlON OR UABIl.ITY OF ANY KIND UPON THe INSURER, rrs AGENTS OR
REPRESENTATlYES.
@ACORDCORPORATION1988
CERTIFICATE HOLDER
ACORD 25 (2001108)
~~,
CITY RECORDER
CITY OF
A~~ ~;;S~ D 1<>
ASHLAND, OR 97520
(541) 488-5300
Page 1/1
<<,'<DATE <'
1 0/8/2007
RO NUMBER
07862
VENDOR: 002071
EVERGREEN JOB & SAFETY
309 KNOCH AVE
SUSANVILLE, CA 96130
SHIP TO: Ashland Public Works
(541) 488-5587
51 WINBURN WAY
ASHLAND, OR 97520
FOB Point:
Terms: Net 30 days
Req. Del. Date:
Special Inst:
Req, No,:
Depl.: PUBLIC WORKS
Contact: Paula Brown/Dick Wanderscheid
Confirming? No
QQaniiiJ ~Uriit c- o DeScri"tioh < U'iij'fPrice Ext Price
OSHA Required Safety TraininQ FY 2008 18,220,80
Public Works
Electric $13,993,20 (75%) 18,657,60
AFN $4,664.40 (25%)
RFP
Date of aqreement: February 18, 2007
3-Year Contract (FY 2007-08,2008-09,
2009-10)
SUBTOTAL 36 878,40
BILL TO: Account Payable TAX 0,00
20 EAST MAIN ST FREIGHT 0,00
541-552-2028 TOTAL 36,878,40
ASHLAND, OR 97520
A~(:'pliht:NU'Jt1'~r:". i:' '~h)jeciNi.ln1ber
E 410,08,24,00,61040
E 690,11 ,18.00.60640
E 691 ,02,47,00,60640
Amoij'nt,;~' < ACCDuht Number,'
18 220,80
13 993.20
4664,40
Project'Number <
, < AmoOnt
I
d(7( _k HA~:~~;~at:'~ /r
VENDOR COPY
REQUISITION
~.~~ ~ ~ \1 \';11\
\ '\ \ OC15 LGG .~
\:!
CITY OF
SHLAND
No. PW - FY 2007
Department Public Works/ Electric
Vendor EVERGREEN JOB & SAFETY TRAINING
309 KNOCH AVENUE
SUSANVILLE CA 96130
Account No. 410.08.24.00.610400
690.11.18.00.606400
691.02.47.00.606400
Date February 8. 2007
Requested Delivery Date ASAP
Deliver To DAWN LAMB
Via PAULA BROWN
50% (* Note: Please allow approximately lwo(2) weeks fo< delivery on items noI
37.5% generally c.atied in stored, and approximately two (2) months (In printingjobs_)
12.5%
Item No. Quantity Unit Description UseofPurchasinlo!.OmceOnl
UnilPrice Total Price PO No.
OSHA required safety training for the Electic, AFN &
Public Works departments.
RFP term is for annual renewals from 2007 to 20 I 0
cost sheet attached for reference S (36 878.40 )-
FY07 - PW SI8,220.80; Ele/AFN SI8,657.6O ~ YL n ,
FY08- PW SI8,949.68; Ele/AFN $19,403.88 $ 38,353.56
FY09- PW $19,707.72; E1e/AFN $20,t80.04 $ 39,887.76
TOTAL $ 115,119.72 S 36,878.40
forK.ari:
BID IRFP I EXEMPT: RFP
Contract Start Date: February 20, 2007
Contract Completion Date: Feb-08
Insurance on file: I YES I NO
Project No: 2006-22
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Job No.
Unit No.
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oflhis department and arc budgeted
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Issued By
Date
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G:\pub-wrks\eng\depl-admin\ENGINEER\PROJECT\2006\06-22 Evergreen Req 207.xls