HomeMy WebLinkAbout2011-305 Contract - Beaver Tree Service Ashland Parks & Recreation - Contract for Tree Pruning
CITY OF CONTRACTOR: Beaver Tree Service
ASHLAND CONTACT: Clarence V. Wangle
20 East Main Street
Ashland, Oregon 97520 ADDRESS: 270 Wilson Road, Central Point, OR 97502
Telephone: 541/488-6002
Fax: 541/488-5311 TELEPHONE: 541-779-7072, Cell 541-821-8733
DATE AGREEMENT PREPARED: November 15,2011 FAX:
BEGINNING DATE: November 17, 2011 1 COMPLETION DATE: January 15, 2011
COMPENSATION: $5,500.00 per proposal form attached as Exhibit C.
GOODS AND SERVICES TO BE PROVIDED: Contractor to prune trees in accordance with RFP, including
Addendum #1 and Specifications. Tree Pruninq List is attached as Exhibit D. Note: Contractor to coordinate
and review wspecific and individual pruning requirements for each tree in advance with the Parks Horticulturist`
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. 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, 2798.235, 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$18,890 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:
Contract for Tree Pruning, Page 1 of 5
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. Obligation/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 279AA 10 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 Liability insurance with a combined single limit, or the equivalent, of not less than Enter one:
$200,000, $500,000, $1,000,000, $2,000,000 or Not Applicable for each occurrence for Bodily Injury and Property
Damage. It shall include contractual liability coverage for the indemnity provided under this contract.
C. Automobile Liability insurance with a combined single limit, or the equivalent, of not less than Enter one:
$200,000, $500,000, $1,000,000, or Not Applicable for each accident for Bodily Injury and Property Damage,
including coverage for owned, 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 Tree Pruning, 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 Ashla y,
By td,Iln.Fiwc�si �. WQivt By °/ ( /,
Signature Department Head
cmi-j aA; V, w AA)dc.L__�
Print Name Print Name
rl bgbl
Title Date
W-9 One'copy of a W-9 is to be submitted with �p
the signed contract. Purchase Order No.
Contract for Tree Pruning, 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:
(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.
Contractor (Date)
Contract for Tree Pruning, Page 4 of 5
CITY OF ASHLAND , OREGON
EXHIBIT B
City of Ashland
LIVING
ALL. . comply
of . , laws regulating
payment of a living wage.
®per hour effective June 3`,0,2011;:
=, (Increases,annually every June 30 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 amount 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$18,890. include temporary or part-time
employer and the City of employees hired for less than j
Ashland if the contract ➢ If their employer is the City of 1040 hours in any twelve-
exceeds $18,890 or more. Ashland including the Parks month period. For more
and Recreation Department. details on applicability of this
➢ For all hours worked in a 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 For
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 Tree Pruning, Page 5 of 5
EXHIBIT C
PROPOSALFORM
Anne C. Thayer
Ashland Parks and Recreation Department
340 So. Pioneer St. Ashland, Or. 97520
Phone (541) 488-5340 Fax (541) 488-5314
RE: Proposal for Tree Pruning
The undersigned proposer declares that the RFP and Specifications have been fully examined, the
site(s) have been visited, and such investigation has been made as is necessary to determine the
character of the materials and the conditions to be encountered in the work, and that if this price
proposal is accepted, the undersigned proposer will contract with Ashland Parks and Recreation
Department to successfully complete the work specified in the RFP under the following conditions:
1. It is understood that all work will be performed for a lump sum price and that for said lump sum
price all services, materials, labor, equipment, and work necessary to complete the project as
specified in the RFP shall be furnished.
2. In addition to the proposal form, the proposer shall submit the following items:
a. Proof of International Society of Arboriculture Certification
b. Proof of Contractor's and/or Landscape Contractor's license
C. Proof of City of Ashland Business License
d. Proof(or confirmation) that the required insurance for General Liability, Auto and Workers'
Compensation will be provided
e. Provide a minimum of three (3)job references that required a similar scope of pruning
work be performed in the local Medford-Ashland area within the last two (2) years. Include
a contact name, company name (if applicable), telephone number and specific job site
address where the pruning work was performed. References may be contacted and work
performed at job sites may be visually inspected by a representative of Ashland Parks and
Recreation.
3. The proposer shall commence the work after receiving a notice to proceed, no later than
November)7, 2011, and shall complete all work no later than December 15, 2011.
4. Price proposal is firm for the pruning work specified within this RFP. The firm price being proposed
is to be shown in both words and figures.
Firm price proposed for specified work: $ ` �, Soo.
Dollars and 00 cents
RFP AND SPECIFICATIONS PAGE 9
Ashland Parks& Recreation-Tree Pruning 10/17/2011
The foregoing price is firm for the specified work and includes all labor, materials, equipment, overhead,
profit, insurance and any other incidental expenses required to complete the pruning work as specified
within the RFP.
Date: OA a 1
Name (Print): 1r enema, J�_��� '2
Signature: ((��
Name of Company: iOyct'v_tom S L
Address: a-';IC) ^ r+ Z (- G yi- Iro,0 N �
Telephone (Office): 511 1'141- lc-0 ).
Cell: SNI
Fax:
Email: e- 6We J•er 4-ree.h 4."�
RFP AND SPECIFICATIONS PAGE 10
Ashland Parks&Recreation-Tree Pruning 10/17/2011
EXHIBIT D
Ashland Parks and Recreation
Tree Pruning List
Tree Species Location Scope of Work
A Pinus sylvestris Garden Way Park Removal. Buck up to no larger than
Scotch Pine 1620 Clark Ave. 18" for APRD pick up
B Quercusgarryana North Mtn. Bike Path Remove stem over Bike Path leave
Oregon White Oak 620 N Mtn. Ave. tree for habitat
C Fraxinus latifolia Next to B Lighten up leader over path, raise
Oregon Ash limbs over ornamental Ash
D Salix babylonica Evergreen Ponds Lighten up limbs (over path esp.)
Weeping Willow Remove deadwood. Leave debris no
1393 Evergreen larger than 18" for APRD pick up
cross st.Wi htman
1. Alnus rhombifolia Ashland Christian Remove deadwood. Lighten limb end
White Alder Fellowship weight. Remove suckering sprouts.
50 W. Hersey
2. Alnus rhombifolia ACF Remove rubbing limbs, lighten end
(multi stemmed) White wt. of limbs
Alder
3. Populus balsomifera ACF Reduce end wt. Limbs over parking
ssp. trichocarpa lot significantly on left stem.
Black Cottonwood
4. Populus b. trichocarpa ACF Remove deadwood. End weight
Black Cottonwood reduction
5. Populus b. trichocarpa ACF Remove deadwood. End weight
Black Cottonwood reduction
6. Populus b. trichocarpa ACF Remove deadwood. End weight
Black Cottonwood reduction. Reduce co-dom. Leader
7. Populus b. trichocarpa ACF across creek Remove deadwood
Black Cottonwood
8. Populus b. trichocarpa ACF Remove deadwood. End weight
Black Cottonwood reduction. Form-head back dead
central leader
9. Populus b. trichocarpa ACF REMOVAL (2 stems)
8.9", BY T' dbh
Black Cottonwood
RFP AND SPECIFICATIONS PAGE 8
Ashland Parks&Recreation-Tree Pruning 11/15/2011
10. Fraxinus latifolia ACF Remove deadwood. Reduce End
Oregon Ash weight limb over creek
11. Populus b. trichocarpa ACF Remove deadwood. Reduce lateral &
Black Cottonwood co-dominant leader(Structure)
12. Populus b. trichocarpa ACF Remove dead top &dead wood. End
Black Cottonwood weight reduction
1
13. Populus b. trichocarpa ACF REMOVAL
23.8"dbh
Black Cottonwood
14. Populus b. trichocarpa ACF REMOVAL
25.8" dbh
Black Cottonwood
15. Populus b. trichocarpa ACF Remove deadwood.
Black Cottonwood
16. Populus b. trichocarpa ACF Remove deadwood. Request for
Black Cottonwood Assessment
17. Fraxinus latifolia ACF Remove leaning leader. Tip prune
Oregon Ash end wt. over path. Evaluate &assess
stem base stability.
18. Fraxinus latifolia ACF Reduce end wt. on compromised
Oregon Ash stem(north) . Remove deadwood &
dead stem
19. Populus b. trichocarpa ACF Reduce end wt. tip prune. Reduce co-
Black Cottonwood dominant stem. Remove hangers.
20. Alnus rhombifolia ACF Remove hangers & deadwood. Clean
White Alder up dead staubs
RFP AND SPECIFICATIONS PAGE 9
Ashland Parks&Recreation-Tree Pruning 11/15/2011
NOV/1¢/2011/MON 01 : 55 PM FAX No. P, 001/001
ACORD� CERTIFICATE OF LIABILITY INSURANCE °"v 4/2011
PRODUCER RKI INC. Cert#53258 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
P.O.BOX 157 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
LEBANON,OR 97355 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
(541)451-1313
FAX:(541)259-1092 INSURERS AFFORDING COVERAGE NAIC 9
INSURED INSURER A: OHIO SECURITY INS.CO.(NPP)
BEAVER TREESERVICE,INC. INSURERS OHIO SECURITY INS.CO.(NPP)
INSURER C:
270 WILSON RD NNERD
CENTRAL POINT, OR 97502 INSURERE
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 D'L POLICYNUMBER P0UCYEFFECTNE POLICYEXPIRATON LIMITS TYPE OF INSURANCE
GENERAL LIABILITY EACH OCCURRENCE 8
X COMMERCIAL GENERAL LIABILITY BKS(12)54779670 52611 52612 PREMISES Es occuren S
A CLAIMS MADE ®OCCUR VIED EXP(Ary one person) $ 15'000
PERSONAL&ADV INJURY $
GENERAL AGGREGATE $ '
GENT AGGREGATE LMIT APPLIES PER PRODUCTS.COMPIOP AGG $ '
POLICY PRO- LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1000,000
ANY AUTO BAS(12)54779670 MAY 2611 52612 (Ea accident)
ALL OWNED AUTOS BODILY INJURY
SCHEDULED AUTOS (Per person) $
B
HIRED AUTOS BODLV NWRY
OWNED AUTOS (Peraccidenl) $
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PROPERTYDAMAGE $
(Peracudent)
GARAGE LABILITY AUTO ONLY-EA ACCIDENT S
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY AGG $
EXCESSNMBRELLA LIABILITY EACH OCCURRENCE $
OCCUR CLAMSMADE AGGREGATE S
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WC STATLL OTH-
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DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS
REF: FOR CERTIFICATE HOLDER'S INSURANCE FILE.
CERTIFICATE HOLDER i CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BORE THE EXPIRATIO
ATTEN: ANNE THAYER DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN
20 EAST MAIN STREET NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
ASHLAND, OREGON 97520 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
REPRESENTATIVES.
F#541-488-5314 A
ACORD 25(2001/08) 0ACORD CORPORATION 1988
11:40 NOV 14, 2011 FAX NO: 772-8235 #72890 PAGE: 2i2
CERTIFICATE OF LIABILITY INSURANCE OF ID DS DAMIMMIDD/YYYYI
11/14/11
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 BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT; It e certificate holder ism AUDI I IVNAL IN5URLu,the po Icy les must be endorsed. ,subject o
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 endarsement(s).
PRODUCER NAME:
PHONE I-AX
Insurance Marketplace, Inc. IAJO,No,EXt): (A/C,No):
1998 Skypark Dr Suite 100 ADDRESS:
Medford OR 97504 CUsrOMERIDr. BEAVE-1
Phone:541-779-0177 Fax:FAX 772-8235 INSURERS)AFFORDING COVERAGE NAICAt
INSURED INSURERA: Sai£ Corporation
Beaver Tree Service, Inc. INSURER B:
Clarence Wangle
270 Wilson Road INSURER C:
Central Point OR 97502
INSURER D
NSURER E
NSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
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EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAI D CLAIMS.
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nrnul.TIGl r 6
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A WORKERS COMPENSATION 633691 11 07/01/12 I.:' I!
AND EMPLOYERS'LNRUITY YIN IC'!ItY LIMNS tit
ANY I'Iti)I'Itlt101t/I'A111IJtIUt%tCLq IVt rl rnr:IIAC.C.InrNr $ 1000000
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(Mandatory in NH) rl DI.RrASF rAFMFi OYr 61000000
.:" PTI mundo
r1rIrvA[R'IFTIiMI Or i)F'rFATICMI:i Ix:Nnv 41000000
L I
DESCRIPTION OF OPEMTlpNS I LOCATIONS I VEHICLES IAReCRI ACORD 101,ACdItIoned Remade Schedule,a more span to required)
fax 488-5314/665-5858
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
ASHLAND THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
City of Ashland its Officers ACCORDANCE WITH THE POLICY PROVISIONS.
and Employees
Anzio Thayer AUTHORIZED REPRESENTATIVE
20 E Main Ave
Ashland OR 97520
O 1988.2009 ACORD CORPORATION. All rights reserved.
ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD
r Page 1 / 1
1
`�Y RECD YDE
Ashland Park Commission DATE° ! :.PONUMBER
20 E MAIN ST. 1.2/2/2011 00069
ASHLAND, OR 97520
(541)488-5300
VENDOR: 001167 SHIP TO:
BEAVER TREE SERVICE
270 WILSON RD
MEDFORD, OR 97502
FOB Point: Req. No.:
Terms: Net 30 days Dept.:
Req.Del.Date: contact: Bruce Dickens
Special Inst: Confirming? No
Descn lion ,.Unit P,nce i. Ext Price�.1.`_
Tree Pruning Work- Per attached 5,500.00
specifications and tree pruning list.
Contract for Tree Pruninq
Beginning date: November 17, 2011 .
Completion date: January 15, 2011
Insurance required/On file
i
SUBTOTAL 5,50000
BILL TO: TAX 0.00
FREIGHT 0.00
TOTAL 5,500.00
... 9 _
Amount.,[, .,!Aicount Nunn erw;, , ,,:,Project Number, 't, «,,,,`A'mount
E 211.12.02.06.60410 5'500.00
Ors -a -�%12v��
Auth6rized Sigrfature VENDORCOPY
FORM #3 CITY OF
A request for a Purchase Order ASHLAND
REQUISITION Date of request:
Required date for delivery: EEL
Vendor Name e6LVvv- Tree, Seryf�r• P � ��
Address,City,State,Zip ��D �A RMRd. l '.044 rat PLF bye- �JLSD
Contact Name&Telephone Number
Fax Number Sy/• Sdi $�d3
emaJ suxie ht-a&1vJee.,el_ �QX A
SOLICITATION PROCESS
❑ Exempt from Competitive Bidding ❑ Emergency
❑ Written Findings(Form attached) ❑ Invitation to Bid (Copies on file) ❑ Written findings attached
❑ Quote or Proposal attached Dale approved by Council: ❑ Quote or Proposal attached
❑ Small Procurement Cooperative Procurement
Less than$5.00n ❑ Request for Proposal (Copies on file) ❑ Slate of Oregon
Not • oun luding any Date approved by Council: Contract If
mendments may not ex $ , 0 ❑ Stale 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 at ed Contract#
❑ 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 a —roved ti Council: Dale approved by Council:
Description of SERVICES Total Cost
YR
Tee, Pruttii n� �u� Pa.-kS ao f j 0
Item# .Quantity Unit Description of MATERIALS Unit Price Total Cost
3TOTALA'COST
Per attached quotelproposal $ t
Project Number Account Number___-_ _-__-______
Account Nuinbero?1 -jd- Q(2 10_S' Account Number -__•_ - -______
'Expenditure must be charged to the appropriate account numbers for the financials to accurately reflect the actual expenditures.
IT Director in collaboration with department to approve all hardware and software purchases:
IT Director Date
By signing this requisition form,l certify that the information provided above satisfies the City's public contracting requirements,and the documentation can be
provided upon request.
Employee Signature � �i � Department Head Signature:
Additional signatures(if applicable):
Funds appropriated for current fiscal year. �/ NO
Finance Director Date
Comments:
G:FlnancelProcedurekAPFomisTonn#3-Requisition.doc Updated on:8/24/2011