Loading...
HomeMy WebLinkAbout2008-006 Contract - Triad Mechanical 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. (2) Commercial advertising or business cards or a trade association membership are purchased for the business. (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. (5) Labor or services are performed for two or more different persons within a period of one year. (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. '- / ' )r ~, ,.?'"'~. t; (. ~..../...t- r.. ""'''''''-: Contractor Nicholas D. Scovill, President November 28, 2007 Date Bond No. 105038512 PERFORMANCE BOND The undersigned Triad Mechanical, Inc. , as principal, further referred to in this bond as Contractor, and Travelers Casualty and Surety Company of America , 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 as City, in the sum of Nine Hundred Sixty Nine Thousand Three Hundred Twenty Two and No/100--- Dollars ($ 969,322.00--- ). Contractor and City have entered into a written contract dated , for the following project: Water Treatment Plant Process Imorovements. 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 performs the Contract in accordance with the plans, specifications and conditions of the contract within the time prescribed by the Contract, as required by ORS 279C. 380 through 279C.385, then this obligation is null and void; otherwise it shall remain in full force and effect. 2. If Contractor is decla.red by City to be in default under the Contract, the Surety shall promptly remedy the default, perform all of Contractor's obligations under the contract in accordance with its terms and conditions and pay to City all damages that arc due under the Contract 3. This bond is subject to claims lUlder ORS 279C.380 through 279C,390. 4. This obligation jointly and severally binds Contractor and Surety and their respective heirs, executors, administrators, successors. 5. Surety waives notice of modification of the Contract or extension of the Contract time. 6. Nonpayment of the bond premiwn shall not invalidate this bond. 7. The bond number and the name, address, and telephone number of the agent authorized to receive notices concerning this bond arc as follows. Bond Number: 105038512 Bond Agent: Gene M. Dietzman Address: 1201 SW 12th Ave., Suite 500 Portland, OR 97205 Telephone: 503-224-2500 28 day of November 2007. SIGNED this WITNESS: (Corporate Seal) CONTRACTOR: Triad Mechanical, Inc. "-- By:'--7~J, ~ f~_-v~;/ Nicholas D. Scovill Title: President Legal Address: 1419 NE Lombard PI. Portland, OR 97211 Attest: m -/ 4..- ~' Corporate~ Treasurer Mary Anne Buster SUFlETY: Travelers Casualty and Surety Company of America By: ~))A;()'; ~VLtr Title: Gloria Bruning, Attorney-in-fact Legal Address: 4000 SW Kruse Pl., 11265/ Lake Osweg (Corporate Seal) WITNESS: ~~~}(tt~~X Gene M. etzman, Agent Witness for Surety Attest: Bond No. 105038512 PAYMENT BOND The undersigned Triad Mechanical, rnc. , as principal, further referred to in this bond as Contractor, and Travelers Casualty and Surety Company of America , as surety, fllrther referred to in this bond as Surety, are jointly and severally bound unto City of Ashland, as obligee, further referred to in this bond as City, in the sum of Nine Hundred Sixty Nine Thousand Three Hundred Twenty Two and No/100--- . Dollars ($ 969,322.00--- ). Contractor and City have entered into a written contract dated , for the following project: Water Treatment Plant Process Improvements. This contract is further referred to in this bond as the Contract and is incorporated into tbis bond by this reference. The conditions ofthis bond are: 1. If Contractor faitbfully performs 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 Surety ~hall promptly remedy the default, perform all ofContTactor'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. 5. Surety waives notice of modification of the Contract or extension of the Contract time. 6. Nonpayment of the bond premium shall not invalidate this bond. 7. The bond number and the nmne, address, and telephone number of the agent authorized to receive notices conceming this bond arc as follows. Bond Number: 105038512 Bond Agent: Gene M. Dietzman Address: 1201 SW 12th Ave., Suite 500 Portland, OR 97205 Telephone: 503-224-2500 SIGNED this 28 day of November 2007. (Corporate Seal) CONTRACTOR: Triad Mechanical, rnc. BY:~/P"":-,::,,,,'~~SO;--"../L Nicholas D. Scovill Title: President Legal Address: 1419 NE Lombard PI. Portland, OR 97211 Attest: J~ I 4..,~ , Corporate~ Treasurer Mary Anne Buster SUFUETY: Travelers Casualty and Surety Company of America By; =iM ^AA.; (L,NMW ~ Title: Gloria Bruning, Attorney-in-fact Legal Address: 4000 SW Kruse Way Pl., 1126'J-- Lake W1TNESS: (Corporate Seal) WITNESS~ Attest: fat~~li~X Gene M. ietzman, Agent Witness for Surety POWER OF ATTORNEY WARNING: THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER ~ TRAVELERSJ Farmington Casualty Company Fidelity and Guaranty Insurance Company Fidelity and Guaranty Insurance Underwriters, Inc. Seaboard Surety Company St. Paul Fire and Marine Insurance Company Attorney-In Fact No. 214459 St. Paul Guardian Insurance Company St. Paul Mercury Insurance Company Travelers Casualty and Surety Company Travelers Casualty and Surety Company of America United States Fidelity and Guaranty Company Certificate No. 001951571 KNOW ALL MEN BY THESE PRESENTS: That Seaboard Surety Company is a corporation duly organized under the laws of the State of New York. that St. Paul Fire and Marine Insurance Company. St. Paul Guardian Insurance Company and Sl. Paul Mercury Insurance Company are corporations duly organized under the laws of the State of Minnesota. that Farmington Casualty Company. Travelers Casualty and Surety Company. and Travelers Casualty and Surety Company of America are corporations duly organized under the laws of the State of Connecticut. that United States Fidelity and Guaranty Company is a corporation duly organized under the laws of the State of Maryland. that Fidelity and Guaranty Insurance Company is a corporation duly organized under the laws of the State of Iowa. and that Fidelity and Guaranty Insurance Underwriters, Inc. is a corporation duly organized under the laws of the State of Wisconsin (herein collectively called the "Companies"), and that the Companies do hereby make, constitute and appoint Gene M. Dietzman, Gloria Bruning, James P. Dooney, John D. Klump, Philip O. Forker, Ray M. Paiement, Vicki Mather, J. Patrick Dooney II, Richard W. Kowalski, Tamara A. Ringeisen, and Brent Olson of the City of Portland . State of Oregon . their true and lawful Attorney(sHn-Facl. each in their separate capacity if more than one is named above. to sign. execute. seal and acknowledge any and all bonds. recognizances. conditional undertakings and other writings obligatory in the nature thereof on behalf of the Companies in their business of guaranteeing the fidelity of persons. guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings requircd or permitted in any actions or proceedings allowed by law. IN WITNESS WHEREOF. the CompalJ,ji:os have caused this instrumcnt to bc signed and their corporate seals to be hereto affixed. this . September ~u07 day of .. 11 th Farmington Casualty Company Fidelity and Guaranty Insurance Company Fidelity and Guaranty Insurance Underwriters. Inc. Seaboard Surety Company St. Paul Fire and Marine Insurance Company ..--~~ ;'~~~.--""'~~-9 1~.tO~PORA},\"'~ fl:,: l"\C' \~\.SE-A.L );:1 \?~'" ...~; 'Q":i"........~~.;' \\.~..:~~/ State of Connecticut City of Hartford ss. St. Paul Guardian Insurance Company St. Paul Mercury Insurance Company Travelers Casualty and Surety Company Travelers Casualty and Surety Company of America United States Fidelity and Guaranty Company (if:;:;,;~\ \ ;~:.~.EA.~.~!} ~.........~,,~ .,......;.,.~. By: 11 th September 2007 . . On this the day of . __ . before me personally appeared George W. Thompson. who acknowledged hunseIt to be the Senior Vice President of Farmington Casualty Company. Fidelity and Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters. Inc" Seaboard Surety Company, Sl. Paul Fire and Marine Insurance Company. Sl. Paul Guardian Insurance Company. St. Paul Mercury Insurance Company. Travelers Casualty and Surety Company. Travelers Casualty and Surety Company of America. and United States Fidelity and Guaranty Company. and that he, as such, being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. In Witness Whereof. I hereunto set my hand and ottlcial seal. My Commission expires the 30th day of June, lOll. 58440-5-07 Printed in U.S.A. 'f(\w c. j~ '- Marie C. Tetreault. Notary Public WARNING THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER Bond No. 105038512 PERFORMANCE BOND The undersigned Triad Mechanical, Inc. , as principal, further referred to in this bond as Contractor, and Travelers Casualty and Surety Company of America , as surety, further referred to in this bond as Surety, arc jointly and severally bOWld unto City of Ashland, as obligee, further referred to in this bond as City, in the sum of Nine Hundred Sixty Nine Thousand Three Hundred Twenty Two and No/lOO--- Dollars ($ 969,322.00--- ). Contractor and City have entered into a written contract dated , for the following project: Water Treatment Plant Process Improvements. 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 performs the Contract in accordance with the plans, specifications and conditions of the contrnct within the time prescribed by the Contract, as required by ORS 279C. 380 through 279C.385, 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, perform all of Contractor's obligations under the contract in accordance with its terms and conditions and pay to City all damages that arc 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. 5. Surety waives notice of modification of the Contract or extension of the Contract time. 6. Nonpayment of the bond premiwn shall not invalidate this bond. 7. The bond number and the name, address, and telephone number of the agent authorized to receive notices concerning this bond arc as follows. Bond Number: 105038512 Bond Agent: Gene M. Dietzman Address: 1201 SW 12th Ave., Suite 500 Portland, OR 97205 Telephone: 503-224-2500 SIGNED this 28 day of November 2007. WITNESS: (COlporate Seal) CONTRACTOR: Tr iad Mechanical, rnc. '-..... '. By: --:Vt,. t. ,.~f~... .'Lr Nicholas D. Scovill Title: President Legal Address: 1419 NE Lombard PI. Portland, OR 97211 Attest: --=:h1 . f <- tt;::::: Corporate ~ Treasurer Mary Anne Buster WITNESS~ SURETY: By: Travelers Casualty and Surety Company of America fbw.ttAv 6hfVVf 'n f[ Glotia Bruning, Attorney-in-fact (Corporate Seal) Title: Legal Address: 4000 SW Kruse Way Pl., 11265 Lake Attest: Gene M. Witness Bond No. 105038512 PAYMENT BOND The undersigned Triad Mechanical, Inc. I as principal, further referred to in this bond as Contractor, and Travelers Casual ty and Surety Company of America , as surety, further referred to in this bond as Surety, are jointly and severally bound unto City of Ashland, as obligee, further referred to in this bond as City, in the sum of Nine Hundred Sixty Nine Thousand Three Hundred Twenty Two and No/100--- . Dollars ($ . 969,322.00--- ). Contractor and City have entered into a written contract dated , for the following project: Water Treatment Plant Process Imorovements. This contract is further referred to in this bond as the Contract and is incorporated into this bond by this reference. The conditions ofthis bond are: 1. If Contractor faithfully performs 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 Surety ~hall promptly remedy the default, perform all ofConlTactor'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 obligationjointly and severally binds Contractor and Surety and their respective heirs, executors, administrators, successors. 5. Surety waives notice of modification of the Contract or extension of the Contract time. 6. Nonpayment of the bond premium shall not invalidate this bond. 7. The bond number and the name, address, and telephone number ofthe agent authorized to receive notices concerning this bond arc as follows. Bond Number: 105038512 Bond Agent: Gene M. Dietzman Address: 1201 SW 12th Ave., Suite 500 Portland, OR 97205 Telephone: 503-224-2500 SIGNED this 28 day of November 2007. (Corporate Seal) CONTRACTOR: Triad Mechanical, rnc. By:~h/.--L c, "'- ~k.~/'" Nicholas D. Scovill Title: President Legal Address: 1419 NE Lombard Pl. Portland, OR 97211 WITNESS: (Corporate Seal) Attest: ~ rj ~~ I Corporate ~ Treasurer Mary Anne Buster Travelers Casualty and Surety Company f)Jw h;()J 6 AMhU'vWy Titl~ Gloria Bruning, Attorney-in-fact Legal Address: 4000 SW Kruse ~.a:y Pl., 11265," / SURETY: By; of America WITNESS~ Lake Attest: i<<titlS~li~X Gene M. Di tzman, Agent Witness for Surety .... TRAVELERSJ POWER OF ATTORNEY WARNING: THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER Farmington Casualty Company Fidelity and Guaranty Insurance Company Fidelity and Guaranty Insurance Underwriters, Inc. Seaboard Surety Company St. Paul Fire and Marine Insurance Company Attorney-In Fact No. 214459 St. Paul Guardian Insurance Company St. Paul Mercury Insurance Company Travelers Casualty and Surety Company Travelers Casualty and Surety Company of America United States Fidelity and Guaranty Company Certificate No. 0 0 19 515 7 2 KNOW ALL MEN BY THESE PRESENTS: That Seaboard Surety Company is a corporation duly organized under the laws of the State of New York, that SI. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company and SI. Paul Mercury Insurance Company are corporations duly organized under the laws of the State of Minnesota. that Farmington Casualty Company, Travelers Casualty and Surely Company, and Travelers Casualty and Surety Company of America are corporations duly organized under the laws of the State of Connecticut. that United States Fidelity and Guaranty Company is a corporation duly organized under the laws of the State of Maryland, that Fidelity and Guaranty Insurance Company is a corporation duly organized under the laws of the State of Iowa, and that Fidelity and Guaranty Insurance Underwriters, Inc. is a corporation duly organized under the laws of the State of Wisconsin (herein collectively called the "Companies"), and that the Companies do hereby make, constitute and appoint Gene M, Dietzman, Gloria Bruning, James P. Deoney, John D. Klump, Philip O. Forker, Ray M. Paiement, Vicki Mather, J. Patrick Deeney II, Richard W. Kowalski, Tamara A. Ringeisen, and Brent Olsen of the City of Portland , State of Oregon , their true and lawful Attorney(s)-in-Facl. each in their separate capacity if more than one is named above, to sign, execute, seal and acknowledge any and all bonds, recognizances, conditional undertakings and other writings obligatory in the nature thereof on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. IN WITNE~~~J1n~lpF, the Compa~~ofavc caused this instrument to be signed and their corporate seals to be hereto affixed, this ~~ ,. 11th Farmington Casualty Company Fidelity and Guaranty Insurance Company Fidelity and Guaranty Insurance Underwriters, Inc. Seaboard Surety Company St. Paul Fire and Marine Insurance Company .....~~ ~~~~'-"""~~-9 /~.tORPOR"',."'~ I~f _ c\~~ \~',SEIl.Lj"'J ~.~..........~~/ ,f~....:!~....- State of Connecticut City of Hartford ss. St. Paul Guardian Insurance Company St. Paul Mercury Insurance Company Travelers Casualty and Surety Company Travelers Casualty and Surety Company of America United States Fidelity and Guaranty Company (t:F!;}:}~\ \t...SEAL.?/j~i \~:':'" ....4"0 ~S""'~""'t'-+ ..--~ By: 11 th September 2007 On this the day of , before me personally appeared George W. Thompson, who acknowledged himself to be the Senior Vice President of Farmington Casualty Company, Fidelity and Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters, Inc.. Seaboard Surety Company, SI. Paul Fire and Marine Insurance Company, SI. Paul Guardian Insurance Company, SI. Paul Mercury Insurance Company, Travelers Casualty and Surety Company, Travelers Casualty and Surety Company of America. and United States Fidelity and Guaranty Company, and that he, as such, being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. In Witness Whereof, I hereunto set my hand and otticial seal. My Commission expires the 30th day of June, 20 II. 58440-5-07 Printed in U.S.A. '\f\w c. j~ '- Marie C. Tetreault. Notary Puhlie WARNING: THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER CERTIFICATE OF LIABILITY INSURANCE Page 1 of 2 11/2D;/~007 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWIN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I~MN~'1Jl- . - TYPE OF INSURANCE POLICY NUMBER '. P8kW.Y ~~t58mE i P8k'.fe" ~~b~Jl..ON 1 A X GENERALLIABIUTY 1595107 10/1/2007 10/1/2008 I EACH OCCURRENCE ~ ' DAMAGE TO RENTED X :. ~MMERCIAL GENE~,.,L LIABILITY . PRE':MISE.S.~g;urencel. CLAIMS MADE l X ; OCCUR ,MED EXF' LAny one personL : PERSONAL&ADVINJURY I - I GENERAL AGGREGATE i PRODUCTS - COMP/OP AGG ACORQ,. PRODUCER 877-945-7378 Willis North America, Inc. 26 Century Blvd. P. O. Box 305191 Nashville, TN 372305191 INSURERS AFFORDING COVERAGE INSURED Triad Mechanical Inc 1419 ME Lombard Place Portland, OR 97211 IN~URERA American Home Assurance Comp~~y INSURER B '~lIleric!-E.Stat~.._ Insu:t'..~c:e COlllpany INSURER_C Navi9a tors Irl!Iu.ranc~_ c;ompany INSURER D SAIF ~rpor~~ion INSURER E LIMITS B GEN'L AGGREGATE LIMIT APPLIES PER: ; POLICY Ix ~~8T -- X 'I AUTOMOBILE LIABILITY l c.:K. ANY AUTO ALL OWNED AUTOS , COMBINED SINGLE LIMIT l (Ea accident) I I BODILY INJURY (Per person) 01CH58356310 10/1/2007 10/1/2008 SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT i $ EAACC : $ OTHER THAN AUTO ONLY AGG C I EXCESS/UMBRELLA LIABILITY ....- " lL; OCCUR . . J CLAIMS MADE EACH OCCURRENCE i~~R~~ATE $ $ $ $ we STATU- OTH- l X . TORy LIMITS L E':.R '1' i_EL.EACHACC1DENT .' $ ~L DISEASE:... EA EMPLOYEE~$ . E.L. DISEASE - POLICY LIMIT $ SF07EXC173422NV 10/1/2007 10/1/2008 D DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below OTHER 10/1/2008 811431 10/1/2007 NAIC# 19380-003 19704-002 42307-000 ,.--------. ------- 36196-001 j- LOOQ./~tQQ ,300 'nOOO __lO/OOQ l...QQO, 000. .2./-000/000 _2....QoO/oOQ 1,000,000 1./0QQ~000 ].,OOO/OQg ..5QO 1 OOQ 500./000 500 000 DESCRIPTION OF OPERATIONS/LOCA TIONSNEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Re: WTP Process Improvements Project No. 2006-02 It is agreed that City of Ashland, its officers, employees and Agents are included as Additional Insureds as respects to General Liability and Automobile Liability, but solely in regards to work being performed by or on behalf of the Named Insured in connection with the project described herein where required under contract or agreement for lease companies. CERTIFICATE HOLDER CANCELLA TION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES, AUTHORIZED REPRESENTATIVE Ci ty of Ashland Attn: Peter Smeenk 51 Winburn Way Ashland, OR 97520 c ACORD 25 (2001/08) @ACORD CORPORA TION 1988 Page 2 of 2 IMPORT ANT If the certificate holder is an ADDITIONAL INSURED, the pOlicy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2001/08) Coll:2183002 Tpl:689019 Cert:9835679 ACOR~M CERTIFICATE OF LIABILITY INSURANCE Page 1 of 2 PRODUCER 811-945-1318 DATE 11/26/2001 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Willis North America, Inc. 26 Century Blvd. P. O. Box 305191 Nashville, TN 372305191 INSURERS AFFORDING COVERAGE INSURED Triad Mechanical Inc 1419 NE Lombard Place Portland, OR 97211 INSURERA: ~~ican Home Assurance Comp~rlY_ IN?J:!I<~BJ\meric~_~~~s Ins~rance Sompany INSUR~C N~v~9ators _ Insur~ce Comp_Zlr1Y__ INSU~~9~A~F Corpo>:,atio~ INSURER E' NAIC# 119~80=0()3 _; J.9704-002 42307-000 -1-------- j :36!9_6-0()1 COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF INSURANCE POLICY NUMBER 1595101 ! EACH OCCURRENCE ----- - -------- DAMAGE TO RENTED : PREMISES (Ea occurence) _ 1 MED E)(P (Any one ",,,~."L _ : PERSONAL & ADV INJURY --------- A ,x~ <:;QMMERCIAL GENERAL L!ABILlTY CLAIMS MADE, _:KJ OCCUR B i GEN'LAGGREGATE LIMIT APPLIES PER: -I POLICY IX' ~f8T I LOC X f ~UT::~~~IABILITY ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS ,GENERALAGGREGATE ,$ l f>R~~~~~;-~~~:;9~ AG~ [$ 101CH58356310 10/1/2001 10/1/2008 1 COMBINED SINGLE LIMIT , (Ea aCCident) I BODILY INJURY f(perperson) i BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) AUTO ONLY.. EA ACCIDENT $ --- -+--- i OTHER THAN EA ACe i $ AUTO ONLY AGG 1 $ ANY AUTO C 10/1/2001 ,10/1/2008 ,EACHOCCURRENCE i~~GREGATE 1- -- I EXCESS/UMBRELLA LIABILITY iXl OCCUR n CLAIMS MADE r= ,SF01EXC113422NV i D DEDUCTIBLE 1 RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? If yes, descnbe under SPECIAL PROVISIONS below OTHER 811431 10/1/2001 110/1/2008 LIMITS .. L~QO, 000 _JOO....QQO lQ,QOO _ 1....0 O.Q.....Q QQ 2,00.0/0.00. 2/000,000 ,$ -1-;- -+-- $ 1 $ 1,000,000 1 $ 1~ n.1.......Q~Q-'-QO'Q t- L.oo.Q/OOO $ E.L. EACH ACCIDENT $ i E-~ DISEASE-iAiMP~OY~E r;- E.L. DISEASE - POLICY LIMIT $ I i __~o.Q,o.o Q ___500....0.0..Q 500 000 DESCRIPTION OF OPERATlONS/LOCATlONSNEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Re: WTP Process Improvements Project No. 2006-02 It is agreed that City of Ashland, its officers, employees and Agents are included as Additional Insureds as respects to General Liability and Automobile Liability, but solely in regards to work being performed by or on behalf of the Named Insured in connection with the project described herein where required under contract or agreement for lease companies. CERTIFICA TE HOLDER CANCELLA TION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILIL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Ci ty of Ashland Attn: Peter Smeenk 51 Winburn Way Ashland, OR 97520 L ACORD 25 (2001/08) @ACORDCORPORATION 1988 Page 2 of 2 IMPORT ANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2001/08) Coll:2183002 Tpl:689019 Cert:9835679 Certificate of Insurance Page I of I OREGON WORKERS' COMPENSATION CERTIFICATE OF INSURANCE .!!a'i! MAIL TO: CERTIFICATE HOLDER: CITY OF ASHLAND 51 WINBURN WAY ASHLAND, OR 97520 CITY OF ASHLAND 51 WINBURN WAY ASHLAND, OR 97520 The policy of insurance listed below has been issued to the insured named below for the policy period indicated. The insurance afforded by the policy described herein is subject to all the terms, exclusions and conditions of such policy. POLICY NO. 811431 POLICY PERIOD 10/01/2007 TO 10/01/2008 ISSUE DATE 11/21/2007 INSURED: TRIAD MECHANICAL INC 1419 NE LOMBARD PL PORTLAND, OR 97211-4061 BROKER OF RECORD: WILLIS OF PORTLAND PO BOX 8699 PORTLAND, OR 97207 LIMITS OF LIABILITY: Bodily Injury by Accident Bodily Injury by Disease Bodily Injury by Disease $500,000each accident $500,000each employee $500,000policy limit DESCRIPTION OF OPERATIONS/LOCATIONS/SPECIAL ITEMS: WTP Process Improvements, Project No. 2006-02 IMPORTANT: The coverage described above is in effect as of the issue date of this certificate. It is subject to change at any time in the future. This certificate is issued as a matter of information only and confers no rights to the certificate holder. This certificate does not amend, extend or alter the coverage afforded by the policies above. CANCELLATION: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL MAIL 30 DAYS' WRITTEN NOTICE TO THE ABOVE NAMED CERTIFICATE HOLDER. AUTHORIZED REPRESENTATIVE ~y--- @ SAIF CORPORATION I 400 High St SE I Salem, OR 97312 I P: 800.285.8525 I www.saif.com https://saifonIine.saif.com/Certificates/certForm.aspx 11/2112007 Cel1ificate of lnsurance Page 1 of 1 OREGON WORKERS' COMPENSATION CERTIFICATE OF INSURANCE .!!!'i! MAIL TO: CERTIFICATE HOLDER: CITY OF ASHLAND 51 WINBURN WAY ASHLAND, OR 97520 CITY OF ASHLAND 51 WINBURN WAY ASHLAND, OR 97520 The policy of insurance listed below has been issued to the insured named below for the policy period indicated. The insurance afforded by the policy described herein is subject to all the terms, exclusions and conditions of such policy. POLICY NO. 811431 POLICY PERIOD 10/01/2007 TO 10/01/2008 ISSUE DATE 11/21/2007 INSURED: TRIAD MECHANICAL INC 1419 NE LOMBARD PL PORTLAND, OR 97211-4061 BROKER OF RECORD: WILLIS OF PORTLAND PO BOX 8699 PORTLAND, OR 97207 LIMITS OF LIABILITY: Bodily Injury by Accident $500,000each accident Bodily Injury by Disease $500,000each employee Bodily Injury by Disease $500,000policy limit DESCRIPTION OF OPERATIONS/LOCATIONS/SPECIAL ITEMS: WTP Process Improvements, Project No. 2006-02 IMPORTANT: The coverage described above is in effect as of the issue date of this certificate. It is subject to change at any time in the future. This certificate is issued as a matter of information only and confers no rights to the certificate holder. This certificate does not amend, extend or alter the coverage afforded by the policies above. CANCELLATION: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL MAIL 30 DAYS' WRITTEN NOTICE TO THE ABOVE NAMED CERTIFICATE HOLDER. AUTHORIZED REPRESENTATIVE ~r-- @ SAIF CORPORATION 1400 High St SE I Salem, OR 97312 I P: 800.285.8525 I www.saif.com https:llsaifonline.saif.com/Certificates/certF ann. aspx 11121/2007 CITY OF ASHLAND CONTRACT FOR PUBLIC WORKS CONSTRUCTION :Jill / , Contract made this I day 0016' d7v/' City of Ashland, ("City") and Triad Mechanical Inc. "(Contractor"). , ,:Jtn7 , between the City and Contractor agree: 1. Contract Documents: This contract is made as a result of an Advertisement for Bid issued by City for the Water Treatment Plant Process Improvements. Contractor was awarded the bid as the lowest responsible bidder. In the event of any inconsistencies in the terms ofthis 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, 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. 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 of the 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 $969.322.00 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 ofthis 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. 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. 8. Default: A default shall occur under any of the following circumstances: 8.IIfthe 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 of the 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 ofthe 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 ofthe 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. 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 of the 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 oftermination by the party giving notice. b. Time is of the 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 lOA of this section, Contractor shall immediately ceased all activities under this contract, unless expressly directed otherwise by City in notice oftermination. 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 of this 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. 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 of this contract is $17,342.00 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. 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. 15. 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 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 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. 16. MERGER CLAUSE: THIS CONTRACT AND A IT ACHED 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. 16. Prior Approval Required: Approval of the City of Ashland Councilor Public Contracting Officer is required before any work may begin under this contract. CONTRACTOR By: '---J 'k... t<.- (~ ..:J _ ~f~~~ . Signature Nicholas D. Scovill Printed Name Its: President By: Legal CITY OF ASHLAND By: 4r/ ~ Lee Tuneberg , Finance Director REVI~WED AS TO C~NTENT: By: ,::--/~/,,-- /Z/I'!/t'7 (/~epartment Head Date: Coding: (For City use only) / 'f~r,.7Tc 0(/0 ~ ~A' CITY OF ASHLAND 20 E MAIN ST. ASHLAND, OR 97520 (541) 488-5300 CITY RECORDER ~ Page 1 / 1 L----' 08062 VENDOR: 012974 TRIAD MECHANICAL INC 1419 NE LOMBARD PLACE PORTLAND, OR 97211 SHIP TO: Ashland Public Works (541) 488-5587 51 WINBURN WAY ASHLAND, OR 97520 FOB Point: Terms: Net Req. Del. Date: Special Inst: Req. No.: Dept.: PUBLIC WORKS Contact: Jim Olson Confirming? No Construction of water treatment process improvements at the Water Treatment Plant to achieve hiQher functions. Base bid $742,711.00 Additive A - Install Chemical Feed Line - $59,320.00 Additive B - Install overflow weir - $65,379.00 Additive C - Install soda ash feed- $101,912.00 969,322.00 Bid Contract start date: 12/15/2007 Contract completion date: 04/15/2008 Insurance reQuired/On file Proiect No. 200602.120 Approved by City Council 01/15/2008 per Jim Olson. BILL TO: Account Payable 20 EAST MAIN ST 541-552-2028 ASHLAND, OR 97520 SUBTOTAL TAX FREIGHT TOTAL E 670.08.19.00.70420 E 670.08.38.00.70420 ~~ ~ li~rr Auth ea Signature VENDOR COPY CITY OF AS HLAN [) REQUISITION No. PW - FY 2008 Department PUBUC WORKS Date November 28, 2007 Vendor TRIAD MECHANICAL INC. Requested Delivery Date ASAP 1419 NE LOMBARD PLACE Deliver To Dawn Lamb PORTLAND OR 97211 Via Paula Brown Account No. 670.08.19.~ 7 t'1~ (* Note: Please oIIow lppI'OXimateIy two(2) weelcs for deIiwry OIl itans not 670.08.38.00.704200 25% genenl1y caried in stored, 8Dd IppI'OXimateIy two (2) IIlOIIIhs OIl prinling jobs.) Item No. Quamty Unit Description Use of P Office On! Umt Price Tota1Pnce PO No. Construction of water treatment process $ 969,322.00 improvements at the Water Treatment Plant to achieve higher functions. Base Bid $ 742,711.00 Additive A - Install Chemical Feed Line $ 59,320.00 Additive B - Install overflow weir $ 65,379.00 Additive C - Install soda ash feed $ 101,912.00 TOTAL $ 969,311.00 Job No. Unit No. I hereby certilY lbaI !be above itans _ _ for !be opcnlioo oftbis ~ 8Dd-lJudseted {-J:2&::::- Issued By Date Received By r.l' ,. ///~~ g a;~~--v~ 6;;- ~C/~ M~ (2.; 'VL Y-?1... ~ r t-L~ ~ G:\pub-wrks\eng\dept-admln\ENGINEER\PROJECn2006\06~2 Triad Process Improv Req 11 07.x1s