HomeMy WebLinkAbout2007-287 Contract - DNA Excavation
Contract for PERSONAL SERVICES Less than $25,000
CITY OF
ASHLAND
20 East Main Street
Ashland, Oregon 97520
Telephone: 541/488-6002
Fax: 541/488-5311
CONSULTANT: DNA EXCAVATION
CONTACT: DON ANDERSON
ADDRESS:
PO BOX 1087, PHOENIX OR 97535
TELEPHONE: 541/210-2104
. FAX:
541/535-8588
DATE AGREEMENT PREPARED: 10/25/07
BEGINNING DATE: 11/5/07 COMPLETION DATE: 12/14/07
COMPENSATION: NTE $9,500.00
SERVICES TO BE PROVIDED: STORM DRAIN IMPROVEMENTS ON ALMOND STREET FROM LAUREL STREET 250
WEST.
ADDITIONAL TERMS:
CITY AND CONSULTANT AGREE:
1. All Costs by Consultant: Consultant shall, at its own risk and expense, perfonn the personal services described above and, unless otherwise specified, furnish all labor,
equipment and materials required for the proper perfonnance of such service.
2. Qualified Work: Consultant 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 perfonn the service 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.
3. Completion Date: Consultant shall start perfonning the service under this contract by the beginning date indicated above and complete the service by the completion date
indicated above.
4. Compensation: City shall pay Consultant for service perfonned, 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
tenninated, payments will be made for work completed and accepted to date of tennination.
5. Ownership of Documents: All documents prepared by Consultant 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. Living Wage Requirements: If the amount of this contract is $15,964 or more, Consultant 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 perfonning work under this contract and to any subcontractor who perfonns 50% or more of the service work under this contract.
Consultant is also required to post the attached notice predominantly in areas where it will be seen by all employees.
8. Indemnification: Consultant agrees to defend, indemnify and save City, its officers, employees and agents hannless 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 perfonnance of this contract by Consultant (including but not limited to, Consultant's employees, agents, and others designated by Consultant to
perfonn work or services attendant to this contract). Consultant shall not be held responsible for any losses, expenses, claims, subrogations, actions, costs, judgments, or other
damages, directly, solely, and proximately caused by the negligence of City.
9. Termination: This contract may be tenninated by City by giving ten days written notice to Consultant and may be tenninated by Consultant should City fail substantially to perfonn
its obligations through no fault of Consultant.
10. Independent Contractor Status: Consultant is an independent contractor and not an employee of the City. Consultant shall have the complete responsibility for the perfonnance
of this contract. Consultant shall provide workers' compensation coverage as required in ORS Ch 656 for all persons employed to perfonn work pursuant to this contract. Consultant
is a subject employer that will comply with ORS 656.017.
. Assignment and Subcontracts: Consultant 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. Consultant shall be fully responsible for the acts or omissions of any assigns or subcontractors and of all persons employed
b them, and the roval b Ci of an assi nment or subcontract shall not create an contractual relation between the assi nee or subcontractor and Ci
CONS
/
CITY OF ASHLAND:
/(7){/ . /;.._v<. tf>~-.L
" FINANCE rnRECTOR
OR
BY
~
I CITY ADMINISTRATOR
,/ ,. / I '/
. 2'/ /C',
/
TITLE
c/d/L/~/
DATE
DATE
//-/9-- C7-?
.
CONTENT REVIEW~
By: \~~ v--~
. City Department Head
Date: '2e',,'\.I'~ ~'I
Federal ID# 5 L[ ,'J. -(r; i' Cleo I
*Completed W9 form must be submitted with contract
PURCHASE ORDER #
-2,f.,,'i/. /.?Cl 17. () ,:'. 70'/ I (....0
(For City P27s~7n~ g '7
ACCOUNT #
G:\pub-wrks\eng\dept-admin\ENGINEER\PROJECT\2007\07-07 DNA Contract for Storm Drain 10 07.doc
Date: 1110712007 09:22 AM
Sender's Fax ID: Ag Insurance 1-541-5
Page 2 of 3
ACORD CERTIFICA TE OF LIABILITY INSURANCE I DATE (MMJDD'i'YW)
TV 11107107
PRoODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Ag Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Petrik Agency ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
2119 7th Street
Baker City OR 97814 INSURERS AFFORDING COVERAGE NAIC#
INSURED Donald N. Anderson #55306 INEURE", A Ohio Casualty Insurance Company
DBA: DNA Excavation ~URE~ B -- - I--
- --- -- - ----
PO Box 1087 IN~URE:;' c
Phoenix, OR 97535-1087 IN~URE~ D
IfJ~URH E
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED t~OTvvITHSTANDING
ANY RECoUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR DD'L PoOLlCY EFFEGTIVE POLICY EXPIRATION
Lll< tJ~.." POLlGy NUMBER LIMITS
GENERAL LIABILITY EA(-IO=CURF;CIJC= $ 1,000,000
A x ~.~" ~ ""ffi~ ''''''" BLO 53527681 0812212007 08122/2008 DAI#l;E TO PH\JTE[I $ 100,000
PRE~lIS=S Ta (I(CLr;?1:2)
CLAIMSI\1Af C (YYlIR MED E/F IAnlj cr 8 per~I-,r) $ 10,000
F'ER'3:'"'.I'JAL f.. AD\! INJI_PV $ 1,000,000
':.ElChAL AGG~EGATC $ 1,000,000
~r ;\'.3GREFt'flIT .~PP APH PRcnllL-TS - I CIMP,/()f-' AI-:;(~ $ 1,000,000
~po-
POLl~'r' l-rT L(JC
AUTOMoOBILE LIABILITY 1_'~ltvEI\JED SI[\I-~LE lI~IT
- $
Ar\!y AJTO (ECi aVlj;;>L)
- 1---- ---.- --
- ALL 0Wt~E:J AJTOS 60DIL''- INcILP"
(Per person I $
Sc }-EDI JLfD A,UT():-,
-
HIRE[I AUTI-.S E'l)DIL' INJLF"
- $
~Jr)[\<W~IED AUE.lS (Per [;leel dpnt)
- f- --- f-- - -
- F'RO.:>EPTv D;\tv'/"..I~F $
(Per aC(.1 d8nt)
=iGE LIABILITY AU-0 ')1"_ Y - ~ i\LCIDEI,T $
,lIJ\!'( ,\JT(I (_ITHER HN, =D,LJ<,: $
-
AU-O OIL r' ,!.I..I:;(~ $
EXCESSIUMBRELLA LIABllIr! EAl '-I O~CUR~FtJr:= $
~ OCCUR D CLAIM; IN\OE AGI-:;'REGAT= $
f-- c-i-- - --
~ OWU':TIBLE $
REFNTUI $ $
I T~6P,~~~,', I I-TH
WoORKERS CoOMPENSATloON i\ND -~i:
EMPLoOYERS' LIABILITY $
E _ EACH ACC I:EW
AIN PPOPR [-OC;:IP.~F'T~IER'E,,-:CU-I\E
Ur~IC=f.,"'v1EM3ER t>~LLUL't[); [ c-I,-..... r' .!_ E,'-'.. D/PLOiEC' $
~~~c'11,rS~~~;(;~S~~{JS cElow E r: I~~AS~ - P:)lIl- y' L M T $
o01l-<ER
DESCRIPTloON OF OPERATIONS I LoOCATIONS I VEHI'CLES I EXCLUSloONS ADC'ED BY ENDoORSEMENT I SPEGIAL PROVlSloONS
CERTIFICATE HOLDER
CANC ELLA TION
City of Ashland Engineering
27 112 N Ma i n Street
Ashland, OR 97520
SHOULD ANY OF THE i\BoO\lE DESCRIBED POLICIES BE CANCELLED BEFORE THE E) PIRA TloON
DATE THEREoOF, THE ISSUING INSURER WILL ENDEAVOR ToO Mi\IL ~ D,AYS WRITTEN
tJOTIGE ToO THE CERTIFICATE HoOLDER NAMED TD THE LEFT, BUT FAILURE TD DO SO SHALL
IMPoOSE NoO oOBLlGATloON oOR LIABILITY oOF ANY ~IND UPON THE INSURER, ITS AGENTS oOR
REPRESENTATIVES.
AUTHoORIZED REPRESENTATIVE
~
<CAG>
ACORD 25 (2001/08)
@ACORDCORPORATION 1988
(""1ry P[.t"OqD. ER
). I .. JJ ~.
Page 1 / 1
r.,
CITY OF
ASHLAND
20 E MAIN ST.
ASHLAND, OR 97520
(541) 488-5300
r- ~7987 IRl
VENDOR: 011484
DNA EXCAVATION
PO BOX 1087
PHOENIX, OR 97535
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
Installation of 250 feet of storm drain
. in Almond Street west to Laurel Street.
PW is supplyinQ the materials,
contractor is performinQ installation.
9,500.00
Bid
Contract for Services
BeQinninQ date: 11/05/2007
Completion date: 12/14/2007
Bill TO: Account Payable
20 EAST MAIN ST
541-552-2028
ASHLAND, OR 97520
SUBTOTAL
TAX
FREIGHT
TOTAL
9
4<' ~~_#'~ / W?
thorized Signature
VENDOR COPY
CITY OF
TXSHLAN.D
REQUISITION
No. PW _ - FY 2008
Department PUBLIC WORKS
Vendor DNA EXCAVATION
PO BOX 1087
PHOENIX OR 97535
Account No. 206.08.17.00.602400
Date November 20, 2007
Requested Delivery Date ASAP
Deliver To PAULA BROWN
Via KARL JOHNSON
(* Note: Please allow approximately two(2) weeks for delivery on items not
generally caricd in stored, and approximately two (2) months on printing jobs.)
Item No. Quantity
Unit
Description
Installation of 250 feet of storm drain in
Almond Street west to Laurel Street. PW is
supplying the materials, contractor is
performing installation.
$ 9,500.00
Job No.
Unit No.
I hereby certify that the above items are nec:essary for the operation
of this department and are budgeted
~
I Department Head or Authorized Person
Issued By
Date
Received By
rtl1
G:\pub-wrks\eng\dept-admin\ENGINEER\requisition general tom.xls
CITY OF
ASHLAND
PROJECT ACCOUNTING WORKSHEET
PROJECT NUMBER (YEAR XX)
PROJECT TITLE
200707l
IAlMOND STREET STORM DRAIN INSTALLATION
PROJECT DESCRIPTION
Installation of 250 feet of storm drain line in Almond Street west to the intersection of Laurel
Street. PW will be suppling the materials for the project.
Department
Project Manager
Department Head
Public Wo/1(s - Storm Drain
Kart Johnson
Paula Brown
BUDGET INFORMATION
Identify fiscal year I potential splits I FY08
Identify Funding Codes
206.08.17.00.602400
$
9,500.00
and Funding Code names
Budgeted Amount in CIP
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
DNA Excavation
Pending
N/A
$
$
9,500.00
9,500.00
CONSTRUCTION MANAGEMENT .150
engineer name
PO
budget estimate
bid I contract total
changes
total
PERMIT COSTS (Building Dept) .170
budget estimate
final costs
~.l'
G:Pub-wrksleng/depI-8dminlengineer/project/07~7 Proj Accl Worksheet.x1s