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HomeMy WebLinkAbout2011-217 Contract - Rogue Shred Contract for GOODS AND SERVICES Less than $25,000 CITY o F CONTRACTOR: Rogue.Shred, LLC ASHLAND CONTACT: Mike Jacobson 20 East Main Street Ashland, Oregon 97520 ADDRESS: 8001 Table Rock Road, White City, OR 97503 Telephone: 541/488-6002 MAILING ADDRESS: PO Box 3187, Central Point, OR 97502 Fax: 541/488-5311 TELEPHONE: 541-779-4161, 541-210-6506 DATE AGREEMENT PREPARED: March 9,2011 FAX: BEGINNING DATE: April 1, 2011 COMPLETION DATE: March 31, 2013 COMPENSATION: Fee schedule attached as Exhibit A is valid from April 1, 2011 until March 31, 2012. Fee Schedule attached as Exhibit B is valid from April 1, 2012 until March 31, 2013. GOODS AND SERVICES TO BE PROVIDED: Contractor to provide on-site document shredding, and shredded material will be transported by the contractor to an appropriate recycling location. Services will be performed on an as needed basis for City departments. ADDITIONAL TERMS: Additional information, including photo of shred containers is attached as Exhibit C. 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. 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 2796.220, 279B.225, 2796.230, 2796.235, 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$18,703 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 50%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 contract). 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. City's Convenience. This contract may be terminated at any time by City upon 30 days' notice in writing and delivered by certified mail or in person. C. For Cause. City may terminate or modify this contract, in whole or in part, effective upon delivery of written notice to Contractor, or at such later date as may be established by City under any of the following conditions: d, This Co"ncr YYtMj a 1Eemrtxi RT ti� � U o s Contract for Goods and Services Less than$25,000, Revised 12/2012010, Page 1 of 5 NoTreeQ iv WRiraxi ctal N-erred h, nt&,'L Vv- ilU F)Vlscn1• 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. Oblioation/Liability 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, 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 ORS 279A.110 or the administrative rules implementing the Statute. 12. Asbestos Abatement License: If required under ORS 468A.710, 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 Lie b" ins.___ ce with a combined single limit, or the equivalent, of not I sc thag Enter one: $200,000, $500,000, $1,000,000, ,000,000 or Not Applicable for each occurrence for Bodily Injury and Property Damage. It shall inclu ntraet al liability coverage for the indemnity provided under this contract. C. Automobile Li bili u ce with a combined single limit, or the equivalent, of not less than Enter one: $200,000, $500,000 $1,000,00 , or of Applicable for each accident for Bodily Injury and Property Damage, including coverage for waed—hired or non-owned vehicles, as applicable. d. Notice of cancellation or change. There shall be no cancellation, material change, reduction of limits or Contract for Goods and Services Less than$25,000, Revised 12/20/2010, Page 2 of 5 intent not to renew the insurance coverage(s)without 30 days' written notice from the Contractor or its insurer(s) to the City. e. Additional Insured/Certificates 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 contractor's insurance is primary and non-contributory. 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 and/or 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, "the claim") between the City(and/or any other or department of the State of Oregon) and the Contractor that arises from or relates to this contract shall be brought and conducted solely and exclusively within the Circuit Court of Jackson County for the State of Oregon. If, however, the claim must be brought in a federal forum, then it shall be brought and conducted solely and exclusively within the United States District Court for the District of Oregon filed in Jackson County, Oregon.,Contractor, by the signature herein of its authorized representative, hereby consents to the in personam jurisdiction of said courts. In no event shall this section be construed as a waiver by City of any form of defense or immunity, based on the Eleventh Amendment to the United States Constitution, or otherwise, from any claim or from the jurisdiction. 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 Council or 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: City of Ashland By /;K - �� By A11A Signature Department Hea / Print Name Print Name 3A ye 120 Title Date W-9 One copy of a W-9 is to be submitted with / the signed contract. Purchase Order No. Contract for Goods and Services Less than $25,000, Revised 12120/2010, Page 3 of 5 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: f (1) 1 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) 1 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. At* SZeILW �� 7-lc n Contractor (Date) Contract for Goods and Services Less than$25,000, Revised 12/2012010, Page 4 of 5 CITY OF . OREGON EXHIBIT B City of Ashland LIVING per hour effective June 30, 2010 � ® (increases annually every June 36 by the Consumer Price Index) portion of business of their cafeteria plans(including employer, if the employer has childcare) benefits to the ten or more employees, and amour t of wages received by has received financial the employee. assistance for the project or ➢ For all hours worked under a business from the City of ➢ Note: "Employee"does not service contract between their Ashland in excess of$18,703. include temporary or part-time employer and the City of employees hired for less than Ashland if the contract ➢ If their employer is the City of 1040 hours in any twelve- exceeds$18,703 or more. Ashland including the Parks month period. For more ➢ For all hours worked in a and Recreation Department details on applicability of this policy, please see Ashland month if the employee spends ➢ In calculating the living wage, Municipal Code Section 50% or more of the employers may add the value 3.12.020. employee's time in that month of health care, retirement, working on a project or 401 K and IRS eligible additional Call the Ashland City Administrator's office at 541-488-6002 or write to the City Administrator, City Hall, 20 East Main Street, Ashland, OR 97520 or visit the city's website at www.ashland.or.us. Notice to Employers: This notice must be posted predominantly in areas where it can be seen by all employees. CITY OF ASHLAND Contract for Goods and Services Less than $25,000, Revised 12/20/2010, Page 5 of 5 C r ` V . i V O M M N cO Qi N 00 N W) W O J N N M M } W C3 Z F- LU 0 m Z � U0 = U) g Co 60 fsa En `» 6% N W .-1 N Z O O n O O N N L j j j Q N J OD N h 00 C Y Y O `p Z Y 1' r N N N N M E a 6 •p Q J 11J C S � Y W av dr � m �r. d W> * w O• = Z L L v w "' S rrr � (6 (0 (6 f0 O O J N N d N N Q U N O N N U o 0 w x f0a 0 w U wo o o o n W C C O O O O C C 0 ."> U U m m m m o o@ a mmmmmmm-2 m m U N V M N (�O rn m Oi (co t 0 (O o 0 0 (n � O 0 0 < m < N N M M -4 } z J Z O F-- W Z F' uj J D m 0 W LU Ki 41). 61). 60- 61). O N Z N Q } 0 e-( Z m Z co w M 00 co OO (JJ Q Q' < N N N 00 00 W N M O_ N 2 O t > > CL Q w J O V O a W Y >- W E a 'c � > J ° a Z p `m In J r 'c M LO oa DLU U- V = N O LL- fA 6 O w w = O wi U EH fH EA fA K3 EA C14 vJ r 0 U U U U Q N N N N O O L L L L X X2 -O O O (n U) (7 CO O O O. N N C C C C L L C O W c C 0 0 0 0 c c O .` 0 0 � o = -0 rn CU 0) m a) =N ( M ( rn0) ( Cu V (LO (D 0) (7) 0) (D o Cu ?z7 el P Rogue Shredding Rogue shredding is a company in Central Point. Their shredding service consists of six different sized bins priced accordingly. The company can come weekly, bi-weekly, or monthly. The shred is done on sight. They offer to put together a policy and procedure at no cost to accommodate what individual organizations will need. They would also provide education for staff on shredding policy and procedure. After the items have been shredded they are shipped to Hallsy where they are pulped up and made into Costco paper products. Rogue Shred is able to shred hard drives, CD's, DVD's, plastic, and cell phones. Paperclips and staples do not need to be removed in order to shred. NOTE: 65 Gallon Shred Cart holds 250 lbs of paper 35 Gallon Shred Cart holds 125 lbs 40" Consoles hold 100 lbs 29" Consoles hold 70 lbs Small Consoles for under desk $1.05 each �tp+5 11, 3 11 t t ! t. ti } ; t a ' CIA,i sum r ", Na 1Aa F o cry.2 tit' '^2• - ' �� � a i� t � ...• 3�`F{'� p4`�Y't����yyi�'� 3 L ..' F ♦�CI�, i 'ykt tfY ADDENDUM TO CITY OF ASHLAND CONTRACT FOR GOODS AND SERVICES LESS THAN $25,000 Recitals: A. On March 3, 2011, City of Ashland ("City") and Rogue Shred, LLC, an Oregon limited liability company ("Contractor") entered into a "City of Ashland Contract for Goods and Services Less than $25,000" (further referred to in this addendum as "the Agreement"). R. The parties desire to add to the Agreement provisions required by OAR 166- 30-060. Agreements City and Consultant agrpe to add the following provisions to the Agreement: 1. Contractor will secure handling, transit, and prompt obliteration of the public records given to Contractor, including full obliteration of the contents and dates of the documents. 2. Contractor will not transfer public records or other records given to Contractor by the City from City offices.and will not sell, transfer or deliver such records to a third Harty, purposely or by mistake, prior to data obliteration. Data obliteration, consisting of shredding, will take place at the City offices where the public records are stored. 3. Contractor hereby undertakes and indemnities the City against any claims or . actions by third parties resulting from Contractor's failure to protect the confidentiality of public records. 4. Except as modified above the terms of the Agreement shall remain in full force and effect. ROGUE SHRED, m CITY OFASHLAND: an Oregon limited liabilit By: By: /1Y e0h/enn/ .Ga/' e,Authorized Member Department Hea Date:, /r�l"t��r Purchase Order Acct.No.: e, (For City purposes only) —71 1-CITY OF ASHLAND,ADDENDUM TO COMRACT FOR GOODS AND SERVICES<525,000 S( YYYY)ER — A E OF UAQUT MASURA V E 3/1612011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED CERTIFIC ATE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURE R($), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the pollCy(les) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTAC NAME: Wells Fargo Insurance Services USA,Inc c PHONE FAX ac Nu E-MAIL 975 Oak Street,$UItO 900 ADDRESS: PRODUCER ROGUEWAST Eugene,OR 97401 c r M INSURERS AFFORDING COVERAGE INSURED NAIC If INSURER A: Everest Naflonal ln$DranCe COm an Rogue Waste Systems,LLC P Y 10120 INSURER B: SAIF Corporation 36196 PO BOX 3187 INSURER C: INSURER D: Central Point,OR 97502 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 2484479 REVISION NUMBER: Sea below THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD IDICATE N D. 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADOLS B LTR I TYPE OF INSURANCE INS 0 POLICY NUMBER POLICY EFF P IGYUP LIMITS A GENERAL LIABILITY 72SW000497101 EACH OCCURRENCE 1,000,000 X 10/1/2010 10/1/2011 E COMMERCIAL GENERAL LIABILITY Ni PREMISES Eaooaamroe $ 100,000 CLAIMS-MAO. X $1,000 BVPD Detluct OCCUR MED EXP(Anyone person) $ 5,000 PERSONAL BADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 P GEN AGGREGATE LIMITAPPLIES PER: POLICY PRO- PRODUCTS-COMPIOP AGG $ 2,000,000 J T LOC A AUTOMOBILE LIASILTY 72SW000497101 $ 10/1/2010 10/1/2011 COMBINED SINGLE LIMIT $ 1,000,000 X pJ.rypUTO (Ea ectitlanl) AJIOWNEDAU 0S BODILY INJURY(Par person) $ SCHEDULED AUTOS BODILY INJURY(Peraoddmt) $ HIRED AUTOS PROPERTY DAMAGE $ (Per ectlden0 NON-OWNED AUTOS 8 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DEDUCTIBLE E RETENTION E WORKERS COMPENSATION $ B AND EMPLOYERS'LIABILITY 5519473 X WC STATU- OTH- ANYPROPRIETOR/PARTNER/EXECUINE YIN 10/1/2010 10/1/2011 OFFICER/MEMSER EXCLUDED] ❑ N/A E.L.EACH ACCIDENT $ 500,000 (Mandatory In NH) Uea,desenbounder E.L DISEASE-EA EMPLOYE E 500,000 SCRIPTION OF OPERATIONSbelm E.L.DISEASE-POUCYUMIT I E 500,000 OESCRWTION OF OPERATIONS/LOFATIONS/VEHICLES(Attach ACORD 101,AddlUonal Remarks Schedule,If more Space Is required) The City of Ashland,Oregon and its elected officials,officers and employees are listed as additional insureds but only with respects to the services provided by Rogue Shred,LLC. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Ashland - THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 East Main St. ACCORDANCE WITH THE POLICY PROVISIONS. Ashland,OR 97502 AUTHORIZED REPRESENTATIVE ©1988-2009 ACORD CORPORATION. All rights reserved. 1CORD 25(2009109) The ACORD name and logo are registered marks of ACORD + /�a F�1�5� F� (rte �j 1� F� II /� II / �p II II(�/� 1,�p(�RO.UUEWAST Iii LSll�l11 Dlf- CA If E OF LL,OG�51B�LL-�0 � It hIIC'IS1�/I(�Ur�111�'ICE DATE 5112/20/1 -I 5LDER.11 THIS CERTIFICATE IS ISSUED AS p MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE QR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy((es)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statemeut on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Wells Fargo Insurance Services USA,Inc PHONE FAX No. xt = No: E-MA L 975 Oak Street,Suite 900 ADDRESS: Eugene,OR 97401 INSURERS AFFORDING COVERAGE NAIC9 INSURERA: Continental Casualty Company 20443 INSURED Rogue Waste Systems,LLC NSU ER 8: PO BOX 3187 INSURER C: ' INSURER D Central Pont,OR 97502 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 2737136 REVISION NUMBER: See below THIS IS TO CERTIFY THAT 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE =G BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL YHE TERMS, EXCLUSIONS AONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN$R DD S BR LE TYPEOFINSURANCE S MD POLICY NUMBER POLICY EFF PUUCYIYEYXYY LIMITS' GENERAL LIABILITY COMMERCIAL GENERAL LIABIQ EACHOCCURRENCE $TY OA AS OR NTED Ee occurrence CLAIMS-MADE OCCUR P EMISES $ MEO EXP(Any ono arson $ PERSONAL&ADVINJURY $ + GEML AGGREGATE LIMRAPPIJES PER GENERAL AGGREGATE $ POLICY PRO PRODUCTS-COMP/OPAGG $ CT LOG AUTOMOBILE LIABILITY - $ COMBINED SINGLE LIMIT ANYAl1T0 (Ea accident) ALL OWNED SCHEDULED BODILY INJURY(Par pars.) $ AUTOS NONOS BODILY INJURY(Peraocidard $ HIRED AUTOS AUTOS PRO R tDAMAGE $ UMBRELLA LIAR OCCUR EXCESS LIAR CLAIM S-MADE EACH OCCURRENCE $ ' AGGREGATE $ DEO RETEMION$ WORKERS COMPENSATION $ AND EMPLOYERS•DABILnY WC STATU- OTH- ANYPROPRIETOR/PARTNERADTCUTNE YIN OFFIGERIMEMBER EXCLUDED'! NIA E.L EACH ACCIDENT (Mandatory in NH) $ IfyyS-ddeasrbe order EL DISEASE-EA EMPLOY $ .DESCRIPTION OF OPERATIONS below A Professional Liability 425375483 EL DISEASE-POLICY LIMB $ 5/6/2011 5/6/2013 $1,000,000 Per Claim $1,000,000Aggregate ' $2,500 Retentlon rESCMPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,AddiVonal Remerka Schedule,If more space is required) Evidence CERTIFICATE HOLDER CANCELLATION -ity of Ashland SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Mtn Kariann Olson ACCORDANCE WITH THE POLICY PROVISIONS. 30 N.Mountain Ave Ashland,OR 97520 AUTHORDOEDBEPRESENTATNE 9-1-14-1— " The ACORD name and logo are registered marks of ACORD O 1988.2010 ACORD CORPORATION. All rights reserved. CORD 25(2010105) CITY RECORDER Page 1 / 1 �. CITY /O� F ASH LAN DATE ,::. 'PO NUMBER. 20 E MAI`N,S11T�`1I 9/9/2011 10379 ASHLAND, OR 97520 (541)488-5300 VENDOR: 013536 SHIP TO: Ashland Finance Deartment ROGUE SHRED, LLC (541)488-5300 PO BOX 3187 20 E MAIN STREET CENTRAL POINT, OR-97502 ASHLAND, OR 97520 FOB Point: Req.No.: Terms: Net Dept.: Req.Del.Date: contact: Cindy Hanks Special Inst: Confirming? Yes .. _ ---- _ _ Quanfi �_ • Unit �`?.:.. . .-.- ,.-� � ..' .. Desiii`"tion - ;,. ' � ! 5.'Unit Price:.- - Ext:Fiiie : Document Shredding 5,000.00 Accounting & Purchasing Note: Purchasing - Invoice 692478, $302.50, 50%-$151.25 SUBTOTAL 5,000.00 BILL TO:Account Payable TAX 0.00 20 EAST MAIN ST FREIGHT 0.00 541-552-2028 TOTAL 5,000.00 ASHLAND, OR 97520 �., Account Number.':. 1. UA13. _'— .:'.`."'..`x ,_, �,t,P�gect Numbers :' .,Amount;_. !' :Account Numtier'„ s,'.Projeot Numbers t , �Amountj'l< E 710.03.08.00.60110 4,848.75 E 710.03.09.00.60110 151.25 k 4, VENDOR COPY Authorized Signature FORM #3 CITY OF . A request ; ? Purchase Order ASHLAND REQUISITION Date of request: Required date for delivery: Vendor Name Address,City,State,Zip Contact Name&Telephone Number Fax Number SOLICITATION PROCESS ❑ Exempt from Competitive Bidding ❑ Emergency ❑ Written Findings(Form attached) ❑ Invitation to Bid (Copies on file) ❑ Written findings attached ❑ Quote or Proposal attached Date approved by Council: ❑ Quote or Proposal attached ❑ Small Procurement Cooperative Procurement Less than$5,000 ❑ Request for Proposal (Copies on file) ❑ Stale of Oregon, Note:Total contract amount,including any Date approved by Council: Contract# amendments may not exceed$6,000 ❑ State of Washington Intermediate Procurement ❑ Sole Source Contract# GOODS&SERVICES ❑ Written Findings(Form attached) ❑ Other government agency contract $5,000 to$100,000 ❑ Quote or Proposal attached Agency ❑ (3)Written quotes attached Contract# PERSONAL SERVICES ❑ Special Procurement ❑ Intergovernmental Agreement $5.000 to$75,000 ❑ Written Findings(Form attached) Agency ❑ Less than$35,000,by direct appointment ❑ Quote or Proposal attached Contract# ❑ (3)Written proposals attached Date approved by Council: Dale approved by Council: Description of SERVICES Total Cost Item # Quantity Unit Description of MATERIALS Unit Price Total Cost TOTAL,COST '" ❑ Per attached quotelproposal Project Number______- 7io o3DgmOlol Account Numberry -__-_ ----- _ Account Number Account Numbe( /;0 -'O.g= / 'Expenditure must be charged to the appropriate account numbers for the financials to accurately reflect the actual expenditures. AA L, IT Director in collaboration with department to approve all hardware and software purchases: fA d 41-k 6 ��N IT Director Date By signing this requisition form,I certify that the information provided above satisfies the City's public contracting requirements,and the documentation can be provided upon request. Employee Signature: Department Head Signature: Additional signatures(if applicable): Funds appropriated for current fiscal year: YES / NO G y/- q Q Finance Director Date Comments: G:FinancelProcedurelAPTonnsTonn#3-Requisidon.doc Updated on:8/12/2011