HomeMy WebLinkAbout2008-209 Contract - Chown Security
Contract for GOODS AND SERVICES Less than $25,000
CITY OF
ASHLAND
20 East Main Street
Ashland, Oregon 97520
Telephone: 541/488-6002
Fax: 541/488-5311
CONTRACTOR: Chown Hardware
CONTACT: Tom Shiel
ADDRESS: 333 NW 16th Avenue, Portland, OR 97209
TELEPHONE: 503-243-6500
DATE AGREEMENT PREPARED: 10107/2008 FAX: 503-243-6519
BEGINNING DATE: 10/07/2008 COMPLETION DATE: 11/28/2008
COMPENSATION: $21,352.43 - Per attached proposal dated 09/26/2008
GOODS AND SERVICES TO BE PROVIDED: Modify four (4) doors/access areas to improve security. Provide
all hardware, labor and installation. Location: City Hall
ADDITIONAL TERMS:
NOW THEREFORE, pursuant to AMC 2.50.090 and after consideration of the mutual covenants contained herein the
CITY AND CONTRACTOR AGREE as follows:
1. All Costs by Contractor: Contractor shall, provide all goods as specified above and shall at its own risk and
expense, perform any work described above and, unless otherwise specified, furnish all labor, equipment and
materials required for the proper performance of such work.
2. Qualified Work: Contractor has represented, and by entering into this contract now represents, that any personnel
assigned to the work required under this contract are fully qualified to perform the work 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. Contractor must also maintain a current City business license.
3. Completion Date: Contractor shall provide all goods in accordance with the standards and specifications, no later
than the date indicated above and start performing the work under this contract by the beginning date indicated
above and complete the work by the completion date indicated above.
4. Compensation: City shall pay Contractor for the specified goods and for any work performed, including costs and
expenses, the sum specified above. Goods shall be paid for within 30 days of an invoice after delivery of goods
conforming to the standards and specifications. 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. Compensation under this contract, including all costs and expenses of Contractor, is limited to
$25,000.00, unless a separate written contract is entered into by the City.
5. Ownership of Documents: All documents prepared by Contractor pursuant to this contract shall be the property of
City.
6. Statutory Requirements: ORS 279B.220, 279B.225, 279B.230, 279B.235, ORS Chapter 244 and ORS 670.600 are
made part of this contract.
7. Living Wage Requirements: If contractor is providing services under this contract and the amount of this contract
is $18,088 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 work under this contract and to any subcontractor
who performs 500/0 or more of the work under this contract. Contractor is also required to post the notice attached
hereto as Exhibit B predominantly in areas where it will be seen by all employees.
8. 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 of this 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
contra.ct). Contractor shall not be held responsible for any losses, expenses, claims, subrogations, actions, costs,
judgments, or other damages, directly, solely, and proximately caused by the negligence of City.
9. Termination:
a. Mutual Consent. This contract may be terminated at any time by mutual consent of both parties.
b. Citv'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 Contractor, or at such later date as may be established by City under any of the followinQ
Contract for Goods and Services Less than $25,000, Revised 06/30/2008, Page 1 of 9
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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 Contractor 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 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 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 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.
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. Obliaation/Liabilitvof 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, Contractor shall immediately cease all activities under
this contract, unless expressly directed otherwise by City in the notice of termination. 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.
10. Independent Contractor Status: Contractor is an independent Contractor and not an employee of the City.
Contractor shall have the complete responsibility for the performance of this contract.
11. Non-discrimination Certification: The undersigned certifies that the undersigned Contractor has not discriminated
against minority, women or emerging small businesses enterprises in obtaining any required subcontracts.
Contractor further certifies that it shall not discriminate in the award of such subcontracts, if any. The Contractor
understands and acknowledges that it may be disqualified from bidding on this contract, including but not limited to
City discovery of a misrepresentation or sham regarding a subcontract or that the Bidder has violated any
requirement of CRS 279A.11 0 or the administrative rules implementing the Statute.
12. Asbestos Abatement License: If required under ORS 468A.71 0, Contractor or Subcontractor shall possess an
asbestos abatement license.
13. Assignment and Subcontracts: 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 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.
14. Use of Recyclable Products: Contractor shall use recyclable products to the maximum extent economically feasible
in the performance of the contract work set forth in this document.
15. 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; if it loses its QRF status pursuant to
the QRF Rules or loses any license, certificate or certification that is required to perform the work or to qualify as a
QRF if Contractor 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.
16. Insurance. Contractor 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. General Liabilit . ce with a combined single limit, or the equivalent, of not less than Enter one:
$200,000, $500,000, $ 000,000 2,000,000 or Not Applicable for each occurrence for Bodily Injury and Property
Damage. It shall include c ractualliability coverage for the indemnity provided under this contract.
c. Automobile LiCibilitv"~ance with a combined single limit, or the equivalent, of not less than Enter one:
$200,000, $500,000, S(hOO-.lqQjl..()r Not Applicable for each accident for Bodily Injury and Property Damage,
includin covera e for owned, hired or non-owned vehicles, as a licable.
Contract for Goods and Services Less than $25,000, Revised 06/30/2008, Page 2 of 9
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d. Notice of cancellation or chance. 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.
e. AdditionallnsuredlCertificates of Insurance. Contractor 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 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 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 Contractor shall be financially responsible for all pertinent
deductibles, self-insured retentions andlor self-insurance.
17. 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, lithe 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.
18. 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.
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.
19. 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. 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.
20. Prior Approval Required Provision. Approval by the City of Ashland Councilor the Public Contracting Officer is
required before any work may begin under this contract.
21. Certification. Contractor shall sign the certification attached hereto as Exhibit A and herein incorporated by
reference.
CONTRACTOR
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Print Name
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CITY OF ASHLAND:
BY
BY
TITLE
DATE
DATE
(D I ( , I og
CONTRACT AWARD AND FINDINGS DETERMINED BY:
By:
City Department Head
Date:
FederallD#
~s-O) 3>9 ~6
ACCOUNT #
*Completed W9 form must be submitted with contract
PURCHASE ORDER #
CJ~ 6 :P-;:2-
Contract for Goods and Services Less than $25,000, Revised 06/30/2008, Page 3 of 9
--,,------, --~- -
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 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, (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 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.
~~
Contractor
10 [tr.[ Of,
(Date)
Contract for Goods and Services Less than $25,000, Revised 06/30/2008, Page 4 of 9
Form W-9
Request for Taxpayer
Identification Number and Certification
Give fonn to the
requester. Do not
send to the IRS.
(Rev. October 2007)
Department of the Treasury
I nternal Revenue Service
Name
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Taxpayer Identificati()n Number (TIN)
QTj Exempt
P' payee
Requester's name and address (optionan
I Social ..c~ity numir
or
E~OY~~dej3~ti9tOber
Enter your TIN in the appropriate box. The TIN provided must match the name given on Une 1 to avoid
backup withholding. For individuals, this is your social security number (SSN). However, for a resident
alien, sole proprietor, or disregarded entity, see the Part I instructions on page 3. For other entities, it is
your employer identification number (EIN), If YOLl do not have a number, see HoW to get a TIN on page 3,
Note. If the account is in more than one name, see the chart on page 4 for guidelines on whose
number to enter,
Certification
Under penalties of perjury, I certify that:
1, The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me), and
2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal
ReVenLle Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has
notified me that I am no longer subject to backup withholding, and
3. lama U,S, citizen or other U.S, person (defined below),
CertificatIon Instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup
withholding because you have failed to report all interest and dividends on your tax return, For real estate transactions. item 2 does not apply.
For mortgage interest paid. acquisition or abandonment of secured property, cancellation of debt. contributions to an individual retirement
arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the Certification, but you must
provide your correct TIN, See th instructions on page 4,
Sign
Here
General Instructions
Section references are to the Internal Revenue Code unless
otherwise noted.
Purpose of Form
A person who is required to file an information return with the
IRS must obtain your correct taxpayer identification number (TIN)
to report. for example, income paid to you, real estate
transactions, mortgage interest you paid, acquisition or
abandonment of secured property, cancellation of debt, or
contributions you made to an IRA.
Use Form W-9 only if you are a U.S. person (including a
resident alien), to provide your correct TIN to the person
requesting it (the requester) and. when applicable, to:
1. Certify that the TIN you are giving is correct (or you are
waiting for a number to be issued),
2. Certify that you are not subject to baCkup withholding, or
3. Claim exemption from backup withholding if you are aU,S.
exempt payee. If appliqable. you are also certifying that as a
U,S. person. your allocable share of any partnership income from
a U,S, trade or business is not subject to the withholding tax on
foreign partners' share of effectively connected income,
Note. If a requester gives you a form other than Form W-9 to
request your TIN, you must use the requester's form if it is
substantially similar to this Form W-9.
D8t$ ~
(C:i " Of>
Definition of a U.S. person. For federal tax purposes, you are
considered a U,S, person if you are:
. An individual who is a U,S, citizen or U,S. resident alien,
. A partnership, corporation, company, or association created or
organized in the United States or under the laws of the United
States,
. An estate (other than a foreign estate), or
. A domestic trust (as defined in Regulations section
301.7701-7).
Special rules for partnerships. Partnerships that conduct a
trade or business in the United States are generally required to
pay a withholding tax on any foreign partners' share of income
from such business. Further, in certain cases where a Form W-9
has not been received, a partnership is required to presume that
a partner is a foreign person, and pay the withholding tax.
Therefore, if you are a U.S, person that is a partner in a
partnership conducting a trade or business in the United States,
provide Form W-9 to the partnership to establish your U.s,
status and avoid withholding on your share of partnership
income,
The person who gives Form W-9 to the partnership for
purposes of establishing its U.S, status and avoiding withholding
on its ,allocable share of net income from the partnership
conducting a trade or business in the United States is in the
following cases:
. The U,S, owner of a disregarded entity and not the entity,
Cat. No. 10231 X
Form W-9 (Rev. 10-2007)
Contract for Goods and Services Less than $25,000, Revised 06/30/2008, Page 5 of 9
..-.- ,-
- - ........ --... .VW.I..l naraware
WWW.chown.com
since 1879
Port.land Showroom
Toll Free (US & Can)
Local Telephone
333 NW 16th Ave
(800) 547-1930
(503) 243-6500
Portland, OR 97209
Fax: (800) 758-7654
Fax: (503) 243-6519
- - ---- --- -- ---- ---- - - - - -- - ----- --- --- -- --- --- - - ----- - -- - -- - -- -- ---- - --- ---------
QTE ID: 653189 *** QUOTATION *** Page 1 of 2
To: DALE PETERS PO:
CITY OF ASHLAND Job:
90 N MOUNTAIN AVE FAX No. : 541-552-2304
ASHLAND, OR 97520 Phone No. : 541-552-2292
USA
We are pleased to present the fOllowing quotation
for your consideration.
Ship To:
DALE PETERS
THE SERVICE CENTER
90 N MOUNTAIN
ASHLAND OR 97520
Date: 9/26/08 9:11 AM Salesperson No. : 44 Jim Kesson
Line Item # Qty U/M Description Price Extended
BELOW FOR CITY HALL LEGAL ENTRY
1 40655 1 EA HID 5355AGK14 PROXPRO W/KEYPAD 483.00 483.00
2 26786 1 EA SMS SRINX-2 READER INTERFACE 440.00 440.00
3 11753 1 EA HES 9500 630 STRIKE-SURF.MOUNT 281.88 281.88
4 60172 2 EA HES 2005 SMART-PAC 38.88 77.76
5 45549 1 "EA ALTRONIX AL175ULX POWER SUPPLY 113.90 113.90
6 48719 2 EA BAT WERKER WKA12-7.5F BATTERY 28.70 57.40
BELOW FOR STAIRWELL ENTR DBL DR
7 75728N* 1 EA SCHEL 352+DSM MBS2 X335 MAGLOCK 591.30 591.30
8 75728N* 1 EA SCHEL 3523A 335 1 1/2 X 1 1/2 55.62 55.62
9 28894 1 EA SMS S5355AGK14 PROXPRO/KEYPAD 520.00 520.00
10 26786 1 EA SMS SRINX-2 READER INTERFACE 440.00 440.00
11 13381 2 EA LCN 1261RW/PA DKBRZ DOOR CLOSER 79.80 159.60
12 75728N* 1 EA SCHEL 672-SP32 313 RD RHR BAR 137.70 137.70
FOR 26 1/4" WIDE DOOR
13 75728N* 1 EA SCHEL 672-SP32 313 RD LHR BAR 137.70 137.70
FOR 26 1/4" WIDE DOOR
14 5.7225 * 2 EA SCHEL 788C-18 DOOR CORD 4/WIRE 42.66 85.32
15 45549 1 EA ALTRONIX AL175ULX POWER SUPPLY 113.90 113.90
16 17209 1 EA ALTRONIX BC200 ENCLOSURE 2 BATT 28.14 28.14
-----,,0-
from Cnown Hardware
www.chown.com
- -- - -- - - -,.. - --- - - - - - - -- - - - - -- -- -- - - - - - - - - - - - - - - - - -- - - - - - - -- - -- - - - -- - -- - - - -- - -- - --
since 1879
QTE ID: 653189
Date: 9/26/08
Line Item #
17 48719
18 18950N*
19 18947N*
20 18947N*
21 76439
22 57831
23 11174
24 56503N*
25 60172
26 18921N*
27 45549
28 48719
29 26786
30 28894
31 93715
32 40911
33 60172
34 63779
35 26786
36 40655
37 54322
38 13077
39 07659
40 36495
41 39813
42 48719
43 26782
44 00025
45 00006
46 00034
47 00032
48 00008N*
9:11 AM
*** QUOTATION ***
Salesperson No.:
44 Jim Kesson
Page
Qty U/M Description
4 EA BAT WERKER WKA12-7.5F BATTERY
1 EA
1 EA
1 EA
1 EA
1 EA
1 EA
1 EA
1 EA
1 EA
1 EA
2 EA
1 EA
1 EA
1 EA
1 EA
1 EA
1 EA
1 EA
1 EA
1 EA
1 EA
1 EA
1 EA
1 EA
3 EA
1 EA
1 EA
1 EA
1 PG
1 EA
1 EA
BELOW FOR RECORDERS OFFICE ENTR
PEMKO DFM83SFHD1 FLUSH GEARED
PEMKO 272D-48" MS&ES10 THRSHOLD
PEMKO 2211DV 48" DOOR SHOE
VONDU 99EO 313AN X 4'RIM DEVICE
VONDU 050251 RX/S1 SWITCH KIT
VONDU 996L-R&V-10B LHR B/A TRIM
HES 9600 LBM 630 STRIKE
HES 2005 SMART-PAC
LCN 4642LONG DKBRZ 120V CLOSER
ALTRONIX AL175ULX POWER SUPPLY
BAT WERKER WKA12-7.5F BATTERY
SMS SRINX-2 READER INTERFACE
SMS S5355AGK14 PROXPRO/KEYPAD
BELOW FOR OFFICE HALF GATE
SCH B252PD 626 DBL CYL, D/LATCH
HES 5200-12/24DC ELECT STRIKE
HES 2005 SMART-PAC
lEI PIP12VDC PLUG-IN POWER SUPP
SMS SRINX-2 READER INTERFACE
HID 5355AGK14 PROXPRO W/KEYPAD
SCHEL 623RD EX PUSHBUTTON-RED
IVES 5PB1 4.5 US26D HINGE
STAHA 2060R-26D 4.5 SPR HINGE
SMS SRCNX-16 READER CONTROLLER
SMS S16H-NX 16VAC 4AMP PWR SUPP
BAT WERKER WKA12-7.5F BATTERY
SMS SIPNX-100 IP MODULE
ELECTRICAL LABOR
CROWN INSTALL
CHOWN SECURITY ELECT DRAWINGS
BOMGAR SERVICE OFFSITE
35 3/4" X 44" PSWM HALF DOOR
1 3/4" SOLID CORE WITH CLEAR
FINISH. PREP FOR 245 / DB
Price
28.70
151 ~4 5
44.46
44.30
465.92
101.92
207.48
275.94
38.88
2219.01
113.90
28.70
440.00
520.00
97.02
75.06
38.88
18.10
440.00
483.00
63.72
3.52
23.35
2500.00
100.00
28.70
730.00
4250.00
2375.00
500.00
600.00
450.00
2 of
2
Extended
114.80
151.45
44.46
44.30
465.92
101.92
207.48
275.94
38.88
2219.01
113.90
57.40
440.00
520.00
97.02
75.06
38.88
18.10
440.00
483.00
63.72
3.52
23.35
2500.00
100.00
86.10
730.00
4250.00
2375.00
500.00
600.00
450.00
Total Amount 21352.43
(*) Items with asterisk are nonstock and not returnable.
Quotation good for 30 days.
Thank you for this opportunity to quote our products
and we hope we may be of service to you.
Sincerely,
Jim Kesson
Chown Hardware
--------",
W-gRDTM CERTIFICATE OF LIABILITY INSURANCE OP 10 J9 DATE (MM/DDIYYYY)
CHOWN-3 10/16/08
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Fullerton & Company HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P. O. Box 29018 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Portland OR 97296-9018
Phone:503-274~6511 Fax:503-274-6524 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: SAIF Corporation
INSURER B:
Xen 1 Client #950928 INSURER C:
Xenium Resources
7401 SW Washo Ct S#200 INSURER 0:
Tualatin OR 97062
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,
NSR[ POLICY NUMBER PD~';!~1J~J8tW)E POLlCYlfXPIRA T~~N LIMITS
LTR TYPE OF INSURANCE DATE MMlDDNY
GENERAL LIABILITY EACH OCCURRENCE $
I--- UAMAl:it: I U Kt:N I t:u
COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurence) $
I--- U CLAIMS MADE D OCCUR MED EXP (Anyone person) $
I--- PERSONAL & ADV INJURY $
I--- GENERAL AGGREGATE $
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $
n n PRO- nLOC
POLICY JECT
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
- $
ANY AUTO (Ea accident)
-
ALL OWNED AUTOS BODILY INJURY
- $
SCHEDULED AUTOS (Per person)
-
HIRED AUTOS BODILY INJURY
- $
NON-OWNED AUTOS (Per accident)
-
- PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
~ ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $
o OCCUR D CLAIMS MADE AGGREGATE $
$
~ DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND I we STA1U- I IOTH-
X TORY LIMITS ER
A EMPLOYERS' LIABILITY 949996 01/01/08 01/01/09 $1,000,000
ANY PROPRIETOR/PARTNER/EXECUTIVE E,L. EACH ACCIDENT
OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $1,000,000
If yes, describe under E,L, DISEASE - POLICY LIMIT $1,000,000
SPECIAL PROVISIONS below
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
As respects the operations of Chown, Inc. 333 NW 16th Ave, Portland OR,
97209
CERTIFICATE HOLDER
CANCELLATION
CITYASH
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.
City of Ashland
Kari Olson
90 North Mountain
Ashland OR 97520
ACORD 25 (2001/08)
~Q.~
@ ACORD CORPORATION 1988
III
-,-.- I
.,.,' CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY)
~'CORDTM 10/16/2008
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
USI Northwest ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
700 NE Multnomah, Suite 1300 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Portland, OR 97232
503 224-8390 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: Phoenix Insurance Company 25623
Chown, Inc. INSURER B: Travelers Indemnity Company 25658
POBox 2888 INSURER c: Charter Oak Fire Insurance Company 25615
Portland, OR 97208 INSURER D:
INSURER E:
Client#. 325772
CHOWNINC
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 ~~~~ TYPE OF INSURANCE POLICY NUMBER PJ>Al{~~~~~58,w\E P~~fJ I~X':'~~N LIMITS
LTR
A GENERAL LIABILITY 6809762C114 03/01/08 03/01/09 EACH OCCURRENCE $1.000 000
I--- DAMAGE T9_ RENTED
X COMMERCIAL GENERAL LIABILITY $1 000000
1 CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $10.000
I-- PERSONAL & ADV INJURY $1 000000
I-- GENERAL AGGREGATE $2.000.000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2.000.000
n POLICY n ~rRT n LOC
C ~TOMOBILE LIABILITY BA9762C845 03/01/08 03/01/09 COMBINED SINGLE LIMIT
~ ANY AUTO (Ea accident) $1,000,000
- ALL OWNED AUTOS BODILY INJURY
$
SCHEDULED AUTOS (Per person)
..--
~ HIRED AUTOS BODILY INJURY
$
~ NON-OWNED AUTOS (Per accident)
- PROPERTY DAMAGE $
(Per accident)
RGE LIABILITY AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
B ~ESS/UMBRELLA LIABILITY CUP5944Y135 03/01/08 03/01/09 EACH OCCURRENCE $5.000.000
X OCCUR D CLAIMS MADE AGGREGATE $5.000.000
$
~ DEDUCTIBLE $
X RETENTION $ 10000 $
WORKERS COMPENSATION AND T T~gJ;r~~~ I 10J~-
EMPLOYERS' LIABILITY $
ANY PROPRIETOR/PARTNER/EXECUTIVE E,L, EACH ACCIDENT
OFFICER/MEMBER EXCLUDED? E,L, DISEASE - EA EMPLOYEE $
If yes, describe under E,L, DISEASE - POLICY LIMIT $
SPECIAL PROVISIONS below
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
The City of Ashland and it's elected officials, officers and employees are included as
additional insureds per form attached
CERTIFICATE HOLDER
CANCELLATION
City of Ashland
Attn: Kari Olson
901 N Mountain Ave
Ashland, OR 97520
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL --3fL 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
ACORD 25 (2001/08) 1 of 2
#S3059898/M1960747
GLSJT
@ ACORD CORPORATION 1988
--rr-, -
COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
MANUFACTURERS AND WHOLESALERS XTEND
ENDORSEMENT
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
GENERAL DESCRIPTION OF COVERAGE - This endorsement broadens coverage. The following listing is a
general coverage description only. Limitations and exclusions may apply to these coverages. Read aU the PRO-
VISIONS of this endorsement carefully to determine rights, duties, and what is and is not covered.
A. Broadened Named Insured J. Extension of Coverage - Bodily Injury
B. Blanket Broad Form Vendors K. Injury to Co-Employees and Co-Volunteer
C. Limited Worldwide Liability Coverage -Indemnity Workers
Basis L. Aircraft Chartered with Crew
D. Damage To Premises Rented ToY ou Extension M. Non-Owned Watercraft - Increased
· Perils of fire, explosion, lightning, smoke, water from 25 feet to 50 feet
· Limit increased to $300,000 N. Increased Supplementary Payments
E. Blanket Waiver of Subrogation' · Cost for bail bonds increased to $2,500
F. Blanket Additional Insured - Managers, or · Loss of earnings increased to $500 per day
Lessors of Premises O. Medical Payments - Limit increased to
G. Blanket Additional Insured - Lessor of $10,000 per person
Leased Equipment P. Knowledge and Notice of Occurrence
H. Incidental Medical Malpractice or Offense
I. Personal Injury - Assumed by Contract a. Unintentional Omission
R. Reasonable Force - Bodily Injury or
Property Damage
PROVISIONS
A. BROADENED NAMED INSURED
1. The Named Insured in Item 1. of the Declara-
tions is as follows:
The person or organization named in Item 1.
of .-the Declarations and any organization,
other than a partnership or joint venture, over
which you maintain ownership or majority in-
terest on the effective date of the policy.
However, coverage for any such organization
will cease as of the date during the policy pe-
riod that you no longer maintain 'ownership of,
or majority interest in, such organization.
2. WHO IS AN INSURED (Section II) Item 4.a.
is deleted and replaced by the following:
CG 01 87 11 03
a. Coverage under this provision is afforded
only until the 180th day after you acquire
or form the organization or the end of the
policy period, whichever is earlier, unless
reported in writing to us within 180 days.
3. This Provision A. does not apply to any. per-
son or organization for which coverage is ex- ~
c1uded by endorsement.
B. BLANKET BROAD FORM VENDORS COVER-
AGE
WHO, IS AN INSURED (Section II) is amended to
include as an insured any person or organization
(referred to below as "vendor") with whom you
have agreed in a written contract, executed prior
to loss, to name as an additional insured, but only
with respect to "bodily injury" or "property dam-
age" arising out of "your products" which are dis-
Copyright, The Travelers Indemnity Company, 2003
Page 1 of 7
11I--
COMMERCIAL GENERAL LIABILITY
tributed or sold in the regular course of the ven-
dor's business, subject to the following additional
provisions:
1. Limits of Insurance. The limits of insurance
afforded to the vendor shall be the limits
which you agreed to provide, or the limits
shown on the Declarations, whichever is less.
2. The insurance afforded the vendor does not
apply to:
a. "Bodily injury" or "property damage" for -
which the vendor is obligated to pay
damages by reason of the assumption of
liability in a contract or agreement. This
exclusion does not apply to liability for
damages that the vendor would have in
the absence of the contract or ,agreement;
b. Any express warranty unauthorized by
you;
c. Any physical or chemical change in the
product made intentionally by the vendor;
d. Repackaging, unless unpacked solely for
the purpose of inspection, demonstration,
testing, or the substitution of parts under
instructions from the manufacturer, and
then repackaged in the original container;
e. Any failure to make such inspections, ad-
justments, tests or servicing as vendors
agree to make or normally undertake to
make in the usual course of business, in
connection with the distribution or sale of
"your products";
f. Demonstration, installation, servicing or
repair operations, except such operations
performed at the vendor's premises in
connection with the sale of the product;
g. Products which, after distribution or sale
by you, have been labeled or relabeled or
used as a container, part or ingredient of
'- any other thing or substance by or for the
vendor;
3. T~is Provision B. does ,not apply to:
a. Any insured person or organization, from
whom you have acquired such products,
or any ingredient, part or container enter-
ing into, accompanying or containing
such products;
b. Any vendor for which coverage as an ad-
ditional insured specifically is scheduled
by endorsement; or
Page 2 of 7
'..
" .'>.
.\
. .~
)I
c. Any of "your products" for which coverage
is excluded by endorsement.
C. LIMITED WORLDWIDE LIABILITY COVERAGE
1. The definition of "coverage territory" in DEFI-
NITIONS (Section V) is deleted and replaced
by the following:
"Coverage territory" means:
a. The United States of America (including
its territories and possessions), Puerto
Rico and Canada;
b. International waters or airspace, but only
if the injury or damage occurs in the
course of travel or transportation between
any places incJuded in a. above; or
c. All other parts of the world, excluding any
country or jurisdiction which at the time of
the "occurrence" or offense is the subject
of trade or economic sanctions imposed
by the laws or regulation of the United
States of America, but not including any
country or jurisdiction in which the in-
sured's. activities are specifically permit-
ted by any governmental entity of the
United States of America, if the injury or
damage arises out of:
(1) Goods or products made or sold by
you in the territory described in 1.a.
above; or
(2) The activities of a person whose
home is in the territory described in
1.a. above, but is away for a short
time on your business; or
(3) "Personal injury" or "advertising in-
jury" offenses that take place through
the Internet or similar means of
communication.
2. With respect to claims or suits caused by an
"occurrence" within the "coverage territory"
described in 1.c. above, the following condi- -
tions apply:
a. The coverage afforded hereunder shall
be excess over any other valid and col-
lectible insurance available to the insured,
whether pril'Dary, excess, contingent or on
any other basis, except for insurance pur-
chased specifically by you to be excess of
this policy.
b. This insurance is not a substitute for
"compulsory admitted insurance" in any
Jurisdiction described in 1.c. above,
J
~:
.I
Copyright, The Travelers Indemnity Company, 2003
CG D1 87 11 03
~~--II-T~
whether or not this insurance would qual-
ify as "compulsory admitted insurance" in
a given jurisdiction or is accepted by the
appropriate authorities as proof of "com-
pulsory admitted insurance".
You agree to maintain "compulsory ad-
mitted insurance" at the limits required by
law. Your failure to do so will not invali-
date the coverage afforded by this en-
dorsement, but we will only be liable to
the same extent we would have been li-
able had you maintained "compulsory
admitted insurance".'
"Compulsory admitted insurance" means
insurance that is:
(1) Required to be in-force to satisfy the
legal requirements of a given jurisdic-
tion; and
(2) Issued by a State Fund or an insurer
licensed or permitted by law to do
business in the jurisdiction where the
property or exposure to loss is lo-
cated.
c. With respect to defending you against, or
the investigation or settlement of, any
claim or "suit" brought against you, the
following will apply:
(1) The provision of the Insuring Agree-
ment reading "We will pay....." in Part
1. of COVERAGE A. and COVER-
AGE B. (Section I - Coverages) is
amended to read 'We will indemnify
the insured for.. ..";
(2) You must arrange to defend yourself
against, and investigate or settle, any
claim or "suit";
(3) You will not make any settlement
without our consent;
(4) We will pay expenses incurred with
, our conssnt;
(5) We may, at our discretion, participate
in defending you against, or in the
settlement of, any claim or "suit".
3. This Provision C. does not apply:
a. To any of "your products" for which cov-
erage is excluded by endorsement; or
b. To "personal injury" or "advertising injury"
if COVERAGE B. PERSONAL AND AD-
VERTISING INJURY LIABILITY is ex-
cluded by endorsement.
CG 01 87 11 03
COMMERCIAL GENERAL LIABILITY
D. DAMAGE TO PREMISES RENTED TO YOU
EXTENSION
1. The last paragraph of COVERAGE A. BOD-
IL Y INJURY AND PROPERTY DAMAGE LI-
ABILITY (Section I - Coverages) is deleted
and replaced by the following:
Exclusions c. through n. do not apply to dam-
age to premises while rented to you, or tem-
porarily occupied by you with permission of
the owner, caused by:
a. Fire;
b. Explosion;
c. Lightning;
d. Smoke resulting from such fire, explosion,
or lightning; or
e. Water.
A separate limit of insurance applies to this
coverage as described in LIMITS OF INSUR-
ANCE (Section III).
2. This insurance does not apply to damage to
premises while rented to you, or temporarily
occupied by you with permission of the
owner, caused by:
a. Rupture, bursting, or operation of pres-
sure relief devices;
b. Rupture or bursting due to expansion or
swelling of the contents of any building or
structure, caused by or resulting from wa-
ter;
c. Explosion of steam boilers, steam pipes,
steam engines, or steam turbines.
3. Part 6. of LIMITS OF INSURANCE (Section
III) is deleted and replaced by the following:
Subject to 5. above, the Damage To Prem-
ises Rented T 0 You Limit is the most we will
pay under COVERAGE A. for damages be-
cause of "property damage" to anyone prem-
ises while rented to you, or temporarily occu- ,_
pied by you with permission of the owner,
caused by fire, explosion, lightning, smoke
resulting from such fire, explosion; or light-
'ning, or water. The Damage To Premises
Rented To You Limit will apply to all damage
proximately caused by the same "occur-
rence", whether such damage results from
fire, explosion, lightning, smoke resulting from
such fire, explosion, or lightning, or water, or
any combination of any of these.
Copyright, The Travelers Indemnity Company, 2003
Page 3 of 7
--~----~'-rr-T-
COMMERCIAL GENERAL LIABILITY
The Damage To Premises Rented To You
Limit will be the higher of:
a. $300,000; or
b. The amount shown on the Declarations
for Damage To Premises Rented To You
Limit.
4. Under DEFINITIONS (Section V), Paragraph
a. of the definition of "insured contract" is
amended so that it does not include that por-
tion of the contract for a lease of premises
that indemnifies any person or organization
for damage to premises while rented to you,
or temporarily occupied by you with permis-
sion of the owner, caused by:
a. Fire;
b. Explosion;
c. Lightning;
d. Smoke resulting from such fire, explosion,
or lightning; or
e. Water.
5. This Provision D. does not apply if coverage
for Damage To Premises Rented To You of
COVERAGE A. BODILY INJURY AND
PROPERTY DAMAGE LIABILITY (Section I -
Coverages) is excluded by endorsement.
E. BLANKET WAIVER OF SUBROGATION
We waive any right of recovery we may have
against any person or organization because of
payments we make for injury or damage arising
out of premises owned or occupied by or rented
or loaned to you; ongoing operations performed
by you or on your behalf, done under a contract
with that person or organization; "your work"; or
"your products". We waive this right where you
have agreed to do so as part of a written contract,
executed by you prior to loss.
F. BLANKET ADDITI~NAL INSURED- MANAG-
ERS OR LESSORS OF PREMISES
WHo'1s AN INSURED. (Section II) is amended to
include as an insured any pers~m or organization
(referred to below as "additional insured") with
whom, you have agreed in a written contract, exe-
cuted prior to loss, to name as an aqditional in-
sured, but only with respect to liability arising out
of the ownership, maintenance or use of that part
, of any premises leased to you, subjeGt to the fol-
lowing provisions:
1. Limits of Insurance. The limits of insurance
afforded to the additional insured shall be the
limits which you agreed to provide, or the lim-
'\
/
its shown on the Declarations, whichever is
less.
2. The insurance afforded to the additional in-
sured does not apply to:
a. Any "occurrence" that takes place after
you cease to be a tenant in that premises;
b. Any premises for which coverage is ex-
cluded by endorsement; or
c. Structural alterations, new construction or
demolition operations performed by or on
behalf of such additional insured.
3. The insurance afforded to the additional in-
sured is excess over any valid and collectible
insurance available to such additional in-
sured, unless you have agreed in a written
contract for this insurance to apply on a pri-
mary or contributory basis.
G. BLANKET ADDITIONAL INSURED - LESSOR
OF LEASED EQUIPMENT
WHO IS AN INSURED (Section II) is amended to
include as an insured any person or organization
(referred to below as "additional insured") with
whom you have agreed in a written contract, exe-
cuted prior to loss, to name as an additional in-
sured, but only with respect to their liability arising
out of the maintenance, operation or use by you
of equipment leased to you by such additional in-
sured, subject to the following provisions:
1. Limits of Insurance. The limits of insurance
afforded to the additional insured shall be the
limits which you agreed to provide, or the lim-
its shown on the Declarations, whichever is
less.
2. The insurance afforded to the additional in-
sured does not apply to:
a. Any "occurrence" that takes place after
the equipment lease expires; or
b. "Bodily injury" or "property damage" aris-
ing out of the sole negligence of such ad- __
ditional insured.
3. The insurance afforded to the additional in-
sured is excess over any valid and collectible
insurance available to such additional in-
sured, unless you have agreed in a written
contract for this insurance to apply on a pri-
mary or contributory basis.
H. INCIDENTAL MEDICAL MALPRACTICE
1. The definition of "bodily injury" in DEFINI-
TIONS (Section V) is amended to include "In-
cidental Medical Malpractice Injury".
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Page 4 of 7
Copyright, The Travelers Indemnity Company, 2003
CG 01 87 11 03
------II~
2. The following definition is added to DEFINI-
TIONS (Section V):
"Incidental medical malpractice injury" means
bodily injury, mental anguish, sickness or dis-
ease sustained by a person, including death
resulting from any of these at any time, aris-
ing out of the rendering of, or failure to ren-
der, the following services:
a. Medical, surgical, dental, laboratory, x-ray
or nursing service or treatment, advice or
instruction, or the related furnishing of
food or beverages; ,
b. The furnishing or dispensing of drugs or
medical, dental, or surgical supplies or
appliances; or
c. First aid.
d. "Good Samaritan services." As used in
this Provision H., "Good Samaritan ser-
vices" are those medical services ren-
dered or provided in an emergency and
for which no remuneration is demanded
or received.
3. Paragraph 2.a.(1)(d) of WHO IS AN IN-
SURED (Section II) does not apply to any
registered' nurse, licensed practical nurse,
emergency medical technician or, paramedic
employed by you, but only while performing
,the services described in paragraph 2. above
and while acting within the scope of their em-
ployment by you. Any "employees" rendering
"Good Samaritan services" will be deemed to
be acting within the scope of their employ-
ment by you.
4. The following exclusion is added to paragraph
2. Exclusions of COVERAGE A. - BODILY
INJURY AND PROPERTY DAMAGE LIABIL-
ITY (Section I - Coverages):
(This insurance does not apply to:) Liability
arising out of the willful violation of a penal
statute or ordinance relating to the sale of
pn_armaceuticals by or with the knowledge or
consent of the insured.
5. For the purposes of determining the applica-
ble limits of insurance~ any act or omission,
together with all related acts or omissions in
the furnishing of the, services described in
paragraph 2. above to anyone person, will be
considered one "occurrence".
6. This Provision H. does not apply if you are in
the business or occupation of providing any of
the services described in paragraph 2. above.
COMMERCIAL GENERAL LIABILITY
7. The insurance provided by this Provision H.
shall be excess over any other valid and col-
lectible insurance available to the insured,
whether primary, excess, contingent or on
any other basis, except for insurance pur-
chased specifically by you to be excess of
this policy.
I. PERSONAL INJURY - ASSUMED BY CON-
TRACT
1. The Contractual Liability Exclusion in Part
2., Exclusions of COVERAGE B. PER-
SONAL AND ADVERTISING INJURY LIABIL-
ITY (Section I - Coverages) is deleted and
replaced by the following:
(This insurance does not apply to:)
Contractual Liability
"Advertising injury" for which the insured has
assumed liability in a contract or agreement.
This exclusion does not apply to liability for
damages that the insured would have in the
absence of the contract or agreement.
2. Subparagraph f. of the definition of "insured
contract" (DEFINITIONS - Section V) is de-
leted and replaced by the following:
f. That part of any other contract or agree-
ment pertaining td your business (includ-
ing an indemnification of a municipality in
connection with work performed for a
municipality) under which you assume the
tort liability of another party to pay for
"bodily injury," "property damage" or "per-
sonal injury" to a third party or organiza-
tion. Tort liability means a' liability that
would be imposed by law in the absence
of any contract or agreement.
3. This Provision I. does not apply if COVER-
AGE B. PERSONAL AND ADVERTISING IN-
JURY LIABILITY is excluded by endorse-
ment.
J. i:XTENSION OF COVERAGE ~ BODILY IN- ,,'
JURY
The definition of "bodily injury" (DEFINITIONS -
Section V) is deleted and replaced by the follow-
ing:
"Bodily injury" means bodily injury, mental an-
guish, mental injury, shock, fright, disability, hu-
miliation, sickness or disease sustained by a per-
son, including death resulting from any of these at
any time.
.A.-
CG 01 87 11 03
Copyright, The Travelers Indemnity Company, 2003
Page 5 of 7
--rr---r--
COMMERCIAL GENERAL LIABILITY
K. INJURY TO CO-EMPLOYEES AND CO-VOLUN-
TEER WORKERS
1. Your "employees" are insureds with respect
to "bodily injury" to a co-"employee" in the
course of the co-"employee's" employment by
you, or to your "volunteer workers" while per-
forming duties related to the conduct of your
business, provided that this coverage for your
"employees" does not apply to acts outside
the scope of their employment by you or while
performing duties unrelated to the conduct of
your business.
2. Your "volunteer workers" are insureds with
respect to "bodily injury" to a co-"volunteer
worker" while performing duties related to the
conduct of your business, or to your "employ-
ees" in the course of, the "employee's" em-
ployment by you, provided that this coverage
for your "volunteer workers" does not apply
while performing duties unrelated to the con-
duct of your business.
,3. Subparagraphs 2.a.(1)(a),(b) and (c) and
3.a. of WHO IS AN INSURED (Section II) do
not apply to . "bodily injury" for which insurance
is provided by paragraph 1. or 2. above.
L. AIRCRAFT CHARTERED WITH 'CREW
1. The following is added to the exceptions con-
tained in the Aircraft, Auto Or Watercraft
Exclusion in Part 2., Exclusions of COVER-
AGE A. BODILY INJURY AND PROPERTY
DAMAGE LIABILITY (Section 1- Coverages):
(This exclusion does not apply to:) Aircraft
chartered with crew to any insured.
2. This Provision L. does not apply if the char-
tered aircraft is owned by any insured.
3. The insurance provided by this Provision L.
shall be excess over any other valid and col-
lectible insurance available to the insured,
whether primary, excess,. contingent or on
allY other basis, except for insurance pur-
chased specifically by you to be', excess of
this policy.
M. NON-OWNED WATERCRAFT
1. The exception contained in Subparagraph (2)
of the Aircraft, Auto Or Watercraft Exclu-
sion in Part 2., Exclusions of COVERAGE A.
BODILY INJURY AND PROPERTY DAMAGE
LIABILITY (Section I - Coverages) is deleted
and replaced by the following:
(2) A watercraft you do not own that is:
"\
/
(a) Fifty feet long or less; and
(b) Not being used to carry persons or
property for a charge.
2. This Provision M. applies to any person who,
with your expressed or implied consent, either
uses or is responsible for the use of a water-
craft.
3. The insurance provided by this Provision M.
shall be excess over any other valid and col-
lectible insurance available to the insured,
whether primary, excess, contingent or on
any other basis, except for insurance pur-
chased specifically by you to be excess of
this policy.
N. INCREASED SUPPLEMENTARY PAYMENTS
Parts b. and d. of SUPPLEMENTARY PAY-
MENTS - COVERAGES A AND B (Section I -
Coverages) are amended as follows:
1. In Part b. the amount we will pay for the cost
of bail bonds is increased to $2500.
2. In Part d. the amount we will pay for loss of
earnings is increased to $500 a day.
O. MEDICAL PAYMENTS -INCREASED LIMITS
1. Paragraph 7. of LIMITS OF INSURANCE
(Section III) is amended to read as follows:
7. Subject to 5. above, the Medical Expense
Limit is the most we will pay under Cov-
erage C. for all medical expenses be-
cause of "bodily injury" sustained by any
one person, and will be the higher of:
(a) $10,000; Of
(b) The amount shown on the Declara-
tions for Medical Expense Limit.
2. This provision O. does not apply if COVER-
AGE C. MEDICAL PAYMENTS (Section I -
Coverages) is excluded either by the provi-
sions of the Coverage Part or by endorse-
ment.
P. KNOWLEDGE AND NOTICE OF OCCUR..
RENCE OR OFFENSE
1. The following is added to COMMERCIAL
GENERAL LIABILITY CONDITIONS (Section
IV), paragraph 2. (Duties In The Event of Oc-
currence, Offense, Claim or Suit):
Notice of an "occurrence" or of an offense
which may result in a claim under this insur-
ance shall be given as soon as practicable af-
ter knowledge of the "occurrence" or offense
'\,
)
"
/
Page 6 of 7
Copyright, The Travelers Indemnity Company, 2003
CG 01 87 11 03
~--
has been reported to any insured listed under
Paragraph 1. of Section II - Who Is An In-
sured or an "employee" (such as an insur-'
ance, loss control or risk manager or adminis-
trator) designated by you to give such notice.
Knowledge by other "employee(s)" of an "oc-
currence" or of an offense does not imply that
you also have such knowledge.
2. Notice shall be deemed prompt if given in
good faith as soon as practicable to your
workers' compensation insurer. This applies
only if you. subsequently give notice to us as
soon as practicable after any insured listed
under Paragraph 1. of Section II - Who Is An
Insured or an "employee" (such as an insur-
ance, loss control or risk manager or adminis-
trator) designated by you to give such notice
discovers that the "occurrence", offense or
claim may involve this policy.
3. However, this Provision P. does not apply as
respects the specific number of days within
which you' are required to notify us in writing
of the abrupt commencement of a discharge,
release or escape of "pollutants" which
causes "bodily injury" or "property damage"
which may otherwise be covered under this
policy.
CG D1 87 11 03
COMMERCIAL GENERAL LIABILITY
Q. UNINTENTIONAL OMISSION
The following is added to COMMERCIAL GEN-
ERAL LIABILITY CONDITIONS (Section IV),
paragraph 6. (Representations):
The unintentional omission of, or unintentional
error in, any information provided by you shall not
prejudice your rights under this insurance. How-
ever, this Provision Q. does not affect our right to
collect additional premium or to exercise our right
of cancellation or nonrenewal in accordance with
applicable state insurance laws, codes or regula-
tions.
R. REASONABLE FORCE - BODILY INJURY OR
PROPERTY DAMAGE
The Expected Or Intended Injury Exclusion in
Part 2., Exclusions of COVERAGE A. BODILY
INJURY AND PROPERTY DAMAGE LIABILITY
(Section I - Coverages) is deleted and replaced
by the following:
(This insurance does not apply to:)
Expected or Intended Injury or Damage
"Bodily injury" or "property damage" expected or
intended from the standpoint of the insured. This
exclusion does not apply to "bodily injury" or
"property damage" resulting from the use of rea-
sonable force to protect persons or property.
Copyright, The Travelers Indemnity Company, 2003
Page 7 of 7
II r-----
r.,
C I T Y 0 F CITY RECORDER
ASHLAND
10/27/2008
Page 1 1 1
20 E MAIN ST.
ASHLAND, OR 97520
(541) 488-5300
VENDOR: 000687
CHOWN SECURITY, CHOWN INC DBA
POBOX 2888
PORTLAND, OR 97208
SHIP TO: Ashland Building Maintenance
(541) 488-5358
90 N MOUNTAIN AVENUE
ASHLAND, OR 97520
FOB Point:
Terms: Net 30 days
Req. Del. Date:
Speciallnst:
Req. No.:
Dept.: PUBLIC WORKS
Contact: Dale Peters
Confirming? No
Modify (4) Doors / Access areas to
improve security. Provide all hardware,
labor and installation. Location: City
Hall
21,352.43
Contract for Goods & Services
Date of aQreement: 10/07/2008
BeQinninQ date: 10/07/2008
Completion date: 11/28/2008
Insurance reQuired/On file
BILL TO: Account Payable
20 EAST MAIN ST
541-552-2028
ASHLAND, OR 97520
SUBTOTAL
TAX
FREIGHT
TOTAL
21 352.43
0.00
0.00
21,352.43
~ ~/~~I'~
..., ,- ~~~gnatur?0r-
VENDOR COpy
----~--~-- ----;y--y-
A request for a Purchase Order
REQUISITION FORM
CITY OF
ASHLAND
THIS REQUEST IS A:
o Change Order(existing PO #
Date of Request:
Required Date of Delivery/Service:
Vendor Name
Address
City, State, Zip
Telephone Number
Fax Number
Contact Name
Chnwn ~::lrrlw::lrP
33.~NW 1Rth AVA
Portland OR 97209
503-243-6500
503-243-6519
\ OVV"\. SH l el- S-c.t 1 -9) s- 59 ~.s-
SOLICITATION PROCESS
Small Procurement
o Less than $5,000
o Quotes (Optional)
Intermediate Procurement
o (3) Written Quotes
(Copies attached)
Sole Source
Written findings attached
Quote or Pro I attached
Coooerative Procurement
o State of ORN/A contract
o Other government agency contract
o Copy of contract attached
o Contract #
Invitation to Bid
(Copies on file)
Reauest for Prooosal
(Copies on file)
o Soeciall ExemDl
o Written findings attached
o Quote or Pro sal attached
o Emeraencv
o Written findings attached
o Quote or Pro sal attached
Description of SERVICES
Mod~ ~1 "\ :pco2.~/A~ Al25:2S' -6:, \w-.fl2Ov!a
~ t~c..l,..\. (2 '~'1 ~ ~Qov \ DE: Ilq L'- H JoC\ a 0 """ ~ ~ I l ~ iaOl C!-
AND , rVSTI';LL&4l: \0 t"::l \
.
o Per attached PROPOSAL ,(...." ~t'~ ~ ~ <<~
Total Cost
Item # Quantity Unit
Description of MATERIALS
Unit Price
Total Cost
o Per' attached QUOTE
~ c~-?J7 --C8
ProJect NumberQQQ1'i'i-1f1. e~ru~ ~ ? t" - -.e -(f) e
Account Numbe~ 1 o. ~ . 2lJ. (tJ. '1 Q!I! EP
* 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 contrac . 9 requirements,
and the documentation can be provided upon request.
Employee Signatu~ ~
Supervisor/Dept. Head Signat
G: Finance\Procedure\AP\Forms\8_Requisition form revised.doc
Updated on: 9/29/2008
------------- ---" '-Y-
CITY OF
ASHLAND
Memo
DATE:
TO:
FROM:
RE:
9/29/2008
Mike Faught! Martha Bennet! Finance Department
Mike Morrison
City Hall Security
Background: Due to security concerns at city owned buildings, the Facilities
Maintenance division of the Public Works department has begun to implement security
upgrades to the higher risk buildings. During FY , 08 doors to restrict access to the
Community Development building were installed. Access to these doors is controlled
using Schlage SMS software. This software is expandable and can be used in all city
owned facilities. To maintain continuity with all city owned facilities, a sole source
procurement will be required. Chown Hardware located in Portland is the southern
Oregon dealer and installer for equipment compatible with Schlage SMS software.
Procurement Procedure: ORS 2.50.075 allows for sole source procurement, if that
procurement will allow for the "efficient utilization of existing goods." Due to the city
already owning the Schlage software, and in an effort to maintain continuity throughout
the city, a sole source procurement will be required.
~;.,
~.l'
Maintenance Dept
90 N. Mountain
Ashland, Oregon 97520
morrism@ashland.or.us
Tel: 541-552-2355
Fax: 541-552-2304
TTY: 800-735-2900
-~--------rr- r