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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