Campbell DeLong Resources Contract# �)- t 01:5LO
r CITY OF TIGARD,OREGON
PERSONAL SERVICES CONTRACT
COMMUNITY ISSUES SURVEY
EMENT made and entered into this 19'h day of October, 2007, by and between the City of
Tigard, a municipal corporation of the State of Oregon, hereinafter called City, and Campbell DeLong
Resources,Inc.,hereinafter called Contractor.
RECITALS
WHREAS,the City's 2007-2008 Fiscal Year budget provides for informational survey services;and
WHEREAS City has need for the services of a company with a particular training, ability, knowledge, and
experience possessed by Contractor,and
WHEREAS City has determined that Contractor is qualified and capable of performing the professional
services as City does hereinafter require,under those terms and conditions set forth,
THEREFORE the Parries agree as follows:
1. SERVICES TO BE PROVIDED
Contractor shall initiate services immediately upon receipt of City's notice to proceed together with an
executed copy of this Agreement. Contractor agrees to complete work that is derailed in Exhibit A and
by this reference made a part hereof. Any and all work assigned by the City will be contained in
subsequent scope of work as needed. This Agreement serves to outline the general services that will be
expected of the Contractor during this project.
2. EFFECTIVE DATE AND DURATION
This Agreement shall become effective upon the date of execution, and shall expire,unless otherwise
terminated or extended, on December 31, 2007. All work under this Agreement shall be completed
prior to the expiration of this Agreement.
3. COMPENSATION
The City agrees to pay Contractor an amount not exceeding Twenty Four Thousand Five Hundred and
No/100 Dollars for perfort-nance of those services described herein,including the Contractors proposal
which is hereby incorporated by reference, and in any subsequent agreements that arise from the work
under this Agreement. Any and all payments made to the Contractor shall be based upon the following
applicable terms:
A. Payment by City to Contractor for performance of services under this Agreement includes all
expenses incurred by Contractor, with the exception of expenses, if any identified in this
Agreement as separately reimbursable.
B. Payment will be made in installments based on Contractor's invoice, subject to the approval
of the City Manager, or designee, and not more frequently than monthly. Payment shall be
made only for work actually completed as of the date of invoice.
C. Payment by City shall release City from any further obligation for payment to Contractor,
for services performed or expenses incurred as of the date of the invoice. Payment shall not
be considered acceptance or approval of any work or waiver of any defects therein.
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D. Contractor shall make payments promptly, as due, to all persons supplying labor or materials '
for the prosecution of this work.
E. Contractor shall not permit any Iien or claim to be filed or prosecuted against the City on any
account of any labor or material furnished.
F. Contractor shall pay to the Department of Revenue all sums withheld from employees pursuant
to ORS 316.167.
G. If Contractor fails, neglects or refuses to make prompt payment of any claim for labor or
services furnished to Contractor or a subcontractor by any person as such claim becomes due,
City's Finance Director may pay such claim and charge the amount of the payment against
funds due or to become due the Contractor. The payment of the claim in this manner shall not
relieve Contractor or their surety from obligation with respect to any unpaid claims.
H. Contractor shall pay employees at least time and a half pay for all overtime worked in excess of
40 hours in any one week except for individuals under the contract who are excluded under
ORS 653.010 to 653.261 or under 29 USC sections 201 to 209 from receiving overtime.
I. Contractor shall promptly, as due, make payment to any person, co-partnership,association or
corporation, furnishing medical, surgical and hospital care or other needed care and attention
incident to sickness or injury to the employees of Contractor or all sums which Contractor
agrees to pay for such services and all moneys and sums which Contractor collected or
deducted from the wages of employees pursuant to any law, contract or agreement for the
purpose of providing or paying for such service.
J. The City certifies that sufficient funds are available and authorized for expenditure to finance
costs of this contract
4. OWNERSHIP OF WORK PRODUCT
City shall be the owner of and shall be entitled to possession of any and all work products of Contractor
which result from this Agreement,including any computations,plans, correspondence or pertinent data
and information gathered by or computed by Contractor prior to termination of this Agreement by
Contractor or upon completion of the work pursuant to this Agreement
5. ASSIGNMENT/DELEGATION
Neither party shall assign, sublet or transfer any interest in or duty under this Agreement without the
written consent of the other and no assignment shall be of any force or effect whatsoever unless and
until the other party has so consented. If City agrees to assignment of tasks to a subcontract,
Contractor shall be fully responsible for the acts or omissions of any subcontractors and of all persons
employed by them, and neither the approval by City of any subcontractor nor anything contained
herein shall be deemed to create any contractual relation between the subcontractor and City.
6. STATUS OF CONTRACTOR AS INDEPENDENT CONTRACTOR
Contractor certifies that:
A. Contractor acknowledges that for all purposes related to this Agreement,Contractor is and shall
be deemed to be an independent contractor as defined by ORS 670.700 and not an employee of
City, shall not be entitled to benefits of any kind to which an employee of City is entitled and
shall be solely responsible for all payments and taxes required by law. Furthermore,in the event
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that Contractor is found by a court of law or any administrative agency to be an employee of
City for any purpose, City shall be entitled to offset compensation due, or to demand
repayment of any amounts paid to Contractor under the terms of this Agreement, to the full
extent of any benefits or other remuneration Contractor receives (from City or third party) as a
result of said finding and to the full extent of any payments that City is required to make (to
Contractor or to a third parry) as a result of said finding.
B. The undersigned Contractor hereby represents that no employee of the City,or any partnership
or corporation in which a City employee has an interest,has or will receive any remuneration of
any description from Contractor, either directly or indirectly, in connection with the letting or
performance of this Agreement,except as specifically declared in writing.
If this payment is to be charged against Federal funds, Contractor certifies that he/she is not
currently employed by the Federal Government and the amount charged does not exceed his or
her normal charge for the type of service provided.
Contractor and its employees, if any,are not active members of the Oregon Public Employees
Retirement System and are not employed for a total of 600 hours or more in the calendar year
by any public employer participating in the Retirement System.
C. Contractor certifies that it currently has a City business license or will obtain one prior to
delivering services under this Agreement.
D. Contractor is not an officer, employee, or agent of the City as those terms are used in ORS
30.265.
7. INDEMNIFICATION
City has relied upon the professional ability and training of Contractor as a material inducement to enter
into this Agreement. Contractor warrants that all its work will be performed in accordance with
generally accepted professional practices and standards as well as the requirements of applicable federal,
state and local laws,it being understood that acceptance of a contractor's work by City shall not operate
as a waiver or release.
Contractor agrees to indemnify and defend the City, its officers, agents and employees and hold them
harmless from any and all liability,causes of action, claims,losses, damages,judgments or other costs or
expenses including attorney's fees and witness costs and (at both trial and appeal level,whether or not a
trial or appeal ever takes place) that may be asserted by any person or entity which in any way arise
from, during or in connection with the performance of the work described in this contract, except
liability arising out of the sole negligence of the City and its employees. Such indemnification shall also
cover claims brought against the City under state or federal worker's compensation laws. If any aspect
of this indemnity shall be found to be illegal or invalid for any reason whatsoever, such illegality or
invalidity shall not affect the validity of the remainder of this indemnification.
& INSURANCE
Contractor and its subcontractors shall maintain insurance acceptable to City in full force and effect
throughout the term of this contract. Such insurance shall cover all risks arising directly or indirectly
out of Contractor's activities or work hereunder, including the operations of its subcontractors of any
tier.
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The policy or policies of insurance maintained by the Contractor and its subcontractor shall provide at
least the following limits and coverages:
A. Commercial General Liability Insurance
Contractor shall obtain, at contractor's expense, and keep in effect during the term of this
contract, Comprehensive General Liability Insurance covering Bodily Injury and Property
Damage on an "occurrence" form (1996 ISO or equivalent). This coverage shall include
Contractual Liability insurance for the indemnity provided under this contract. The
following insurance will be carried:
Coverage Limit
General Aggregate 2,000,000
Products-Completed Operations Aggregate 1,000,000
Personal&Advertising Injury 1,000,000
Each Occurrence 1,000,000
Fire Damage (Any one fire) 50,000
Medical Expense (Any one person) 5,000
B. Commercial Automobile Insurance
Contractor shall also obtain, at contractor's expense, and keep in effect during the term of
the contract, Commercial Automobile Liability coverage including coverage for all owned,
hired, and non-owned vehicles. The Combined Single Limit per occurrence shall not be less
than $1,000,000.
C. Workers' Compensation Insurance
The contractor, its Subcontractors,if any, and all employers providing work, labor, or materials
under this Contract that are subject employers under the Oregon Workers' Compensation Law
shall comply with ORS 656.017, which requires them to provide workers' compensation
coverage that satisfies Oregon law for all their subject workers. Out-of-state employers must
provide Oregon workers' compensation coverage for their workers who work at a single
location within Oregon for more than 30 days in a calendar year. Contractors who perform
work without the assistance or labor of any employee need not obtain workers' compensation
coverage. All non-exempt employers shall provide Employers Liability Insurance with
coverage limits of not less than $500,000 each accident.
D. Additional Insured Provision
The Commercial General Liability Insurance and Commercial Automobile Insurance policies
and other policies the City deems necessary shall include the City, its officers, directors, and
employees as additional insureds with respect to this contract.
E. Notice of Cancellation
There shall be no cancellation, material change, exhaustion of aggregate limits or intent not
to renew insurance coverage without 30 days written notice to the City. Any failure to
comply with this provision will not affect the insurance coverage provided to the City. The
30 days notice of cancellation provision shall be physically endorsed on to the policy.
F. Insurance Carrier Rating
Coverages provided by the Contractor must be underwritten by an insurance company
deemed acceptable by the City. The City reserves the right to reject all or any insurance
carrier(s)with an unacceptable financial rating.
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G. Certificates of Insurance
As evidence of the insurance coverage required by the contract, the Contractor shall furnish
a Certificate of Insurance to the City. No contract shall be effected until the required
certificates have been received and approved by the City. The certificate will specify and
document all provisions within this contract. A renewal certificate will be sent to the above
address 10 days prior to coverage expiration.
H. Independent Contractor Status
The service or services to be rendered under this contract are those of an independent
contractor. Contractor is not an officer, employee or agent of the City as those terms are
used in ORS 30.265.
1. Primary Coverage Clarification
The parties agree that Contractor's coverage shall be primary to the extent permitted by law.
The parties further agree that other insurance maintained by the City is excess and not
contributory insurance with the insurance required in this section.
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J. Cross-Liability Clause
A cross-liability clause or separation of insureds clause will be included in all general liability,
professional liability, pollution and errors and omissions policies required by this contract.
Contractor's insurance policy shall contain provisions that such policies shall not be canceled or their
limits of liability reduced without thirty (30) days prior notice to City. A copy of each insurance policy,
certified as a true copy by an authorized representative of the issuing insurance company, or at the
discretion of City, in lieu thereof, a certificate in form satisfactory to City certifying to the issuance of
such insurance shall be forwarded to:
City ofTigard
Attn: Joe Barrett, Contract/Purchasing Specialist
13125 SW Hall Blvd.
Tigard,Oregon 97223
Such policies or certificates must be delivered prior to commencement of the work. The procuring of
such required insurance shall not be construed to limit contractor's liability hereunder.
Notwithstanding said insurance, Contractor shall be obligated for the total amount of any damage,
injury,or loss caused by negligence or neglect connected with this contract.
9. METHOD&PLACE OF SUBMITTING NOTICE,BILLS AND PAYMENTS
All notices, bills and payments shall be made in writing and may be given by personal delivery, mail or
by fax. Payments may be made by personal delivery, mail, or electronic transfer. The following
addresses shall be used to transmit notices,bills,payments,and other information:
CITY OF TIGARD CAMPBELL DELONG RESOURCES,INC.
Attn: Liz Newton,Asst. City Manager Attn: Martha A. DeLong,CEO
Address: 13125 SW Hall Blvd. Address: 2627 Northeast 33'a Avenue
Tigard, Oregon 97223 Portland,Oregon 97212
Phone: (503) 718-2412 Phone: (503) 221-2005
Fax: (503) 684-7297 Fax: (503) 221-4541
Email Address: liz e,tiI rd-ong(:)v Email Address: marthad&cdri.com
and when so addressed,shall be deemed given upon deposit in the United States mail,postage prepaid,
or when so faxed, shall be deemed given upon successful fax. In all other instances, notices,bills and
payments shall be deemed given at the time of actual delivery. Changes may be made in the names
and addresses of the person to who notices,bills and payments are to be given by giving written notice
pursuant to this paragraph.
10. MERGER
This writing is intended both as a final expression of the Agreement between the parties with respect to
the included terms and as a complete and exclusive statement of the terms of the Agreement. No
modification of this Agreement shall be effective unless and until it is made in writing and signed by
both parties.
11. PROFESSIONAL SERVICES
The City requires that services provided pursuant to this agreement shall be provided to the City by a
Contractor that does not represent clients on matters contrary to City interests. Further, Contractor
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shall not engage services of an attorney and/or other professional who individually, or through
members of his/her same firm,represents clients on matters contrary to City interests.
Should the Contractor represent clients on matters contrary to City interests or engage the services on
an attorney and/or other professional who individually, or through members of his/her same firm,
represents clients on matters contrary to City interests, Contractor shall consult with the appropriate
CITY representative regarding the conflict.
After such consultation, the Contractor shall have seven (7) days to eliminate the conflict to the
satisfaction of the City. If such conflict is not eliminated within the specified time period, the
agreement may be terminated pursuant to Section 13 (B) (3) of this agreement.
12. TERMINATION WITHOUT CAUSE
At any time and without cause, City shall have the right in its sole discretion, to terminate this
Agreement by giving notice to Contractor. If City terminates the contract pursuant to this paragraph,it
shall pay Contractor for services rendered to the date of termination.
13. TERMINATION WITH CAUSE
A. City may terminate this Agreement 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:
1) If City funding from federal,state,local,or other sources is not obtained and continued
at levels sufficient to allow for the purchase of the indicated quantity of services. This
Agreement may be modified to accommodate a reduction in funds
2) 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
Agreement.
3) If any license or certificate required by law or regulation to be held by Contractor, its
subcontractors, agents, and employees to provide the services required by this
Agreement is for any reason denied,revoked,or not renewed.
4) If Contractor becomes insolvent, if voluntary or involuntary petition in bankruptcy is
filed by or against Contractor, if a receiver or trustee is appointed for Contractor, or if
there is an assignment for the benefit of creditors of Contractor.
Any such termination of this agreement under paragraph (a) shall be without prejudice to any
obligations or liabilities of either party already accrued prior to such termination.
B. City, by written notice of default (including breach of contract) to Contractor, may terminate
the whole or any part of this Agreement:
1) If Contractor fails to provide services called for by this agreement within the time
specified herein or any extension thereof,or
2) If Contractor fails to perform any of the other provisions of this Agreement, or so
fails to pursue the work as to endanger performance of this agreement in accordance
with its terms, and after receipt of written notice from City, fails to correct such
failures within ten (10) days or such other period as City may authorize.
3) If Contractor fails to eliminate a conflict as described in Section 11 of this
agreement.
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The rights and remedies of City provided in the above clause related to defaults (including '
breach of contract) by Contractor shall not be exclusive and are in addition to any other rights
and remedies provided by law or under this Agreement.
If City terminates this Agreement under paragraph (b), Contractor shall be entitled to receive as
full payment for all services satisfactorily rendered and expenses incurred, an amount which
bears the same ratio to the total fees specified in this Agreement as the services satisfactorily
rendered by Contractor bear to the total services otherwise required to be performed for such
total fee; provided, that there shall be deducted from such amount the amount of damages, if
any,sustained by City due to breach of contract by Contractor. Damages for breach of contract
shall be those allowed by Oregon law, reasonable and necessary attorney fees, and other costs
of litigation at trial and upon appeal.
14. ACCESS TO RECORDS
City shall have access to such books, documents, papers and records of Contractor as are directly
pertinent to this Agreement for the purpose of making audit,examination,excerpts and transcripts.
15. FORCE MAIEURE
Neither City nor Contractor shall be considered in default because of any delays in completion and
responsibilities hereunder due to causes beyond the control and without fault or negligence on the part
of the parties so disenabled, including but not restricted to, an act of God or of a public enemy, civil
unrest, volcano, earthquake, fire, flood, epidemic, quarantine restriction, area-wide strike, freight
embargo, unusually severe weather or delay of subcontractor or supplies due to such cause;provided
that the parties so disenabled shall within ten (10) days from the beginning of such delay, notify the
other party in writing of the cause of delay and its probable extent. Such notification shall not be the
basis for a claim for additional compensation. Each party shall, however, make all reasonable efforts to
remove or eliminate such a cause of delay or default and shall, upon cessation of the cause, diligently
pursue performance of its obligation under the Agreement
16. NON WAIVER
The failure of City to insist upon or enforce strict performance by Contractor of any of the terms of
this Agreement or to exercise any rights hereunder should not be construed as a waiver or
relinquishment to any extent of its rights to assert or rely upon such terms or rights on any future
occasion.
17. NON-DISCRIMINATION
Contractor agrees to comply with all applicable requirements of federal and state civil rights and
rehabilitation statues, rules, and regulations. Contractor also shall comply with the Americans with
Disabilities Act of 1990,ORS 659.425, and all regulations and administrative rules established pursuant
to those laws.
18. ERRORS
Contractor shall perform such additional work as may be necessary to correct errors in the work
required under this Agreement without undue delays and without additional cost.
19. EXTRA(CHANGES)WORK
Only the City's Project Manager for this Agreement, Liz Newton, Assistant City Manager, may
authorize extra (and/or change) work. Failure of Contractor to secure authorization for extra work
shall constitute a waiver of all right to adjustment in the contract price or contract time due to such
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unauthorized extra work and Contractor thereafter shall be entitled to no compensation whatsoever for
the performance of such work.
20. WARRANTIES
All work shall be guaranteed by Contractor for a period of one year after the date of final acceptance of
the work by the owner. Contractor warrants that all practices and procedures, workmanship and
materials shall be the best available unless otherwise specified in the profession. Neither acceptance of
the work nor payment therefore shall relieve Contractor from liability under warranties contained in or
implied by this Agreement.
21. ATTORNEY'S FEES
In case suit or action is instituted to enforce the provisions of this contract, the parties agree that the
losing parry shall pay such sum as the court may adjudge reasonable attorney fees and court costs,
including attorney's fees and court costs on appeal.
22. GOVERNING LAW
The provisions of this Agreement shall be construed in accordance with the provisions of the laws of
the State of Oregon. Any action or suits involving any question arising under this Agreement must be
brought in the appropriate court of the State of Oregon.
23. COMPLIANCE WITH STATE AND FEDERAL LAWS/RULES
Contractor shall comply with all applicable federal, state and local laws, rules and regulations,
including, but not limited to, the requirements concerning working hours, overtime, medical care,
workers compensation insurance, health care payments, payments to employees and subcontractors
and income tax withholding contained in ORS Chapter 279B, the provisions of which are hereby
made a part of this agreement.
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24. CONFLICT BETWEEN TERMS
It is further expressly agreed by and between the parties hereto that should there be any conflict
between the terms of this instrument in the proposal of the contract, this instrument shall control and
nothing herein shall be considered as an acceptance of the said terms of said proposal conflicting
herewith.
25. AUDIT
Contractor shall maintain records to assure conformance with the terms and conditions of this
Agreement, and to assure adequate performance and accurate expenditures within the contract period.
Contractor agrees to permit City, the State of Oregon, the federal government, or their duly authorized
representatives to audit all records pertaining to this Agreement to assure the accurate expenditure of
funds.
26. SEVERABILITY
In the event any provision or portion of this Agreement is held to be unenforceable or invalid by any
court of competent jurisdiction,the validity of the remaining terms and provisions shall not be affected
to the extent that it did not materially affect the intent of the parties when they entered into the
agreement.
27. CONDITIONS OF SUPPLYING A PUBLIC AGENCY
Where applicable, seller must make payment promptly as due to persons supplying Contractor labor or
materials for the execution of the work provided by this order. Contractor must pay all contributions or
amounts due from Contractor to the Industrial Accident Fund incurred in the performance of this order.
Contractor shall not permit any lien or claim to be filed or prosecuted against Buyer or any subdivision of
City on account of any labor or material to be furnished. Contractor further agrees to pay to the
Department of Revenue all sums withheld from employees pursuant to ORS 316.167.
28. HOURS OF LABOR
If labor is performed under this order,then no person shall be employed for more than eight (8) hours in
any one day, or forty (40) hours in any one week, except in cases of necessity,or emergency or where the
public policy absolutely requires it, and in such cases, except cases of contracts for personal services as
defined in ORS 279A.055,the labor shall be paid at least time and a half for all overtime in excess of eight
(8) hours a day and for all work performed on Saturday and on any legal holidays as specified in ORS
279C.540.In cases of contracts for personal services as defined in ORS 279A.055,any labor shall be paid at
least time and a half for all hours worked in excess of forty (40) hours in any one week, except for those
individuals excluded under ORS 653.010 to 653.260 or under 29 USC SS 201-209.
29. MEDICAL CARE AND WORKERS'COMPENSATION
Contractor shall promptly,as due,make payment to any person,co-partnership,association or corporation,
furnishing medical, surgical and hospital care or other needed care and attention incident to sickness or
injury, to the employees of such Contractor, of all sums which the Contractor agrees to pay for such
services and all moneys and sums which the Contractor collected or deducted from the wages of the
employees pursuant to any law, contractor agreement for the purpose of providing or paying for such
service.
30. COMPLETE AGREEMENT
This Agreement and attached exhibits constitutes the entire Agreement between the parties. No
waiver, consent, modification, or change of terms of this Agreement shall bind either party unless in
writing and signed by both parties. Such waiver, consent, modification, or change if made, shall be
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effective only in specific instances and for the specific purpose given. There are no understandings,
agreements, or representations, oral or written, not specified herein regarding this Agreement.
Contractor, by the signature of its authorized representative,hereby acknowledges that he has read this
Agreement,understands it and agrees to be bound by its terms and conditions.
IN WITNESS WHEREOF, City has caused this Agreement to be executed by its duly authorized
undersigned officer and Contractor has executed this Agreement on the date hereinabove first written.
CITY OF T CAMPRELLD LONG RE URCES,INC.
6
By: C Prosser, City Manager By:Authorized Agent of Contractor
/o%y�v /oZZ v�-Zo� -7
Date Date
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EXHIBIT A '
SERVICES TO BE PROVIDED
1. PROJECT OBJECTIVES
City staff, in consultation with members of the Tigard City Council, has developed a set of survey
question topics. The Contractor to recommend to the City the actual questions which will be included
in the actual survey. Contractor will provide the City with expertise on the topics of interest and an
appropriate length for the survey.
2. WORK TASKS AND SERVICES
The selected consultant firm will be expected the following, but shall not necessarily be limited to,
services related to the survey:
A. Meet with City staff and City Council representatives to develop survey questions;
B. Development of survey instrument;
C. Pre-test instrument;
D. Conduct survey;
E. Analyze survey results;
F. Produce written report on survey results;and
G. Meet with City Council to present survey results.
3. OTHERS SERVICES
Contractor will provide other services to the City as outlined in the Contractor's proposals which is
incorporated by referencing into this Agreement.
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CITY OF TIGARD
M, 07;�
CONTRACT SUMMARY FORM
w^` (FORMMUST ACCOMPANY EACH CONTRACT FOR AUTHORIZATION)
Title of Contract: Community Issues Survey Contract#: (Assigned after execution)
Contractor: Campbell DeLong Resources,Inc. Total: $(CWer life of contract)
Brief Overview: Consultant will provide services related to community survey
Changes Made To No significant changes
Boilerplate
Contract: (idd
7'(1ditional p"'C-S if
rcecle��J
Type of Contract: ❑ Purchase Agreement ❑x Personal Service ❑ Construction ❑ Other
Start Date: 10/23/2007 End Date: 12/31/2007 LCRB Award Date: Not Required
Contract Manager: Liz Newton Extension: 2412 Department: Administration
Quotes/Bids/Proposals: COMPANY AMOUNT /SCORE
Informal RFQ issued with 3 firms responding.
Department Comments:
Department Signature Date:
Purchasing Comments: Oka
Purchasing Sig Date: ID a3
Administration: Date:
Certificate of Insurance ceived? 0 Yes ❑ No ❑ Self-Insured Form Received
Business Tax Current? ❑ Yes ❑ No Contractor License Current? ❑ Yes ❑ No
Federal TIN/1099#: Bonds Required: ❑ Yes I] No
Accounting String: Fund Division Account Total
c7, 10 too 1 CLX q
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VIA CERTIFICATE OF LIABILITY INSURANCE =ATE 7200VVY)
MID 7
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
JBL&K RISK SERVICES LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
220 NW 2ND AVE SUITE 800 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
PORTLAND, OR 972093951 RECEMPED ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
(888) 661-3938
XV079 882 INSURERS AFFORDING COVERAGE N ,#
INSURED
CAMPBELL DELONG RESOURCES INC OCT 2 5 2007 INSURER A:THE CHARTER OAK FIRE INSURANCE COMPANY
2627 NE 33RD AVE INSURER B:
PORTLAND, OR 97212 RISK MANAGEMENT INSURER C:
INSURER D:
INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR ADD'L POLICY EFFECTIVE I POLICY EXPIRATION
LTR INSR TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YY) I DATE(MM/DD/YY) LIMITS
A X GENERAL LIABIITY 680-71 108618-07 04/01/2007 04/01/2008 EACH OCCURRENCE $1,000,000
4CX COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED
70PREMISES(Ea occurrence)
CLAIMS MACE X OCCUP, $300,000
MED EXP(Any oneperson) $5,000
rXNON
D AUTO
OWNEDAUTO PERSONAL&ADV INJURY $1,000,000
GENERAL AGGREGATE $2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP OP AGG $2,000,000
PRO-
X1 POLICY ,ECT LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
(Ea accident) $
ANY AUTO
ALL OWNED AUTOS BODILY INJURY $
(Per person)
SCHEDULED AUTOS
HIRED AUTOS BODILY INJURY
(Per accident) $
NON-OWNED AUTOS
PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $
OCCUR CLAIMS MADE AGGREGATE $
DEDUCTIBLE $
RETENTION $ $
WC STATU- 0TH
WORKERS COMPENSATION AND TORY LIMITS ER
EMPLOYERS'LIABILITY
E.L.EACH ACC:DENT
ANY PROPRIETOR/PARTNER/EXECUTIVE $
OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $
If yes,describe under
SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
AS RESPECTS TO GENERAL LIABILITY, CERTIFICATE HOLDER IS ADDITIONAL INSURED- DESIGNATED
PERSON/ORGANIZATION, CG T4 91 .
IN THE EVENT OF NON-PAYMENT OF PREMIUM, ONLY TEN(10) DAYS NOTICE OF CANCELLATION SHALL BE GIVEN
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
CITY OF TIGARD, IT'S OFFICERS, DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
DIRECTORS, AND EMPLOYEES NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
13125 SW HALL BLVD.
TIGARD, OR 97223 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
ACORD 25 (2001/08) 'D tACORD CORPORATION 1988
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
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).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
ACORD 25 (2001/08)
• TRAVELERSJ
P.O. Box 1515
Spokane, WA 99210-1515
CITY OF TIGARD, IT'S OFFICERS,
DIRECTORS, AND EMPLOYEES
13125 SW HALL BLVD.
TIGARD, OR 97223
Best's Rating Center- Company Information for Charter Oak Fire Insurance Company Page 1 of 1
Charter Oak Fire Insurance Company
jPrint this page
(a member of Travelers Insurance Com anies) Assigned to companies that have, Financial Strength
A.M.Best#:02516 NAIC#:25615 FEIN#: 060291290 in our opinion,a superior ability to
Address:One Tower Square Phone:860-277-0111 meet their ongoing obligations to :.tse-sT
q
Hartford,CT 06183 Fax:860-277-7002 policyholders. A+Su pe''1O'
Web:www.travelers.com
Best's Ratings
Financial Strength Ratings View Definitions Issuer Credit Ratings View Definitions
Rating:A+(Superior) Long-Term:aa-
Affiliation Code:g(Group) Outlook: Stable
Financial Size Category:XV($2 Billion or greater) Action:Affirmed
Outlook:Stable Date:June 18,2007
Action:Affirmed
Effective Date:June 18,2007
http://www3.ambest.com/ratings/FullProfile.asp?B1=0&AMBNum=2516&A1tSrc=1&A1tNum=&U... 10/25/2007
SAIF Corporation 10/22/2007 1 : 53 : 33 PM PAGE 1/001 Fax Server
OREGON WORKERS` COMPENSATION -Oft
■.
CERTIFICATE OF INSURANCE saif
CERTIFICATE HOLDER:
CITY OF TIGARD
ATTN: JOE BARRETT
13125 SW HALL BLVD
TIGARD, OR 97223
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
493691 07/01/2007 TO 07/01/2008 10/22/2007
INSURED: BROKER OF RECORD:
CAMPBELL DELONG RESOURCES INC
2627 NE 33RD AVE
PORTLAND, OR 97212-3647
LIMITS OF LIABILITY:
Bodily Injury by Accident $500,000 each accident
Bodily Injury by Disease $500,000 each employee
Bodily 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.
CANCELLATION:
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELED BEFORE THE EXPIRATION DATE
THEREOF, THE ISSUING COMPANY WILL MAIL 30 DAYS' WRITTEN NOTICE TO THE ABOVE NAMED
CERTIFICATE HOLDER.
AUTHORIZED REPRESENTATIVE
cc> SAIF CORPORATION 1 400 High St SE I Salem,OR 97312 1 P: 800.285.8525 1 www.saif.com
RightFax H1-3 10/23/2007 12 : 30 : 01 PM PAGE 001/004 Fax Server
FAX
TO: Attn: Joe Barrett
Company:
Fax: 5036847297
Subject: Account: 8636CA1 13 - CAMPBELL DELONG RESOURCES INC
From: Travelers Service Center
Sent: Tuesday, October 23, 2007 12:12:08 PM
Phone:
Pages: 04
RightFax H1-3 10/23/2007 12 : 30 : 01 PM PAGE 002/004 Fax Server
We are happy to assist you with any questions.
Travelers Service Center
TRAVELER5Jw
RightFax H1-3 10/23/2007 12 : 30 : 01 PM PACE 003/004 Fax Server
ACORD CERTIFICATE OF LIABILITY INSURANCE 10/23/2007""
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
JBL&K RISK SERVICES LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
220 NW 2ND AVE SUITE 800 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
PORTLAND,OR 972093951 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
(888) 661-3938
XV079 882 INSURERS AFFORDING COVERAGE NAIC#
INSURED
CAMPBELL DELONG RESOURCES INC INSURER A:THE CHARTER OAK FIRE INSURANCE COMPANY
2627 NE 33RD AVE INSURER B:
PORTLAND,OR 97212 INSURER C:
INSURER D:
INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
ADD'j POLICY EFFECTIVE POLICY EXPIRATION
TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YY DATE M./DD,"",LIMITS
A X GENERAL LIABITTY 680-711 OB618-07 04/01/2007 04/01/2008 EACH OCCURRENCE $1,000,000
�( COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED
$300,000
CLAIMS MADE a OCCUR MED EXP(Any oneperson) $5,000
HIRED AUTO
X NON OWNED AUTO PERSONAL R ADV INJURY $1,000,000
GENERAL AGGREGATE 2 000 000
GEN'LAGGREGATE UMITAPPUESPER* PRODUCTS-COMP/OP AGG $2,000,000
PRC
POLICY JECT LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
(Ea accident) $
ANY AUTO
ALL OWNED AUTOS BODILY INJURY
SCHEDULED AUTOS (Per person) $
HIRED AUTOS BODILY INJURY
NON-OWNED AUTOS
(Per accident) $
Po
PERTY DAMAGE
( er accident) $
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC
AUTO ONLY. AGG
EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $
OCCUR CLAIMS MADE AGGREGATE $
DEDUCTIBLE Q $
RETENTION $ $
WORKERS COMPENSATION AND TORY LIMITS ER
EMPLOYERS'LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT
OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $
It yes,describe under
SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
AS RESPECTS TO GENERAL LIABILITY, CERTIFICATE HOLDER IS ADDITIONAL INSURED-DESIGNATED
PERSON/ORGANIZATION,CG T4 91 .
IN THE EVENT OF NON-PAYMENT OF PREMIUM,ONLY TEN(10)DAYS NOTICE OF CANCELLATION SHALL BE GIVEN
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
CITY OF TIGARD, IT'S OFFICERS, DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
DIRECTORS,AND EMPLOYEES NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
13125 SW HALL BLVD.
TIGARD,OR 97223 IMPOSE NO OBLIGATION OR LIABILITY CF ANY KIND UPON THE INSURER,ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
ACORD 25(2001/08) ACORD CORPORATION 1988
RightFax H1-3 10/23/2007 12 : 30 : 01 PM PAGE 004/004 Fax Server
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
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).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
ACORD 25 (2001/08)