HomeMy WebLinkAboutContract No. 2014-2563AGREEMENT FOR SERVICES
PERFORMED BY INDEPENDENT CONTRACTOR
THIS AGREEMENT is made on the 1st day of MJ ay 2014, between the CITY
OF COLUMBIA HEIGHTS ( "City "), whose business address is 825 41" Avenue NE, Columbia
Heights, MN 55421, and _Passau, Inc. ( "Contractor "), whose business address is
P.O. Box 120910, New Brighton, MN 55112.
THE CITY AND CONTRACTOR AGREE AS FOLLOWS:
1. Independent Contractor. The City hereby retains the Contractor as an independent
contractor upon the terms and conditions set forth in this Agreement. The Contractor is not
an employee of the City and is free to contract with other entities as provided herein.
Contractor shall be responsible for selecting the means and methods of performing the work.
Contractor shall furnish any and all supplies, equipment, and incidentals necessary for
Contractor's performance under this Agreement. City and Contractor agree that Contractor
shall not at any time or in any manner represent that Contractor or any of Contractor's agents
or employees are in any manner agents or employees of the City. Contractor shall be
exclusively responsible under this Agreement for Contractor's own FICA payments, workers
compensation payments, unemployment compensation payments, withholding amounts,
and/or self - employment taxes if any such payments, amounts, or taxes are required to be
paid by law or regulation.
2. Contractor's Services. The Contractor agrees to provide services as described in Exhibit
A, attached and made a part of this Agreement. The Contractor shall, in the execution of
services, conform to all applicable federal, state, and local laws, codes, ordinances, and
regulations.
3. Time for Performance of Services. The Contractor shall perform the services according to
Exhibit A.
4. Compensation for Services. The City agrees to pay the Contractor for services as
described in Exhibit A. Compensation shall be in accordance with Exhibit B, attached and
made a part of this Agreement.
5. Method of Pant. The Contractor shall submit to the City, on a monthly basis, itemized
bills for professional services performed under this Agreement. Bills submitted shall be paid
in the same manner as other claims made to the City.
6. Termination. Either party, without cause, may terminate this Agreement by seven (7) days'
written notice delivered to the other party at the address written above. After termination,
the City shall have no further obligation to Contractor except to compensate Contractor for
services performed before Contractor's receipt of notice of termination.
7. Subcontractor. The Contractor shall not enter into subcontracts for services provided under
this Agreement, except as. noted in Exhibit A, without the express written consent of the
City.
8. Assi nment. Neither party shall assign this Agreement, or any interest arising herein,
without the written consent of the other party.
9. Indemnification. Contractor agrees to defend, indemnify and hold the City, its officers, and
employees harmless from any liability, claims, damages, costs, judgments, or expenses,
including reasonable attorney's fees, resulting directly or indirectly from an act or omission
(including without limitation professional errors or omissions) of the Contractor, its agents,
employees, or subcontractors in the performance of the services provided by this Agreement
and against all losses by reason of the failure of said Contractor fully to perform, in any
respect, all obligations under this Agreement.
10. Workers Compensation Insurance. Worker's compensation coverage shall be furnished
meeting minimum requirements of Minnesota law. The Contractor shall provide proof of
workers' compensation coverage and shall execute the form attached hereto.
11. Records Access. The Contractor shall provide the City access to any books, documents,
papers, and records which are directly pertinent to the Agreement, for the purpose of making
audit, examination, excerpts, and transcriptions, for three years after final payments and all
other pending matters related to this Agreement are closed.
12. General Liability Insurance. The Contractor shall provide the City a Certificate of
Insurance complying with the standard contractor's minimum coverage requirements of
$1,000,000. combined single limit naming the City of Columbia Heights as an additional
insured. Contractor's liability policy shall be so endorsed with a copy delivered to the City.
13. Data Privacy. The Contractor shall comply with Minnesota Statutes Chapter 13, The
Minnesota Government Data Practices Act. The Contractor shall not disclose non - public
information except as authorized by the Act.
14. Ownership of Documents. All plans, diagrams, analyses, reports, and information
generated in connection with performance of the Agreement shall become the property of
the City. The City may use the information as it sees fit. Such use by the City shall not
relieve any liability on the part of the Contractor.
15. Governing Law. The laws of the State of Minnesota shall control this Agreement.
Executed as of the day and year first written above.
Attest:
City Clerk
. W • • • 1 i - 0 0 A 0
. O
Minnesota Statutes Section 176.182 requires every governmental subdivision entering
into a contract for doing any public work to obtain acceptable evidence of compliance with the
workers' compensation insurance coverage requirement of Section 176.181, subd. 2. The
information required is: the name of the insurance company, the policy number, and dates of
coverage or the permit to self- insure. This information will be collected by the licensing agency
and put in their company file. It will be furnished, upon request, to the Department of Labor and
Industry to check for compliance with Minnesota Statutes Section 176.181, subd. 2.
This information is required by law, and a contract for the doing of any public work may
not be entered into if it is not provided and /or is falsely reported. Furthermore, if this information
is not provided and /or is falsely reported, it may result in a penalty assessed against the applicant
by the Commissioner of the Department of Labor and Industry payable to the Special
Compensation Fund.
Provide the information specified above in the spaces provided, or certify the precise
reason your business is excluded, from compliance with the insurance coverage requirement for
workers' compensation.
INSURANCE COMPANY NAME: �4((t� % E �, (�,rj , Ile AQ J ,-a Its
(NOT the insurance agent)
POLICY NO. OR SELF- INSURANCE PERMIT NO.: 01 4 I44323 -7 be) rjv/`. o i� - 466) ,
DATES OF COVERAGE: I lIZ, /% / i /� �,% / e� ( �
-OR—
I am not required to have workers' compensation liability coverage because:
❑ 1 have no employees covered by the law.
❑ Other (specify):
I HAVE READ AND UNDERSTAND MY RIGHTS AND OBLIGATIONS WITH REGARD TO
PUBLIC CONTRACTS AND WORKERS' COMPENSATION COVERAGE, AND I CERTIFY THAT
THE INFORMATION PROVIDED IS TRUE AND CORRECT. £ /
City of Columbia Heights
Tall Grass and Weed Removal Program
Exhibit A
Description of Work
Contractor will perform the following:
(a) Contractor shall thoroughly familiarize themselves with City ordinances and State
laws dealing with noxious weeds and long grass.
(b) Contractor shall, within two business days, cut or remove weeds and long grass as
instructed by the Fire Department or his representative. Removal of weeds and long
grass includes trimming along all fences, walls and structures, trimming around all
trees and permanent objects, and the mulching or removal of all clippings.
(c) Digital photo's shall be taken on every property prior to cutting and after cutting and
shall be sent to the fire department upon completion and also retained by contractor.
City of Columbia Heights
Tall Grass and Weed Removal Program
Exhibit B
Contractor Information
Tony Schmalzbauer
Passau, Inc
PO Box 120910
New Brighton, MN 55112
(c) 651- 303 -6083
tony@passaulandcare.com
Contacts; Tony Schmalzbauer
Pricing
$55 minimum for first hour. Time over the initial hour will be paid at $13.75 for quarter
hour increments.
City of Columbia Heights
Snow Removal Removal Program
Exhibit A
Description of Work
Contractor will perform the following:
(a) Contractor shall thoroughly familiarize themselves with City ordinances and State
laws dealing with snow removal.
(b) Contractor shall, within two business days, to remove snow from requested areas by
City staff.
(c) Digital photo's shall be taken on every property prior to removal and after removal
and shall be sent to the fire department upon completion and also retained by
contractor.
City of Columbia Heights
Snow Removal Program
Exhibit B
Tony Schmalzbauer
Passau, Inc
PO Box 120910
New Brighton, MN 55112
(c) 651- 303 -6083
tony@passaulandcare.com
Contacts: Tony Schmalzbauer
Contractor Information
Pricing
$65 minimum for first hour for plow truck, $60 per hour for shovelers, $110 per hour for
bobcat work.
PASSAUI OP ID: AS
'4
�_ CERTIFICATE F LIABILITY 1
DATE YY)
06/021201 4
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: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER Phone: 651 -426 -0607
McNamara Company Fax: 651 5790
www.mcnamaracompany.com - 426 -
1330 East Highway 96
St Paul, MN 55110
CON
NAME CT
PHONE F AX
PA 'C No A/C No):
E -MAIL
ADDRESS:
INSURER(S) AFFORDING COVERAGE
NAIC #
Patrick K. McNamara
INSURER A: Hanover Insurance Companies
11/0112014
EACH OCCURRENCE
INSURED Passau Inc
4913th Avenue SW
INSURER B: The Hartford Insurance
$ 300,00
MED EXP (Any one person)
$ 10,00
New Brighton, MN 55112
INSURER C
INSURER D:
GENERAL AGGREGATE
$ 2,000,00
INSURER E:
PRODUCTS - COMP /OP AGG
$ 2,000,00
INSURER F:
$
A
COVERAGES CFRTIFICATF NI IMRFR- oe11/1e1nar au raaoco.
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 MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
INSR
LTR
TYPE OF INSURANCE
ADDL
S 8
POLICY NUMBER
POLICY EFF
MM/DDrYYYY
POLICY EXP
MM /DD
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE ® OCCUR
ODXA14323700
11/01/2013
11/0112014
EACH OCCURRENCE
$ 1,000,00
PREMISES E' a occurrence
$ 300,00
MED EXP (Any one person)
$ 10,00
PERSONAL & ADV INJURY
$ 1,000,00
GENERAL AGGREGATE
$ 2,000,00
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PRO- LOC
PRODUCTS - COMP /OP AGG
$ 2,000,00
$
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED X SCHEDULED
AUTOS AUTOS
NON -OWNED
HIRED AUTOS X AUTOS
AWXA14324800
11/01/2013
11/01/2014
COMBINED SINGLE LIMIT
Ea accident
1 000
$ , ,00
BODILY INJURY (Per person)
$
X
BODILY INJURY (Per
( )
$
PROPERTY DAMAGE
Per ac %ant
$
UMBRELLA LIAB
EXCESS LIAB
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
$
AGGREGATE
$
DED I I RETENTION $
$
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER /EXECUTIVE
OFFICERIMEMBER EXCLUDED? ❑
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
NIA
41WECBT3872
11/01/2013
11/0112014
WC STATU- OTH-
X TORY LIM ER
E.L. EACH ACCIDENT
$ 500,00
E.L. DISEASE - EA EMPLOYEE
- - - - --
$ 500,00
E.L. DISEASE - POLICY LIMIT
$ 500,00
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
COLUMBI
City of Columbia Heights
825 41st Ave NE
Columbia Heights, MN 55421
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
O 1988 -2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD