HomeMy WebLinkAbout2008-122 Contract - Small Woodland Services
Contract for PERSONAL SERVICES
CITY Of
ASHLAND
20 East Main Street
Ashland, Oregon 97~20
Telephone: 541/488-6002
Fax: 541/488-5311
CONTRACTOR: Small Woodlan~ Services, Inc.
CONTACT: Marty Main
ADDRESS: 2779 Camp Baker Road
Medford, OR 97501
TELEPHONE: (541 )778-4545
DATE AGREEMENT PREPARED:
BEGINNING DATE: Jul 1 2007
COMPENSATION:
Not to Exceed $75 000 er fiscal .ear
SERVICES TOSE PROVIDED: Consulting Forester and Forest Land Silviculture. Services as set forth in the
attached sco of services.
ADDITIONAL TERMS: This contract may ~e extended by mutual consent of both parties annually for up to
three (3) additional years for a maximum period of five (5) years.
FAX:
COMPLETION DATE: June 30, 2009
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 sucta personal services; (4) the undersigned Contractor has specialized experience, education, training and
capability sufflcient to perform the quality, quantity and type of work requested in the scope of work within the time and
financial constraints provided; . (5) the Contractor's proposal will best serve the needs of the City; and (6) the
com'pensation negotiated herein is fair and reasonable.
NOW THEREFORE, in consideration of the I mutual covenants contained herein the CITY AND CONTRACTOR AGREE
as follows:
1. Findings I R8cltatlons. The findings and recitations set forth above are true and correct and are incorporated herein
by this reference.
2. All Costs by Con~ctor: Contractor shall, at Its own risk and expense, perform the personal services described
above 'and, unless otherwis~ specified, furnish all labor, equipment and materials required for the proper performance
of such service.
3. Qualified 'Work: Contractor has .represented, and by entering into this contract now represents, that all pers~)Onel
asslgn~d to the work required under this contract are fully qualified to perform the service to which they will be
assigned In . skilled and worker-like manner and, If required to be registered, licensed or bonded by the State of
Oregon. are 80 registered, licensed and bonded.
4. CompletioR Date: Contractor shall start performing the service under this contract by the beginning date indicated
above and aomplete the service by the completion date indicated above. .
5. Compensation: City shall pay Contractor for service performed, Incl~ding costs and expenses, the sum speclfted
above. Once work commences, Invoices shall be prepar~ and submitted by the tenth of the month for work
completed lAthe prior month. Payments shall be made within 30 days of the date of the Invoice. Should the contract
be prematultely terminated, payments will be made for work completed and accepted to date of termlnation.
'6. OWnership of Documents: All documents prep~red by Contractor pursuant to this contract shall be the property of
City. . .
7. Statutory Rl8qulrements: 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 $16,936 or more, Contractor 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 lIIfOrk under this contract and to any Subcontractor who performs 50% or .more of the service work under
this contract.. Contractor Is also required to post the notice attached hereto as exhibit B predominantly In areas where
it will be SeeIA by all employees. -
9. Indemnification: Contractor agrees to defend, Indemnify and save City, Its ~fficers, employees and agents harmless
from any and all losses, claims, actions, costs, expenses, judgments, subrogatlons. or other damages resulting from
injury to any person (Including injury resulting in death), or damage (Including loss or destruction) to property, of
whatsoever nature arising out of or incident to the performance of this contract by Contractor (Including but not limited
to, ContraclDr's employees. agents, and others designated by Contractor to perform work or services attendant to this
contract. Oontractor shall not be held res nsible for an losses e enses claims sub atlons actions costs
Ashland Forest Wm4t Contract Page 1 of 7
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 mall or In person.
c. For Cause. City may terminate o"r modify this contract, in whol~ 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:
i. If City funding from federal, stateJ 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 Contractor to provide the
services required by this contract is for any reason denied, revoked, suspended, or not renewed.
d. For Default Qr Breach. "
i. 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 terminatibn 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 '.~In 15 days of the date of the 110tice, or within such other period ~s
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 ~sence for Contractor's performance of each and every obligation al)d 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 falls to provide sei"vices called for by this
contract within the time specified herein or in any extension thereof.
iii. Th~ 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. . .ObliaatlonILlabllitv 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 a~ed prior to such
termination or modification. However, upon receiving a notice of termination (regardless whether such.notlce Is
given pursuant to subsections a, b, cord of this section, Contractor shall Immediately cease all activities under
this contract, unless' expres.ly directed .otherwls~ by City In the notiCe' of termination, Further, upon. tennination,
Contractor shall deliver to City all contract documents, Information, works-in-progress and other property that are
or would be dellverables had" the contract been compieted; City shall pay Contractor for work performed prior to
the termination date ~ such work was performed In accordance with the Contract.
11. .Independent Contractor Status: Contractor is.an independent contractor and not an employee of the City.
Contra~or shall have the complete responsibility for the performance of this contract. Contractor shall provide
workers' compensation coverage as required In O-RS Ch 656 for all persons employed to perform work pursuant to
this con~ct. Contractor Is a subject employer that will comply with ORS 656.017. .
12. Assignment and SubcOn"cts: Contractor 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$hall be
void. Contractor shall ~e 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
C()ntractlial relation between the assignee or subcontractor and City. .
13. Default. The Contractor shall be In default of this agreement If Contractor: 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 8 QRF If
Contractor has qualified as a QRF for this agreement; institutes an action for relief In bankruptcy or has in.stltuted
again$t 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. Contractor shall at Its own expense provide the following Insurance:
a. Worker's Comoensation Insurance In compliance with ORS 656.017, which r~quires subject employers to
provide Oregon workers' compensation coverage for all their subject workers
b. Professional Llablitv Insurance with a combi'led. single 'IImlt, . or the equivalent, of not less than
$1 ,QOO.OOO 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 Liability Insurance with a combined single limit, or the equivalent, of not less than $1,000.000 for
each occurrence for 80011 In u - and Pro e Dama . It shall Include contractOalllabll covera e for the
Ashland Forest Work COntract
Page 2 of 7
indemnity provided under this contract.
d. Automobile L1abllitv insurance with a combined single limit, or the equivalent, of not less than $500,000,
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 ch~ae. 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 Contractor or Its insurer(s) to
the City.
f. Additionallnsured/Certificates of Insurance. Contractor shall name The City of Ashland, Oregon, and. its
elected officials, o~cers and employees as Additional Insureds on any insurance policies required herein but only
with respect to Contractor's services to be provided under this Contract. As evidence of the insurance coverages
required by this Contract, the Contractor shall furnish acceptable insurance certificates prior .to commencing work
under this contract. The certificate wII 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 Contractor shall be financially responsible for all pertinent
deductlbles, self-insured retentions and/or self-Insurance.
15. Governing Law; ~urlsdlctlon;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 fUed in Jackson County, Oregon. Contractor, by the signature herein of Its.authorized
representative, hereby co'nsents to the in liersonam jurisdiction of said courts. In no event shall this section be
construed as a wal~er by City of any fonn 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,
MOD.IFICA TION OR CHANGE, IF MADE, SHALL BE EFFECTJVE 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.
17. Nonapproprlatlons Clause. 'Funds AVailable and AuthQrized: City has sufficient funds Cl;Jrrently availa~e 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 amol,Jnts under this contract attributable to work perfonned 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 tennlnate this
contract without penalty or liability to City, effective upon the delivery of written notice to Contractor, with no further
liability to Contractor.
Certification. Contractor shall'sl n the certification attached hereto as exhibit A and herein Inco
CONTRACTOR CITY OF ASHLAND:
BY
N.
nature ~
~
Print Name
TITLE A. ~~:i:'t 5mH' ~
k/"'H4 :S"~~.pe.s c.
S-2/-~7
DATE
DATE ?
CONTRACT AWARD AND FINDINGS DETERMINED BY:
By: . ~ t- LJ"."M..
City Department Head
Date: s- ~L-II '1
FederallD#
~~ -//r.3Y~()
ACCOUNT #
7/J 0 $'. L 1. tJ{)_. (,,0'/ /
(For City purposes only)
PURCHASE ORDER # " 7 ~ ~~
*Completed W9 form must be submitted with contract
Ashland Forest Work Contract
Page 3 of 7
EXHIBIT A
CERTIFICAtIONSlREPRESENTATIONS: Contractor, under penalty of pe~ury, certifies that (a) the
number shown on the attached W-9 form is its correct taxpayer 10 (or is waiting for the nu~ber 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 n~t 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:
~ (1) I carry out the labor or services at a location separate from my residence or is in a
specifi~ 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.
k (4) Labor 9r services are performed only pursuant to written contracts.
l><. (5) Labor or services are performed for two or more different persons within a p~riod 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.
.1II4~8/~J/~ 5-Z/-f/7
Contractor (Date)
Ashland Forest Work Contract
Page 4 of 7
Form W-9
Request for Taxpayer _
Identification Number and Certification
GIve fonn to the
requester. Do not
send to the IRS.
(Rev. JImMy 200~
~GI" T.-.y
IramII ...... SInk:e
N Heme
t 5
s
tj
It
en
cI
<-
I?J CarpcntJon 0 Plh.lIl.hlp 0 Other ~ .....~..........._ 0 =:: beckup
Requester's ..... end eddress (optionII)
Enter yas nN In the IppfOpIIata box. For 1ncIivicMIs, this Is yea social S8CI.rIty run_ (SSN).
However, far . NIident ..... .. propriIItar, or. ~ ena" .. .... IWt IInItructIans on
... S. For odwr ...... It Is yea empkJyer identification run_ (EIN). If you do not have I.run_,
see How to get . TIN on pege 3.. .
,...: If the <<t:tUIt Is ;, men thin DIIIII1IIm8. see the chatt on pII(J8 4 for gukIIIIines on whose TUrIber
to ....
~
or
EnIpIDJIr ldenllllcallan ........
CertIfication
Undir penlltIeS of perj.ry. I certify thIt:
1. The IUIIber shown an this form. Is my CGrrect taxpayer identification runber (or 11m WIltIng for I runbel'to be.1ssued to me). MIl
2. I n not ~ to beck&4J withholding because: Ce) I 1m exempt from bIIcIwp wIIhhoIdlng. or (b) I hive not been ncdied by the Int8mII
Revenue ServIce ORS) that I 1m ~ to b8c1wp wIthhoIcIing IS I result ci I ,.... to report lllrUrast or dIvicIIndS, or (c) the IRS his
notified me thlt 11m no longer subject to bldcup withholding. __
S. 11m I U.S. person ~ I U.s. resident lien).
CertIftcIIIon InstrucIIanI. You nust cross aut Item 2 above r you have been notified by the IRS that you .. cwrentIy ~ to blCkup
withholding beCII8e you hive faIed to report II interest and dividends an yoAJI tax 11It&m. For ruI estate trInSIctions. Item 2 does not IppIy.
For rnartglg81nter8st p8Id. acquIsItIan or IbIndonrMnt of sec&nd property. caallltian of debt, c:antributIans to enlndlvldull retnment
arrangerntd ORA). IIIcI gennly, paymentS ClttB thin Int8rest IiId chidInds. you .... not requi8d to sign the Clrtlflcatian. but you must
provide yea ccrrect nN. (See the InstructIans on page 4.)
~ I =~~~t4~~~ PIf!~~7 """~. 5-2/-0'7
Purpose of Form NoInsident ......who. becOIMS . ........ aIen.
Gener81y,onIy a nonresident alien IndIvldu8I may use the
A person who Is required to file an Informetiori retLl'n with terms ri a tax treaty to reduce or eliminate U.S. tax on
the IRS, I1'IJSt obtain yr:u correct. taxpayer identification certain types of 1ncome.'However, most tax'treaties contain 8
number (TIN) to report, for example, income paid to you, real provision knolNn IS a "saving cIause..- Exceptions speclfled
estate transactions. mortgage i1terest you palcl. aCQUlsttlon In the $lYing clause may permit an exemption from .tax to
or abandonment of secured property, cancellation at debt. or contIru for certain types rllncome even after the recipient
contributions you made to an IRA. has otherwise beCome a U.S. resident alien for tax purposes.
U.5. person. Use Form .W-9 only ~ you are a U.S. person If you are a U.S. resident alien who Is relying on an .
Oncluc:llng a resident alien). to provide your correct TIN to the exception contained In the $lYIng clause c:l a tax treaty to
person requesting -it (the requester) and, when applicable, to: claim an exemption from U.S. tax on certain typeS rllncome,
1. CertIfy that the TIN you are glvlng Is correct (or you are you rIIJSt attach a statement thBt ~s the following five
waltlng for a number to be lssuect), Items:.'
2. CertIfy that you are not subject to backup withholding, 1. The treaty courUy. Generaly, this I1'IJSt be the same
or treaty LIIder which you'clalmed 8xernptIon from tax IS a
3. Claim exemption from backup withholding If you are a nonresident alien.
U.S. exempt payee. 2. The treaty article addressing the Income.,
Note: If a requester gives you a form other than Form W-B 3. The article number (or location) In the tax treaty that
to request ytJII nN, you must use the requester"s form If It Is contains the saving clause and its exceptions.
substantially sim/lsr to this Form WeB. 4. The type and amount of Income that qualifies for the
Foreign person. If. you ere a foreign person, use the exemption frOm tax.
appropriate Form W.B (see Pub~ 515, WIthholding rl Tax on I. ~nt facts to justify the exemption from tax under
Norvesldent Aliens and Foreign Entities). the terms rl the treaty article.
Cet. No. 10mx
Farm W-I (Rev. 1-2003)
___-'~sh'and Forest Work Contract
Page 6 of 7
CITY OF ASHLAND, OREGON
EXHIBIT B
. City of Ashland
LIVING ..
Employees must be paid a
living wage:
portion of business of their cafeteria plans (including
employer, if the employer has chndcare) benefits to the
ten or more employees, and amount of wages recei~ by
has received financial the employee.
> For all hours worked under a assistance for the project or Note: .Employee. does not
business from the City of >
service contract between their Ashland in excess of $16,936. include temporary or part-time
employer and the City of employees hired for less than
Ashland if the contract > If their employer is the City of 1040 hours in any twelve-
exceeds $16,936 or more. Ashland induding the Parks . month period. For more
> For all hours worked in a and Recreation Department. details on applicability of this
policy, please see ~hland
month if the employee spends > In calculatirwg the living wage, Municipal.Code Section
50% or more of the employers may add the value 3.12'.020.
employee's time in that month of health an. retirement,
working on a project or 401 K and IRS eligible
For additional information:
Call the Ashland City . Administrator's office at 541-488-8002 or write to the City Administrator. City Hall,
20 East Main Street, Ashland, OR 97520 or visit the city's website at www.ashland.or.us.
Notice to Employers: This notice must be posted predominantly in areas where it can be seen by all
employees.
Ashland Forest WOrk Contract
Page 70t 7
III I
ACORD... CERTIFICA TE OF LIABILITY INSURANCE OP 10 JF I DATE (MMIDDIYYYY)
SMALL-5 03/27/08
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
NorthWest Insurance Agency-FB ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Agency License #0580581 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
PO Box 1207, 522 N Frank~in St ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Fort Bragg CA 95437-1207
Phone:707-964-1271 Fax:707-964-0108 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: Arch Special~' Insurance CO.
INSURER B:
Sma~~ Woodland Services Inc. INSURER C:
Marty Main
2779 c~ Baker Road INSURER D:
Medford R 97501
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.
L TR' INSRt TYPE OF INSURANCE POLICY NUMBER 'D~~1MMtODh.yt Pgk~' fMMJ6ifNY)' LIMITS
GENERAL LIABILITY EACH OCCURRENCE $1,000,000
f--
A X X COMMERCIAL GENERAL LIABILITY GAPKGl17085301 07/01/07 07/01/08 UI\MI\uC I U ~CN I CU $ 100,000
PREMISES (Ea occurence)
! CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $ 5,000
PERSONAL & ADV INJURY $1,000,000
f--
~ Forestr E&O $lmi.~ GENERAL AGGREGATE $1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COM~OPAGG $1,000,000
n n PRO- nLOC Emp Ben. N/A
POLICY JECT
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
I-- $
ANY AUTO (Ea accident)
f--
ALL OWNED AUTOS BODILY INJURY
f-- $
SCHEDULED AUTOS (Per person)
-
HIRED AUTOS BODILY INJURY
f-- $
NON-OWNED AUTOS (Per accident)
f--
f-- PROPERTY DAMAGE $
(Per accident)
GARAGE UABILITY AUTO ONLY - EA ACCIDENT $
RANYAUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESSlUMBRELLA UABIUTY EACH OCCURRENCE $
o OCCUR D CLAIMS MADE AGGREGATE $
$
RDEOU~ $
RETENTION $ $
WORKERSCOMPENSAnONAND I TORY L!M!TS ! IUJ~-
EMPLOYERS' UABIUTY E.L. EACH ACCIDENT $
ANY PROPRIETORIPARTNERlEXECUTIVE
OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $
If~. describe under $
S ECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT
OTHER
DESCRIPTION OF OPERA nONS I LOCA lIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
CITY OF ASHLAND, ITS OFFICERS, EMPLOYEES & AGENTS: It is understood and
agreed that the certificate ho1der is named as an Additiona~ Insured, but
on1y with respects to it's ~iabi1ity arising out of the activities of the
Named Insured. Reprinted 3/27/08
CERTIFICATE HOLDER
Ci ty of Ash~and
C/O Keith E. Wood1ey
Ash1and Fire & Rescue
455 Siskiyou B1vd.
Ash~and OR 97520
CANCELLATION
MISC- 0 3 SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRAnO
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN
NonCE TO THE CERnFICATE HOLDER NAIlED TO THE LEFT, BUT FAILURE TO 00 SO SHALL
IMPOSE NO OBLlGA nON OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
AtHl,u,,~ ~"SE
@ ACORD CORPORATION 1988
ACORD 25 (2001/08)
ACORD.. CERTIFICATE OF LIABILITY INSURANCE 5~ DATE (IMDDIYYVY)
~5 07/20/06
PRODUCER THIS CERnFlCATE IS ISSUED AS A MATTER OF INFORMAnON
NorthW..t Insurance Agmlay-n ONLY AND CONFERS NO RIGHTS UPON THE CERnFlCATE
Agency ~o.na. '0580581 HOLDER. THIS CERnFlCATE DOES NOT AMEND. EXTEND OR
PO Box 1207, 522 N ~iD St ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Fort Bragg CA 95437-1207
Phone: 707-964-1271 ~:707-964-0108 INSURERS AFFORDING COVERAGE NAlCI
INSURED INSURER A:. AI'ClIh lpeaial ~ 1uan.Dae co.
SlllaJ.l =~~ancl 8eZ'viae. INSURER B:
Xnc. INSURER c:
mjYina~ft Road INSURER 0:
*dfoZ'd 1
INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED 10 THE INSURED NAMED AICNE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
AN'( REQUIREMENT. TERM OR CONDITION OF AHV CONTRACT OR OntER DOCUMENT WITH RESPECT 10 WHDI THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT 10 ALL THE TERMS. EXCLUSIONS NfD CONDITIONS OF SUOi
POLICIES. AGGREGATE UMITS SHOWN MAY HAVE EN REDUCED BY PAID CLAIMS.
~;;; . TYPE OF II8URANCE POLICY NUMBIR ~~ UIIIT8
CIItI!IW. LIAIIUTY I:ACH OCCURRENCE $ 1.000 .000
- PRiiiiES't&"~)
A X X COMMERCIAL GENERAL LIABILITY QUltQ097085301 07/01/06 07/01/07 $ 100.000
I CLAIMS MADE [i] OCCUR MED exP (Any one pII'ICIft) $ 5.000
PERSONAL" MN INJURY $ 1.000 .000
-
X Forestr .50 $1mil GENERAL AGGREGATE $ 1.000.000
GEN'L AGGREGATE LIlT APPLES PER: PRODUCTS - COMPIOP ISG $1.000.000
n POLICY n ~ n LOC Bmp Ben. NIl..
AUTOIIOIIILI! LIA8ILITY COMBINED SINGLE UNIT $
""""-
1M'( AUTO (ElIlCCIcIInt)
-
ALL 0WN5D AUTOS BODLY INJURY $
~
SCHEDULED AUTOS (Per pII'ICIft)
!--
HIRED AUTOS BODILY INJURY
- $
'NON.QWNED AUTOS (Per MlCldInt)
-
PROPERTY DMWiE $
(Per 8CCIcIent)
GAIWII LIA8I.ITY AUTO ONLY - EA ACCIDENT $
RANY~ OTHER 1'HAN EA N::c $
AUTO ONLY: NJG $
~LIAIIU1Y EAai OCCURRENCE $
O. OCCUR 0 CLAIMS MADE AGGREGATE $
$
R:::: $
$ . $
WOIUCIRI co.INM1'IbN AND ITORY LIMITS I I "'ev
~UAIIJ1'Y E.L EACH ACCIDENT $
- E.L.DISEA8E';'EA~~ $
~"""1ndIr E.L DISEASE - POUCY.LNJT $ .
PR(MSIONS below
01HIR
DaCRFTION OF OPERA~I LOCA11ON8 lVEHICLD I IXCWIIONI ADDID BY INDQ-TIlfEN1' I.-.cw. PRCMIION8
exn 01' ASHLaND, X~S OIT:tCBRS, I:MPLO%DS , ~S: Xt is UDders1:ood and
agZ'88d t:hat the cer'ti~iaa1:e holcleZ' ia. ~ .a an Addi1::1onal Xnsurec:l, but
only with re8pec1:8 1:0 it. s liabili 1:y arising out of the' ac1::1 vi 1::1e. o~ the
N~ Inaured..
,
,
CERnFICATE HOLDER
ei 1:y o~ Aahland
C/O Kei.th B. Woocl1ey
Ashland ~ , "scue
455 SiskiyOu Blvd.
Ashland OR 97520
MISe-03
CANCEUAnON
IHOULD ANY OF THE MOVE DElCRIBED POUCIII BE CAPl'!l=II 11ft II!FORE TIE ~
DATE 1HERI!OF, TIE IIIUING IN8URBR WILL ENDIAVOR TO MAIL ~ DAYS WRITTEN
NOTICE TO THE ClRTlFlCATE HOLDER NAIIID TO tHE LEFT. BUT FAILURI! 10 DO 10 IHALL
IIPOII! NO OIILIGATION OR UAIIIU1Y OF ANY KIND. UPON lIE -'111 AGINT8 OR
ACORD 25 (2001108)
C ACORD CORPORAnON 1188
~----- - --rrrUT
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CITY RECORDER
Page 1 1 1
r.,
CITY OF
ASHLAND
20 E MAIN ST.
ASHLAND, OR 97520
(541) 488-5300
DATE
7/1/2008
II
pacNlJMBER
08374
VENDOR: 001765
SMALL WOODLAND SERVICES, INC.
2779 CAMP BAKER ROAD
MEDFORD, OR 97501
SHIP TO: Ashland Fire Department
(541) 482-2770
455 SISKIYOU BLVD
ASHLAND, OR 97520
FOB Point:
Terms: Net 15 days
Req. Del. Date:
Speciallnst:
Req. No.:
Dept.: PUBLIC WORKS
Contact: Keith Woodley
Confirming? No
'"""" <:;:.~".,t...... ..... ..:/aJ1iti :...;.... ,; :: . ... Unlt,Price .... ,<";".:
/ .,.......... .
ConsultinQ Forester and Forest '. 50,000.00
Silvi-culture Services - FY 2008-2009
Per attached contract/scope of services
Approved by Council April 17, 2007
Contract for Personal Services
BeQinninQ date: July 1 , 2007
Completion date: June 30, 2009
SUBTOTAL 50 000.00
BILL TO: Acco~ Payable TAX 0.00
20 EAST MAIN ST FREIGHT 0.00
541-552-2028 TOTAL 50,000.00
ASHLAND, OR 97520
.. .A~g~!,"_" F),~tNtarn~r Amount ~()Urttfth"ntber Pro"'(:t~""""r <~t.Jijt
E 6 70 08 2 9 00.604 1 6( 50.000 00
___ ~ -L- ~~ ::(~~
VJ:Nnnc f"nov
rrr-T
CITY OF
ASHLAND
REQUISITION FORM
THIS REQUEST IS A:
D Change Order(existing PO #
Date of Request:
Required Date of Delivery/Service:
Vendor Name
Address
City, State, Zip
Telephone Number
Fax Number
Contact Name
SMALL WnOlllANn SFRVICE, In~
2779 CAMP BAKER ROAD
MEDFORD, OR 97501
(H) 535-3603 (Cell) 778-4545
Mr. Marty Main
SOLICITATION PROCESS
Small Procurement XX Sole Source 0 Invitation to Bid
o Less than $5,000 o Written findings attached (Copies on file)
o Quotes (Not required)
Coooerative Procurement 0 Reauest for Prooosal
o State of ORIWA contract (Copies on file)
Intermediate Procurement o Other government agency contract o Soeciall Exemot
o (3) Written Quotes 0 Copy of contract attached o Written findings attached
(Copies attached) 0 Emeraency
0 Contract # 0 Written findings attached
Description of SERVICES
Consulting Forester and forest land silvi-culture services. Scope of services
set forth in attachments.
Item # Quantity
Unit
Description of MATERIALS
Unit Price
Total Cost
Project Number _ _ _ _ _ _. _ __
o Per attached QUOTE
Account Number 670-08-29-00- 604160
* Items and services must be charged to the appropriate account numbers for the financials to reflect the actual expenditures accurately.
By signing this requisition form, I certify that the information provided above meets the City of Ashland public contracting requirements,
and the documentation can be provided upon request.
Employee Signature:
/f'~~ c. Lt../ ~-'I ~~
Supervisor/Dept. Head Signature: l - - ~
G: finance\Proredure\AP\Forms\Requisition Form 2008.doc
Updated ~~: ~1/2008