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2012-019 Contract - Rogue Valley Electric
Contract for GOODS AND SERVICES Less than $25,000 CITY OF CONTRACTOR: Rogue Valley Electric ASHLAND CONTACT: Jonathan Robertson 20 East Main Street Ashland, Oregon 97520 ADDRESS: PO Box 475, Phoenix, OR 97535 Telephone: 5411488-6002 Fax: 541/488-5311 TELEPHONE: 541-512-0530 DATE AGREEMENT PREPARED:January 25, 2012 FAX: 541-512-0530 BEGINNING DATE: January 27, 2012 COMPLETION DATE: March 22, 2012 COMPENSATION: $6,380.00 — Per proposal attached as Exhibit C. GOODS AND SERVICES TO BE PROVIDED: Contractor to rough in and finish electrically wiring installation per the plans and proposal attached as Exhibit C. Location: Mountain View Cemetery 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 27913.220, 27913.225, 279B.230, 279B.235, ORS Chapter 244 and ORS 670.600 are made part of this contract. 7. Living Wage Requirements: If contractor is providing services under this contract and the amount of this contract is $18,890 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: i. If City funding from federal, state, county or other sources is not obtained and continued at levels Contract for Goods and Services Less than$25,000, Revised 06/30/2011, Page 1 of 5 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 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 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 intent not to renew the insurance coverage(s)without 30 da s' written notice from the Contractor or its insurers)to Contract for Goods and Services Less than$25,000, Revised 06/30/2011, Page 2 of 5 thL 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 incorp ed by reference. Contractor: City o As By Qv, 6n Signature Oono&nn Q3be4_-,,n !o� Print Name ( Pri Name oa r>er " Title Dat 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 06/30/2011, 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 o specific portion of my residence, set aside as the location of the business. t ✓ (2) Commercial advertising or business cards or a trade association membership are purchased for the business. 1� (3) Telephone listing is used for the business separate from the personal residence listing. 4 ✓ (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 000 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. /2 ontractor (Date) Contract for Goods and Services Less than $25,000, Revised 06/30/2011, Page 4 of 5 CITY OF ASHLAND , OREGON EXHIBIT B City of Ashland LIVING WAGE . . ®perjhour 4 iii e¢June 30 2�0a1�1" F�fr ti .t[ �= (Increasesannually!everyJune3 0 by the ;Consumer Prlce Index) M . 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 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 ➢ 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 For additional information; 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 06/30/2011, Page 5 of 5 Rogue Valley AGREEMENT Electric serrlclas all Year etectrleal needs P.O. Box 475 Phoenix, OR 97535 CCB#51466 PH./ FAX(541) 512-0530 To: Date: 1/18/12 Aft: Dale Peters Project Name: Temporary Fire Building Ashland Public Works 90 N. Mountain Ave. Address: Ashland, OR 97520 Phone: 541-552-2292 Fax: 541-552-2304 E-Mail: petersd(cDashland.or.us Schedule for Completion of Work: Approximate Starting Date: Approximate Ending Date: Description of Work: Basic rough and finish electrical wiring of temporary fire and rescue building per electrical plan. In addition we will provide a 200amp 40 circuit main electrical panel and circuit breakers. Existing electrical service will remain to supply electrical panel. Electrical work in sleeping space will be exempt from this bid. We will include three 3/4" conduits for future electrical circuits. All electrical wiring will be copper and installed in Romex or MC as needed. See attached equipment schedule for equipment to be installed. See attached circuit schedule for circuits to be installed. All work will meet or exceed local and national electrical code. All labor and materials are included. Payment Schedule: Owner will pay the Contractor the sum of$6,380 in installments as follows: Date Amount of Work/Services to be Performed Amount of Payment Upon completion of rough electrical work $3,900 Upon completion of finish electrical work $1,380 Fixtures $1,100 Terms and Conditions: The terms and conditions on the reverse side of this document are expressly incorporated into this Agreement. Exceptions: Special Provisions: All electrical wiring of phone data systems by others. All trenching and digging by others. All light fixtures and lamps not listed by others. All utility conduit work and fees by others. All additional electrical work requested to be billed at$75 per man hour plus materials. All finish electrical switches and, receptacles to be spec. grade and white or ivory in color. Acceptance of Agreement: thorized Si nature ate Owner Signature Date Additional Agreement Provisions on reverse Rogue Valley Electric Servicing all your electrical needs Electrical Equipment Schedule for Fire Building 1 Rab GT50OR Motion Fixture with Halogen lamps 8 USPAR SL-17548 Single Lamp Strip Fixtures with T8 lamps 12 USPAR Troffer Fixtures with two T8 lamps 1 Broan 161 Infrared Bulb Heater 2 AirKing ASLC90 Fan/Light Combo Rogue Valley I Electric serrlelis all"W eleetrleal needs Electrical Circuit Schedule for Fire Building 1 120v 20a Garage Space Receptacles 1 120v 20a Rescue Vehicle Charging Receptacle 1 120v 20a Bathroom Lights, Plugs 1 120v 20a Dining, Living and Office Lighting 1 120v 20a Kitchen Plugs 1 120v 20a Kitchen Plugs-Dining 1 120v 20a Dishwasher 1 120v 20a Office Receptacle Circuit 1 120v 20a Washer 1 240v 40a Dryer 1 240v 40a Hot Water Heater 1 240v 50a AC 1 240v 50a Furnace 10k JOB NAME: PIAS DATE: I_. I G I-I "I- I N G ' 10 TYPE: GT50OR DESCRIPTION Gotcha Sensor with two weatherporoof,corrosionproof Floodlights,molded gaskets and corrosionproof universal cover plate. Lamps not supplied. SPECIFICATIONS DIMENSIONS UL Listing Weight c'm Suitable for wet locations. 1.95 -- Voltage 120 volts AC 60 Hz. Power Consumption 1 watt Time Adjustment 10 seconds to 5 minutes 399.4 cm Surge Protection Withstands up to 6000 volts Photoelectric Control Deactivates lights during daylight Detector Sensitivity Adjustable from 100%to 50% Wall Switch Manual Override Two Flip logic prevents activation by momentary power outages.Override resets to auto after 6 hours or at dawn. No extra wiring needed. Sensor Housing Made of tough,corrosion resistant polycarbonate DETECTION PATTERN Floodlights Made of tough,corrosion-resistant polycarbonate. For extra or replacement Floodlights,order cat#TUFFY in your choice of color.Accepts PAR-38 lamps, medium base, 150 watts max. Lamps not included. j Detection I 110•view Patents 701 - RAB sensor and fixture designs are protected under U.S.and International Intellectual Property laws Color Black 50' Note:Specifications may change without notice RAB Lighting, Inc. • 170 Ludlow Ave- Northvale, NJ 07647•Tel: 888 RAB-1000• Fax: 888 RAB-1232•www.rabweb.com 02012 1 SPAR USPAR -Rqpp► ENTERPRISES Application: The SL Strip is an energy efficient family of strips that fea- tures premium performance and durability.Suitable for LIBERTY LIGHTS industrial,commercial and residential applications. Features: �� �� �� ➢ Die-Formed cold roll steel housing.White powder coated finish. ➢ Wiring knockouts are provided on back and end of General Purpose Strips housing,side knockouts for a convenience outlet,a pull chain and conduit. SL SERIES )% Available in 2',3',4',and 8'(Tandem)Utilizes T12,T8 or T5 lamps in 1,2 or 4 lamp configurations. Electrical: ➢ Standard 120 Volt ballasts with optional Multi- Voltage 120-277 high power factor ballasts.Total harmonic distortion(THD)is less than SO%. Rated Class P. ➢ Options for instant start,flicker free electronic ballast 1ti wired for 120 VOLT 60HZ A.C.operation or 347V !� class P high power factor ballasts. Available in 1,2 or4lamp Configurations ListlnQ' See SEI series for Strips with Reflectors ➢ UL and CUL listed in accordance to U.S.and Canadian safety standards. zTITLE-2 ➢ California Title 24 compliant.4'&8'Models are En- A!' ?7 C UL us n/ ergy Star Listed l LISTED GL Dimensions: S- P Orderina Information: Model #Lamps Lamp Type Length SL-17524 1 17W T8 24 SL-17536 1 25W T8 or 21W T5 36 !SL-17548 1 '3 WW TS or 28 T5:1 f 48;1 SL-27524 2 17W T8 24 SL-27536 2 25W TS or 21W TS 36 SL-27548 2 32W T8 or 28 T5 48 SL-96 23W 18 or 2 TS 96 SL-96412 212 2 4 327 TS or 28 8 TS 96 Options: White Wireguard add "WG" 450 Lumen Emergency Ballast add "EM", 700 Lumens add "EM7", 1400 Lumens add "EM14", 3000 Lumens add"EM30". Specify Voltage: 120V Leave Blank, 120-277V add"120/277"to model, 347V add"347"to model. For Lampholder adjustment for T5 lamps add 75"to model number."L515P"for 120V Plug and Cord."L715P"for 277V Plug and Cord."FW3%3 Wire Fixture Whip,"FW4"-4 Wire Fixture Whip Example:SL-27548-75-1201277-WG-EM14 USPAR ©2009 USPAR Enterprises Inc. For Customer Service and Support Contact us at: AS- - ENTERPRISES I Phone:(909) 591-75061 Fax:(909)590-32201 Email:lnfo @uspar.com I BRAN SPECIFICATION SHEET MODELS 161 & 162 INFRARED BULB HEATERSQ ` ".,,' Silent warmth and the choice of added ventilation in TYPICAL SPECIFICATION a compact design. FEATURES Bulb heater shall be Broan Model 161 (Broan Model 162). • White-white polymeric grille Heater shall have corrosion resistant steel housing and • Sturdy steel housing adjustable mounting brackets. • Adjustable mounting brackets that span up to 24" Unit must use a 250W BR40-size infrared bulb.Bulb Heater • Housing can be adjusted vertically after ceiling is finished to be U.L. Listed. • Uses 250W BR40-size infrared bulb (not included) MODEL 162 BULB HEATER/FAN ONLY: • May be used with the following Broan controls: Model 59WN,60-Minute Time Control Motor assembly to be removable and permanently lubricated. Model 61 WN, 15-Minute Time Control Non-metallic damper/duct connector to be included. Model 63 WN,60-Minute Time Control w/Toggle Switch Model 64WN, Heater-Fan Control w/Off Delay Heater and ventilatortooperate separately(orin combination). Model 68W/V,Two-Function Control(Model 162 only) Air delivery shall be no less than 70 CFM and sound level no MODEL 162 BULB HEATER/FAN ONLY: greater than 3.5 Sores. All air and sound ratings shall be • Plug-in, permanently lubricated motor certified by HVI. Model 162 suitable for use in insulated • Quiet, polymeric blower wheel ceilings (Type I.C.) • Polymer icdamper/ductconnectorwith 1-5/8"longtapered sleeve and no metallic clatter • Heat and Vent functions may be controlled separately or 38� 3a in combination • Model 162 suitable for use in insulated ceilings(Type I.C.) • Model 162H: Rough-in housing for Model 162F.Packed 4 per carton. \\!` • Model 162F: Finish assembly for Model 162H.Packed 4 6 3 per carton. y \ 16 SPECIFICATIONS �88�8g� MODEL VOLTS AMPS WATTS' SONES CFM DUCT g'I' 161 120 2.1 250" ---- ---- ---- 162 120 2.5 300" 3.5 70 4"Round lOa� I�q Total Connected Load 4 i " BR40-size Infrared Bulbs.Use house wiring rated 75°C min.for Model #1 eti 161,60°C min.for Model 162. 1 HVI-2100 CERTIFIED RATINGS comply with new testing® by the a Model 161 Model 162 technologies iesand procedures products, a bthey Home Ventilating O H V' Institute, for off-the-shelf products, as they are available to consumers.based Product is conducted is rated at 0.1 in. static ■ pressuf,basetl on tests conducted in AMCA's state-of-the-art • L CERTIFIED rest laboratory.Sores are a measure of humanly-perceived loudness,based on laboratory measurements. Broan-NuTone LLC,926 West State Street, Hartford,WI 53027(1-800-637-1453) REFERENCE QTY. REMARKS Project Location Architect _—_ Engineer Contractor Submitted by Date 50F 99041436K -Udg"a USPAR -qqgp- ENTERPRISES Application: Provides a low-profile specification grade lighting solution for recessed applications. Ideal for all commercial, institu- tional and industrial buildings. Fatures: LIBERTY LIGHTS ➢ Heavy Gauge Cold rolled steel housing. �� ���� ➢ Acrylic lens is held with a hinged steel door frame;and is held closed by two positive cam latches ➢ Finish is high reflectance white powder coat finish General Purpose Troffers ➢ Wiring knockouts are provided on back and end of SL-TRF Series housing. ➢ Utilizes 2'and 4'T5 and T8 lamps in 2,3 or 4 lamp con- figurations. Electrical: ° 0 ° 0 • o ➢ Standard Multi-Voltage 120-277 high power factor bal- lasts.Total harmonic distortion(THD)is less than 10%. Rated Class P. ➢ Options for instant start,flicker free electronic ballast AO wired for 120 VOLT 60HZ A.C.operation or 347V class P high power factor ballasts. Lis tin_q: Available in 2'x2'and 2'x4'Sizes ➢ UL and CUL listed in accordance to U.S.and Canadian 2,3 or 4 TS or T8 Lamp Configurations safety standards. 1TITLE.' ➢ California Title 24 compliant. 6 UL us 6f� A z Dimensions: LISTED LLL� 24 —'d 1609M 3.3176 112181 `.. TT 3116 -. 1871 / -1- 1811 (--16651 i54 __ OrdedittlY/nforntad0n: OEM Brand Name Lamps and Ballasts Available , see Premium Performance Options. EM14 or Higher Required for 54W TS Example:(SL-TRF-4-54-T5-120/277-EM14) Lamps. Specification 2-2 Lamps 14-14W TS(22-1/2") C120 EM—450 lumen Emergency Ballast Grade Troffer 3-3 Lamps 17-17W T8(24") 120/277 EM7—700 Lumen Emergency Ballast 4-4 Lamps 24-24W T5(22-1/2") 277 EM34—1400 Lumen Emergency Ballast 28-28W T5(46") 347 EM30-3000 Lumen Emergency Ballast 32-32W T8_(480� 480 FW3-3 Wire Fixture Whip 39BX-39WBiax(22") FW4-4 Wire Fixture Whip 54-54W T5(46") WG-Wireguard LVA-3/4"Aluminum Louvers LD120-Line Dimming Ballast 120V LD277-Line Dimming Ballast 277V LDMV-Line or 0-10V Dimming 120/277V -®USPap USPAR ©2009 USPAR Enterprises Inc. For Customer Service and Support Contact us at: .® ENTERPRISES Phone:(909)591-75061 Fax:(909)590-32201 Email:lnfo @uspar.comI CERTIFICATE OF LIABILITY INSURANCE 02tOl o z" 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: N the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed N 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 State Farm Insurance NAASN"C Bndri Conrad Brian Conrad .I&C�N naIL54-1 4$2'$470 _�j Nog 541 482 1806 Ashland St wAss'b� nan @dearlymnrad.com Ashland, OR 97520 _WSURE gS)AFFORDING COVERAGE _ -- NAICS- "- INSURERA:State FamY Mutual Automobile Insurance Company,,,,,. ....25-176 _ INSURED Rogue Valley Electric INSURERS: PO Box 475 _!!! RERC° ._.----- Phoenix, OR 97535 INSURER D: INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE USTED 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 SUBJECI TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR TYPE OF INSURANCE---. IAOTLL3UBR ........ POLICY NUM ypCY EFF M LICY E 11MR5 HISR LTR GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAI.GENERAL LIABILITY I PRLIMISFSOCe w:mmlu+ S ._ r 1L_._� C.LAIM.S-MADE -_I OCCUR I MEP EXP IARYm I PERSONAL&AW INJURY $ -� I GENERALAGGREGATE S GEN'L AGCREGATE UNIT APPLIES PER. !PRODUCTS_COMP?QPAGG S POUCY M i LCC ! __.s JrCT AUTOMOBILE LUBIIrrY i❑ 008 4539-A19-37E 01/1912012 07/1912012 CCNNN IN .lIM (Ea aglnrmL_.__._____ S ANY AUI O I 6ODLLY INJURY ryar Prl ) 250,000 uLOV<*IED ScIIEDULEO 0779967-803-37D 02/032012 08/03/2012 $. _ x ALLOS SCIED I BODILY INJURY( c arch ),S SOO,C00 1455738-AI4-37A 0111 8/2 01 2 i 0711812012 — NON-0lMJEO II ROPERTY DAMAGE I- 100,000 100,000 IREC AUTOS UT AOS P 1371120.F30.31A ! 12/30Y1011 0613012012 I s UMBRELLA DAS OCCUR EACH r URRENCE S EXCESSLIAB CLAIMSMAOE! AGGRCOATE S OLD RETENTIONS $ I WORKERS COWENSIITWN tNc STATU- ' ;OTI'4 AND EMPLOYERS DAZNM YIN'NIA T —"-EH_ ANY PROPRIETOR/PARTNFRIEXECUrIVE EL EACHACCIDENI S OFFICEIAIEMBEREXCLUDEM EIi _ ----- (WnartwYNNN) E.L DISEASE-EA EMPLOYEE 5 RAI IONS Eel, E .dSFASE-POIICY LIMIT s I DESCRIPTION OF OPERATIONS/LOCATIONS/WNICLES(ANach ACORD 10,AddAJeR Rmurae S Cr k,B IIMHC apaoe Is mgelrt4) 145 5738-A14-37A 1/18/127118112 CERTIFICATE HOLDER CANCELLATION Ashland Public Works Dept. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 90 N Mountain St ACCORDANCE WITH THE POLICY PROVISIONS. Ashland,OR 97520 AUTHORIZED REPRESENTATIVE ®1988-2010 ACORD CORPORATION. All rights reserved. ACORD 26(2010105) The ACORD name and logo are registered marks of ACORD 1001486 132849.6 11-15-2010 www.saif.com OREGON WORKERS COMPENSATION CERTIFICATE OF INSURANCE Wsaif corporation CERTIFICATE HOLDER: CITY OF ASHLAND 90 N. MOUNTAIN ASHLAND, OR 97520 The policy of insurance listed below has been issued to the insured named below for the policy period indicated. The insurance afforded by the policy described herein is subject to all the terms, exclusions and conditions of such policy. POLICY NO. POLICY PERIOD ISSUE DATE 464166 10/15/2011 to 10/01/2012 02/01/2012 INSURED: BROKER OF RECORD: ROGUE VALLEY ELECTRIC LLC ROGUE VALLEY ELECTRIC PO BOX 475 PHOENIX, OR 97535 LIMITS OF LIABILITY: Bodily Injury by Accident $500,000 each accident Bodily Injury by Disease $500,000 each employee Body Injury by Disease $500,000 policy limit DESCRIPTION OF OPERATIONS/LOCATIONS/SPECIAL ITEMS: IMPORTANT: The coverage described above is in effect as of the issue date of this certificate. It is subject to change at any time in the future. This certificate is issued as a matter of information only and confers no rights to the certificate holder. This certificate does not amend, extend or alter the coverage afforded by the policies above. AUTHORIZED REPRESENTATIVE 3r67 1r RIOC]di► President and CEO 600 High Street SE Salem.OR 97312 P:800.285.8525 F:503.373.8020 Polity CeMfir tes_Cedc6 ateOMsumnce l www.saif.com OREGON WORKERS COMPENSATION CERTIFICATE OF INSURANCE Q,saif corporation MAIL TO: CERTIFICATE HOLDER: ROGUE VALLEY ELECTRIC LLC CITY OF ASHLAND ROGUE VALLEY ELECTRIC 90 N. MOUNTAIN PO BOX 475 ASHLAND, OR 97520 PHOENIX, OR 97535 The policy of insurance listed below has been issued to the insured named below for the policy period indicated. The insurance afforded by the policy described herein is subject to all the terms, exclusions and conditions of such policy. POLICY NO. POLICY PERIOD ISSUE DATE 464166 10/15/2011 to 10/01/2012 02/01/2012 INSURED: BROKER OF RECORD: ROGUE VALLEY ELECTRIC LLC ROGUE VALLEY ELECTRIC PO BOX 475 PHOENIX, OR 97535 LIMITS OF LIABILITY: Bodily Injury by Accident $500,000 each accident Bodily Injury by Disease $500,000 each employee Body Injury by Disease $500,000 policy limit DESCRIPTION OF OPERATIONS/LOCATIONS/SPECIAL ITEMS: IMPORTANT: The coverage described above is in effect as of the issue date of this certificate. It is subject to change at any time in the future. This certificate is issued as a matter of information only and confers no rights to the certificate holder. This certificate does not amend, extend or alter the coverage afforded by the policies above. AUTHORIZED REPRESENTATIVE President and CEO 400 High Street SE Salem,OR 97312 P:800.285.8525 F:503.373.8020 Policy_Certifcates_CenifiateOfInsurance ,J C R CERTIFICATE OF LIABILITY INSURANCE OP ID DR I DATE(MMIDD/YYYY) 02/01/12 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 INSUREII AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: the certificate holder Is an ADDITIONAL INSURED,the pollc ies must be endorsed. If SUBROGATION IS WAI E ,su loci 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). cUNIAUI PRODUCER NAME: Insurance Marketplace, Inc. NL No Est: INC.No): 1998 Skypark Dr Suite 100 ADDRESS: Medford OR 97504 cu...MERIDa: ROGDEIO Phone:541-779-0177 Fax:FAX 772-8235 INSURER(5)AFFORDING COVERAGE NAICR INSURED INSURER A: American States Ins. Co. 19704 Rogue Valley Electric, LLC INSURER B: Steven W Rouse PO Box 475 INSURER C: Phoenix OR 97535 INSURER D INSURER E: INSURER 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 CERTIFICATE NUY BE ISSUED OR MAY PERTAIN,,,HE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 15 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INS LTR TYPE OF INSURANCE NSR WVD POLICY NUMBER M OO/YYVY) (MMIDD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIALGENERALLIABILITY 01-CI-325445-2 02110/11 01/10/12 PREMISES(Ea occurrence 5200,000 CLAIMS-MADE ®OCCUR MED EXP(Any one parson) $10,000 X PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGO $2,000,000 POLICY JEST LOC. $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Perpmon) S ALLOWNEDAUTOS BODILY INJURY(Per acddeni) $ SCHEDULED AUTOS PROPERTY DAMAGE HIRED AUTOS (Per accident) $ NON-OWNEDAUTOS $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ BEDUCTISLE $ RETENTION $ I WORKERS COMPENSATION - AND EMPLOYERS'UABILITY YIN TORY LIMBS EN ANY PROPRI-cTOR/PARTNEREXECUTIVf�-1 /A EL EACH ACCIDENT I R/ ' OFFICEMEMBER EXCLUDEDT (MandMoryln NH) EL.DISEASE-EA EMPLOYEE I Ifryoa describeunder DESGtRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Adach ACORO 101,AddlNonal Rammks Schedule,.If mom apace Is required) Certificate holder is additional insured per the attached CG7635 02/07 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ASBLAND THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Ashland its Officers and Employees AUTHORIZED REPRESENTATIVE - 90 N Mtn Ashland OR 97520 ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD ^"REPRINTEO FROM THE FORMS LISWY"" COMMERCIAL GENERAL LIABILITY CG 76 35 02 07 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. LIABILITY PLUS ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: City of Ashland - ADDITIONAL INSURED — BY WRITTEN lease or occupy, subject to the following CONTRACT, AGREEMENT OR PERMIT, OR additional provisions: SCHEDULE (a) This insurance does not apply to The following paragraph is added to WHO IS AN any °occurrence"which takes place after you cease to be a tenant in INSURED (Section il): any premises leased to or rented to 4. Any person or organization shown in the.Sched- you; ufe or for whom you are required by written con- (b) This insurance does not apply to tract, agreement or permit to provide insurance any structural alterations, new con- is an insured, subject to the following additional struction or demolition operations provisions: performed by or on behalf of the "a. The contract; agreement or permit must be person or organization added as.an....... ... .. . in effect during the policy period shown in insured; the Declarations, and must have been exe- (2) Your ongoing operations for that in- cuted prior to the 'bodily Injury", "property sured, whether the work is performed damage", or "personal and advertising by you or for you; injuy". (3) The maintenance, operation or use by b. The person or organization added as an in- you of equipment leased to,you by such sured by this endorsement is an insured only person or organization, subject to the to the extent you are held liable due to: following additional provisions: (1) The ownership, ,maintenance or use of (a) This insurance does not apply to that part of premises you own, rent, any "occurrence"which takes place after the equipment lease expires; Includes Copyrighted Material of Insurance Services Office, Inc., with its permission. Copyright, Insurance Services, 2001 CG 76 35 02 07 Page I of 4 EP '-"REPRINTEDFROM THE FORM9 LIBRARY.... (b) This insurance does not apply to This exclusion applies even if the claims "bodily injury" or "property dam- against any insured allege negligence or age" arising out of the sole negli- other wrongdoing in the supervision, hiring, gence of such person or employment, training or monitoring of others organization; by that insured, if the "occurrence" which 4 Permits Issued b an state or political caused the "bodily Injury" or "property ( ) Y Y P damage" involved the ownership, mainte- subdivision with respect to operations nance, use or entrustment to others of any performed by you or on your behalf, aircraft, "auto" or watercraft that is owned subject to the following additional pro- or operated by or rented or loaned to any in- vision: sured. This insurance does not apply to "bodily This exclusion does not apply to: injury", 'property damage", or (1) A watercraft while ashore on premises "personal and advertising injury" arising you own or rent; out of operations performed for the state or municipality. (2) A, watercraft you do not own that is: c. The insurance with respect to any architect, (a) Less than 52 feet long;and engineer, or surveyor added as an insured b Not being used to car by this endorsement does not ap I to ( ) f carry persons or p Y property for a charge; "bodily injury", "properly damage", or "per- sonal and advertising injury" arising out of (3) Parking an "auto" on, or on the ways the rendering of or the failure to render any next to, premises you own or rent, pro- professional services by or for you, includ- vided the "auto" is not owned by or in 9 rented or loaned to you or the insured; (1) The preparing, approving, or failing to (4) Liability assumed under any "Insured prepare or approve maps, drawings, contract" for the ownership, mainte- opinions, reports, surveys, change or- nance or use of aircraft or watercraft; or ders, designs or specifications; and (5) "Bodily injury" or "property damage" (2) Supervisory, inspection or engineering arising out of: services. (a) the operation of machinery or d. This insurance does not apply to "bodily equipment that is attached to, or injury" or "property damage"included within q f d qualify under the fc definition ouof the `products-completed operations haz- "mobile equipment" if it were not and". subject to a compulsory or financial responsibility law or other motor ve- A person's or organization's status as an insured un- hicle insurance law In the state dar this endorsement ends when your operations for where it is licensed or principally that insured are completed. garaged; or — --- -(b) -- -- ...the operation of any-of the.machin- No-coverage will be provided if, in the absence of this ery or equipment listed in Paragraph endorsement, no liability would be imposed by law on f.(2) or f.(m) of the definition h j you. Coverage shall be limited to the extent of your "mobile equipment". negligence or fault according to the applicable princi- ples of comparative fault. (6) An aircraft you do not own provided It is not operated by any insured. NON-OWNED WATERCRAFT AND NON-OWNED AIRCRAFT LIABILITY TENANTS'PROPERTY DAMAGE LIABILITY Exclusion g. of COVERAGE A (Section 1) is replaced When a Damage To Premises Rented To You Limit is by the following: shown in the Declarations, Exclusion j. of Coverage A, Section I is replaced by the following: g. "Bodily injury" or 'property damage" arising out of the ownership, maintenance, use or j. Damage To Property entrustment to others of any aircraft, "auto" "Property damage" to: or watercraft owned or operated by or rented or loaned to any insured. Use includes oper- (1) Properly you own, rent, or occupy, including ation and "loading or unloading". any costs or expenses incurred by you, or Page 2 of 4 ""REPRINTED FROM THE FORKS LIBRARY•^• any other person, organization or entity, for WHO IS AN INSURED — MANAGERS repair, replacement, enhancement, restora- tion or maintenance of such property for any The following is added to Paragraph 2.a, of WHO IS reason, including prevention of injury to a AN INSURED (Section II): person or damage to another's property; (2) Premises you sell, give away or abandon, if Paragraph (1) does not apply to executive officers, or the "property damage" arises out of any part to managers at the supervisory level or above. of those premises; SUPPLEMENTARY PAYMENTS — COVERAGES A (3) Property loaned to you; AND B — BAIL BONDS — TIME OFF FROM (4) Personal property in the care, custody or WORK control of the insured; Paragraph 1.b, of SUPPLEMENTARY PAYMENTS — (5) That particular part of real property on which COVERAGES A AND B is replaced by the following: you or any contractors or subcontractors working directly or indirectly on your behalf b. Up to $3,000 for cost of bail bonds required are performing operations, If the "property because of accidents or traffic law violations damage" arises out of those operations, or arising out of the use of any vehicle to which the Bodily Injury Liability Coverage applies. (6) That particular part of any property that must We do not have to furnish these bonds. be restored, repaired or replaced because °your work"was incorrectly performed on It. Paragraph 1.d. of SUPPLEMENTARY PAYMENTS — Paragraphs (1), (3) and (4) of this exclusion do COVERAGES A AND B is replaced by the following: not apply to "property damage" (other than d. All reasonable expenses incurred by the in- damage by fire) to promises, including the con- sured at our request to assist us in the in- tents of such premises, rented to you.A separate vestigatlon or defense of the claim or "suit", limit of insurance applies to Damage To Prem- Including actual loss of earnings up to $500 ises Rented To You as described in Section Ill a day because of time off from work. — Limits Of Insurance. Paragraph (2) of this exclusion does not apply if EMPLOYEES.AS INSUREDS — HEALTH CARE the premises are "your work" and were never SERVICES occupied, rented or held for rental by you. Provision 2.a.(1)(d) of WHO IS AN INSURED (Section Paragraphs (3), (4), (5) and (6) of this exclusion II) is deleted, unless excluded by separate endorse- do not apply to liability assumed under a side- ment. track agreement. Paragraph(6) of this exclusion does not apply to EXTENDED COVERAGE FOR NEWLY ACQUIRED "property damage" included in the "products- ORGANIZATIONS compteted operations hazard". Provision 3.a. of WHO IS AN INSURED (Section II) is Paragraph 6...of LIMITS.OF INSURANCE .(Section.Ill) .. replaced,by the following: is replaced by tho following: - ° ° -°- a: Coverage under this provision is affBtded 6. Subject to 5. above, the Damage To Premises only until the end of the policy period. Rented To You Limit is the most we will pay un- der Coverage A for damages because of 'property damage" to any one premises, while rented,to you, or in the case of damage by fire, Exclusion a. of COVERAGE A (Section I) is replaced while rented to you or temporarily occupied by by the following: you with permission of the owner. a. "Bodily injury,, or "property damage" expected The Damage To Piemises Rented To You limit is the or Intended from the standpoint of the Insured. 9 This exclusion does not apply to "bodily Injury" higher of the Each Occurrence Limit shown in the or "property damage" resulting from the use of Declarations or the amount shown in the Declarations reasonable force to protect persons or property. as Damage To Premises Rented To You Limit. I CG 76 35 02 07 Page 3 of 4 EP ""REPRINTED FROM THE FORMS LIBRARY•^• EXTENDED DEFINITION OF BODILY INJURY interrupted only by a street, roadway, waterway, or right-of-way of a railroad. Paragraph 3, of DEFINITIONS (Section V) is replaced by the following: INCREASED MEDICAL EXPENSE LIMIT 3. `bodily injury" means bodily injury, sickness or The Medical Expense Limit is amended to $10,000. disease sustained by a person, including mental anguish or death resulting from any of these at KNOWLEDGE OF OCCURRENCE any time. The following is added to Paragraph 2. Duties In The TRANSFER OF RIGHTS OF RECOVERY Event Of Occurrence, Offense, Claim Or Suit of The following s added to Paragraph 8. Transfer Of COMMERCIAL GENERAL LIABILITY CONDITIONS 9 9 P (Section IV): Rights Of Recovery Against Others To Us of COM- MERCIAL GENERAL LIABILITY CONDITIONS (Sec- Knowledge of an "occurrence", claim or "suit' by tion IV): your agent, servant or employee shall not in itself constitute knowledge of the named Insured unless an We waive any rights of recovery we may have against officer of the named insured has received such notice any person or organization because of payments we ' from the agent, servant or employee. make for injury or damage arising out of your ongoing operations or `your work" done under a contract with UNINTENTIONAL FAILURE TO DISCLOSE ALL that person or organization and included in the HAZARDS "products-completed operations hazard". This waiver applies only to a person or organization for whom you The following is added to Paragraph 6. Representa- are required by written contract, agreement or permit tions of COMMERCIAL GENERAL LIABILITY CONDI- to waive these rights of recovery. TIONS (Section IV): AGGREGATE LIMITS OF INSURANCE — PER If you unintentionally fail to disclose any hazards ex- LOCATION isting at the inception date of your policy, we will not deny coverage under this Coverage Form because of For all sums which the insured becomes legally obli- such failure. However, this provision does not affect gated to pay as damages caused by "occurrences" our right to collect additional premium or exercise our under COVERAGE A (Section 1), and for all medical right of cancellation or non-renewal. expenses caused by accidents under COVERAGE C (Section 1), which can be atlributed only to operations LIBERALIZATION CLAUSE at a single location": Paragraphs 2.a. and 2.h. of Limits of Insurance Sec- The following paragraph is added to COMMERCIAL ( GENERAL LIABILITY CONDITIONS (Section IV): tion III) apply separately to each of your "locations" owned by or rented to you. 10. If a revision to this Coverage Part, which would provide more coverage with no additional pre- Location" niearis - involyin the same or mium, becomes effective during the policy" premises. 9 9 P y Period connecting lots, or premises whose connection is in the state shown in the Declarations, your pol- icy will automatically provide this additional cov- erage on the effective date of the revision. Page 4 of 4 CITY RECORDER Page 1 /1 �. CITY OF f? ��i i( _ ASHLAND L!C7 A Aii'l . DATE , �- "':'°PO NUMBER _ ., 20 E MAIN ST. 2/13/2012 10674 ASHLAND, OR 97520 (541)488-5300 VENDOR: 001699 SHIP TO: Ashland Building Maintenance ROGUE VALLEY ELECTRIC (541) 488-5358 PO BOX 475 90 N MOUNTAIN AVENUE PHOENIX, OR 97535 ASHLAND, OR 97520 FOB Point: Req.No.: Terms: Net 30 days Dept.: Req.Del.Date: Contact: Dale Peters Special Inst: Confirming? No - _.. Quanti :: L"nit -: � . .. Description .� _-: �� _:�.. . _ _�� - Unit-Price Ext.Price. " Electrical -Temporary Fire Station#2 6,380.00 Per attached proposal and contract Contract for Goods and Services Beginning date: January 27, 2012 Completion date: March 22, 2012 Insurance required/On file SUBTOTAL 6,380.00 BILL TO:Account Payable TAX 0.00' 20 EAST MAIN ST FREIGHT 0.00: 541-552-2028 TOTAL 6,380.00 ASHLAND, OR 97520 Account Number ProjectNumber.' :Amount Account Number, .ProjectNumber - _Amount E 410.08.24.00.70420 E 000278.120 6,380.00 u}hnrivad Sinnafi vw VENDOR COPY FORM #3 CITY OF ASHLAND -C,• ^�1. ?Y)r %� ,.',: Lit: .jl•"'. . REQUISITION Date of request: Z3TFlr� 12 Required date for delivery: Stq-I- Vendor Name Address,City,State,Zip 3aK `es- Contact Name&Telephone Number k..'&�o- x �Q 2� Fax Number Sy ) SI Z oS 30 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) ❑ State 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: Date approved by Council: Description of SERVICES Total Cost o.,�V.�«3 rN`,S� SERJi[•E o w�� c-J�c���zi� (/c-2J��u- r�`�''�©d NSTKt�-� as r r ory r .S C e vE'�c27 rz01-�e.'ti- Item # Quantity Unit Description of MATERIALS Unit Price Total Cost TOTAL COST F-1 Per attached QUOTE � - �k lf -R AL 2 $ Project Number_Z4-8-0?d AccountNumbergI6-O$Z.4-00-(0421-1� Account Number___-__-__- Account Number------------------- Account Number------------------- `Expenditure must be charged to the appropriate account numbers for the financials to reflect the actual expenditures accurately. Attach extra pages if needed. By signing this requisition form,I certify that the information provided above meets the City's public contracting requirements,and the documentation can be provided upon request. Employee Signature• _ Department Head Signature: I �. Additional signatures(if applicable): / Funds appropriated for current fiscal year: YE§ / NO L( 7aly Finance Director Date Comments: G:FinancelProcedure\APlFonnsTorm#3-Requisilion.doc Updated on:111812012