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HomeMy WebLinkAboutJOHN HARRIS AGREEMENT OR LAWN SERVICES This Agreement is made this 3 day of J�M64onthA246 2017 by and between the City of Jeffersonville, di �r , /v Z-�,/ agrees to provide the City of JeJsonville the foil ng services: Whereas,the contractor is qualified and able to provide these scope of this agreement. Whereas, the contractor has the necessary equipment to satisfactorily perform the scope of services, Whereas,the contractor shall continuously have insurance as required by State Board of Accounts. The scope of services to be provided is as follows: 1. The contractor shall provide all the necessary equipment to perform the scope and shall provide all materials and supplies to perform the scope; 2. The contractor shall provide grass cutting and removing cut grass,weeds,and rank vegetation, including typical trimming of yards at vacant or foreclosed properties at sites determined by this Department to be in violation of City Ordinance No. 2010-OR-30; • SingIe Cut(under %2 acre)$ 50.00 • Double Cut(under %2 acre) $ 100.00 • Single Cut (Over %2 acre)starting at$70.00 not to exceed $140.00 without a quote from the lawn service • Double Cut(over %z acre)starting at 100.00 not to exceed$200.00 without a quote from the lawn service • Bush Hog starting at$300.00 not to exceed$450.00 without a quote from the lawn service • Trimming of overgrowth starting at$50.00 not to exceed$150.00 without a quote from the lawn service 3. Properties shall be left clean and clear of clumped cut grass,weeds, and rank vegetation, including any fallen branches, leaves, etc. 4. The contractor shall provide if needed junk/trash removal and securing property as determined by this Department to be in violation of City Ordinance No. 2010-OR-30; • Boarding windows and/or doors$40.00 per sheet • Trash removal starting at$75.00 not to exceed $150.00 without a quote from the lawn service • Hauling trash and debris away starting at$40.00 not to exceed$75.00 without a quote from the lawn service 5. All equipment, fuel, and materials shall be furnished by the lawn service company; It is further agreed that: 1. Payment shall be on a parcel basis, and the contractor agrees that the properties vary in size and characteristics. Some will require more time and trimming than others; 2. Periodic inspections shall be made by the Department; 3. The lawn service shall provide an invoice once the work has been completed and the invoice shall include the street address of the property,date and number of hours the work was performed, before and after pictures of the property. Whereas, this Agreement may be terminated by: 1. Mutual agreement; 2. Written notice by either party for any reason stated in the written notice, which notice shall be delivered not less than five(5)days from the date of the notice of termination; and Whereas, this Agreement will expire annually and be void as of January 1"of the following year. SO AGREED THE date of month, 2017 3l 1` -117 Nathan Pruitt, Director of Planning&Zoning Date Q4� 34t, I wn Service Prov' r Date :5-VA N Printed Name -/1 9)a yor 2017 Required Documents Lawn Service Contractors 0 1,000,000 insurance City of Jeffersonville as certificate holder, • Names of employees that will be on jobsites; Signed agreement and guidelines; • W-9 on file; • Contact information: Cell phone, e-mail. V�ff 4�a� 2017 Grass and Weed Removal Contractor Guidelines Contractors represent the City of Jeffersonville and must conduct themselves in a professional manner at all times; Contractors/employee shall identify themselves to owner of property or to neighbors and refer further questions to the Code Enforcement Officer in charge; When removing a fence to obtain entry to a property is required the fence must be replaced and in working order before leaving the worksite, before and after pictures of the removed/replaced fence are required; Sidewalks,driveways,fence rows, adjoining properties must be clear of clippings before leaving job site,Do Not leave yard clippings in the roadways, on sidewalks or on neighboring properties, mower discharge must be kept away from neighboring properties at all times; and Invoices must be turned in on a timely basis. X -00 I bave read.understand,and agree to the above guidelines I have been given a cod, for or my records Form ■■M9 Request for Taxpayer Give Form to the (Rev.August 2013) Identification Number and Certification requester.Do not Department of the Treasury send to the IRS. Internal flerenue Service Nerve(as shown onrincome tax tum)9A) -PAWS /S lk N m Business nameldisregarded entity nae,if different fromabove 0 M Q Ch appropriate box for federal tax classification: o Exemptions(see instructions): m Individuallsole proprietor ElC Corporation ElS Corporation ❑ Partnership ❑Trust/estate CIL I. Exempt payee code(f any) o` ❑ Limited liability company.Enter the tax classification(C=C corporation,S=S corporation,P=partnership)► Exemption from FATCA reporting c code(if any) a ❑ Other(see instructions)► Address(number,street,and su to no. n p Requester's name and address(optional) a, City,stat rid ZIP code 0' �- Y- 7 13 Li t number(.)here(optio } Taxpayer Identfication Number(TIN) Enter your TIN in the appropriate box.The TIN provided must match the name given on the"Name"line Social security number to avoid backup withholding.For Individuals,this is your social security number(SSN).However,for a resident alien,sole proprietor,or disregarded entity,see the Part I instructions on page 3.For other ® _ entities,it is your employer identification number(EIM.If you do not have a number,see How to get a TIN on page 3. Mote.If the account is in more than one name,see the chart on page 4 for guidelines on whose Etnpioyer identification number number to enter. Certification Under penalties of perjury,I certify that: 1. The number shown on this form is my correct taxpayer identification number(or I am waiting for a number to be issued to me),and 2. 1 am not subject to backup withholding because:(a)I am exempt from backup withholding,or(b)I have not been notified by the Internal Revenue Service(IRS)that I am subject to backup withholding as a result of a failure to report all interest or dividends,or(c)the iRS has notified me that I am no longer subject to backup withholding,and 3. 1 am a U.S.citizen or other U.S.person(defined below),and 4.The FATCA code(s)entered on this form(if any)indicating that I am exempt from FATCA reporting is correct. Certification instructions.You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax retum.For real estate transactions,item 2 does not apply.For mortgage Interest paid,acquisition or abandonment of secured property,cancellation of debt,contributions to an individual retirement arrangement(IRA),and generally,payments other than interest and dividends,you are not required to sign the certification,but you must provide your correct TIN.See the instructions on page 3. SignSignature of l ^ Here U.S.person I- Date► �3 1/ General Instructs s withholding tax on foreign partners'share of effectively connected income,and 4.Certify that FATCA code(s)entered on this form(f any)indicating that you are Section references are to the Internal Revenue Code unless otherwise noted. Future developments.The IRS has created a page on IRS.gov for information exempt from the N� If you area U.S.pU.S.FATp reporting,is correct. abxwt Form W-9,at www.irs.gov/w9.Information about any future developments erson and a requester gives you a form other than Form W-9 to request your TIN,you must use the requester's form if it is substantially Form W-9(such as legislation enacted after we release it)will be posted on that page. similar to this Form W-9. Definition of a U.S.person.For federal tau purposes,you are considered a U.S. Purpose of Form pion if you are; A person who is required to file an information return with the IRS must obtain your -An individual who is a U.S.citizen or U.S.resident alien, correct taxpayer identification number(rIM to report,for example,income paid to •A partnership,corporation,company,or association created or organized in the You,payments made to you in settlement of payment card and third party network United States or under the laws of the United States, transactions,real estate transactions,mortgage interest you paid,acquisition or .An Mate(other than a foreign estate or abandonment of secured property,cancellation of debt,or contributions you made ) to an IRA. •A domestic trust(as defined in Regulations section 301.7701-7). Use Form W-9 only if you are a U.S.person(including a resident alien),to Special rules for partnerships.Partnerships that conduct a trade or business in Provide your correct TIN to the person requesting it(the requester)and,when the United States are generally required to pay a withholding tax under section applicable,to: 1446 on any foreign partners'share of effectively connected taxable income from 1.Certify that the TIN you are giving is correct or such business.Further,in certain cases where a Form W-9 has not been received, to be issued), 9 9 ( You are waiting For a number the rules under section 1446 require a partnership to Pa ) Fwe' q � P presume that a partner is a 2.Certs that subject p 9 foreign person,and pay the section 1446 withholding tax.Therefore,if you are a Certify You are not su ect to backup withholding,or U.S.person that is a partner in a partnership conducting a trade or business in the 3.Claim exemption from backup withholding if you are a U.S.exempt payee.If United States,provide Form W-9 to the partnership to establish your U.S.status applicable,you are also certifying that as a U.S.person,your allocable share of and avoid section 1446 withholding on your share of partnership income. any partnership income from a U.S.trade or business is not subject to the Cat.No.10231X Form W-9(Rev.8-2013) 1 '``C,6RV CERTIFICATE OF LIABILITY INSURANCEDATE("WI1DD"YYY) 02/27/2017 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME CT Jodie(John)Neafus Diversified Insurance Group PHONEEMI, (812)282-1374 1602 E.8th St. (812)283 3500 FAX ac No Jeffersonville,IN 47130 ADD-ESS: Jodie@diginsure.net INSURER(S) AFFORDING COVERAGE MAIC It INSURED JOHN HARRIS INSURER A: PEKIN INSURANCE 24228 2805 HORSE TRAIL RD INSURER B: Jeffersonville,IN 47130 INSURER C: INSURER D: INSURER E: —A 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 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 ADDL SUER It EFF MMD IOICY EXP LIMBS L TYPE OF INSURANCE POLICY NUMBER A COMMERCIAL GENERAL LIABILITY CL0213233 06/16/2016 6/16/2017 EACH OCCURRENCE S 1,000,000 CLAIMS-MADE OCCUR DAMAGE TO RENTED PREM E S 166,61)0 MED EXP(Any one person) S 5,000 PERSONAL 8 ADV INJURY S 1,000,060 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY❑JELOC GENERAL AGGREGATE S 2,000,060 OTHER: PRODUCTS-COMP/OPAGG S 2,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO S OWNED BODILY INJURY(Per person) S AUTOS ONLY AUTOS BODILY BODILY INJURY(Per accident) S HIRED NON-OWNED AUTOS ONLY AUTOSS ONLY PROPERTY DAMAGEPer accident S UMBRELLA LIAB OCCUR S EXCESS LWB CLAIMS-MADE EACH OCCURRENCE S DES AGGREGATE S D RETENTION WORKERS COMPENSATION S AND EMPLOYERS'LIABILITY PER OTH- ANY PROPRIETOR/PARTNER/EXECUTIVE YIN ST TUTE ER OFFICER/MEMBER EXCLUDED? N/A E.L.EACH ACCIDENT S (Mandatory In NH) F1 It yes,describe under E.L.DISEASE-EA EMPLOYEE S DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 107,Additional Remarks Schedule,may be attached if more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Jeffersonville ACCORDANCE WITH THE POLICY PROVISIONS. 500 QuarterMaster Jeffersonville,IN 47130 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD