HomeMy WebLinkAbout2007-286 Contract - Copeland Construction
CITY OF ASHLAND
CONTRACT FOR PUBLIC WORKS CONSTRUCTION
Contract made this TJ.-I-JJe.TI(~NTI-I day of NVvEM~ zoo1 , between the
City of Ashland, ("City") and Copeland Construction LLC "(Contractor").
City and Contractor agree:
1. Contract Documents: This contract is made as a result of an Advertisement for Bid issued
by City for the 2007 Miscellaneous Concrete Project. Contractor was awarded the bid as the lowest
responsible bidder. In the event of any inconsistencies in the terms of this contract, the contract
documents defined in the Advertisement for Bid and Contractor's bid, this contract shall take
precedence over the contract documents, which shall take precedence over the bid. This contract and
attached exhibits constitute the entire agreement between the parties. No waiver, consent, or
modification or change of terms of this contract shall bind either party unless in writing and signed by
both parties. Such waiver, consent, modification or change, ifmade, shall be effective only in the
specific instance and for the specific purpose given. There are no understandings, agreements, or
representations, oral or written, not specified herein regarding this contract. Contractor, by signature
of its authorized representative, hereby acknowledges that he/she has read this contract, understands it,
and agrees to be bound by its terms and conditions.
2. Scope: Contractor shall begin and complete the project described in the contract documents
within the time prescribed in the contract documents. The following exceptions, alterations, or
modifications to the contract documents are incorporated into this contract:
3. Price & Payment: City shall pay Contractor amounts earned under the contract. All
payments will be made at the times and in the manner provided in the contract documents.
4. Performance and Payment Bonds: Contractor shall, within five days after execution ofthe
contract and prior to doing any work under the contract, furnish bonds to the City of Ashland in a form
and with a surety satisfactory to City in the penal sum of $50.288.50 conditioned upon the faithful
payment and performance of this contract upon the part of the Contractor as required by ORS
279C.380.
5. 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.
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6. Insurance: Contractor shall, at its own expense, at all times during the term of this
agreement, maintain in force:
6.1 General Liability. 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 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. Liability coverage shall be provided on an "occurrence" not "claims" basis.
6.2 Worker's Compensation. Worker's compensation insurance in compliance with ORS
656.017, which requires subject employers to provide Oregon workers' compensation coverage for all
their subject workers.
6.3 Automobile Liability. Automobile liability insurance with a combined single limit, or
the equivalent, of not less than $1,000,000, for each accident for Bodily Injury and Property Damage,
including coverage for owned, hired or non-owned vehicles, as applicable.
The City of Ashland, its officers, employees and agents shall be named as additional insureds on each
required insurance policy. 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 coverage afforded under the policies can not be canceled and restrictive
modifications cannot be made until at least 30 days prior written notice has been given to City.
Insuring companies or entities are subject to the City's acceptance. Ifrequested, complete copies of
insurance policies, trust agreements, etc. shall be provided to the City. The Contractor shall be
financially responsible for all pertinent deductibles, self-insured retentions and/or self-insurance.
7. Compliance with Law:
7.1. 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 279C.505, 279C.515, 279C.520 and
279C.530.
7.2. 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.
7.3. 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 status.
7.4. Any claim, action, suit or proceeding (collectively, "the claim") between the City (and/or
any other or department of the State of Oregon) and the Contractor that arises from or relates to this
contract shall be brought and conducted solely and exclusively within the Circuit Court of Jackson
County for the State of Oregon. If, however, the claim must be brought in a federal forum, then it shall
be brought and conducted solely and exclusively within the United States District Court for the District
of Oregon filed in Jackson County, Oregon. Contractor, by signature herein of its authorized
representative, hereby consents to the in personam jurisdiction of said courts. In no event shall this
section be construed as a waiver by City of any form of defense or immunity, based on the Eleventh
Amendment to the United States Constitution, or otherwise, from any claim or from the jurisdiction.
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8. Default: A default shall occur under any of the following circumstances:
8. lIf the Contractor fails to begin the work under contract within the time specified, or fails
to perform the work with sufficient workers or equipment or with sufficient materials to insure the
prompt completion of the project, or shall neglect or refuse to remove materials or perform anew such
work as shall be rejected as defective or unsuitable, or shall discontinue the prosecution ofthe work.
8.2 If the Contractor shall become insolvent or declared bankrupt, or commit any act of
bankruptcy or insolvency, or allow any final judgment to stand against the Contractor unsatisfied for a
period of forty-eight (48) hours, or shall make an assignment for the benefit of creditors.
8.3 From any other cause whatsoever, shall not carry on the work in an acceptable
manner.
8.4 Contractor commits any material breach or default of any covenant, warranty,
certification, or obligation it owes under the Contract;
8.5 Contractor loses its QRF status pursuant to the QRF Rules or loses any license,
certificate or certification that it required to perform the Services or to qualify as a QRF;
8.6 Contractor attempts to assign rights in, or delegate duties under the Contract.
9. Remedies: In addition to the rights and remedies to which the City may be entitled by law
for the enforcement of its rights under this contract, City shall have full power and authority, without
violating this contract, to take prosecution of the work from the Contractor, and appropriate or use any
or all of the materials and equipment on the ground that may be suitable and acceptable and may cause
a contract for the completion of this contract according to its terms and provisions, or use such
methods as required for the completion of the contract, in any acceptable manner. All costs and
charges incurred by the City together with the costs of completing the work under the contract, shall be
deducted from any money due or which shall become due the Contractor. In case the expense so
incurred by the City shall be less than the sum which would have been payable under the contract if it
had been completed by the Contractor, then the Contractor shall be entitled to received the difference
less any damages for delay to which the City may be entitled. In case such expense shall exceed the
sum which would have been payable under the contract, the Contractor and the surety shall be liable
and agree to and shall pay the City the amount of the excess with damages for delay of performance, if
any.
10. Termination:
10.1 Mutual consent. This contract may be terminated at any time by mutual consent of
both parties.
10.2 City's Convenience. This contract may be terminated at any time by City upon 30
days' notice in writing and delivered by certified mail or in person.
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10.3 For Cause. City may terminate or modify this contract, in whole or in part, effective
upon delivery of written notice to Contractor, or at such later date as may be established by City under
any ofthe following conditions:
a. If City funding from federal, state, county, or other sources is not obtained and
continued at levels sufficient to allow for the purchase of the indicated quantity of services;
b. If federal or state regulations or guidelines are modified, changed or interpreted
in such a way that the services are no longer allowable or appropriate for purchase under
this contract or are no longer eligible for the funding proposed for payments authorized by
this contract; or
c. If any license or certificate required by law or regulation to be held by Contractor
to provide the services required by this contract for any reason denied, revoked, suspended,
or not renewed.
10.4 For Default or Breach.
a. Either City or Contractor may terminate this contract in the event of a breach of
the contract by the other. Prior to such termination the party seeking termination shall give
to the other party written notice of the breach and intent to terminate. If the party
committing the breach has not entirely cured the breach within 15 days of the date of the
notice, or within such other period as the party giving notice may authorize or require, then
the contract may be terminated at any time thereafter by a written notice of termination by
the party giving notice.
b. Time is ofthe essence for Contractor's performance of each and every obligation
and duty under this contract. City by written notice to Contractor of default or breach, may
at any time terminate the whole or any part of this contract if Contractor fails to provide
services called for by this contract within the time specified herein or in any extension
thereof.
c. The rights and remedies of City provided in this subsection (10.4) are not
exclusive and are in addition to any other rights and remedies provided by law or under this
contract.
10.5 Obligation/Liability of Parties: Termination or modification of this contract
pursuant to subsections 10.1, 10.2, 10.3 and 10.4 above shall be without prejudice to any obligations or
liabilities or either party already accrued prior to such termination or modification. However, upon
receiving a notice of termination (regardless whether such notice is given pursuant to subsections 10.1,
10.2, 10.3 and 10.4 of this section, Contractor shall immediately ceased all activities under this
contract, unless expressly directed otherwise by City in notice of termination. Further, upon
termination, Contractor shall deliver to City all contract documents, information, works-in-progress
and other property that are or would be deliverables had the contract been completed. City shall pay
Contractor for work performed prior to the termination date if such work was performed in accordance
with the Contract.
11. Funds Available and Authorized: City has sufficient funds currently available and
authorized for expenditure to finance the costs ofthis contract within the City's fiscal year budget.
Contractor understands and agrees that City's payment of amounts under this contract attributable to
work performed after the last day of the current fiscal year is contingent on City appropriations, or
other expenditure authority sufficient to allow City in the exercise of its reasonable administrative
discretion, to continue to make payments under this contract. In the event City has insufficient
appropriations, limitations or other expenditure authority, City may terminate this contract without
penalty or liability to City, effective upon the delivery of written notice to Contractor, with no further
liability to Contractor.
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12. Prevailing Wage Rates: The Contractor shall pay a fee equal to one-tenth of one percent (0.1
percent) of price of this Contract. The fee shall be paid on or before the first progress payment or 60
days from the date work first begins on the Contract, whichever comes first. The fee is payable to the
Bureau of Labor & Industries and shall be mailed or otherwise delivered to the Bureau at the following
address:
Bureau of Labor & Industries
Wage & Hour Division Prevailing Wage Unit
800 N.E. Oregon Street #32
Portland OR 97232
The Contractor shall fully comply with the provisions of ORS 279C.800 through 279C.870 pertaining
to prevailing wage rates.
13. Living Wage Rates: If the amount ofthis contract is $17,342 or more, and Contractor is not
paying prevailing wage 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 Living Wage - notice predominantly in areas where it will
be seen by all employees.
14. Before starting Work, the Contractor and subcontractor shall each file with the Construction
Contractors Board, and maintain in full force and effect, a separate public works bond, in the amount
of$30,000 unless otherwise exempt, as required by ORS 279C.836 and OAR 839-025-0015. The
contractor shall verify subcontractors have filed a public works bond before the subcontractor begins
Work.
15. Assignment and Subcontracts: Contractor shall not assign this contract without the written
consent of City. Any attempted assignment 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 may not substitute any
subcontractors from the submitted list of First-Tier Subcontractor Disclosure Form without written
consent of the City, or by following the procedures of ORS 279C.585 and OAR 137-049-0360.
16. Governing Law; Jurisdiction; Venue: This contract shall be governed and construed in
accordance with the laws of the State of Oregon without resort to any jurisdiction's conflict of laws,
rules or doctrines. Any claim, action, suit or proceeding (collectively, "the claim") between the City
(and/or any other or department ofthe State of Oregon) and the Contractor that arises from or relates to
this contract shall be brought and conducted solely and exclusively within the Circuit Court of Jackson
County for the State of Oregon. If, however, the claim must be brought in a federal forum, then it shall
be brought and conducted solely and exclusively within the United States District Court for the District
of Oregon filed in Jackson County, Oregon. Contractor, by the signature herein of its authorized
representative, hereby consents to the in personam jurisdiction of said courts. In no event shall this
section be construed as a waiver by City of any form of defense or immunity, based on the Eleventh
Amendment to the United States Constitution, or otherwise, from any claim or from the jurisdiction.
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17. MERGER CLAUSE: THIS CONTRACT AND ATTACHED EXHIBITS CONSTITUTE
THE ENTIRE AGREEMENT BETWEEN THE PARTIES. NO WAIVER, CONSENT,
MODIFICATION OR CHANGE OF TERMS OF THIS CONTRACT SHALL BIND EITHER
PARTY UNLESS IN WRITING AND SIGNED BY BOTH PARTIES. SUCH WAIVER,
CONSENT, MODIFICATION OR CHANGE, IF MADE, SHALL BE EFFECTIVE ONLY IN THE
SPECIFIC INSTANCE AND FOR THE SPECIFIC PURPOSE GIVEN. THERE ARE NO
UNDERSTANDINGS, AGREEMENTS, OR REPRESENTATIONS, ORAL OR WRITTEN, NOT
SPECIFIED HEREIN REGARDING THIS CONTRACT. CONTRACTOR, BY SIGNATURE OF
ITS AUTHORIZED REPRESENTATIVE, HEREBY ACKNOWLEDGES THAT HE/SHE HAS
READ THIS CONTRACT, UNDERSTANDS IT, AND AGREES TO BE BOUND BY ITS TERMS
AND CONDITIONS.
18. Prior Approval Required: Approval of the City of Ashland Councilor Public Contracting
Officer is required before any work may begin under this contract.
CONTRACTOR
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CERTIFICATIONS OF REPRESENTATION
Contractor, under penalty of perjury, certifies that:
(a) The number shown on this form is its correct taxpayer ID (or is waiting for the number to be issued
to it; and
(b) Contractor is not subject to backup withholding because (i) it is exempt from backup withholding
or (ii) it has not been notified by the Internal Revenue Service (IRS) that it is subject to backup
withholding as a result of a failure to report all interest or dividends, or (iii) the IRS has notified it that
it is no longer subject to backup withholding. Contractor further represents and warrants to City that
(a) it has the power and authority to enter into and perform the work, (b) the Contract, when executed
and delivered, shall be a valid and binding obligation of Contractor enforceable in accordance with its
terms, and
( c) The work under the Contract shall be performed in accordance with the highest professional
standards, and
(d) Contractor is qualified, professionally competent and duly licensed to perform the work. Contractor
also certifies under penalty of perjury that its business is not in violation of any Oregon tax laws, and it
is a corporation authorized to act on behalf of the entity designated above and authorized to do
business in Oregon or is an independent contractor as defined in the contract documents, and has
checked four or more ofthe following criteria:
'/.. (1) I carry out the labor or services at a location separate from my residence or is in a specific
portion of my residence, set aside as the location of the business.
'f.. (2) Commercial advertising or business cards or a trade association membership are purchased
for the business.
x.. (3) Telephone listing is used for the business separate from the personal residence listing.
(4) Labor or services are performed only pursuant to written contracts.
t .. (5) Labor or services are performed for two or more different persons within a period of one
year.
X (6) I assume financial responsibility for defective workmanship or for service not provided as
evidenced by the ownership of performance bonds, warranties, errors and omission insurance or
liability insurance relating to the labor or services to be provided.
~h
tractor ~
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Date
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STATE OF OREGON
STATUTORY PUBLIC WORKS BOND
Surety bond #: 2 0 6 4 6 2 9
CCB # (if applicable):
1~'11gg
We, Copeland Construction, LLC .asprincipal,and
North Amerlcan SpeCla.l ty Insurance company. a corporation qualified and authorized to do
business in the Slate of Oregon, as surety. are held and firmly bound unto the State of Oregon for the use and benefit of the Oregon
Bureau of Labor and Industries (BOLl) in the sum of thirty thousand dollars ($30,000) lawful money of the United States of America
to be paid as provided in ORS chapter 279<:. as amended by Oregon Laws 2005, chapter 360, for which payment well and truly to be
made, we bind ourselves, our heirs, personal representatives. successors and assigns, jointly and severally, finnly by this agreement.
WHEREAS, the above-named principal wishes to be eligible to work on public works project(s) subject to the provisions of ORS
chapter 279C, as amended by Oregon Laws 200S, chapter 360, and is, therefore, required to obtain and file a statutory public works
bond in the penal sum of S3O,OOO with good and sufficient surety as required pursuant to the provisions of section 2, chapter 360,
Oregon Laws 2005. conditioned as herein set forth.
NOW, ~ ~ ~~ l:U.liI;le ~ .~. ~ ... if _~. ...,....-... ......tIJ-
~.{.. .. .. .\.i~~..;~...~~K.J;"pa,;,."""'~bY,BOU agUistithepriDcipal to
workers peifOnningl8tidtuponpubllcWOrkS projCClSfor unpaid wages determined to be due, in accordance with ORS cl1apter 279C,
as amended by Oregon Laws 2005, chapter 360, and OAR Chapter 839, then this obligation shall be void; otherwise to remain in full
force and effect.
This bond is for the exclusive purpose of payment of wage claims ordered by BOLl 10 workers performing labor upon public works
projects in accordance with ORS chapter 279C, as amended by Oregon Laws 2005, chapter 360.
This bond shall be one continuing obligation, and the liability of the surety for the aggregate of any and all claims whicl1 may arise
hereunder shall in no event exceed the amount of the penalty of this bond.
This bond shall become effective on the date it is executed by both the principal and surety and shall continuously remain in effect
until depleted by claims paid under ORS chapter 279C, as amended by Oregon Laws 200S, chapter 360, unless the surety sooner
cancels the bond. This bond may be cancelled by the surety and the surety be relieved of further liability for work perfonned on
contracts entered after cancellation by giving 30 days' written notice to the principal, the Construction Contractors Board, and BOLl.
Cancellation shall not limit the responsibility of the surety for the payment of claims ordered by BOLl relating to work performed
during the work period of a contract entered into before cancellation of this bond.
IN WIlNESS WHEREOF, the principal and surety execute this agreement. The surety fully authorizes its representatives in the Stale
of Oregon to enter into this obligation.
.20 07
SIGNED. SEALED AND DATED this 7th day of November
Surety by: ()
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Signature
Bonnie ~iddle, Attorney-In-Fact
iale (e.g. Allorney-in-Fact)
Principal by:
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Title
321 Pruett Rd.
Address
Eagle Point, OR 97524
City State Zip
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NAS SURETY GROUP
NORTH AMERICAN SPECIALTY INSUR.:\NCE COMPANY
\VASHINGTON INTERN A TIONAL INSURANCE COMPANY
GENERAL POWER OF A TIORNEY
ICNOW ALL MEN BY THESE PRESENTS, TH1\T North American Specialty Insurance Company, a corporation duly organized and existing under
laws of the State of New Hampshire, and having its principal office in the City of Manchester, New Hampshire, and Washington International
Insurance Company, a corporation organized and existing-under the laws of the State of Arizona and having its principal office in the City ofItasca,
Illinois, each does hereby make, constitute and appoint:
ROBERT LAGLER and BONNIE RIDDLE
JOINTLY OR SEVERALLY
Its true and lawful Attorney(s)-in-Fact, to make, execute, seal and deliver, for and on its behalf and as its act and deed, bonds or other writings
obligatory in the nature of a bond on behalf of each of said Companies, as surety, on contracts of suretyship as are or may be required or permitted by
law, regulation, contract or otherwise, provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the
amouflt.0f:
TWENTY-FIVE MILLION ($25,000,000.00) DOLLA.RS
Uf~~~;~~t;lt.~~;~~..tlle.~of
jlllldW~~~lnsurance COmpany at meetings duly tailed and held
"RESOLVED, that any two of the President, any Executive Vice President, any Vice President, any Assistant Vice President, the Secretary or any
Assistant Secretary be, and each or any of them hereby is authorized to execute a Power of Attorney qualifying the attorney named in the given Power
of Attorney to execute on behalf of the Company bonds, undertakings and all contracts of surety, and that each or any of them hereby is authorized to
attest to the execution of any such Power of Attorney and to attach therein the seal of the Company; and it is
FURTHER RESOLVED, that the signature of such officers and the seal of the Company may be affixed to any such Power of Attorney or to any
certificate relating thereto by facsimile, and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be
binding upon the Company when so affixed and in the future with regard to any bond, undertaking or contract of surety to which it is attached:'
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~~i SEAl \~o~ y i~lro~AA~i~s
_ E. . = Stev9 P. Andenoa. President" CbiefExecutive OffICer o(WashinctoD Interutionallosuranc:e Company & - t- \ SEAL : ::
S.~\~ 1913 ",i:;~ Vice Praidont of North American Specialty 'n.uraneeCompany ;~ IE:.
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111"'f1I11Il\\\\\~ BY'# ~ .",........."..
David M. Layman,. VI<< "resideDt of\VaShiocton International JnsuntPce Company "-
Vice President of North American Specialty Insurance CompMY
IN WITNESS WHEREOF, North American Specialty Insurance Company and Washington International Insurance Company have caused their
official seals to be hereunto affixed, and these presents to be signed by their authorized officers this 12th day of March , 20~_
North American Specialty Insurance Company
Washington International Insurance Company
State of Illinois
53'
Co),~n';:. of[}J P~;e
; "'if::"'.,,... .~~~;";;"ri"'('.',,,,,,-;',,,,,,,,,",,";""A'"
On this 12th d~y or' MatCh , 20..QL, before me, a Notary Public personally appeared Steven P. Anderson , President and CEO of
Washington International Insurance Company and Vice President of North American Specialty Insurance Company and David M. Layman,
Vice President of Washington International Insurance Company and Vice President of North American Specialty Insurance Company,
personally known to me, who being by me duly sworn. acknowledged that they signed the above Power of Attorney as officers of and
acknowledged said instrument to be the voluntary act and deed of their respective companies.
"'OFFICIAL SEAL"
SUSAN ANSEL
NoI3ry P~ic. Stale oIlJ~$
MyCommissioo &;pires 1i0J2006
1, James A. Caroenter , the duly elected Assis~nr ecretarv of North American Specialty Insurance Company and Washington
International Insurance Company, do hereby certity that the above and foregoing is a true and correct copy ofa Power of Attorney given by said North
American Specialty Insurance Company and Washington International Insurance Company, which is still in full force and effect.
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Susan Ansel, Notary Public
IN WITNESS WHEREOF, I have set my hand and affixed the seals of the Companies this 7THday of NOVEMBER, 2007 .
~~05~
James A. Carpenter, Vice President" Assistant SecrcllJ)' or Washington Inlemalionallnsurance Company &.
Nonh American Special!)- Insurance Company
PAYMENT BOND
Theundersigned Copeland Construction, LLC
. as principal, further referred to in this
bond as Contractor. and North American Specialty Insurance Company
. as surety, further referred to in this bond as
Surety, arc jointly and severally bound unto City of Ashland. as obligee. further referred to in this bond
asCity,intbesumof Fifty Thousand Two Hundred Eighty-Eight and SO/lOa's
Dollars ($ 5 0 , 2 8 8 . 50
).
Contractor and City have entered into a written contract dated NlNG'I-"\e:,ea. 13J 2.DD"1
. for the following project:
2007 Miscellaneous Concrete Project. This contract is further referred to in this bond as the Contract
and is incorporated into this bond by this reference.
The conditions of this bond are:
1. If Contractor faithfully perfonns the Contract within the time prescribed by the Contract,
and promptly makes payment to all claimants, as defined in ORS 279C.600 through
279C.620, then this obligation is null and void; otherwise it shall remain in full force and
effect.
2. If Contractor is declared by City to be in default under the Contract, the Swety shall
promptly remedy the default, perfonn all of Contractor's obligations under the contract in
accordance with its terms and conditions and pay to City all damages that are due under the
Contract.
3. This bond is subject to claims under ORS 279C.600 through 279C.620.
4. This obligation jointly and severally binds Contractor and Surety and their respective heirs,
executors, administrators, successors.
S. Surety waives notice of modification of the Contract or extension of the Contract time.
6. Nonpayment'ofthe bond premium shall not invalidate this bond.
O:'9ub-wrb'cntdqlt-admin\ENOINEEJl\PROJECNOO6\06-lO CopdIod CcIIIsUuctioa Contrxt Dou II 07.doc:
7. The bond number and the name. address. and telephone number of the agent authorized to
receive notices concerning this bond are as follows:
Bond Number:
2064628
Bond Agent:
Phoenix Surety & Insurance Agency, Inc.
Address:
16703 SE McGillivray Blvd. Suite 185
Vancouver, WA 98683
Telephone:
360-892-5840
SIGNED this
7th
day of November 2007.
WITNESS:
(Corporate Seal)
CONTRACTOR:
By:
Title:
Legal Address:
Copeland Construction,
Z:d?;&- -
i,VtJe.tL ~
LLC
321 Pruett Rd.
Eagle Point, OR 97524
Attest:
WITNESS:
su Specialty Insurance Company
(Corporate Seal)
Bonnie Riddle, Attorney-In-Fact
Legal Address: 960 Broadway Ave. Suite 420
Boise, ID 83706
Attest: See attached P.O. A.
Corporate Secretary
O:\PUb-wrtcs\e0a'4C1l1-admin\ENOINEER\PROJEC1\2006\06-lO CopcIaod CcasInIetioo COlIma Docs 11 01.B
NAS SURETY GROUP
NORTH AMERICAN SPECIALTY INSURANCE COMPANY
WASHINGTON INTERNATIONAL INSURANCE COMPANY
GENERAL POWER OF AITORNEY
KNOW ALL MEN BY THESE PRESENTS, THAT North American Specialty Insurance Company, a corporation duly organized and existing under
laws of the State of New Hampshire, and having its principal office in the City of Manchester, New Hampshire, and Washington International
Insurance Company, a corporation organized and existing-under the laws of the State of Arizona and having its principal office in the City ofItasca,
Illinois, each does hereby make, constitute and appoint:
ROBERT LAGLER and BONNIE RIDDLE
JOINTLY OR SEVERALLY
Its true and lawful Attorney(s)-in-Fact, to make, execute, seal and deliver, for and on its behalf and as its act and deed, bonds or other writings
obligatory in the nature of a bond on behalf of each of said Companies, as surety, on contracts of suretyship as are or may be required or permitted by
law, regulation, contract or otherwise, provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the
amount of:
TWENTY-FIVE MILLION ($25,000,000.00) DOLLARS
This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of
Directors of both North American Specialty Insurance Company and Washington International Insurance Company at meetings duly called and held
on the 240h of March, 2000:
"RESOLVED, that any two of the President, any Executive Vice President, any Vice President, any Assistant Vice President, the Secretary or any
Assistant Secretary be, and each or any of them hereby is authorized to execute a Power of Attorney qualifYing the attorney named in the given Power
of Attorney to execute on behalf of the Company bonds, undertakings and all contracts of surety, and that each or any of them hereby is authorized to
attest to the execution of any such Power of Attorney and to attach therein the seal of the Company; and it is
FURTHER RESOLVED, that the signature of such officers and the seal of the Company may be affixed to any such Power of Attorney or to any
certificate relating thereto by facsimile, and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be
binding upon the Company when so affixed and in the future with regard to any bond, undertaking or contract of surety to which it is attached."
~~\\",\,"'N::IIIIII~ tf4Z ~~~'~i\~~"~I""
~~~~~~t~ ~~..,.~~~
f~/(r {<-...\\ 8y- !"'/~,.~%.
~ iI f SEAl log 51..... r. A.d......, PresOl... " Chi.r E....ti.. Off",.r .r W....,.g... I.I.....io..1 I_raac. Comp..y " : i~CORPORATE ~ ~
s:l\:~ 1873 ",j:;€ v"'. Preside.. .rNorth Am.rica. Speci.lty In..rance C.mp..y i~ SEA LEg
~ ~ '.;,. ~... 0 ~ \ 's;C AAllDll.' ~l
~. ...It,,~~..~~ ~~......_ ~ ~
~~~..........::....'~" ~ ~ <.;. <f' -- ~~$
~/tf.ON''''''~~'' .?~~~ "" * ~"
711""1I"\\"\\~ By P "'i"m_'I~'\'"
David M. ....y....., VICe 'resideat .rW-shinCt_ lotenudiona'lnsurancc Compaay &.
Vic~ Preside.t .rNorth Americ.. Specialty Insunmc:e Cempany
IN WITNESS WHEREOF, North American Specialty Insurance Company and Washington International Insurance Company have caused their
official seals to be hereunto affixed, and these presents to be signed by their authorized officers this 12th day of March , 20~.
North American Specialty Insurance Company
Washington International Insurance Company
State of Illinois
County of Du Page
ss:
On this 12th day of March, 20.QL, before me, a Notary Public personally appeared Steven P. Anderson , President and CEO of
Washington International Insurance Company and Vice President of North American Specialty Insurance Company and David M. Layman,
Vice President of Washington International Insurance Company and Vice President of North American Specialty Insurance Company.
personally known to me, who being by me duly sworn, acknowledged that they signed the above Power of Attorney as officers of and
acknowledged said instrument to be the voluntary act and deed of their respective companies.
"OFFJClAL SEAL"
SUSAN ANSEL
"'oral)' PloClIic. Slale of lIIit1Ci$
My Collvnissloo f:xI!irg 71li12OO6
I, James A. Caroenter , the duly elected Assistant Secretary of North American Specialty Insurance Company and Washington
International Insurance Company, do hereby certifY that the above and foregoing is a true and correct copy of a Power of Attorney given by said North
American Specialty Insurance Company and Washington International Insurance Company, which is still in full force and effect.
/L--
/
(~
,
Susan Ansel, Notary Public
IN WITNESS WHEREOF, I have set my hand and affixed the seals of the Companies this 7THday of NOVEMBER, 2007 .
~~-/!3~
James A. Carpenter. Vice President" Assistant Sec:retal)' of Washington Intemationallnsurance Company &.
North American Specialty tnswance Compan)'
PERFORMANCE BOND
The undersigned
Copeland Construction, LLC
. as principal, further referred to in this
bond as Contractor, and North American Specialty Insurance Company
. as surety, further referred to in this bond as
Surety, are jointly and severally bOWld unto City of Ashland, as obligee, further referred to in this bond
asCity,inthesumof Fiftv Thousand Two Hundred Eiqhty-Eiqht and 50/100's
Dollars ($ 5 0 , 2 8 8 . 5 0 - - - - - -
).
Contractor and City have entered into a written contract dated NbvfMg~ /3, '}..001
, for the following project:
2007 Miscellaneous Concrete Project. This contract is further referred to in this bond as the Contract
and is incorporated into this bond by this reference.
The conditions of this bond are:
1. If Contractor faithfully perfonns the Contract in accordance with tho plans,
specifications and conditions of the contract within the time prescribed by the Contract,
as required by ORS 279C. 380 through 279C.38S, then this obligation is null and void;
otherwise it shall remain in full force and effect.
2. If Contractor is declared by City to be in default under the Contract, the Surety shall
promptly remedy the default, perfonn all of Contractor's obligations under the contract
in accordance with its tenns and conditions and pay to City all damages that are due
under the Contract.
3. This bond is subject to claims under ORS 279C.380 through 279C.390.
4. This obligation jointly and severally binds Contractor and Surety and their respective
heirs, executors, administrators, successors.
S. Surety waives notice of modification of the Contract or extension of the Contract time.
6. Nonpayn:lent of the bond premium shall not invalidate this bond.
G;'fnab-Wlb'cq\dcpt-cdmin\ENOINEER\PROJEC1\2OO6'06-JO Copdlmd CclIlS1l\lCtion COIlIr.Kl Docs II 01._
7. The bond number and the name, address, and telephone number of the agent authorized
to receive notices concerning this bond are as follows.
Bond Number: 2064628
Bond Agent: Phoenix Surety & Insurance Agency, Inc.
Address: 16703 SE McGillivray Blvd. Suite 185
Vancouver, WA 98683
Telephone:
360-892-5840
SIGNED this
7th
day of November
2007.
WITNESS:
(Corporate Seal)
CO~CTOR: Copeland Construction, LLC
BY.~ ~
Title: IV N ~ /
Legal Address: 321 Pruett Rd.
Eagle Point, OR 97524
Attest:
Corporate Secret8J}'
(Corporate Seal)
Specialty Insurance Company
WITNESS:
Bonnie Riddle, Attorney-In-Fact
Legal Address: 960 Broadway Ave. Suite 420
Boise, ID 83706
Attest: See attached POA
Corporate Secretary
O:\pub-wTb~-admiII\ENOINEER\PROJECN006\06-)o Copdand CoIISIIUCtica CCIIIlr.ICt Docs 11 07-'*
NAS SURETY GROUP
NORTH AMERICAN SPECIALTY INSURANCE COMPANY
WASHINGTON INTERNATIONAL INSURANCE COMPANY
GENERAL POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS, THAT North American Specialty Insurance Company, a co/1)oration duly organized and existing under
laws of the State of New Hampshire, and having its principal office in the City of Manchester, New Hampshire, and Washington International
Insurance Company, a cO/1)oration organized and existing-under the laws of the State of Arizona and having its principal office in the City ofItasca,
Illinois, each does hereby make, constitute and appoint:
ROBERT LAGLER and BONNIE RIDDLE
JOINTL Y OR SEVERALL Y
Its true and lawful Attorney(s)-in-Fact, to make, execute, seal and deliver, for and on its behalf and as its act and deed, bonds or other writings
obligatory in the nature of a bond on behalf of each of said Companies, as surety, on contracts of suretyship as are or may be required or permitted by
law, regulation, contract or otherwise, provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the
amount of:
TWENTY-FIVE MILLION ($25,000,000.00) DOLLARS
This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of
Directors of both North American Specialty Insurance Company and Washington International Insurance Company at meetings duly called and held
on the 24'" of March, 2000:
"RESOLVED, that any two of the President, any Executive Vice President, any Vice President, any Assistant Vice President, the Secretary or any
Assistant Secretary be, and each or any of them hereby is authorized to execute a Power of Attorney qualifying the attorney named in the given Power
of Attorney to execute on behalf of the Company bonds, undertakings and all contracts of surety, and that each or any of them hereby is authorized to
attest to the execution of any such Power of Attorney and to attach therein the seal of the Company; and it is
FURTHER RESOLVED, that the signature of such officers and the seal of the Company may be affixed to any such Power of Attorney or to any
certificate rela.ting thereto by facsimile, and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be
binding upon the Company when so affixed and in the future with regard to any bond, undertaking or contract of surety to which it is attached."
,\~\UIIH"I/fllllh. tl4a- "'!~~;;:"'"''
->>~ (;I1-IJTl' IA;~ "~"-'\Y' ~"'< l-t.",
~~~:;p.poi:i:/~'':-'' l'f:~~"vv.~\
g ~ /'tr ~-"\.~ By . '- !;: /" \ ~
~ Q l SEAl. l 0 ~ SlevN r. Andersoll, Preside.. " C..ief Executive OffICer .r Wasbift~n lateraational "astlr.nce Compa.y " 5 ~ ~CORI'ORATE)' ~
::U:,,; 1m i"':: VIC. P.-.sident or North Am.ricaa Sp<<ialty la..raa<<Compaoy '"" SEAL E.
~~"~ -,*,l;i8j \~ AAIlON..~ ~./ ~-J
~ L...It<4~."" ~ ~ ~ ~ '- ....... ...,~ ~
~'7-(';"""""':"".'~ .-'7 ~ 'I,;'if' -- ~~<-
~I~ ON. ""~\~"i:. ~~ ~ ....., * to"'...
"""II/IfII1I1\II\\~ By . - P ..""....."..,..
David M. lAy...., YICe I"resideD' .rWaSbioc',,'atenualiotaallnsunutu C...pany "-
Vice Praideat .rNorth AlDeric.. Specialty Insurance C.mpaP)'
IN WITNESS WHEREOF, North American Specialty Insurance Company and Washington International Insurance Company have caused their
official seals to be hereunto affixed, and these presents to be signed by their authorized officers this 12th day of March , 20~.
North American Specialty Insurance Company
Washington International Insurance Company
State of Illinois
County of Du Page
ss:
On this 12th day of March, 20.QL, before me, a Notary Public personally appeared Steven P. Anderson , President and CEO of
Washington International Insurance Company and Vice President of North American Specialty Insurance Company and David M. Layman,
Vice President of Washington International Insurance Company and Vice President of North American Specialty Insurance Company,
personally known to me, who being by me duly sworn, acknowledged that they signed the above Power of Attorney as officers of and
acknowledged said instrument to be the voluntary act and deed of their respective companies.
"OFFiClAL SEAL"
SUSAN ANSEL
N'Qta1)' PiIl/ie. Stale of I!Iitr(iS
My Coovnis1ioo~IM 7i6mOO
/L~
/
t~
,
Susan Ansel, Notary Public
,.
I, James A. C3/1)enter ,the duly elected Assistant ~ecretarv of North American Specialty Insurance Company and Washington
International Insurance Company, do hereby certity that the above and foregoing is a true and correct copy of a Power of Attorney given by said North
American Specialty Insurance Company and Washington International Insurance Company, which is still in full force and effect.
IN WITNESS WHEREOF, I have set my hand and affixed the seals of the Companies this 7THday of NOVEMBER ,2007.
~~/3~
James A Carpenter, Vice President &. Assistant Secretary of Washington Inlemationallnsurance Company &.
North American Specialty Insurance Compan)'
CERTIFICATE OF LIABiliTY INSURANCE OPID D IM1E(MMlPDNYYYl
COPJI-l 11 08 07
~'l{IS CfRTIFICATE IS ISSUED AS A MATIER 0 F INFORMATION
ONLY AND CONFERS NO RIGHTS UPON TM! ceRTifiCAtE
tIDl 11t'I1, .111\'lvifi.TJf~T.C]mtiSlT .M1iNP..L ~)(_TENI) OR
.- - .
I :NSURI?RS AFFORDING COVERAGE NA1C t#
I" .----------
~fl.i,,~---.Qf\1C) .Cuualt.:t[ 24074
l~!~ r. ------- 1 ---
INaURl:!1'l c:
~-------------- --------~-
. INSURiiR p, '
~._---_._._-_._-_._--......--.-_._---
i !}JSURER E::
THE POLICIES C>~ INSURANCE L!STIID BEl.OW HAVE ~et>llSSl,JlID TO rliE 1N&I~~t) NA\MiD <'\0011I:: fOfl 1H6 PO:JCY i'ERIQO INDICATiiP, NOTWITl1STM~OING
""'IV Rl!QUll'tfM!!NT. riRM 0" CON[).TON OF "'NY CONTRACT OR OTHf:."'< DOCUMENT WI11-l R~~r TO WHICH ThIS Cl:~HiF.CA1'E WY BE lSSueo OR
W:'l' I'eflTA:l'l. THE INSUR!'NCE AFFO~O gv THE POLICES DES:::~IQI;D HERE:!'l IS St.,JECT TO ALL TH;: TE:RM6. ~)(Cl,U:S;ClHti AND OONOITIOI'4S OF SUC:1
POLICliS. ~GJAT' L,MITS SHOV,IN MAY HAVE ilEEN REOUGED BY FPlC CLAIMS.
lYre 0' INSURAliCE EOUCY NUJeER
GElIEIUL llABlL:W
A ~MMeROlALGEr4EAALLL~5ILln BHO 53366906
l CI.AIM5 tMOE [!J OCCUR I
, -.---.. I
G!:N'L A3GfE('\ATE! LINIT JoI"rLl~ I"Ek: !
PRO,: c1wc I
AUTOUOlill..E UA6lLlTY
I
,
I
t>O\l-OWNEDAUTOS L
-~ __ I ~
:QARA;~:~]n ~ I I
R'..........~~ ---+-. .--+----
OCCUl< 0 CtAIN$ MAce I \
: I
== : -tl
WORKI!fl5 COMPENSATION AND I
I!MPlOnftS' WASlllTY I
A~'( PROP~iI!ltlfllPARTNERiEXI::CUTIVE ~
Of'FICl<RiUEhlllF.R EXOLUCI.t17
, IfyJS, _"ribe~fl<jir I I
i =r:- PROV18lONS b91OY< -r----t-
_ I i ___ I
~IO'TION 01' OPERATIONSJ LOCA'l'I~ I \,';;;I\ICUiS! El(C~UiltOll$ "':l~iiO 8Y ENCO!~$a.mNr I /IPECIA~ PROVISIONS
"''1:'
,~! 1 : 1 c FM
1 NSUR. MKT PLACE
ACORD~
PI'lODUCl!ft
!99B skypa!~lll~;"!~H; J.M-
Medford OR 97504
Phona;541-779-0177 Fax:FAX 772-8235
INSUklCl
Copeland Coustruot:,oll r LLC
J~.lIIll~1I C~~and
11g ~~ql~ V~ew ~r
ltag~e point OR. 97!l24
COVERAGES
ANY Ill,TO
ALL OWNeD P,UTU!;
I.lcflEDULEiP M.iTO!!
IollREt: M.iTOS
CERTIFICATE HOLCER
Ci ty of As1':.land
Public Work~ B~g1nQaring
4aa-6006
20 E Main
Aahkand OR 97520
ACORD 26 12l:l01/11Bj
F :.;~ K 2. ~I 4 ~ 77': 2:!:;:.
--1
---_T'iR.W\'JUpf~ ~~YfW~N I --~ITS~----
r I ! fACH O(;CURR~i ~ 500 , 000
06/03/r.;.7 'I' 06/03/08~' ~=~~~~~;;:..,.) IS 100,000
I I M~OEXP'Mv~r.e"","oo! ',~10,OOO -
I ~ MDV INJ.~:t::=1 ' SOQ.!.Q~_
I ' lJENElW.AGGREGOATE IS 1 r 000 ,ODe
i 1 ~~"=Cii"~T"OO'!LOOo
T I II COMBINED SiNGLE LIMIT - I S
. ~~~ I
I I -+
~' OOOILY lNJ.JRY ! $
(P~ plYeon) ,
--.----..;----
I' &lollY iNJURY . S
(Per ect:laor.t) .
r----------
i I"P.()PERTY DAW,OE I
r (PI( "o:<Jldllr'!) $
i ~;-;;~y. r;A AI;CIDrJ.JT i $
r OTHER TH.>\N E;. ,;GC r .
. AUTO ONLY, ilGG+$
I,~CH OC~IRRENC~__l $
_AGGR","~~____~_,_-
--4J-----
1+
.
$
$
CANCELLATION
ASH~ T $t10:.JLD A.NY 01" THe AI>O'll1: P!8CRIiED POlICI~$llIl CANCEU-~LlIlEFORE 'rHIi ")(~IAAT~JN
I DATE rH5RtOl', T~ ISSUING IN$URtA. WILL IiNDIiAVOR TO 14A!\.. aJL- DAYS Wll:rrl'EN
~Nork::1i 1 C ThE CElfl'l~K'.ATj,1 .lClIIER NAI4ED TO THi! U!1"'f ,flUl fAIl.URE TO PO &0 SMALL
iMPOSE liO OBLlGA nOli O~ UAB1LiTY Of' ANY KINO ul"ON '1H~ fN$URER, ITl! AGENTS o,~
R~I'R!!tNT AnVE~
ALlTHORIZ.!D Kl':!"RI;$INTA'l'!\Ie '-
I~su~'..U\OG Markatp~aoe :In~ - _ .1
<1llACORD CORPORATION Ul88
,,' ~\r / ::; 8"
...,~
:1,
~I :J l : 14 ~'~M
I NSlJR. i~KT PLC\CE
FAX lJ:,. :141 7~i'= =i~
[AkQ@~
!'\\Ol:lUCER
OP Ie D D^TE IMrM?DT'lY'lYl
COPJI-l 11 08 07
THiS C!"ll.TIFlCA.TE IS iSSlJeD AS A' M^TTER o~ INFORMATION
ONLY AND CCiNI"-!!RS NO RIGHTS UPOI\l THE CERTIFICATE
HOLDER. THIS CfiRTlFICAT~ Does MOT AMEND, EXTEND OR
AI.1ER nil;: COIJI!~AGE AFFORCED BY'iHl; POUCIES BE~OW.
t INSl~R~RS Af't-'ORl>It;a COV!RAG~ --------T::IC ~----.-
.----..- 't' -~U!otEH iI:... - S~~i...Q~:i.o.:c;~n --::--==-==--I--._.---~=
~~::-==~----:===- -t==
rJ~.;----=--=---"'-'''-----'-' .....J -~-
CERTIFICATE OF liABILiTY INSURANCE
IUI;IUl;&OCC Marke-/;;plaoe, Inc.
1998 SJr.:\.'par:k Dl; $~lite :too
M9dtord OR 97504
Phone:5il-779-0177 Fax:~ 7'2-9235
INSURliD
CQpol~d Construction,
Jimnti.e Cop~i!lnd
119 Eaqle Vl.BW Ol;
~ag~. Point OR 97524
COVERAGES
L.LC
I
1'HE I"CILlCIE3 OF INSiJFlANCl: UST::D BELOW :-lAve ~EN ISSVED TO 11~l< 'NS\.l~g!j 'III"'!>::) ;'1l~N::: FOFl Tr-E "'Olley "'1:.1\100 IND'CAH!;>. "IO'TWITMSTANOING
ANY I'EQUIRErJerlT, TERM eR CO'ID:Tlor; ..)F AI,Y CONTRACT OR OThER OOC\JME~,l W fn; m;.5!'Ecr ,t;. w!, (;H 'THIS CERTIFic.:. IE M"Y tiE !S3fJED 0'1
~.AY PERT~'N. T"I;; INSUl'\;\NCE AFFORt'EiJ 6Y1He f'<')UCieS oe<,cr-tIE':"i:I ~[~:~ 'r'; :)()8.'EQY TO />l..~ THO; rf:RIAS ~:~CLUBICNS I,'j!: \~"Nr;I. 01'<13: OF <)UCH
P::ll_IC\EB. A:l3R~Gl.A,,'E LIMITS SH;)WN W,AV fJAVlO iIIi~N RIiDU':iC r:,Y"^iD.Ci..M.:s.
~ ' ----~"lCYEFi'EC.I'jfT'i>O~-\;~m~---------------
lTf'L2 TYPE OI"'",$~Oli Ii ___u..!,O~IC~"_~'~~~R__ ______,J!~~~9.[)/'0:~J' 5~~, ,_. ... L1NITS
I Gl!llMALUAIltliTY ,-- !!I\r:HDr.C~.E',CE 5
II ''''' 1 'I l f4"'.UfI'.i.:II: H./ n.t.!'1IL~ I
I ~l>\MeRCIALC:;El'let;ALC.:.~!II:t1Y I ~l.1ISI:':s{:::~.c=rErleH) $
I H-J ClAiMS MACE I-.J OCCUR i I i,.~lED ~!J^'Y ~..l""~1...~_ ~ ------- -----
r-i .----------1 f :=~~::~:~r~~ ~-----------...-
I '3~'~:~E~m ;~~: A":>LJES;; I ,fOD~~f co_~~P ~!!..~. $-==~~-
h:=....' I~---~--- r =i;;,:;:;;,;t-----
AU.OWN~C.wrOS I I QODI~y~.:;;----.-T;----..---.
SCIi!'OULeI:> AU1'C<.S 'I I (p., _~c.,) 1
IiIREOAUT:lS I : ";~'-" INJU-RY -...----I~---
I L NON-0WNED At.:TOS I I; \P~~~) ---- -.-----.
-+ --~----_.- ! ,I i~:~J~Al,;A(;t: ~
--t!~AGE CiA9u.,.,'l:-" 1------1' --------.--+ ------ ~ 1.. I>l11U ~NlY. - EJ\ ACCIDENT $---"--'-
I U ANY AUTO Ii! O'rrlF.R "'H~N 8\ />.22. !___.__
I LL__ ~ '~-+.' ._____-+. .----------1. AJroCINLY, . AOO S ___..__..__________. ___
_~)(Cl6SIUMllIl\II:lJ.A UAJllll1'V I I ~~~--~~:...__._----0 _
i :J ::,:., 0 ,~""- i I : C~_-=~t_=~=_
i - I R"~N $ r' I I 3
i=~~E~~~e::cuT,\'~ :~a38 ---1,---~~./~1~-;r~1/Ol/09 __.____ $-;OOOO~-~~~'
OFFICER/MEMBER EXCLUDED? E_:L DISEi'.s~.-~.~~!J_YEE $ 5..0 00_0 0 _._.----J
Ir_.de&a'ID&Undef ' I ---- - !
~:~::-I'lROVISIONS b&lOW ___+_._______ __.__..._~+~.-- _~_~~_ .,.t
~ I__L______~_ J'L'==~~ .500000 _I
DF.SCR,iP11OIt OF OPER,AT IONS 1l.i:JCATIONS I \'BiICLESI f..lCCLU5IoJN5 .~l;lIiiO ilY ENDORGIiMEr:r I $PIi.ClAl. PROVISION. l
I
J
~LANK-l
"'V "----
CANCEl-LA "O~l
SHO.Ii.D ANY 01' TUE A&OVe. ~l!gCRl81!D mUCE8 BE I~ANcELLE!) B5PO/\E Hff; r;Xi>IRAT,ON!
DAn T~..RHI~, HIE 15$liING m$UR.K Wl~'" L'ltltlEAVQIl: TO loIIo:L ;S!_. 0>1'1'8 WRITT!!H t
NOTIC!TO TH'. Cllltfj,"ic;'.ATE HOI..t'EI< NAUED ro TilE :..EFT, flOT P"IWl\~ 1() tic $0 &H!\L1.
IMPOSE NO OSLIGATION ~R ~IAb:Lr!'V 01' ANY KIN~ l,Il'lOIJ 'r>!. IN!>'.I.!.RIi~. IIi AC!i}jT$ O~
CER"FICATE HOLlOER
IL. Ci"Y ~: Ashl'''''
~Q1~~ Works Eng~n..~ing
20 !l Ma;1n
Aab1ar!o OR 97520
ACORD 25 (mi/I1S)
A~I'lt~SI!tlTATlVl!S
AlJ'fHOAWlD 'il:jjiiiliiii~rAl'i\li-"--"'---~
!nl!lu!:'l!In~ Ma;t;'J!;~B?';l!.c.:. Ino.
(fi ACOIlD COftPOAATION 1988
NC7 'Q(:/?C[i7/THr i~1: 'l:~: PM
] N:JJR. ~1KT PL~CE
F,~:: !'.~:. ~I~: ~72 S2:,~,
F, U C 4 '0 (!~
T
OP ID oJ DATE (MfMlOIYYYY)
C J -l " 11 OB 0-/
II THIS CE:RTIF!CATE l5 ISSU~D AS). MATiER OJ!' INFORMATION
ONLY AND CONFERS NO R.IGHTS UPON THE. CERTiFICATE
IUllJU;r;ilUgC :ev.rketplaoe, Inc, HOLDER.. THIS CERTIfiCATE Does ~OT AMEND, eXTEND OR
1996 Skypcu:k Dr Suite 1 00 ~~,!g~}H~~VE~AGE AFFOROED BY THE P~J.~~OW____
MadLord OR Q7S04 I I
1.'hone: SU-7?9-01 T1 :'E'ax:!"AX '?'72-S2.:l5 i INSUR,E;.RS AffORDING COVeRAGE NAle #
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Il'ISUREllEl'
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lfal11e Point OR 97524 1----------. ---- H_------
w_ ~~REFi E
~RD_
CERTIFICATE OF LIABILITY INSURANCE
,""'ODUCE"
COVERAGES
THE i"OLlClE3 OF IN3URANCf: U51'!:D 3ElOW HAVE iliiliN 16SU~D TO 1HI.; INl'ilJRED N.o.M!!:D AilO"" FCF.1hE POLICY f"~~1OO lt~Dl(Am\}, N01'/VITI,$TA.NDING
ANY ~eNeNT, TERM OR CONDiTION OF ANY c;.'ONTRACT OR Ol1iEROOCI~MfNT WITH I\E3F'eCTTO WHICl-I 'THIS CERTIFIC;Io,TE W-Y se ISSUEO Of!
MAY PERTAIN. THE INSURANCE IIFFOff.lED 6Y THe "OUOIES oesCF'JO!':O HeREi~ IS 6IJBJE',;T Tn ALL THIi TERll.S. EXCL.lJ6ICM;l AND tONOI'l"ON-S OF Bu(;H
P".Jl.lClf.S, "'tl3Rl1(jA.'fE LIMITS Sl-I~WN W),'1 HAVli. iiliN RrillUl;liO 6'( PAID ,ClAIMS
LTft!t -m!! 01' lN$AW(c>t< ~._..=_._P'Jl.IC,( ~v...9.,~_._...~r_~~JLf~ifr i===~--==~==~=-=--
GI!HJ!RAL L1A11IL;1Y I .....CI1 llCCIJRRl:IIl<.,'E I $
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COMMERCIAL GErll!~.LI"!lILin : l.ER!i~ (~ WlJfOOC6). l ~ ____
ct..A1MS MIlO!: I O"CUR t r-.lEO EXP (Any fine P""""'i : $
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PR OCClIR D C...AII.lS:\IIAlJI: II' II' I Af';GIPiE~~ ~
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Oe:OUCTI!5~E I I -- ' ·
_ RETl"NTION $ ~.-1- 5
I WOMKtllii COW'5I1$ATlONAND -. - I ; I _-LToRV~~ITil !~~k
A ==:~~:rNEl\.'EXEGUTIV" I' 980838 ! 01/01/07 :!' 01/01l06 E;I;:.eACHt,COIIl:NT __. s50000JL....__
OFFIC:f.flIM!!1MlERexCLVOEO') I f.LDISEASE-EAi~MPLOYE1, S 500000
~~~~~ b!'J4Ow_---1--.------------t ---r- 6,1.. tl:.\lIiiA\il.:- Pv~ICV LIMIT $ 500000
OTHr.~ I ! I
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mi:&CRIPnOH OF opeRATlON5/l.lJCATllil\i3 i vtKCLE5/ exCLU$IONSIWCI;l;l l>Y IlMOOIUl..NliNT / $f'lOCIAI. PROVIIIION:>
Ci ty of k!lhlaua
Pub1io Works Eng;.n..&;.tn~
20 E Ma.1.n
AIiIh~and ~, 117520
CANCEl.-LAnON
----.------.-.~~-1 I $HOUIJ} A~ or THC AIOV'" tll!'ClIlltiD ~~ICIEj BE ~-;;'~LfD 6EFOIUI Ttfli !iXf'IRATiON
DATii TioliRiOJ, THE 15'iUIflG INSlJKSIl. WlLI.I!NllEAVOA TO r.l.<\ll l\) _ DAYS WRITHOIl
HOT1CE TO THt r.:ERflFlCAn; H(lt.[ll;K NAN!;IJ TO THE LEr-T,llllT fA!I.UR! TO IX> 80 6HAl..~
INPO:!E 1m 08L1GAT10~ OK WA.IiIIlJ'1'Y 01' ANY KIi'lO UI'OH THE INSURER, ITSAGafTi3 all
C!!R.nl"ICAT! HOLD!!1't
f\;"'"UIlN'fATNEC.
AVTftOl'\wiii'j.;il'flllW!Nfiiiiie-~-
Insurance Mar.!;etplace I o.
~ACORO CORPORATION 1988
ACORD 26 (2001/08)
INSJR. MKT PL~CE
ILi, 5~ 1 772 :::: ):i
COiRland COM t:t:'Uet.:i-on, L.LC
J e Cop~~al1d
1 Baal. V1eW Dr
maqlQ ~OLn~ OR 97524
CERTIFICA TEOF ~IABl~ITY INSURANCE__ cog~io-f DIIT~i;~~~~i 1
THIS CEFtTlFICATE IS 155UE;O .e..s A MATT~R OF INFORMATION
ONL.Y AND CONifERS NO RIGHTS UPON THt; CERTIFICATE
I HOlD!~. THIS CERTIFICATE DOeS NOT AMENO, EXTEND OR
I A1.TER lH~ CO~R"~~ AFFORDED 13Y THE F'2!-:~II:;Sl~F.L~.._
_~U.ERS AfFO~"'". ~V...., --. i IIAI"..!.._
I !N:MI~~~hio ~~sua.lty _ 20407~__
~~~-=---===-=-L--
!INSIJ,!!;e:---------..--.--- ""~i=:
ACORD.
PftOIlucen
In~uranca Marketplacw, Inc.
1998 Sky,park Dr Suite 100
N$dford OR 97504
Phona:541-~79-0177 EAX:FAX 772-6235
--.-----
INliURBl
COVERAGiS
A ANY .AUTO ,SAW
ALL OWN~!:i AIJTOS
X SCHEDULED AU1'OS
X hl!'l.~DAl.JTOS
X tIDN.QV(NEO AUTOS
fHE POLICIES OF 'I>oSURANC.1i l.JS1'ED bE..OW \lAIIE BEE" ;5SUED TO "HE INSUH&D NA~ ~.80\lE FOR T~IE KlLlcr PERIOD INDICATED. ,,"01WITflSTANOING
AfJY REQUIRBAENT, TE.RM DR CONDITiON Of ArtY OON'r-ACT Ok OT'\::I\ 00c'.JME;J\.'T WIT'~ p.~r.cr TO WHICH nilS CeRTIFICiifE 'HI Y BE ISSUED Of<
MAY l"r:IfrAIN. THe M,lJRANCfiAFi'ORDEO IlV THE POUClfS DEllCi\ltlEO HEREIN IS (JIJeJtC'T"1) ALL TH.. rSflMS liXC.USIDNS MD CONDitIONS or SUCH
PO~IClw$. AGGREGATE ,-EI4lTS SHO'NN MAY >l~:,'e 1!r:!:N REDUCt::) BY ?AiD CI.AII<S,
'l"fPl! OF INS~RANC! T-' POLlCY NUMlJik- _-f~~1.1rZ~~wt ~8ktlY~~~'~_ ____...__ L~;~ -----==-
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GeNL ^GGPlEGATE ll"1 ,",PI"L1E!! I"el''t ' " PROO~CTS. COItI"IOP I.GG $
r--' PRO, ""'"I i
POLICY, J JE,C;T ; . LL1C i I _.__
AUTOMOSll.HlMlL.fN 5335690:---I-~6-;C~/07 r 06/03/08 ~~~~f'''iGLE'-I>f!T ~ lOOOOOO
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GARAGE LIABiLITY
AN'i AUTO
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ElICIiI>1S1UNllAELI.'" LlAlllLlTY
OCCUI{ D ClAIMS "'.\OE' ,
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DECUCTI6I..E I
jWORKERS :::(:TION~ _.-l-___.____ ~
1!IIlPl.0Yl!1l~' UAltll..lfY I
/JNr' PRCPRlI!TORJPARTNfl".'EXECLT1VE I
OFFICERlMEMBER 5XCLUOr:::!? ,
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I .______ I __L________
or;:!CI\IMlON OF OI"e"I\T'1OHS Il.OCATIONS! ViO~ICUJ.1iI1 E)(CLUIlIO..1;; ADDED 6Y ,,'COR5ENENT ISf'liCI....1. PROVIsIONS
l
CERT1FICATE. HOLDER
I
L
CANCEI.l.ArlON
Bt..ANK -1 51io1CUI.:l Nl'f OF utE ^130V~ DESCRillSll ?QLICli'S 81! CANCEc.:.EO 3:'fORE THe EX~IRATiCN
DATI! TH!R!Of, THe ISllUlo;G IN3U':ER WIlL 1".~IiAVOf\ 10 MAil. ~ DAYllWRITT!N
NOTK;e: TO THr.. C!Il."I~lCATI! HOUlI!R NAMED TO HII; LE~T, Bl.iT FAILURE: '1'0 l:iO $0 6HA.l~
,.""'" "'-~"" o. ~,u,..." """'.... "" _'=' ~~ '" j
REPRE'3lON'TA'Wl'l6.
AUTHORI~RIi.PAIi$EN"A"IIlJ: -- .
In uranoe Market lace .luC.
~ACORD CORPO~ATION 1988
C;i. ty of Aeblanci
PiU;.lic 'WoJ;k.to Elllqineering
20 E M/iI.;i.u
Ashland OR 9'520
ACORD 25 (2001/08)
CiTY RECORDER
Page 1 / 1
,~A'
CITY OF
ASHLAND
20 E MAIN ST.
ASHLAND, OR 97520
(541) 488-5300
__ ,..In --~
I ... ..12/5/2007 . I L 07990 I
VENDOR: 012365
COPELAND CONSTRUCTION
321 PRUETT ROAD
EAGLE POINT, OR 97524
SHIP TO: Ashland Public Works
(541) 488-5587
51 WINBURN WAY
ASHLAND, OR 97520
FOB Point:
Terms: Net
Req. Del. Date:
Speciallnst:
Req. No.:
Dept.: PUBLIC WORKS
Contact: Paula Brown
Confirming? No
2007 Misc Concrete Project 06-34
The scope of this contract will include
the construction for several proiects
throuQhout Ashland.
50,288.50
BID
Contract start date: 11/26/2007
Completion date: 07/01/2008
Insurance required/On file
Project No. 200634.120
BILL TO: Account Payable
20 EAST MAIN ST
541-552-2028
ASHLAND, OR 97520
SUBTOTAL
TAX
FREIGHT
TOTAL
o 288.50
0.00
0.00
50,288.50
~ ~Si:!iP
VENDOR COPY
CITY OF
ASHLAND
REQUISITION
No. PW
- FY 2008
Department PUBLIC WORKS
Vendor COPELAND CONSTRUCTION LLC
321 PRUETT ROAD
EAGLE POINT OR 97524
Account No. 260.08.12.00.704200
Date December 3, 2007
Requested Delivery Date
Deliver To Jim Olson
Via Karl Johnson
ASAP
(0 Note: Please allow approximately two(2) weeks for delivery on items not
generally caried in stora!, and approximately two (2) months on printing jobs.)
Item No. Quantity
Unit
Description
The scope of this project will include the
construction for several projects throughout
Ashland.
$ 50,288.50
Job No.
Unit No.
I hereby certify that the above items are necessary for the operation
of this department and are bodgeted
~
I
Department Head or Authorized Person
Issued By
Date
Received By
~~,
G:\pub-wrks\eng\dept-admin\ENGINEER\PROJECT\2006\06-34 Copeland Concrete Req 11 07.xls
CITY OF
ASHLAND
PROJECT ACCOUNTING WORKSHEET
PROJECT NUMBER (YEAR XX)
PROJECT TITLE
PROJECT DESCRIPTION
Department
Project Manager
Department Head
BUDGET INFORMATION
Identify fiscal year I potential splits
Identify Funding Codes
and Funding Code names
DESIGN .100
Engineer Name
PO
COST
Change Orders 1
2
3
4
CONSTRUCTION .120
contractor name
PO
budget estimate
bid I contract total
changes
total
CONSTRUCTION MANAGEMENT .150
engineer name
PO
budget estimate
bid I contract total
changes
total
PERMIT COSTS (Building Dept) .170
budget estimate
final costs
2006341
12006 MISCELLANEOUS-CONCRETE CONSTRUCTION PROJECT
The scope of this project will indude the engineering and construction for several concrete projects.
Public Works - Transportation
Jim Olson Karl Johnson
Paula Brown
IFY07
IFY08
260.08.12.00.704200 -100%
Street Fund
Thornton Engineering
7560
$ 9,005.00
s
9,005.00
Copeland Construction LLC
pending
$ 100,000.00
$ 50,288.50
$
50,288.50
r.,
G:Pub-wYkslengldepl-admlnlllfllll-'projecl/06-34 Mise Cona-ete Proj Acct WOflcsheet.xls