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HomeMy WebLinkAbout2009-225 Contract - Aquatechnex LCC .AI . ",. ...- -~- 'r J. .. -, Contract for PERSONAL SERVICES Less than $25,000 CITY OF A.SHLAND 20 East Main Street Ashland, Oregon 97520 Telephone: 541/488,6002 Fax: 541/488,5311 CONSULTANT: CONTACT: ADDRESS: Aquatechnex Adam Kleven 1801 Van Wormer, Suite 1 Centralia, WA 98531-1944 (360) 239.5173 (360) 239-5173 adam@aquatechnex.com TELEPHONE FAX: DATE AGREEMENT PREPARED: 7/15/09 BEGINNING DATE: 7/15/09 COMPLETION DATE: 12/15/09 COMPENSATION: Time and Materials Not to Exceed $ in accordance with the attached ro osal SERVICES TO BE PROVIDED: AI Iication at Reeder Reservoir ADDITIONAL TERMS: er attached uote and as directed in the field bv a re resentative of the Cit FINDINGS: Pursuant to AMC 2.52.040E and AMC 2,52.060, alter reasonable inquiry and evaluation, the undersigned Department Head finds and determines that: (1) the services to be acquired are personal services; (2) the City does not have adequate personnel nor resources to perform the services: (3) the statement of work represents the department's plan for utilization of such personal services; (4) the undersigned consultant has specialized experience, education, training and capability sufficient to perform the quality, quantity and type of work requested in the scope of work within the time and financial constraints provided; (5) the consultant's proposal will best serve the needs of the City; and (6) the compensation negotiated herein is fair and reasonable. NOW THEREFORE, in consideration of the mutual covenants contained herein the CITY AND CONSULT ANT AGREE as follows: 1. Findings I Recitations. The findings and recitations set forth above are true and correct and are incorporated herein by this reference, 2, All Costs by Consultant: Consultant shall, at its own risk and expense, perform the personal services described above and, unless otherwise specified, furnish all labor, equipment and materials required for the proper performance of such service, 3. Qualified Work: Consultant has represented, and by entering into this contract now represents, that all personnel assigned to the work required under this contract are fully qualified to perform the service to which they will be assigned in a skilled and worker,like manner and, if required to be registered, licensed or bonded by the State of Oregon, are so registered, licensed and bonded. . 4, Completion Date: Consultant shall start performing the service under this contract by the beginning date Indicated above and complete the service by the completion date indicated above. 5. Compensation: City shall pay Consultant for service performed, including costs and expenses, the sum specified above, Once work commences, invoices shall be prepared and submitted by the tenth of the month for work completed in the prior month. Payments shall be made within 30 days of the date of the invoice. Should the contract be prematurely terminated, payments will be made for work completed and accepted to date of termination, 6. Ownership of Documents: All documents prepared by Consultant pursuant to this contract shall be the property of City. 7, Statutory Requirements: ORS 279C.505, 279C.515, 279C.520 and 279C.530 are made part of this contract. 8. Living Wage Requirements: If the amount of this contract is $17,342 or more, Consultant is required to comply with chapter 3.12 of the Ashland Municipal Code by paying a living wage, as defined in this chapter, to all employees performing work under this contract and to any Subcontractor who performs 50% or more of the service work under this contract. Consultant is also required to post the notice attached hereto as Exhibit B predominantly in areas where it will be seen by all employees, 9, Indemnification: Consultant agrees to defend, indemnify and save City, its officers, employees and agents harmless from any and all losses, claims, actions, costs, expenses; judgments, subrogations, or other damages resulting from injury to any person (including injury resulting in death), or damage (including loss or destruction) to property, of whatsoever nature arising out of or incident to the performance of this contract by Consultant (including but not limited to, Consultant's employees, agents, and others designated by Consultant to perform work or services attendant to this contract). Consultant shall not be held responsible for any losses, expenses, ciaims, subrogations, actions, costs, judgments, or other damages, directly, solely, and proximately caused by the negligence of City. 10, Termination: a. Mutual Consent. mutual consent of both arties. Contract for Personal Services Less than $25.000. Revised by Legal 03/26/2007. Page 10 of 18 b, Citv's Convenience. This contract may be terminated at any time by City upon 30 days' notice in w~iting-1 and delivered by certified mail or in person, c. For Cause. City may terminate or modify this contract, in whole or in part, effective upon delivery. of written notice to Consultant, or at such later date as may be established by City under any of the following conditions: i. If City funding from federal, state, county or other sources is not obtained and continued at levels sufficient to allow for the purchase of the indicated quantity of services; ii. If federal or state regulations or guidelines are modified, changed, or interpreted in such a way that the services are no longer allowable or appropriate for purchase under this contract or are no longer eligible for the funding proposed for payments authorized by this contract; or iii. If any license or certificate required by law or regulation to be held by Consultant to provide the services required by this contract is for any reason denied, revoked, suspended, or not renewed, d, For Default or Breach. i. Either City or Consultant may terminate this contract in the event of a breach of the contract by the other. Prior to such termination the party seeking termination shall give to the other party written notice of the breach. and intent to terminate, If the party committing the breach has not entirely cured the breach within 15 days of the date of the notice,or within such other period as the party giving the notice may authorize or require, then the contract may be terminated at any time thereafter by a written notice of termination by the party giving notice, ii. Time is of the essence for Consultant's performance of each and every obligation and duty under this contract. City by written notice to Consultant of default or breach may at any time terminate the whole or any part of this contract if Consultant fails to provide services called for by this contract within the time specified herein or in any extension thereof. iii. The rights and remedies of City provided in this subsection (d) are not exclusive and are in addition to any other rights and remedies provided by law or under this contract. e, Obliaation/Liabilitv of Parties, Termination or modification of this contract pursuant to subsections a, b, or c above shall be without prejudice to any obligations or liabilities of either party already accrued prior to such termination or modification. However, upon receiving a notice of termination (regardless whether such notice is given pursuant to subsections a, b, c or d of this section, Consultant shall immediately cease all activities under this contract, unless expressly directed otherwise by City in the notice of termination. Further, upon termination, Consultant shall deliver to City all contract documents, information, works'in-progress and other property that are or would be deliverables had the contract been completed. City shall pay Consultant for work performed prior to the termination date if such work was performed in accordance with the Contract. 11, Independent Contractor Status: Consultant is an independent contractor and not an employee of the City. Consultant shall have the complete responsibility for the performance of this contract. Consultant shall provide workers' compensation coverage as required in ORS Ch 656 for all persons employed to perform work pursuant to this contract. Consultant is a subject employer that will comply with ORS 656.017. 12. Assignment and Subcontracts: Consultant shall not assign this contract or subcontract any portion of the work without the written consent of City. Any attempted assignment or subcontract without written consent of City shall be void. Consultant shall be fully responsible for the acts or omissions of any assigns or Subcontractors and of all persons employed by them, and the approval by City of any assignment or subcontract shall not create any contractual relation between the assignee or subcontractor and City. 13. Default. The Consuitant shall be in default of this agreement if Consultant: commits any material breach or default of any covenant, warranty, certification, or obligation it owes under the Contract; its QRF status pursuant to the QRF Rules or loses any license, certificate or certification that is required to perform the Services or to qualify as a QRF if consultant has qualified as a QRF for this agreement; institutes an action for relief in bankruptcy or has instituted against it an action for insolvency; makes a general assignment for the benefit of creditors; or ceases doing business on a reguiar basis of the type identified in its obligations under the Contract; or attempts to assign rights in, or delegate duties under, the Contract. 14. Insurance. Consultant shall at its own expense provide the following insurance; a. Worker's Comoensation insurance in compliance with ORS 656.017, which requires subject employers to provide Oregon workers' compensation coverage for all their subject workers b. Professional Liabilitv insurance with a combined single limit, or the equivalent, of not iess than $1,000,000 for each claim, incident or occurrence. This is to cover damages caused by error, omission or negligent acts related to the professional services to be provided under this contract. c. General Liabllitv insurance with a combined single limit, or the equivalent, of not less than $1,000,000 for each occurrence for Bodily Injury and Property Damage. It shall include contractual liability coverage for the indemnity provided under this contract. d. Automobile Liabilitv insurance with a combined single limit, or the equivalent, of not less than Enter one: $1,000,000 for each accident for Bodily Injury and Property Damage, including coverage for owned, hired or non- owned vehicles, as applicable. e. Notice of cancellation or chanoe. There shall be no cancellation, material change, reduction of limits or intent not to renew the insurance coverage(s) without 30 days' written notice from the Consultant or its insurer(s) to the Cit . Contract for Personal Services Less lhan $25.000. Revised by Legal 03/26/2007. Page 11 of 18 . " -. f: AdditionallnsuredlCertificates of Insurance, Consultant shall name The City of Ashland, Oregon, and its elected officials, officers and employees as Additional Insureds on any insurance policies required herein but only with respect to Consultant's services to be provided under this Contract. As evidence of the insurance coverages , required by this Contract, the Consultant shall furnish acceptable insurance certificates prior to commencing work under this contract. The certificate will specify all of the parties who are Additional Insureds. Insuring companies or entities are subject to the City's acceptance. If requested, complete copies of insurance policies; trust agreements, etc. shall be provided to the City. The Consultant shall be financially responsible for all pertinent deductibles, self,insured retentions and/or self-insurance, 15, Governing Law; Jurisdiction; Venue: This contract shall be governed and construed in accordance with the laws of the State of Oregon without resort to any jurisdiction's conflict of laws, rules or doctrines, Any claim, action, suit or proceeding (collectively, "the claim") between the City (and/or any other or department of the State of Oregon) and the Consultant that arises from or relates to this contract shall be brought and conducted solely and exclusively within the Circuit Court of Jackson County for the State of Oregon. If, however, the claim must be brought in a federal forum, then it shall be brought and conducted solely and exclusively within the United States District Court for the District of Oregon filed in Jackson County, Oregon, Consultant, by the signature herein of its authorized representative, hereby consents to the in personam jurisdiction of said courts. In no event shall this section be construed as a waiver by City of any form of defense or Immunity, based on the Eleventh Amendment to the United States Constitution, or otherwise, from ,any claim or from the jurisdiction. 16. THIS CONTRACT AND ATTACHED EXHIBITS CONSTITUTE THE ENTIRE AGREEMENT BETWEEN THE PARTIES, NO WAIVER, CONSENT, MODIFICATION OR CHANGE OF TERMS OF THIS CONTRACT SHALL BIND EITHER PARTY UNLESS IN WRITING AND SIGNED BY BOTH PARTIES, SUCH WAIVER, CONSENT, MODIFICATION OR CHANGE, IF MADE, SHALL BE EFFECTIVE ONLY IN THE SPECIFIC INSTANCE AND FOR THE SPECIFIC PURPOSE GIVEN, THERE ARE NO UNDERSTANDINGS, AGREEMENTS, OR REPRESENTATIONS, ORAL OR WRITTEN, NOT SPECIFIED HEREIN REGARDING THIS CONTRACT. CONSULTANT, BY SIGNATURE OF ITS AUTHORIZED REPRESENTATIVE, HEREBY ACKNOWLEDGES THAT HE/SHE HAS READ THIS CONTRACT, UNDERSTANDS IT, AND AGREES TO BE BOUND BY ITS TERMS AND CONDITIONS, " . 17. Nonappropriations Clause. Funds Available and Authorized: City has sufficient funds currently available and authorized for expenditure to finance the costs of this contract within the City's fiscal year budget. Consultant' _ understands and agrees that City's payment of amounts under. this contract attributable to work performed after the last day of the current fiscal year is contingent on City appropriations, or other expenditure authority sufficient to allow City in the exercise of its reasonable administrative discretion, to continue to make payments under this contract. In the event City has insufficient appropriations, limitations or other expenditure authority, City may terminate this contract without penalty or liability to City, effective upon the delivery of written notice to Consultant, with no further liability to Consultant. Certification, Consultant shall si n the certification attached hereto as Exhibit A and herein incor orated b reference. ~yONSU~~ ~:TYOFASHLAND: 1 Signature Adam Kleven Print Name TITLE Error! Reference source not found. DATE ID/rp 0 DATE /0--1-0'1 ~~NTRACT ~WARD AND {NDINGS DETERMINED BY: City Department Head Date: () /7 Jflf 6 -? tf' tf) 8 [' 9 tf'L~ 6~ / ~c;t-<j (For City purposes only) tP-'f ;2. ~ ( FederallD# ACCOUNT # 'Completed W9 form must be submitted with contract PURCHASE ORDER # Contract for Personal Services Less than $25.000. Revised by Legal 03/26/2007, Page 12 of 18 EXHIBIT A CERTIFICATIONS/REPRESENTATIONS: Contractor, under penalty of perjury, certifies that (a) the number shown on the attached W,g form is its correct taxpayer 10 (or is waiting for the number to be issued to it and (b) Contractor is not subject to backup withholding be.cause (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 withhoiding. 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: . K x: x x: X (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 reiating to the labor or services to be provided. ;!. ... ~~ 4L ~-"7 Cd'ntractor /0-/-07 (Date) I , J , \', . ' Contract for Personal Services Less than $25.000. Revised by Legal 03/26/2007. Page 13 of 18 CITY OF ASHLAND, OREGON EXHIBIT B CIty of As.hla'nd ~-:.,.... LIVING.- . ALL employers described below must comply wit.. City of Ashland laws regulating payment of a living wage. .~~ _c_..'''" ....- .'"'''':'''1iI'1I& ~<<"";..~.- .~--':::..::. );> For all hours worked in a month if the employee spends 50% or more of the employee's time in that month working on a project or portion of business of their -~ .........t;;;;.:.. ,..-..~ ~per. hour effectiv~ .June 30,.2008 ' (Increases annually every .June 30 by the , ';.. ,- .. Consumer Price Index) , employer, if the employer has ten or more employees, and has received financial assistance for the project or business from the City of Ashland in excess of $17,342. );> If their employer is the City of Ashland including the Parks and Recreation Department. );> In calculating the living wage, employers may add the value of health care, retirement, 401 K and IRS eligible cafeteria plans (including childcare) benefits to the amount of wages received by the employee. );> Note: "Employee" does not include temporary or part-time employees hired for less than 1040 hours in any twelve. month period. For more details on applicability of this policy, please see Ashland Municipal Code Section 3.12.020, For additional information: ~all the Ashland City Administrator's office at 541,488,6002 or write to the City Administrator, City Hall, ~O East Main Street, Ashland, OR 97520 or visit the city's website at www.ashland.or.us. ~otice to Employers: This notice must be posted predominantly in areas where it can be seen by all employees, CITY OF ASHLAND Contract for Personal Services Less than $25,000, Revised by Legal 03/26/2007, Page 14 of 18 Fo~ W-g Request for Taxpayer Identification Number and Certification Give form to the requester. Do not send to the IRS, (Rev. October 2007) OOPIll".mtnlOlu.olr~ry 1nlt'ffl1llRQ'lo"(n.'O$e:\;c(> I Name (as show"n on YCAJI irlcome tAX return) :: '" 11 c o BYeinOH name, if ditterent from tlbovo Indlvldulll!$ole proprietor 0 Corporution 0 Portn"lihip ll-uifletlUon (O=dlsregorded entity, C=ccrporoUon. P=partnel cny'a1at~""~ . list account I'IUTIb(lt(6) here (op ~ j 0 Exemp1 1 poyee Requuter's name and addr(l6.$ (optlonaQ ..... Taxpayer Identification Number Enter YOllr TIN in the appropriate box. The TIN provided must match the name given 0' Una 1 to avoid back\Jp \Nlthholding. For Individuals, this is your social securlty numbar (SSN). However. for a rasJdenl allen, 80le proprietor, or disregarded entity, see the Part I Instructions on poge 3. For other entities, ills your employer Identification number (EIN). If you do not hnV8 a number. see How to gst a TIN on page 3. Note. If the account is in more than one name, see the chnrt on pnge 4 for guidelines on whose number to enter. t::7~~' ~ ------- or Certification Under p&naltles of perjury. I certify that: 1. The number shown on this form is my correct taxpayer Identification rumbar (or I om 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 baen notified by the Internal Revenue service (iRS) that I am subj&Ct to backup withholding as a result of a fallure to report all interest or dividends, or (c) the IRS has notilled me that I am no longer subject to backup WithhOlding. and 3. I am a 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 ourrently subject to backup withholding because you have failed to report all interest and dividends on your tax retwn. For real estate transactions, item 2 does not apply. For mortgage Interest paid, acquialtlon or aband rment of secured property. cancellation of debt, contributions to an Individual retirement arrnngement (r~, and genernl'Y, so than Interest and d1vicklnds, you are not required to sign the Certification, but you must provids your correct TIN. See t in 0 ge 4. Sign Here Sfgnutl.n of U.S. peN/On .. Generallnstructi 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 corrQCt taxpayer identification number (TIN) to report. fot 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 10 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 [t (the requester) and. when applicable. to: 1, Certify that the TIN you are giving Is correct (or you are waltlng for a number to be Issued). 2. Certify that you are not subject to backup withholding, or 3. Claim exemptJon from bacKup withholding If you are a U.S. exempt payee. If applicabJe. you are also cartirylng Ihat as a U.S. parson, your allocable share of any partnership income from a U.S. trade or business is not subject to the Vlnhholdlng tax on foreign partners' share 01 effectively connected incOl'l"lG. Noto. If a requaster gives you a form other th3n Form W-9 to request your TIN, you must use the requester's form if It 19 substantIally similar to this Form W-9. Ollte ... Doflnldon of a U.$. person. For federal tax purposes. you are considered a U.S. person If you aro: . An individual who is a U.S. citizen or U.S. resident alien, .. A partnership. corporation, company, or association created or organlZGd in the United states or under tho laws ot the United States. . An ootate (other than a foreign esta1e). or . A dOl"l'lastlc trust (as dMlned In Regulations section 301.7701-7), Spoclal rules for partnorshlps. Partnerships that conduct a trade or business in the United S1ates are generally required to pay a WithholdIng tax. on any foreIgn partners' share of incorre from such bUsiness. Further, In certaIn cases where a Form W-9 has not been received. a partnership Is required to presume that a partner Is a foreign person, and pay the withholding tax. Therefore, if you are a U. S. person that is a partner In a partnership conducting a trade or business In the United States, provide Form W-9 to the partnership to establish your U.S. status and avoid withholding on your share of partnership Income. The person who gives Form W-9 to the partnershIp for purposes of establishing its U.S. status and avoiding withholding on its allocable share of nellncoma from the partnership conducting a trade or business in the United states is in the follov/ing cases: . The U.S. owner of a di$fegarded entity and not the entity, C4t. No. 10231X Fam Ww9 (Re.... 10-2007) Contract for Goods and Services Less than $25,000, Revised by Legal 03/2612007, Page 13 of26 --- . AqUaTeChDe~ P.O. Box 30824 Belllngham WA 98228 Bill To PieterSmeenk: City riAshlaoo 20 E Main Stre~t AshIaD:i OR g]5'KJ United Sta~ Oregoo Servi:e I Mobilizatioo fer Algae Treatments 675.00 675.00 0re1Pl Servi:e 875 MikagefCl"1J"aYC:1 0.38 33250 Oregm Scrvi=e 1 UxIging and meals fer team 240.00 240.00 Qregm Servi:e I' Hourslabcrfcrtra~ltime 38.00 53200 Oregm Servi:e 1 AppOCalioo r:i A1~eciE 10 Rcst:I"\IQU' l.tOO.OO 1,600.00 fugoo Servi:e 1 Fmergen::y Mcbilizatico Owge 750.00 750.00 I Total .ACORD CERTIFICATE OF LIABILITY INSVRANCE I DATE (foAMmD.IY'(YY) .1M. 1010612009 PRODUCER Phgna: (360J6gs-3466 Fnx:;;{380j611&.7QSl THIS CERTIFICATE_'IS ISSUED AS A MATTER OF INFORMAT'ION PICKETT INSURANCE AGENCY ONLY- AND CONFERS NO RIGHTS. UPON THE CERTIFICATE 8315 E. MILL PLAIN BLVO. HOLDER. THIS CERTIFICATE ODES -NOT AME~~;:r~~~~.D;,~R VANCOUVERWA 98554 ALTER' ' , RV . . . INSURERSAFF.ORDlNG COVERAGE NAIC# INSURED INSURER A: Swatt & CraMord/Rockhlll'lnsurance,Co AQUATECHNEX, LLC INSURER B: P,O BOX j0824 INSURER C: BELLlNGHAM'WA 96228 INSURER D': INSURER-E: COVERAGES THE POUCIES OF INSURANCE USTED BELOW 'HAVE'BEEN ISSUED TO .THE 'INSURED NAMED ,ABOVE FOR THE POLICY PERIOD INDICATED; NOTWITHSTANDING ANY REaUIREMENT, TERM~OR CONDITION~OF.ANY CONTRACT OR OTHER DOCUMENT WlTH.RESPECT TOWHlCH TH1SCERTlFlCATE MAY BE IssueD OR MAY.PERTAIN, THE'INSURANce AFFORDED BY THE POLIC[ESCESCRIBEC HEREIN IS SUBJECT' TO' ALl:THE TERMS, EXCLUSIONS AND ,CONOIT10NSOF SUCH !'OUCtES, AGGREGATE LIMITS' SHOWN MAV HAVE 'BEEN' REDUCEO:BV 'PAID ClAIMS. INSR '""'- TYPE,OF INSURANCE, POL.ICYNUMBER, p~rr~~~~~g~ I POUC:,~XPIRA~~N I L.l'MlrS . lTR ~" DATI! MMlDDh'Y ~NERAL:-LIABILITY RPKGE 00320300 07115/09 07/15/10 EACH OCCURRENCE , 1,000,000 X COMMERCIAL GENERAL UABILITY =~~~O~~ClI , 100,000 I CLAIMS MADE ~r OCCUR MEt). E~ IA_ny 0J18 pe~n). , 10,000' A ,X snip GAP PERSONAL & ACN INJURY s .1;000;000 ~ GENERAL'AGGREGATE , '2;000,000 GEN" AGGR:Pl lIMITAF"r'1:ER' 'PROOUcTS-COMP/OPA'GG. s 2,000,000 JI PRO., . POUCY JEeT LOC 'AUTOMOBILE LIABILITY 07/15109 07/15/10 COMBINED SINGLE UMIT 1,000,000 - (Eilaccldilnt,-- , "ANVAUTO - 'ALL'm'/NED AUTOS' BOOlLylNJURY r- (Porpoiiciii) S A Ix' ~HEDULEOAl.[Tl?S f Hl~ED AUTOS BOOILYINJURY Ix' lPeracddont) , r NON.OWNED AUTOS f- Pp~~~~dr;;,I~AM"GE ' '. GARAGE LIABILITY AUTO ONLY .EAACCIDENT I, R NNAUJ"O OTHER THAN EA ACC , AUTO ONLY; AGG. , .EXCESS J UMBRELLA LIABIl,:riY EACH OCCURRENCE' , P-~CclJR - O~LA!MS~ADE AGGREGATE , , ROEDUCT1BLE , RETENTION S S WORKERS COMPENSATION AND !~R~t~I~5J IOTHf~ EMPLOYERS' L1AB1UTY E.L EACH ACCIDENT' , At<<, PROPiuE: ToAiPAiliHEFUEXECilTlVE OFFICI>RIIolEMQER EXCWDE01 E,L. DrSeASE~EA EMPLOYEE , ij~...d;oc,ib.undor E.L DISEASE-POUCY LIMIT' , ~!,ECI"'LP!ll?VI~O~S"b~... OTHER: 07f1SJ09 07115110 A DESCRIPTION OF OPERATIONS/WCA TIONSIVEHICtESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECtAL PROVISIONS CertifIcato.Holder, Is. add ItJonw'lnsured 85 pe~ attachedendorSoml!l'nt. CERTIFICATE HOLDER CANCELLATION SHOULD. ANY OF THE',ASOVE'OESCRIBED POUCIES"BEiCANCELLEO BEFORETHE' The CltyofAs~rand, EXPlRATIONDATE~'THEREOF,' THE ISSUING INSURER, WILL ENDEAVOR TO MAlL30 DAYS WRITTEN 'NOTICE TO THE CERTIFICATE. HOLDER NAMED TO THE: LEF.T; BUT FAILURETO ~ubllc Work,s Department DO 50 SHALL IMPOSE NO OBLIGATION OR L1ABIUTY,OF ANY KIND UPONTHE INSURER, IT'S .20 E,Maln Street AGENTS OR REPRESENTATIVES. . 'Viash'landOR975.20 AUTH~RIZEO REP_REsE,NTA:nvE /~, . /1/2 Attontlon: ( (~;#~'71;-f tI~-_. ........>/ Robm i!Myer - ACORD 25 (2001/08) Certificete #14252 @ACORO CORPORATION 1988 IT c;u..~~~ c:T&?C/~ Pl....v;L c:.~ kJ_ e.~~ (Y.:.;--/ / , , //' 4 A.~ C/ <? U ... V&L-tf...-7'((...UA--5 ~.... r ~. 0' U? <-€...-~~ THIS'ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNER~, LESSJ;:ES OR CONTRACTORS- SCHEDULED PERSON OR . . ORGANIZATION This endorsement modifiBs'insuranceprovided under the foUo:.wing: CONTRAcTORS POLLUTION LIABILITY COVERAGE PART SC'I-IEDULE Name of Person or Organization: Any person or organization thatis: 1. An.oym~rof real,or'personal propert}ion whichyou are performingoperatlons,_ but only atth8speci~c \Nrilten requBsi.-by-that person or organization tnyou, aQd oryly'if: ~, ThatrB_quesUsmada prior fo.lhe:date:youroperatlons for that person or orgal1.lza.ti9n. C9rnmsflced; a:nd 9- A Certifi~ale ofl!1.sUranc;:~ ,Bylde,ncll1~J:t~E1t requesfhas been issued by ~our'auttiorjzad,jnsurance agent or broker; or 2. A c:6r1~Edi:lron whqse beh~If.You ~re 'perfcirinlng'operations, but on!}' aflhespeclflc wri~en re.Q~~~t by"that person 'o(org~nizatl9n io.yot.i; ~a'nd only'if:' '8. That request is'madB_prior~D,thB da~e your"bperaugns for thai-person or organizatiDn,commenced;-and b. A Cerfificate,of' Insurance evldenclng_ that request-- has been, issued by Y9u-r 3!-l1hor(zec:l J~surance 'agent ,or broker. '(lfno'eritry,appe~rs'~qovEl\ Jnfor,ri1ati,on requlre,a to;cbfi'lpl_ete:1his endorsement wlll'be-,shown in:the,Declaration-sas applicable 101hi5endorsement.) A. Sacti_anU - WhO' Is, An'lr(sured Is 'amended 10 ihCludeas; an-.insured::ihe person :or:organizatlon shown. in the Schedule, but only with respect.;1o ;l1ablllty ,arisIng' out, of your ongoing' operations p'erformedfor that insured. B. With respect to the insurance afforded ,ID these ,addi'tional :Insureds, the- fol.lDwing exclusion' Is added:' .. 2. exclusions This;insurance:does lJot apply 10 ~bodiJy'injury" or '''proper1y'damage~ oc:currfng aft~r: (1) AU 'work" including ma1erials; parts'cir equiprii€mffurnlsJ:ied lh.coririeclionwlih such: work, :.00. the project (Olh8ftha,~, service" maintenance or.-'repalrs) to be peifarmed 'by or on behalf of iIle additional -insured(s) al :the site 'of the covered ripe'rations has been completed;,or (2) That portion of "your work' oUt afwhlch the. 'jnjury or d~mage arises hasbe~'n pu1,t6;lts-;i,n,1ef!dad U~8 by.?ny person'or organiZation other than anolher conti-ac1or'or'subco,:,traclorengage~ In: performing op,erations:fora principal as apart oflhesams project E(;G 205031204 .Copyrlghl Everest R.einsurance Company, 2002 In91_ud8s copy~gh1ed_maJerial of-Insurance ServicesOffiee. (nc.. with-its parm!;:;slon. - .Pege 1.of 1 . Memo CITY OF ASHLAND DATE: TO: FROM: CC: RE: SUBJECT: September 10, 2009 Mike Faught, Public Works Director Pieter Smeenk PE SE Daryl McVey Reeder Reservoir Algae Treatment Application Procurement Findings for Aquatechnex Background This sole source justification applies to the application of GreenCleanPro algaecide to Reeder Reservoir. Proiect Description Application involves the use of specialized GPS and spraying equipment and boat to distribute 4000,6000 lbs of granular material evenly over several passes, Since the process is relatively new to us, we are in the process of trying to determine the best way to get the job done. Aquatechnex's initial quote for $3400 to apply in July was within expectations, A second application was necessary one week later, due to the inadequate initial maintenance dosing recommended by the manufacturer,. An extra $750.00 for overtime was necessary if there is short notice. Because the chemical must come in direct contact the the algae to work, it is important to wait until algae concentration is sufficient and the weather is appropriate to efficiently treat the reservoir. Once that circumstance occurs, it is necessary to treat fully to prevent the bloom from becoming very large. Aquatechnex was aware of the urgency of the situation and willing to help us get through this initial difficulty, Four applications are anticipated this year. The annual cost to apply is thus ($3400x3)+$4150=$14,350. Selection Process GreenCleanPro was specifically chosen for its particular chemical properties by Jacob Kann, PhD, the City's Consulting Biologist for Reeder Reservoir algae issues. This chemical is a relatively new way to treat blue, green algae specified by Jacob Kann, the aquatic biologist hired to solve the algae problem at Reeder Reservoir. When the product's manufacturer was contacted, only 2 applicators in the Pacific Northwest with significant experience were given, Aquatechnex and Clean Lakes, Inc. Both companies were contacted to request a quote, but Clean Lakes had not yet obtained an aquatic applicator's license in Oregon, and bowed out of quoting. AMC 2.50.075 authorizes appropriate departments heads to determine when there is only one product of the required quality within a reasonable purchase area. Qualifications of Proposer Aquatechnex is licensed for aquatic application, has provided high quality service to the City in the past. Legal Review AMC 2.50.025,AA authorizes procurement without legal review for contracts less than $25,000. The contract utilized is a standard City Contract for Services that includes Exhibit A as required by AMC 2.50,025.A.5. G:\pub-wrks\eng\08,45 Reeder Algae Treatment\Adm\aquatechnex\2009-09-08 Aquatechnex Requisition, Findings Memo.doc CITY RECORDER Page 111 ~4. .,-~ CITY OF ASHLAND 20 E MAIN ST. ASHLAND, OR 97520 (541) 488,5300 ill;:"',,_'::~DATE <::,~~_:'SIJ :: :;~'p.0TNllJMBEFf~~:':~fi 912812009 09241 VENDOR: 013549 AQUATECHNEX LCC PO BOX 30824 BELLINGHAM, WA 98228 SHIP TO: Ashland Public Works (541) 488,5587 51 WINBURN WAY ASHLAND, OR 97520 FOB Point: Terms: Net Req. Del. Date: 5 peciall nst: Req. No.: Dept.: Contact: Pieter Smeenk Confirming? No L~TQtia"n1jffi~J lJITilit,']~;1l~,;f;,.i~:~;}t,~:~:J';' ~'-)~~~3~~~~3:1~r6e'st-riDtion-~:S~}5.?~~ ,:,':< :,ES~}d~i:5t~;~iL;!::?:~B{~:'Li(irlitTF!Fice:':!{~ ~~~=-.iE~i~kricgS'(i(j THIS IS A REVISED PURCHASE ORDER Algacide application at Reeder Resevoir ,Estimate: (4) applications for current fiscal year, timing is critical. Contract for Personal Services, Beginning date: 07/1512009, Completion date: 12/1512009, Insurance required/On file 15,218.00 BILL TO: Account Payable 20 EAST MAIN ST 541,552-2028 ASHLAND, OR 97520 SUBTOTAL TAX FREIGHT TOTAL 15218.00 0.00 0.00 15,218.00 5~~/A'Ccc)UntfNum6er: :i~;~tj~ r~T~~oject:NumtJe"r!-[~f~~t ~E~~EfAmou-nt',~~[:~J'~~ ~"~:YAcco-unirNtimp~.~:B I1~MIt!Rfoje'ctrNunnier~~v3 ~JVgm'cju""t{~:~ E 670.08.1 9.00.601 501 E 200845.400 1 5 21 8.00 I I I 1'0/ ~ ~a:edSig~7' VENDOR COPY Contractor/Consultant: /7 , V( j H d.. Y"',--" e/ /1....e )0 ~ attached contract r-r:? c:fT..cf,:2- /f / PUBLIC CONTRACTING REQUIREMENTS - Solicitation Process o Exemot from Comoetitive Biddino 0 Invitation to Bid (Copies on file) 0 Emeroencv Reason for exemption: 0 Wotten findings attached o Quote or Proposal attached Coooerative Procurement o State of Oregon Contract # o State of Washington Contract # o Other government agency contracl Agency Contract # o Interagency Contract Agency Contract # I FO~#lO I CONTRACT APPROVAL REQUEST FORM o Small Procurement & Personal Services Less than $5,000 Note: Total contract amount, including any amendments may not exceed $6,000 Intermediate Procurement GOODS & SERVICES $5,000 to $75,000 o 13\ WOllen Quoles PERSONAL SERVICES $5.000 to $50,000 o (3) Written Proposals o Reouest for Prooosal (Copies on file) Please check one: o Goods & Services 0. Personal Services ~ Sole Source Wyvrillen findings allached [1j Quote or Proposal attached . o Soecial Procurement o Wrillen findings allached o Quole or Proposal allached Have all public contracting requirements been satisfied? ,,/" YES CITY OF . ~~,~~~N~ ",- ,- j~ c9,~~>. .j ot\ \ ~ ., \ \:J , i\ ~~ ~ ' 'I'll l~ ~~ ~ J~ ~ '..'" ~ "$,' '.'..." . "."" I' _"':..:,J.,..' ,.".,' " " r(?" ;2-'/6; " NO 11 ~ ~ l ~ ~\j ~ ~ ~ ~~j "d \\\ ~ \;) ,I ~ ~ ~ ~ ~~J (Dale) Have funds been budgeted for the purpose of this contract? NO YES If "NO", City Council approval is required, City Councit approval was received on ptease provide: Account Number€? ~ -~t! j_C~ -rf}<!- ~~_"- ~,!--o (Date) Is the amount of the contract less than $25,OOO? ~ YES If "NO", Legal review is required. Contract was "Approved as to form" by the Legal Department on Is the amount of the contract less than $75,000 for Goods & Services or $50,000 for Personal Services? YES ~ If "NO", City Council approval is required. City Council approval was received on NO (Date) NO (Date) Is the contract for a period of 24.months or less? ...----- NO , YES If "NO", City Council approvaLis required, City Council approval was received on NO (Date) ~ ~ Please provide terms: Start date: cJ "7 - r <7 - <'-;7' Completion date: r-:2 - r ,;- - C' ;7 Can the contract be terminated for convenience thirty (30) or fewer days following delivery of written notice to the contractor? YES ~' If "NO", City Council approval is required, City Council approval was received on (Date) ~ /fl 07 Pleaseci~.) '-,=- (,)/--L/? ~pJlli1Y.e~ Not Approved (3GA./7' c!...---c....A....?---t--k~/ A}/...;;L-..e ~ ;; Lee Tunebe5l' .Ie I' 0 - (9- cfJ. Date: 10/ 2//tJ/ / Prepared by: Department: Date: Form #10 - Contract Approval Request Form, Page 1 of 1 10/19/2009 THIS REQUEST IS A: o Change Order( PO_l CITY OF ASHLAND Date of Request: I 10/14/09 Required Date of Delivery/Service: I 11/7/09 A re~uest for a Purchase Order REQUISITION FORM Vendor Name Address City, State, Zip Telephone Number Fax Number Contact Name AQuatechnex 1801 Van Wormer, Suite 1 Centralia, WA 98531-1944 (360) 239-5173 (360) 239-5173 Terry McNabb SOLICITATION PROCESS Small Procurement l8J Sole Source 0 Invitation to Bid 0 Less than $5,000 l8J WoUen findingsaUached (Copies on file) o Quotes (Optional) l8J Quote or Prooosal aUached Coooerative Procurement 0 Reauest for ProDosal 0 State of ORfWA contract (Copies on file) Intermediate Procurement o Other government agency contract 0 Special I Exempt o (3) WriUen Quotes 0 Copy of contract aUached 0 WoUen findings aUached (Copies aUached) 0 Quote or Proposal aUached 0 Contract # 0 Emeraencv 0 WoUen findings aUached 0 Quote or Proposal aUached Description of SERVICES Total Cost $riofloexceed$15,218.00 ~ Algacide application at Reeder Resevoir ( 4 applications, one of which is short lead time) Per the attached PROPOSAL Item # Quantity Unit Description of MATERIALS Unit Price Total Cost ' TOT,AL:COST 0 ...-...- ~- --~.... -- - Per attached QUOTE $ Project Number 08 -45 Reeder Reservoir Improvements ---- , Account Number 670 - 08 - 19 - 00 - 601500 . Items and services must be charged to the appropriate account numbers for the financials to refiect the actual expenditures accurately, Employee Signature: , SupervisorlDept. Head Signature: requirements, and the d G:\pub,wrks\eng\08-45 Reeder Algae TreatmentlAdm\aquatechnex\2009,09,08 Aquatechnex Requisition Revised.doc