HomeMy WebLinkAboutLAWN SERVICE APPROVED 4/19/17 BPW AGREEMENT FOR LAWN SERVICES
This Agreement is made this Z 7 day of ftb, _Month , 2017 by and between the City of
Jeffersonville, Indiana and
OnvA�Ue laWA Irt). Co.
agrees to provide the City of
Jeffersonville the following 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;
• Single Cut(under 1/2 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 1/2 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 1St of the following year.
SO AGREED THE date of month, 2017
1
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Nathan Pruitt, Di ctor of Planning& Zoning Date
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Lawn Service Provider Date
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2017 Required Documents
Lawn Service Contractors
• 1,000,000 insurance City of Jeffersonville as certificate holder;
• Names of employees that will be on jobsites;
a Signed agreement and guidelines;
• W-9 on file;
• Contact information: Cell phone, e-mail.
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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
I have read,understand,and ap-ree to the above guidelines I have been Given a copy for my records
Form -9 Request for Taxpayer Give Form to the
(Rev.August 201 T) Identification Number and Certification requester. Do not
Department of the Treasury
Internal Revenue Service send to the IRS.
Name(as shown on your income tax return)
_ ,Ck D. breed
N Business name/dis egarded entit name,if of from above
S
vs1p
Check appropriate box for federal tax classification:
° ❑Individual/sole proprietor C Corporation Exemptions(see instructions):
P P ❑ P ❑ S Corporation ❑ Partnership ❑ Trust/estate
o Exempt payee code(if any)
u ;K Limited liability company.Enter the tax classification(C=C corporation,S=S corporation,P=partnership)►
o Exemption from FATCA reporting
code(if any)
-rV El Other(see instructions)►
EAddress(number,street,and apt.or suite no.) Requester's name and address(optional)
IYIL;l�lv ids ��
°
City, tat and ZIP code
`n of :�J•� � .1v1• `g��
List account number(s)here(optional)
liM Taxpayer Identification 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 U _ "1 �
entities,it is your employer identification number(EIN).If you do not have a number,see How to get a
TIN on page 3.
Note.If the account is in more than one name,see the chart on page 4 for guidelines on whose Employer 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 return.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.
Sign Signature of
Here U.S. ate
person 1- ( �_ 2fi/7
�-Q-Q/✓� D ► CJJ
General Instructions withholding tax on foreign partners'share of effectively connected income,and
Section references are to the Internal Revenue Code unless otherwise noted. 4.Certify that FATCA code(s)entered on this form(if any)indicating that you are
exempt from the FATCA reporting,is correct.
Future developments.The IRS has created a page on IRS.gov for information Note.If you are a U.S.person and a requester gives you a form other than Form
about Form W-9,at www.irs.gov/w9.Information about any future developments W-9 to request your TIN,you must use the requester's form if it is substantially
affecting 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 tax purposes,you are considered a U.S.
Purpose of Form person 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(TIN)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 estate(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 you are waiting for a number such business.Further,in certain cases where a Form W-9 has not been received,
to be issued), the rules under section 1446 require a partnership to presume that a partner is a
foreign person,and pay the section 1446 withholding tax.Therefore,if you are a
2.Certify that you are not subject 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)
AC40REPCERTIFICATE OF LIABILITY INSURANCE DATE(MM DDYYYY)
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
NAME: David Guernsey
C&F Insurance Group
812 Spring St
PHONE -
E-MA Lo (812)282-1077 FAX284-3141
ADDRESS: dguernsey@cfinsurance.com
CONTACT
INSURERAGE
S)AFFORDING COVERAGE NAIC#
IN 47131 INSURER A: Liberty Mutual
INSURED
INSURER B:
Ericks Complete Lawn Service INSURER C:
830 Morningside Drive INSURER D:
INSURER E:
Jeffersonville IN 47130 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.
.NSR ADDL SUBR
LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER �ryl�LppY EFF ICY EXP
MMIDD/YYYY I LIMITS
X COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE $ 1,000,000.00
CLAIMS-MADE OCCUR DAMA ET PREMISES Ea occurrence) $ 100,000.00
MED EXP(Any one person) $ 5,000.00
GEN'L AGGREGATE LIMIT APPLIES PER:
57882953 103/10/2017 03/10/3018 PERSONAL&ADV INJURY $ 1,000,000.00 POLICY[:] PRO GENERAL AGGREGATE $ 2,000,000.00 OTHER:
JECT 1:1 LOC
PRODUCTS-COMP/OP AGG $AUTOMOBILE LIABILITY $
COMBINED SINGLE LIMIT $
Ea accident
ANY AUTO
ALL OWNED SCHEDULED BODILY INJURY(Per person) $
AUTOS AUTOS BODILY INJURY(Per accident) $
HIRED AUTOS NON-OWNED
AUTOS PROPERTY DAMAGE $
Per accident
UMBRELLA LIAR OCCUR
EXCESS LIAB CLAIMS-MADE EACH OCCURRENCE $
DED RETENTION$ AGGREGATE $
WORKERS COMPENSATION $
AND EMPLOYERS'LIABILITY PER Y/N STATUTE EORH
ANY PROPRIETOR/PARTNER/EXECUTIVE $
OFFICER/MEMBER EXCLUDED> ❑ N/A E.L.EACH ACCIDENT
(Mandatory in NH)
If yes,describe under E.L.DISEASE-EA EMPLOYE $
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
I
DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
Lawn Care Service
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATIONDATE THE EOF, NOTICE WILL BE DELIVERED IN
City of Jeffersonville ACCORDANCE WITH THE POLIC PROVISIONS.
Jeffersonville Indiana 47130 AUTHORIZED REPRES NTATI
@4988-201"COR"ORPORAT14iM rights reserved.
ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD
5
P 11
Erimck' s Complete
Lawn Serv. Co .
Employee/helper list:
David Brewer 5022494595
On Call Helper:
Erick Richie Z- 3z457=�3� `�
Jordan Richie
5022494595
Copy to: Code Enforcement Officer
City Of Jeffersonville
to -/ GUS