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2018-2862
2018 -2862 AGREEMENT FOR SERVICES PERFORMED BY INDEPENDENT CONTRACTOR THIS AGREEMENT is made on the I Itb day of MCkl , 2018, between the CITY OF COLUMBIA HEIGHTS ("City"), whose business ad ress is 825 41" Avenue NE, Columbia Heights, MN 55421, and DuAll Services. Inc. ( "Contractor "), whose business address is 636 — 39`s Avenue NE, Columbia Heights, MN 55421. 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's A and B, 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 Payment. 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. Assignment. 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. CITY OF COLUMBIA HEIGHTS Mayor: City Administrato !' Attest: _ City Clerk CONTRACTOR: By: PROOF OF WORKERS' COMPENSATION INSURANCE COVERAGE 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: i '1*c Z'Y)si- .,1rofma �.lJ (NOT the insurance agent) n POLICY NO. OR SELF - INSURANCE PERMIT NO.: -CRA 551 Co Slip DATES OF COVERAGE: r - 0- 4 1 I I SAID d RE 0 OYU Or) - OR - rePtV )_( 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. Contr or (Signature) 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 DuAll Services, Inc. 636 — 39h avenue NE Columbia Heights, MN 55421 dterrugyez @duallservices.com Contacts: David Contractor Information Pl-igj $57 for first hour. Time over the initial hour will be paid at $14.25 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 DuAll Services, Inc. 636 — 39th Avenue NE Columbia Heights, MN 55421 dterriquez @duallservices.com Contacts: David Contractor Information Pricing $57 for first hour. Time over the initial hour will be paid at $14.25 for quarter hour increments. E (MMI ACC>R" DATE DD/YYYY) � CERTIFICATE OF LIABILITY INSURANCE 6/12E(MM/ 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 have ADDITIONAL INSURED provisions or 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 riahts to the certificate holder in lieu of such endorsement(s). PRODUCER Arthur J. Gallagher Risk Management Services, Inc. 3600 American Boulevard West Suite 500 Bloomington MN 55431 INSURED DuAll Service Contractors 636 NE 39th Avenue Minneapolis, MN 55421 E; ' NAM Janelle Harms NAME; P (o J )t 952 - 358 -7500 + f Not 952- 358 -7501 o�QQ. Janelle_Harms@aiq.com INSURER. $ AFFORDING COVERAGE I NAIC # _ INSURERA:Westfield Insurance Company 1241 i 2 INSURERB:Amerlcan Select Insurance ComoanV I 19992 1 INSURER C: E: COVERAGES CERTIFICATE NUMBER: 270244992 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 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 I TYPE OF INSURANCE POLICY EFF POLICY EXP LIMITS LTR 1NSD WVD POLICY NUMBER MM/DD/YYYY MM /DD/YYYY A X COMMERCIAL GEN 4 0ABILITY TRA5316576 6/30/2017 6130/2018 _ EACH OCCURRENCE $1,000,000 CLAIMS -MADE FX OCCUR AMA PREM15E§ fEa o urren a $500,000 MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $1,000.000 GENT X AGGREGATE LIMIT APPLIES PER: POLICY El PRO 0 LOC JECT GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP /OP AGG $2.000,000 $ OTHER: A AUTOMOBILE LIABILITY TRA5316576 6/30/2017 6/30/2018 EaaccidenlSING L E L M 11 $1,000,000 X BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS id Per accent BODILY INJURY ( ) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE per accidem $ $ A X UMBRELLA LIAR X OCCUR TRA5316576 6/30/2017 6/30/2018 EACH OCCURRENCE $5,000,000 AGGREGATE $5,000,000 EXCESS LIAB CLAIMS -MADE DED RETENTION $ Personal & Adv. In'. $5,000,000 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER /EXECUTIVE OFFICER /MEMBER EXCLUDED? N NIA WCP5316838 6/30/2017 6/30/2018 TTTER TA T IE OERH E.L. EACH ACCIDENT $500,000 E.L. DISEASE - EA EMPLOYEE $500,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate holder is included as additional insured on the general liability coverage if required in a written contract perform #CG2010 0413 & CG2037 0413. CERTIFICATE HOLDER CANCELLATION City of Columbia Heights 590 40th Avenue NE Columbia Heights MN 55421 ACORD 25 (2016/03) 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 ©1988 -2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD City of Columbia Heights Fire Department 825 - 41" Ave. NE Columbia Heights, MN 55421 - — - _ -- Tel ephone_N- umb,er-(763)- .ZGe&153--.- TALL GRASS AND WEED REMOVAL QUOTE FORM i t Charge Per Hour (quote shall be for time spent on property and can not include travel tirne) City will pay minimum of one hour and quarter hour increments there after. Company Name Address City/State/Zip Code. Contact Name Contact E -mail Business Phone Number CelVPager /Fax Numbers oo � 4e&) �- hour I\ANl Se�ViCeS,�c: coIUwI YY1 NI 564 'bavt - tf r�q ez- �A5pcbdU- aj1�-0rvict5, C 0 M cet( City of Columbia Heights Fire Department 825 - 41" Ave. NE Columbia Heights, MN 5421 elephone- umbe"76 706 -8153 SN0 V-1 T D WEED REMOVAL QUOTE FORM Charge Per Hour j no r- (quote shall be for time spent on property and ` pQ (/lo� can not include travel time) ��' I City will pay minimum of one hour and quarter hour increments there after, e Company Name e r� / ��.�� 1 cwt V iCeS ,Tn C - Address caUYY► b ro City /State /Zip Code Contact Name JaVt -Terr�queZ Contact E -mail X15 ?0)duatt��ce,5, CUI'3'a Business Phone Number Cell/Pager /Fax Numbers �� a -� u J � �.{ Ce 1( ��� =1 -Yom �OVC