HomeMy WebLinkAbout2008-035 Contract - Applied Geotechnical Engineering
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: Applied Geotechnical Engineering
And Geologic Consulting, LLC (AGEGC)
CONTACT: Robin Warren
ADDRESS: 1314-8 Center Dr. #452, Medford OR 97501
TELEPHONE: 541-226-6658
DATE AGREEMENT PREPARED: 3-12-08 FAX: 541-956-8762
BEGINNING DATE: March 12,2008 COMPLETION DATE: April 12,2008
COMPENSATION: Time and Materials Not to Exceed $12,000 in accordance with the attached rates
schedules from Western States Soil Conservation and AGEGC
SERVICES TO BE PROVIDED: Geotechnical Exploration at Hosler Dam
ADDITIONAL TERMS: As shown in the attached plan drawing and as directed by Engineering Geologist
on site Peter Friz of Hatch Energy Corporation
FINDINGS:
Pursuant to AMC 2.52.040E and AMC 2.52.060, after reasonable inquiry and evaluation, the undersigned Department
Head finds and determines that: (1) the services to be acquired are personal services; (2) the City does not have
adequate personnel nor resources to perform the services; (3) the statement of work represents the department's plan for
utilization of such personal services; (4) the undersigned consultant has specialized experience, education, training and
capability sufficient to perform the quality, quantity and type of work requested in the scope of work within the time and
financial constraints provided; (5) the consultant's proposal will best serve the needs of the City; and (6) the
compensation negotiated herein is fair and reasonable.
NOW THEREFORE, in consideration of the mutual covenants contained herein the CITY AND CONSULTANT AGREE as
follows:
1 . Findings I Recitations. The findings and recitations set forth above are true and correct and are incorporated herein
by this reference.
2. All Costs by Consultant: Consultant shall, at its own risk and expense, perform the personal services described
above and, unless otherwise specified, furnish all labor, equipment and materials required for the proper performance
of such service.
3. 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 perform the service to which they will be
assigned in a skilled and worker-like manner and, if required to be registered, licensed or bonded by the State of
Oregon, are so registered, licensed and bonded.
4. Completion Date: Consultant shall start performing the service under this contract by the beginning date indicated
above and complete the service by the completion date indicated above.
5. Compensation: City shall pay Consultant for service performed, 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 terminated, payments will be made for work completed and accepted to date of termination.
6. Ownership of Documents: All documents prepared by Consultant pursuant to this contract shall be the property of
City.
7. Statutory Requirements: ORS 279C.505, 279C.515, 279C.520 and 279C.530 are made part of this contract.
8. Living Wage Requirements: If the amount of this contract is $17,342 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
performing work under this contract and to any Subcontractor who performs 50% or more of the service work under
this contract. Consultant is also required to post the notice attached hereto as Exhibit B predominantly in areas where
it will be seen by all employees.
9. Indemnification: Consultant 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 Consultant (including but not
limited to, Consultant's employees, agents, and others designated by Consultant to perform work or services
attendant to this contract). Consultant shall not be held responsible for any losses, expenses, claims, subroaations,
Contract for Personal Services Less than $25,000, Revised by Legal 03/26/2007, Page 1 of 10
actions, costs, judgments, or other damages, directly, solely, and proximately caused by the negligence of City.,
10. Termination:
a. Mutual Consent. This contract may be terminated at any time by mutual consent of both parties.
b. 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.
c. For Cause. City may terminate or modify this contract, in whole or in part, effective upon delivery of
written notice to Consultant, or at such later date as may be established by City under any of the following
conditions:
i. 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;
ii. 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
iii. If any license or certificate required by law or regulation to be held by Consultant to provide the
services required by this contract is for any reason denied, revoked, suspended, or not renewed.
d. For Default or Breach.
i. Either City or Consultant 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 the 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.
ii. Time is of the essence for Consultant's performance of each and every obligation and duty under
this contract. City by written notice to Consultant of default or breach may at any time terminate
the whole or any part of this contract if Consultant fails to provide services called for by this
contract within the time specified herein or in any extension thereof.
iii. The rights and remedies of City provided in this subsection (d) are not exclusive and are in
addition to any other rights and remedies provided by law or under this contract.
e. Obliqation/Liabilitv of Parties. Termination or modification of this contract pursuant to subsections a, b, or
c above shall be without prejudice to any obligations or liabilities of 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 a, b, c or d of this section, Consultant shall immediately cease all activities under
this contract, unless expressly directed otherwise by City in the notice of termination. Further, upon termination,
Consultant 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 Consultant for work performed prior to
the termination date if such work was performed in accordance with the Contract.
11. Independent Contractor Status: Consultant is an independent contractor and not an employee of the City.
Consultant shall have the complete responsibility for the performance of this contract. Consultant shall provide
workers' compensation coverage as required in ORS Ch 656 for all persons employed to perform work pursuant to
this contract. Consultant is a subject employer that will comply with ORS 656.017.
12. 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 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.
13. Default. The Consultant shall be in default of this agreement if Consultant: commits any material breach or default
of any covenant, warranty, certification, or obligation it owes under the Contract; its QRF status pursuant to the QRF
Rules or loses any license, certificate or certification that is required to perform the Services or to qualify as a QRF if
consultant has qualified as a QRF for this agreement; institutes an action for relief in bankruptcy or has instituted
against it an action for insolvency; makes a general assignment for the benefit of creditors; or ceases doing business
on a regular basis of the type identified in its obligations under the Contract; or attempts to assign rights in, or
delegate duties under, the Contract.
14. Insurance. Consultant shall at its own expense provide the following insurance:
a. 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
b. Professional Liabilitv insurance with a combined single limit, or the equivalent, of not less than
$1,000,000 for each claim, incident or occurrence. This is to cover damages caused by error, omission or
negligent acts related to the professional services to be provided under this contract.
c. General Liabilitv insurance with a combined single limit, or the equivalent, of not less than $1,000,000 for
each occurrence for Bodily Injury and Property Damage. It shall include contractual liability coverage for the I
indemnity provided under this contract.
Contract for Personal Services Less than $25,000, Revised by Legal 03/26/2007, Page 2 of 10
, d. Automobile Liabilitv insurance with a combined single limit, or the equivalent, of not less than Enter one:
$1,000,000 for each accident for Bodily Injury and Property Damage, including coverage for owned, hired or non-
owned vehicles, as applicable.
e. Notice of cancellation or chanqe. There shall be no cancellation, material change, reduction of limits or
intent not to renew the insurance coverage(s) without 30 days' written notice from the Consultant or its insurer(s) to
the City.
f. Additional Insured/Certificates of Insurance. Consultant shall name The City of Ashland, Oregon, and its
elected officials, officers and employees as Additional Insureds on any insurance policies required herein but only
with respect to Consultant's services to be provided under this Contract. As evidence of the insurance coverages
required by this Contract, the Consultant shall furnish acceptable insurance certificates prior to commencing work
under this contract. The certificate will specify all of the parties who are Additional Insureds. Insuring companies
or entities are subject to the City's acceptance. If requested, complete copies of insurance policies; trust
agreements, etc. shall be provided to the City. The Consultant shall be financially responsible for all pertinent
deductibles, self-insured retentions and/or self-insurance.
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 Consultant 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. Consultant, 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. 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.
CONSULTANT, 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.
17. Nonappropriations Clause. 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. Consultant
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 Consultant, with no further
liability to Consultant.
Certification. Consultant shall si n the certification attached hereto as Exhibit A and herein incorporated b reference.
CONSULTANT Il CITY OF ASHLAND:
BY c;l W~ BY
J? pignature
noJ'l.", WCl~rtj,')
Print Name
TITLE
f~\A(/4
DATE
DATE
7(17/CI;
CONTRACT AWARD AND FINDINGS DETERMINED BY:
By:
'Completed W9 form must be submitted with contract
ity Department Head Date:
6'71) tJeJ l q ~ 7&'~
ACCOUNT # t? t7 I / t:P-c 7 tJ I' ~
(For City purposes only)
PURCHASE ORDER # t? ~ ( 76
FederallD#
Contract for Personal Services Less than $25,000, Revised by Legal 03/26/2007, Page 3 of 10
EXHIBIT A
CERTIFICATIONS/REPRESENTATIONS: Contractor, under penalty of perjury, certifies that (a) the
number shown on the attached W-9 form is its correct taxpayer 10 (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, (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 of the following
criteria:
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(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 pursuan~ 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.
M ltJ~.
Contractor
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( Date)
Contract for Personal Services Less than $25,000, Revised by Legal 03/26/2007, Page 5 of 10
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STANDARD FEE SCHEDULE
Effective October 1, 2007
The compensation to Applied Geotechnical Engineering and Geologic Consulting, LLC (AGEGC)
for our professional services is based upon the following hourly rates and conditions.
Personnel
Principal $ 130/hr.
Senior Professional $ 100/hr.
Project Professional $ 80/hr.
Staff Engineer/Geologist $ 65/hr.
AutoCAD Drafting $ 60/hr.
Office Manager $ 60/hr.
Senior Technician $ 58/hr.
Technician $ 39/hr.
Technical Typist $ 37/hr.
Legal Testimony & Preparation (min. 2 hours) $ 195/hr.
Other Direct Costs
Expenses
Subcontractors
Equipment
Vehicle
Cost Plus 10%
Cost Plus 10%
As Quoted
$0.60/mile
BILLING - Fees and other charges will be billed monthly, as the work progresses, and the
amount of each invoice shall be due within 15 days of receipt. A service charge of 1 Y2% per
month will be charged on all accounts not paid within 30 days. All expenses incurred for
liening or collection of any delinquent amount, including, but not limited to, reasonable
attorney fees, witness fees, charges at current billing rates for time spent by AGEGC
personnel, document duplication, and court costs, shall be paid to AGEGC in addition to the
delinquent amount.
SERVICES, SUPPLIES PRPVIDED BY OTHERS, AND REIMBURSABLE EXPENSES
Charges for services, equipment, and supplies not provided directly by AGEGC will be computed
at cost plus 10 percent. This includes surveying services, land subsurface explorations,
construction equipment, contract labor, shipping charges, living expenses, printing and
reproduction, communication and miscellaneous supplies and rentals.
Western States Soil Conservation, Inc.
19100 Western Rd. NE
Aurora, OR 97002
Phone (503) 678-9777 Fax (503) 678-9776
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Tuesday, March 11, 2008
Robin Warren
AGEGC
l3l4-B Center Dr
#452
Medford, OR 97501
Project: City of Ashland Water Supply Dam
This proposal includes the estimated equipment, labor and supplies necessary to drill and abandon
(2) 30 foot Mud Rotary borings with up to 30 feet of rock coring. The cost breakdown is as
follows:
Mobilization Bctended 1 $2,080.00 $2,080.00
0V1E55 Track Rg 16 $220.00 per hr $3,520.00
&lpport Truck 2 $95.00 per day $190.00
Water Trailer 2 $150.00 per day $300.00
Fer Diem 2 $200.00 per day $400.00
B3ntonite O1ips 6 $12.00 ea $72.00
Quick Gel 2 $12.00 ea $24.00
Core 8::>xes 6 $25.00 ea $150.00
Core Bt Usage 10% $810.00 ea $81.00
8::>ri ng Logs 2 $25.00 ea $50.00
R:>rtland Cerrent 3 $12.50 ea $37.50
Quick Grout 2 $9.50 ea $19.00
Please note there is a four hour minimum charge. This proposal is based on a time and material
basis and will be billed accordingly.
The total amount for Western States Soil Conservation to complete the project as described in this
document is $6923.50.
Thank you for the opportunity to bid on this project. Please call our office at
(503) 678-9777 if you have any questions. We look forward to working with you.
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Request for Taxpay.,
Identlftcatlon Number and Certification
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a.ck IIPPl'llPriIIle bale 0 Sole PRJprteIlar
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1314-8 Center Drive. tI 452
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beclcup wIIt1hddlng. For incINiitfIals. IhIs Is your llClClaIlI8Cl.dy number lSSN). foIowevw. tar a I8Iident
alen, sole proprietor. Dr ~ entity, Me" ~ r fnllIrucllana on pege 3. For oa............ 1:..
}tOUr ....,. IdentitIc8Ilon number (ElN). If you cIo not have a nlllY1ber, ... How to get a TIN on pege 3.
Nota. "__.::cawrt {5 Tn IJlOIV ftJM one ,.,.., _the dI/ft on PfIf1e 41or~ on ~ number
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lkIder penalties of P81jury. I certify thet:
1. 1l1e num_ shown on this farm .. my .CClmICt tsxpay.- IclentIiC8tlon number (or J am 'MIllIng for a number to be I8sued to me), .-1(f
2. I am not subject to backup wIhhoIcIll'll bec8use: (a) I am C8mpt from b8cIcup wIthhofdinp, or tbt I hawe not b.... notiIied ~ Ihe l"*-nal
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noIIfilMI me that I am no longer eubject to bedwp witI'I1oIcfl'lg, -.:i
3. 'am a us. F*8Qn (h:IucIng a U.s. l"Mident *n).
CenIfIcation "'strudIons. You muat <:RIS8 out 11m 2 8bo\Ie if you halie been notIIed by the IRS th8t you .... c~ ~ to b8d<up
wittlholdlng bec:au8e )'OU hrMt faIIBd to 11IpOlt" inI8nIst a'ld dIuIdlmds on your _ r8hrn.. For ,... 88I8t8~, Jtem 2 does not apply.
For mortgage Interest peld, acquIsitiol'l or ablllldcnnent of 8eCII'8d pruperty. cenceIdon of debt, c:ol'llltlulions to an fndIvldlalletllonTl8nt
IftBng8m8nt (lRAI, and ~. payments CJe.1han intler8at and dMdends, you ant not requll8d to sign the ClIrIIlicIIIlon, but you must
provide your conct TIN. (See the InsIructlons on page <t..
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A person who is required to file an information return with the
IRS, must obtain yaw COI'NCt 1a:lcpayer identilicaliun nwnber
(T1N) to report. for example, income paid to you, .... estate
1ranS8Ctlons, mortgage interest you p&id, acquisition or
abandonment or secured property, cancellation of debt, or
conIriJutIons you made to an IRA.
U.s. perean. Use Form W-9 only if you are a U.S. peISOn
(includng Ii resident 811en), to provide your correct TIN to the
person requesting It (the requester) Ind, when ~e, to:
1, Certify that the TIN you we giving is correct (or you we
lMIitlng for a number to be iesued).
2. Certify that you are not subject to backup withholding,
or
3. Clai'Tl exemption from backup wilhholclng if you are a
U.s. exempt payee.
Nate. If a ~ gWes)'OU a am other than Form W-S to
I8QUeSt your TIN, you must use the requaster's torm " It Is
substantially sfmHar 10 this Form W-9.
For f8dera11ax purposes you ... considered a P8'8OI'l if you
are;
· An Individual who Is a citizen or resident of the United
Slates.
· A ~ership. corporation. company, or associa11on
creeled or organized in the United Sf8I8s or under lite laws
of 1he Unilecl Stales. or
Ti Id8Iltification Number
~
or
~
2 0 2 3 901 7 2
DIIta ~
-('(\~ \"1l ~~
· Any estate (oIher than a foreign estate) or trust. See
Regulations sections 301.7701-6(8) &n:I 7(8) tOr additional
information.
FGreIIIo. persan.lf you are a fonlign person, do not use
Form W-e. fnste&d, use the appropriate Fonn W-8 (see
Pilbllcatlon 515, ~dWlg 01 Tax on Nonresident Aliens
and Foreign Entities).
NcHINsIdent .1.... who beoom.. a ....dent 86en.
Generally, only a no....eslclent 8fien IndIYidueI may use the
terms of 8 lax treaty to reduce or eliminate U.s. 'lax on
C8lI8in types of Income. However, most tax 1I8atl8s contain a
provision known.. a -saving c:IIuse.- Exceptians specified
in 1he saving clause may permit an BlC8mption from tax to
continue for certai1 types of Income IWerI after tt1e NCipient
has otherwise become a U.s. I'8SIdent ar... for tax purposes.
If you are 8 U.S. I'88Iden.t alWt who Is ~ng on ..
exception contained in the sa"~.cIause of 8 tax tr8aty to
claim an exemption ~ U.s. tax on C81ain types of income,
you must attach a statement to Farm W-9 thai specifies the
following five items: .
1. The treaty counlry. GIneraJy.1his must be 1he same
1r8aty under which you clafmed exemption from tax as a
nonr'B8ida1t afien.
2. The 1r8aty .-ticle addressing the income.
3. The article run... (or ioca6on) in the 18x treaty thai
contains the saving clause and Its exceptions.
C& No. 10231X Form w..e ".1-2006)
A CORDn> CERTIFICA TE OF LIABILITY INSURANCE I DATE (MM/DDIYVVY)
02/28/2008
PRODUCER (503) 829-2255 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Kyllo Insurance Services Northwest, Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
PO Box 389 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
248 Center Ave
Molalla OR 97038- INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: Safeco Insurance Co
Western States Soil Conservation, I INSURER B: SAIF CORP.
19100 Western Rd NE INSURER C:
INSURER D:
Aurora OR 97002- INSURER E:
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.
INSR ADD'L POLICY EFFECTIVE POLICY EXPIRATION
LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE (MM/DDIYY) DATE (MM/DDIYY) LIMITS
A GENERAL LIABILITY / / / / EACH OCCURRENCE $ 1,000,000
t-- ~~~~~H?E~~~~nce) 200,000
X COMMERCIAL GENERAL LIABILITY $
.-J CLAIMS MADE [!] OCCUR 01CG749421-4 03/15/2008 03/15/2009 MED EXP (Any one person) $ 10,000
-
PERSONAL & ADV INJURY $ 1,000,000
/ / / / GENERAL AGGREGATE $ 2,000,000
~'L AGGREGATE LIMIT AflES PER: PRODUCTS - COMP/OP AGG $ 2,000,000
X .n PRO- / / / /
POLICY JECT LOC
A AUTOMOBILE LIABILITY / / / / COMBINED SINGLE LIMIT 1,000,000
t-- (Ea accident) $
ANY AUTO
f-- OS/21/2007 OS/21/2008
ALL OWNED AUTOS 04CC20964301 BODILY INJURY
t-- (Per person) $
X SCHEDULED AUTOS
f-- / / / /
X HIRED AUTOS BODILY INJURY
- (Per accident) $
X NON-OWNED AUTOS
- / / / /
PROPERTY DAMAGE
(Per accident) $
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
R ANY AUTO / / / / OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS/UMBRELLA LIABILITY / / / / EACH OCCURRENCE $
tJ OCCUR D CLAIMS MADE AGGREGATE $
$
R DEDUCTIBLE / / / / $
RETENTION $ $
B WORKERS COMPENSATION AND 915804 05/01/2007 05/01/2008 I we STAT~- I IOTH-
TORY L1MI S ER
EMPLOYERS' LIABILITY 1,OeO,000
ANY PROPRIETORlPARTNERlEXECUTIVE E.L. EACH ACCIDENT $
OFFICERlMEMBER EXCLUDED? / / / / E.L. DISEASE - EA EMPLOYEE $ 1,000,000
II yes, describe under E. L. DISEASE - POLICY LIMIT $ 1,000,000
SPECIAL PROVISIONS below
OTHER / / / /
/ / / /
/ / / /
DESCRIPTION OF OPERATlONSlLOCATlONSlVEHICLEs/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
CERTIFICATE HOLDER
CANCELLATION
( ) - (541) 956-8762 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT
-
APPLIED GEOTECH ENG & CONSULTING FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE
1314B CENTER DR #452 INSURER, ITS AGENTS OR REPRESENTATIVES.
AUTHOR~ED8iaRESENTATlVE
MEDFORD OR 97501- Ar .,...",~
ACORD 25 (2001/08)
(tn. INS025 (0108).05
ELECTRONIC LASER FORMS, INC. - (800)327-<l545
@ ACORD CORPORATION 1988
Page 1012
Page 1 / 1
r~'
CITY Of
ASHLAND
20 E MAIN ST.
ASHLAND, OR 97520
(541) 488-5300
~ ~
DATE
3/19/2008
PO NUMBER
08176
VENDOR: 013093
APPLIED GEOTECHNICAL ENGINEER, AGEGC
1314-B CENTER DRIVE #452
MEDFORD, OR 97501
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: Jim Olson
Confirming? No
Quantitv Unit Description Unit Price Ext. Price
Geotechnical Exploration for Hosler Dam 12,000.00
Stability, Compensation: Not to exceed
$12,000 in accordance with the attached
rate schedules from Western States Soil
Conservation and AGEGC
RFP
Date of aqreement: 03/12/2008
Beqinninq date: 03/12/2008
Completion date: 04/12/2008
Insurance required/On file
Project #2008.14
SUBTOTAL 12000.00
BILL TO: Account Payable TAX 0.00
20 EAST MAIN ST FREIGHT 0.00
541-552-2028 TOTAL 12,000.00
ASHLAND, OR 97520
Account Number Project Number Amount Account Number Project Number Amount I
E 670.08.19.00. 70420( E 200814.120 6,000.00 1
I
E 690.11.18.00.7041 O( E 200814.120 6,000.00 I
I
1
I
I
/
~
~ 3/,
, ,"/A/
- . ~~~
Authori Signature if
VENDOR COPY
CITY OF
ASHLAND
REQUISITION
No. PW - FY 2008
Department PUBLIC WORKS
Vendor AGEGC*
1314-B Cemter Dr. #452
Medford OR 97501
Account No. 670.08.19.00.702400
690.11.18.00.704200
Date March 12,2008
Requested Delivery Date
Deliver To Jim Olson
Via Pieter Smeenk PE
ASAP
50% (* Note: Please allow approximately two(2) weeks for delivery on items not
50% generally caried in stored, and approximately two (2) months on printing jobs.)
* indicates Aoolied Geotechnical EnQineerinQ And GeoloQic ConsultinQ, LLC
Item No. Quantity Unit Description Use of Purchasing Office Only
Unit Price Total Price PO No.
1 Geotechnical Exploration for Darn Stability T &M NTE $ 12,000.00
for K.ari:
BID /RFP lEXEMPT: RFP
Contract Start. Date: 12-Mar-OS
ContractCompletiQn Date:12-A~-OS
Insurance on file: rYES . INO
Project No: . 200S:1i... \4
Job No.
Unit No.
I hereby certify that the above items are necessary for the operation
of this department and are budgeted
~~~-,-
Issued By
Date
Received By
r.l'
G:\pub-wrks\eng\08-12\requisition general form.xls
CITY OF
ASHLAND
PROJECT ACCOUNTING WORKSHEET
PROJECT NUMBER (YEAR XX)
PROJECT TITLE
2007211
IHOSLER DAM FERC PART 12 SAFETY INSPECTION & ASSOCIATED BASE SHEAR ANAL YSISI
PROJECT DESCRIPTION
Engineering evaluation and report on the condition of Hosler Dam in accordance with Federal
Energy Regulatory Commission (FERC) Part 12 Safety Inspection Guidelines
Department
Project Manager
Department Head
Public Works - Engineering
Pieter Smeenk
James H. Olson
BUDGET INFORMATION
Identify fiscal year I potential splits I FY08
Identify Funding Codes
Water Suoolv Electric Deoartment
670.08.19.00.702400 50%
690.11.18.00.704200 50%
and Funding Code names
DESIGN .100
Engineer Name
PO
COST
Change Orders 1
2
3
4
Hatch Energy
Pending
$
100,660.00
$
100.660.00
CONSTRUCTION .120 (~, PRar Jp Or>-/2J)
contractor name AGEGC
PO Pending
budget estimate $ 12,000.00
bid I contract total $ 12,000.00
changes
total $ 12,000.00
CONSTRUCTION .120
contractor name
PO
budget estimate
bid I contract total
changes
total $
PERMIT COSTS (Building Dept) .170
budget estimate
final costs
Miscellaneous Costs: ~A'
Dally Journal of Commerce $ 418.25
Medford Mail Tribune $ 239.42
G:Pub-wrksleng/dept-adminlengineer/projectl07-21 Proj Acct Worksheet NS.xls