HomeMy WebLinkAbout Agreement with Oxarc for Sodium HydrochloriteAGREEMENT FOR SUPPLIES
SODIUM HYPOCHLORITE
THIS AGREEMENT FOR EQUIPMENT/ SUPPLIES PROCUREMENT is made this
of u , 2011,o and entered into by and between the City of Meridian, a
municipal corporation organized under the laws of the State of Idaho, hereinafter referred
to as "CITY", 33 East Broadway Avenue, Meridian, Idaho 83642, and Oxarc, Inc,
hereinafter referred to as "SUPPLIER", whose business address is 2076 Century Way,
Boise, ID 83709,
INTRODUCTION
Whereas, the City has a need for services involving the procurement of
SODIUM HYPOCHLORITE; and
WHEREAS, the Supplier is specially trained, experienced and competent
to perform and has agreed to provide such services;
NOW, THEREFORE, in consideration of the mutual promises, covenants,
terms and conditions hereinafter contained, the parties agree as follows:
TERMS AND CONDITIONS
1. Equipment / Supply Specifications & Requirements:
1.1 SUPPLIER shall supply the equipment and/or supplies to the City upon
execution of this Agreement and receipt of the City's written notice to proceed, all
items, and comply in all respects, as specified in the document titled "Supply
Specifications & Requirements" a copy of which is attached hereto as Attachment
"A" and incorporated herein by this reference, together with any amendments that
may be agreed to in writing by the parties.
1.2 The Supplier shall provide services and work under this Agreement
consistent with the requirements and standards established by applicable federal,
state and city laws, ordinances, regulations and resolutions. The Supplier
represents and warrants that it will perform its work in accordance with generally
accepted industry standards and practices forthe profession or professions that are
used in performance of this Agreement and that are in effect at the time of
performance of this Agreement. Except for that representation and any
representations made or contained in any proposal submitted by the Supplier and
any reports or opinions prepared or issued as part of the work performed by the
Supplier under this Agreement, Supplier makes no other warranties, either express
or implied, as part of this Agreement.
SODIUM HYPOCHLORITE page 1 of 13
2. Consideration
2.1 The Supplier shall be compensated on a per gallon basis (Not -To -Exceed
$90,719.10 in Fiscal Year 2016) as provided in Attachment B "Payment Schedule"
attached hereto and by reference made a part hereof.
2.2 The Supplier shall provide the City with a detailed monthly statement detailing
all deliveries for the month, which the City will pay within 30 days of receipt of a
correct invoice and approval by the City. The City will not withhold any Federal or
State income taxes or Social Security Tax from any payment made by City to
Supplier under the terms and conditions of this Agreement. Payment of all taxes
and other assessments on such sums is the sole responsibility of Supplier.
2.3 Except as expressly provided in this Agreement, Supplier shall not be entitled
to receive from the City any additional consideration, compensation, salary, wages,
or other type of remuneration for services rendered under this Agreement.,
including, but not limited to, meals, lodging, transportation, drawings, renderings or
mockups. Specifically, Supplier shall not be entitled by virtue of this Agreement to
consideration in the form of overtime, health insurance benefits, retirement benefits,
paid holidays or other paid leaves of absence of any type or kind whatsoever.
3. Term:
3.1 This agreement shall become effective upon execution by both parties, and
shall expire upon (a) completion of the agreed upon work, (b) September 30, 2016
or (c) unless sooner terminated as provided below or unless some other method or
time of termination is listed in Attachment A.
3.2 The City reserves the right to extend the resulting contract for up to three (3)
additional one year terms from the date of expiration, provided such extension is
mutually agreeable to both parties. Any such extension must be in writing in the
form of a Contract Amendment and executed by both parties. Pricing is firm fixed
and shall be held through the life of the agreement.
3.3 The City reserves the right to extend the Agreement based on the terms and
conditions of the Invitation for Bid Document and Specifications for up to three years
from the date of expiration, provided such extension is mutually agreeable to both
the City and the Supplier.
3.4 Should Supplier default in the performance of this Agreement or materially
breach any of its provisions, City, at City's option, may terminate this Agreement by
giving written notification to Supplier.
3.5 Should City fail to pay Supplier all or any part of the compensation set forth in
Attachment B of this Agreement on the date due, Supplier, at the Supplier's option,
SODIUM HYPOCHLORITE page 2 of 13
may terminate this Agreement if the failure is not remedied by the City within thirty
(30) days from the date payment is due.
3.6 This Agreement shall terminate automatically on the occurrence of any of the
following events: a) Bankruptcy of insolvency of either party; b) Sale of Supplier's
business; or c) Death of Supplier
4. Termination:
4.1 If, through any cause, SUPPLIER, its officers, employees, or agents fails to
fulfill in a timely and proper manner its obligations under this Agreement, violates
any of the covenants, agreements, or stipulations of this Agreement, falsifies any
record or document required to be prepared under this agreement, engages in
fraud, dishonesty, or any other act of misconduct in the performance of this
contract, or if the City Council determines that termination of this Agreement is in
the best interest of CITY, the CITY shall thereupon have the right to terminate this
Agreement by giving written notice to SUPPLIER of such termination and specifying
the effective date thereof at least fifteen (15) days before the effective date of such
termination. SUPPLIER may terminate this agreement at anytime by giving at least
sixty (60) days notice to CITY.
4.2 In the event of any termination of this Agreement, all finished or unfinished
documents, data, and reports prepared by SUPPLIER under this Agreement shall,
at the option of the CITY, become its property, and SUPPLIER shall be entitled to
receive just and equitable compensation for any work satisfactorily complete
hereunder.
4.3 Notwithstanding the above, SUPPLIER shall not be relieved of liability to the
CITY for damages sustained by the CITY by virtue of any breach of this Agreement
by SUPPLIER, and the CITY may withhold any payments to SUPPLIER for the
purposes of set-off until such time as the exact amount of damages due the CITY
from SUPPLIER is determined. This provision shall survive the termination of this
agreement and shall not relieve SUPPLIER of its liability to the CITY for damages.
5. Independent Supplier:
5.1 In all matters pertaining to this agreement, SUPPLIER shall be acting as an
independent supplier, and neither SUPPLIER nor any officer, employee or agent of
SUPPLIER will be deemed an employee of CITY. Except as expressly provided in
Attachment A, Supplier has no authority or responsibility to exercise any rights or
power vested in the City and therefore has no authority to bind or incur any
obligation on behalf of the City. The selection and designation of the personnel of
the CITY in the performance of this agreement shall be made by the CITY.
SODIUM HYPOCHLORITE page 3 of 13
5.2 Supplier, its agents, officers, and employees are and at all times during the
term of this Agreement shall represent and conduct themselves as independent
suppliers and not as employees of the City.
5.3 Supplier shall determine the method, details and means of performing the
work and services to be provided by Supplier under this Agreement. Supplier shall
be responsible to City only for the requirements and results specified in this
Agreement and, except as expressly provided in this Agreement, shall not be
subjected to City's control with respect to the physical action or activities of Supplier
in fulfillment of this Agreement. If in the performance of this Agreement any third
persons are employed by Supplier, such persons shall be entirely and exclusively
under the direction and supervision and control of the Supplier.
6. Indemnification and Insurance:
6.1 SUPPLIER shall indemnify and save and hold harmless CITY from and for
any and all losses, claims, actions, judgments for damages, or injury to persons or
property and losses and expenses and other costs including litigation costs and
attorney's fees, arising out of, resulting from, or in connection with the performance
of this Agreement by the SUPPLIER, its servants, agents, officers, employees,
guests, and business invitees, and not caused by or arising out of the tortuous
conduct of CITY or its employees. SUPPLIER shall maintain, and specifically
agrees that it will maintain, throughout the term of this Agreement, liability
insurance, in which the CITY shall be named an additional insured in the minimum
amounts as follow: General Liability One Million Dollars ($1,000,000) per incident or
occurrence, Automobile Liability Insurance One Million Dollars ($1,000,000) per
incident or occurrence and Workers' Compensation Insurance, in the statutory limits
as required by law.. The limits of insurance shall not be deemed a limitation of the
covenants to indemnify and save and hold harmless CITY; and if CITY becomes
liable for an amount in excess of the insurance limits, herein provided, SUPPLIER
covenants and agrees to indemnify and save and hold harmless CITY from and for
all such losses, claims, actions, or judgments for damages or injury to persons or
property and other costs, including litigation costs and attorneys' fees, arising out of,
resulting from , or in connection with the performance of this Agreement by the
Supplier or Supplier's officers, employs, agents, representatives or subcontractors
and resulting in or attributable to personal injury, death, or damage or destruction to
tangible or intangible property, including use of. SUPPLIER shall provide CITY with
a Certificate of Insurance, or other proof of insurance evidencing SUPPLIER'S
compliance with the requirements of this paragraph and file such proof of insurance
with the CITY at least ten (10) days prior to the date Supplier begins performance of
it's obligations under this Agreement. In the event the insurance minimums are
changed, SUPPLIER shall immediately submit proof of compliance with the
changed limits. Evidence of all insurance shall be submitted to the City Purchasing
Agent with a copy to Meridian City Accounting, 33 East Broadway Avenue,
Meridian, Idaho 83642,
SODIUM HYPOCHLORITF- page 4 of 13
6.2 Any deductibles, self-insured retention, or named insureds must
be declared in writing and approved by the City. At the option of the City, either: the
insurer shall reduce or eliminate such deductibles, self-insured retentions or named
insureds; or the Supplier shall provide a bond, cash or letter of credit guaranteeing
payment of losses and related investigations, claim administration and defense
expenses.
6.3 To the extent of the indemnity in this contract, Supplier's
Insurance coverage shall be primary insurance regarding the City's elected officers,
officials, employees and volunteers. Any insurance or self-insurance maintained by
the City or the City's elected officers, officials, employees and volunteers shall be
excess of the Supplier's insurance and shall not contribute with Supplier's insurance
except as to the extent of City's negligence.
6.4 The Supplier's insurance shall apply separately to each insured against
whom claim is made or suit is brought, except with respect to the limits of the
insurer's liability.
6.5 All insurance coverages for subcontractors shall be subject to all of the
insurance and indemnity requirements stated herein.
6.6 The limits of insurance described herein shall not limit the liability of the
Supplier and Supplier's agents, representatives, employees or subcontractors.
7. Notices: Any and all notices required to be given by either of the parties hereto,
unless otherwise stated in this agreement, shall be in writing and be deemed
communicated when mailed in the United States mail, certified, return receipt
requested, addressed as follows:
CITY
SUPPLIER
City of Meridian
Gxarc, Inc
Purchasing Manager
Attn: Mike McGuire
33 E Broadway Ave
2076 Century Way
Meridian, ID 83642
Boise, ID 83709
208-888-4433
208-376-0377
Either party may change their address for the purpose of this paragraph by giving
written notice of such change to the other in the manner herein provided.
a. Attorney Fees: Should any litigation be commenced between the parties hereto
concerning this Agreement, the prevailing party shall be entitled, in addition to any
other relief as may be granted, to court costs and reasonable attorneys' fees as
determined by a Court of competent jurisdiction. This provision shall be deemed to
be a separate contract between the parties and shall survive any default,
termination or forfeiture of this Agreement.
SODIUM HYPOCHLORITE page 5 of 13
9. Time is of the Essence: The parties hereto acknowledge and agree that time is
strictly of the essence with respect to each and every term, condition and provision
hereof, and that the failure to timely perform any of the obligations hereunder shall
constitute a breach of, and a default under, this Agreement by the party so failing to
perform.
10. Assignment: It is expressly agreed and understood by the parties hereto, that
SUPPLIER shall not have the right to assign, transfer, hypothecate or sell any of its
rights under this Agreement except upon the prior express written consent of CITY.
11. Discrimination Prohibited: In performing the Work required herein, SUPPLIER
shall not unlawfully discriminate in violation of any federal, state or local law, rule or
regulation against any person on the basis of race, color, religion, sex, national
origin or ancestry, age or disability.
12. Reports and Information:
12.1 At such times and in such forms as the CITY may require, there shall be
furnished to the CITY such statements, records, reports, data and information as
the CITY may request pertaining to matters covered by this Agreement.
12.2 Supplier shall maintain all writings, documents and records prepared or
compiled in connection with the performance of this Agreement for a minimum of
four (4) years from the termination or completion of this or Agreement. This
includes any handwriting, typewriting, printing, photo static, photographic and every
other means of recording upon any tangible thing, any form of communication or
representation including letters, words, pictures, sounds or symbols or any
combination thereof.
13. Audits and Inspections: At any time during normal business hours and as often
as the CITY may deem necessary, there shall be made available to the CITY for
examination all of SUPPLIER'S records with respect to all matters covered by this
Agreement. SUPPLIER shall permitthe CITYto audit, examine, and make excerpts
or transcripts from such records, and to make audits of all contracts, invoices,
materials, payrolls, records of personnel, conditions of employment and other data
relating to all matters covered by this Agreement.
14. Publication, Reproduction and Use of Material: No material produced in whole
or in part under this Agreement shall be subject to copyright in the United States or
in any other country. The CITY shall have unrestricted authority to publish, disclose
and otherwise use, in whole or in part, any reports, data or other materials prepared
under this Agreement.
15. Compliance with Laws: In performing the scope of work required hereunder,
SUPPLIER shall comply with all applicable laws, ordinances, and codes of Federal,
State, and focal governments.
SODIUM HYPOCHLORITE page 6 of 13
16. Quantities: The quantity listed in Exhibit A are estimates only, based upon current
known requirements, and not a guarantee to purchase and are subject to increase
or decrease within the contract period. Any increase or decrease will be governed
by the same terms and conditions of this Agreement.
17. Construction and Severability: If any part of this Agreement is held to be invalid or
unenforceable, such holding will not affect the validity or enforceability of any other
part of this Agreement so long as the remainder of the Agreement is reasonably
capable of completion.
18. Waiver of Default: Waiver of default by either party to this Agreement shall not be
deemed to be waiver of any subsequent default. Waiver or breach of any provision
of this Agreement shall not be deemed to be a waiver of any other or subsequent
breach, and shall not be construed to be a modification of the terms of this
Agreement unless this Agreement is modified as provided above.
19. Advice of Attorney: Each party warrants and represents that in executing this
Agreement. It has received independent legal advice from its attorney's or the
opportunity to seek such advice.
20. Entire Agreement: This Agreement contains the entire agreement of the parties
and supersedes any and all other agreements or understandings, oral of written,
whether previous to the execution hereof or contemporaneous herewith.
21. Order of Precedence: The order or precedence shall be this contract agreement,
the Invitation for Bid document, and successful bid document.
22. Applicable Law: This Agreement shall be governed by and construed and enforced
in accordance with the laws of the State of Idaho, and the ordinances of the City of
Meridian.
23. Public Records: Pursuant to Idaho Code Section 9-335, et seq., information or
documents received from the Supplier may be open to public inspection and
copying unless exempt from disclosure. The Supplier shall clearly designate
individual documents as "exempt" on each page of such documents and shall
indicate the basis for such exemption. The City will not accept the marking of an
entire document as exempt. In addition, the City will not accept a legend or
statement on one (1) page that all, or substantially all, of the document is exempt
from disclosure. The Supplier shall indemnify and defend the City against all liability,
claims, damages, losses, expenses, actions, attorney fees and suits whatsoever for
honoring such a designation or for the Supplier's failure to designate individual
documents as exempt. The Supplier's failure to designate as exempt any document
or portion of a document that is released by the City shall constitute a complete
waiver of any and all claims for damages caused by any such release.
SODIUM HYPOCHLORITE page 7 of 13
24. Approval Required: This Agreement shall not become effective or binding until
approved by the City of Meridian.
CITY OF MERIDIAN OXARC, INC
TAMMY de WEEP, MAYOR
Dated:1 16 /,/ (,o—
Approved by Council: , 15
Dated• 1 GI -17 -) L
JAYeM L.
F�CILMAN, CIT:LLE
sEAL
Purchasing p7:-
KEITWWATTS,
BY:
Purchasing Manager
Dated:,. f ZIZ /,fd�
f
1"
`P
e
Dated:,, ! 7--2J r I
SODIUM HYPOCHLORITE page 8 of 13
Attachment A
Supply Specifications & Requirements
The City of Meridian Water Division operates 21 chlorine injection/storage systems with
a total bulk chlorine storage capacity of 11,800 gallons. Deliveries are typically weekly
to every two weeks.
The City of Meridian Wastewater Treatment Plant operates a reclaimed water system
with a bulk storage capacity of 3,500 gallons. The bulk of deliveries will occur between
May and October.
On occasion the City Wastewater Treatment Plant also requires the delivery of Sodium
Hypochlorite in 15 gallon containers and in 300 gallon totes.
Delivery is FOB to all Meridian Locations:
Facility
Address
Well #9
725 W Franklin
Well #10E
2003 Jericho Wa
Well #11
2250 Lanark
Well #12
1730 N. Ten Mile Road
Well #14/ PRV 04
555 E. Overland
Well #15
1355 N. Linder
Well #16
1100 N. Hickory
Well #17
1200 E Time Zone
Well #18
3319 N. Summerfield way
Well #19
3301 Neiman Dr
Well #20 & 2 MG Reservoir
3245 N. Meridian Road
Well #20 S
3245 N. Meridian Road
Well #21
300 E. Watertower
Well #22
2250 Stoddard
Well #23
1774 Silverstone Way
Well #24
2860 N. Blue Springs Ave.
Well #25
2725 E. Victory Road
Well #26/ PRV 20
6378 N. Locust Grove
Well #27
303 N. Ten Mile Rd
Well #28
2658 E. Taconic
Victory reservoir
Coastline Dr and Locust Grove
Meridian Wastewater Treatment
3401 N Ten Mile Road
The Supplier shall be capable of deliveries at least every seven days upon required
proper notification. Each delivery may be between 200 to 3,200 gallons at one time.
SODIUM HYPOCHLORITE page 9 of 13
Because storage space is limited, orders will be placed on an as needed basis
Annual usage at the Water Division has varied from 27,000 gallons to over 37,000
gallons.
Annual usage at the Wastewater Treatment Plant is approximately 35,000 gallons.
The Wastewater Treatment Plant also occasional uses totes (approximately 1 tote per
quarter) and 15 gallon containers (approximately 3 per quarter).
The amounts are estimated and may increase or decrease over the term of the
Contract.
Refer to Invitation for gid WTR-1605-10619, all addendums, attachments, and exhibits
included in the Invitation for Bid package # WTR-1605-10619, are by this reference
made a part hereof.
SODIUM HYPOCHLORITE page 10 of 13
SPECIFICATIONS AND REQUIREMENTS
The Liquid Sodium Hypochlorite shall not contain any foreign matter or impurity that may
damage or interfere with the City's equipment, facility, or treatment processes. This
includes foreign matter or impurities that are a result of shipment or transfer into the City's tanks.
The Supplier shall reimburse the City for any damages or costs incurred from any foreign material
or impurity.
The Liquid Sodium Hypochlorite shall not contain any impurity in sufficient quantities that causes
or may cause, by the City's normal usage of the Liquid Sodium Hypochlorite, the City to violate
any existing Federal limit or water quality standard, or any limit or standard that may be
implemented during the term of this contract. Should any permit limit or water quality standard
exceedance be determined to be directly attributable to the Liquid Sodium Hypochlorite supplied,
the Supplier shall immediately take the necessary steps to remove or reduce the containment
concentrations to levels satisfactory to the City,
Sodium Hypochlorite shall have a concentration of not less than 12.5% Sodium Hypochlorite by
weight,
The pH shall be not less than 11, and not more than 13 units.
The specific gravity shall be not less than 1.20, and not more than 1.23.
Operations staff shall notify Supplier by phone or email for delivery.
Supplier shall deliver within 5 working days after notice from staff.
Supplier agrees to keep sufficient inventory on hand to meet the City's needs.
The Supplier shall provide a Bill of Lading/Weigh Slip with each delivery indicating the following:
• date of delivery,
• bill of Lading/Weigh Slip Number
• gross weight of delivery vehicle and Liquid Sodium Hypochlorite in pounds,
• tare weight of delivery vehicle in pounds, and
• net weight of Liquid Sodium Hypochlorite in the delivery vehicle in pounds.
• number of gallons
Note: Failure to supply the required Certificates, or failure to meet any specification described
herein, shall be sufficient cause to reject the load.
Prospective Bidder shall include any charges for the Certificates in the bid price.
SODIUM HYPOCHLORITE page 11 of 13
DELIVERY LOGISTICS
The Supplier shall ship the Liquid Sodium Hypochlorite to the City as a "bulk" liquid in a tank truck
and shall ensure all shipments comply with all US DOT regulations for marking.
The Supplier shall have the ability to deliver Liquid Sodium Hypochlorite in gallon and tote
containers.
Failure of Supplier to successfully complete a delivery is sufficient grounds to constitute a breach of
the contract.
The Supplier is expected to comply with reasonable requests for emergency deliveries.
The temperature of the Liquid Sodium Hypochlorite upon delivery must be less than or equal to
80 OF. The Supplier shall measure the temperature of the product delivered just prior to, or during
transfer in to the City's storage vessels. The Supplier shall handwrite the measured temperature on
the Certificate of Analysis or Conformance discussed above. The Supplier shall Initial and date the
recorded temperature.
The tank truck must be sealed and equipped with a self-contained system to deliver all the Liquid
Sodium Hypochlorite in the load into aboveground storage tanks. An example of a delivery
mechanism is pressurizing the tank with an air pump. The Supplier shall supply all transfer
equipment. The Supplier shall not use the City's equipment. The transfer mechanics shall be such
to allow the driver to complete the task alone under normal circumstances, without the aid of the
City.
The driver shall follow all City's security procedures and requirements for personal protective
equipment. (The City shall inform the Supplier of these procedures and requirements initially, and
shall communicate any changes throughout the term of the contract.)
Before unloading, the driver shall present the Bill of lading, Weigh Slips, the Certificate, and any
other applicable order/delivery documents based on inadequate or non -conforming information in
these documents. All other documentation prescribed by DOT, ICC, other regulatory bodies and
statues must be provided when the Liquid Sodium Hypochlorite is delivered.
The City reserves the right to subject samples of the Liquid Sodium Hypochlorite to analysis to
determine if the Liquid Sodium Hypochlorite meets the Citys specifications. The Supplier shall
facilitate the sampling process, when asked. Failing to comply with the City's specifications shall
constitute grounds for rejection of that load and is sufficient grounds to constitute a breach of
contract. If in the opinion of the City, there is necessity to remove non -confirming Liquid Sodium
Hypochlorite within 24 hours of being notified without additional cost to the City. Alliteratively, the
City may remove the Liquid Sodium Hypochlorite and the cost for removal and disposal shall be
billed to the Supplier. The Supplier may not charge for delivered material the City rejects.
SODIUM HYPOCHLORITE page 12 of 13
Attachment B
PAYMENT SCHEDULE
TASK
DESCRIPTION
SODIUM HYPOCHLORITE, per attached
Specifications (Attachment A)
AMOUNT / GALLON
A.
Sodium Hypochlorite — Bulk Delivery
$1.63
B.
Sodium Hypochlorite (Delivered in 300 gallon totes)
$2.57
C
Sodium Hypochlorite (Delivered in 15 gallon containers)
$2.86
Total Price to include all labor, material, equipment, freight, insurance, travel, lodging, incidentals
and applicable taxes. Travel expenses, if applicable, will be paid at no more than the City of
Meridian's Travel and Expense Reimbursement Policy.
SODIUM HYPOCHLORITE page 13 of 13
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Lawerence Denney, Secretary of State
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[ Get a certificate of existence for OXARC INC. ]
[ Monitor OXARC, INC. business filings ]
OXARC,
PO BOX 3031
SPOKANE, WA 99220
Type of Business: CORPORATION, GENERAL BUSINESS
Status: GOODSTANDING 18 Mar 1971
State of Origin:
WASHINGTON
Date of
18 Mar 1971
Origination/Authorization:
Current Registered Agent:
WADE KRESS
2513 3RD AVE N
LEWISTON, ID 83501
Organizational ID / Filing
C43519
Number:
Number of Authorized Stock
Shares:
Date of Last Annual Report:
26 Jan 2015
Annual Report Due:
Mar 2016
OriginalFiling:
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Filed 18 Mar 1971 CERTIFICATE OF AUTHORITY
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Amendment Filed 18 Mar OTHER - RA
1971
Amendment Filed 23 May NAME CHANGED TO NORWECO, INC.
1973
Amendment Filed 22 Sep OTHER - CHG RA
1982
Amendment Filed 06 Dec NAME CHANGED TO OXARC, INC.
1995
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OXARINC-01 MILLER
CERTIFICATE OF LIABILITY INSURODNY
ANCE
DATE(MMYJ
F1211811201
20115 5
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS
GER71FICATE 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 pollcy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and condltions of the policy, certaln 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
Moloney O'NeRiverside, Ste 8 Insurance Services Inc.
818 W. Riverside, Ste 800
Spokane, WA 99201
CONTACT Ed Tabish
NAME:
PHONE (509) 325-3024 V,'No
Arc Ne Ext
AODAFw" s3: dpike aerno-ins.com
INSURER(S) AFFORDING COVERAGE MAIC It
A
INSURERA-.United States Fire Insurance Company 21113
X
INSURED
INSURER B :
INSURERC:
OXarc, Inc.
4003 E Broadway
Spokane, WA 99202
INSURFRD:
INSURER E:
INSURER F:
PERSONAL&ADV INJURY S 1,000,00
L.VVCIKALatS CERTIFICATE NUMRFR! RFV1IQIntd Idi IMFI9=0•
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 WTH 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
TYPE OF INSURANCE
IN
POLICYNUMBER
P LI Y EFF
MMIDDrfn'Y
POLICY EXP
MMIDDlYYYY
LIMITS
A
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE 0 OCCUR
ConContractual
X al Liahilit
traii�icludt
X
5068790586
12/3112014
12/31/2015
EACH OCCURRENCE $ 1,000,000
PREMISES Eaoaunence S 100,000
MED FXP (Any one person) S 5,00
X
PERSONAL&ADV INJURY S 1,000,00
GEN'LAGGREGATE LIMITAPPLIES PER:
� JECT El LOC
GENERAL AGGREGATE $ 2,000,00
PRODUCTS -COMPIOPAGG $ 2,000,00
Is
EdPOLICY
OTHER:
AUTOMOBILE
LIABRJTY
COMBINED SINGLE LIMIT $
En accident
BODILY INJURY (Per parson) 5
ANYAUTO
ALLOWNED SCHEDULED
AUTOS AUTOS
HIRED AUTOS NON -OWNED
AUTOS
BODILY INJURY (Par acddent) 5
PROPERTY DAMAGE
Peraccdnnt $
$
UMBRELLA LJABOCCUR
HCLAIMS-MADE
EACH OCCURRENCE $
EXCESS LIAR
AGGREGATE S
DED RETENTIONS
Is
A
LVORKERS COMPENSATIONPER
ANDEMPLAYERS'LIABILITY
OFFICERIME TOWPACLUOED?ECUTIVE Y�
(Mandatory In NH)
It es, descdbe under
NIA
$068780586
12/31/2014
12131/2015
TH•
STATUTE ER
E.LEACHACCIDENT $ 1,000,000
E.L. DISEASE • EA EMPLOYEE S 1,000,00
E.L. DISEASE -POLICY LIMIT 5 1,DDo'00
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS I LOCATIONS IVEHICLES (ACORO 101, Additional Remarks Schodub, may be attached N mora space is required)
City of Meridian it's elected officers, officials, employees and volunteers aro Additional Insureds under the General Liability, for Ongoing Operations of the
Named Insured. Coverage is Primary.
City of Meridian
33 E Broadway Ave Suite 106
Meridian, ID 83642
ACORD 25 (2014101)
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
Z
W 7 UtiS-ZU14 ACORi3 CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
OXARINC-01 PMILLER
CERTIFICATE OF LIABILITY INSURANCE DATE(MMrDDNYYY)
12/14/2016
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($), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the Policy(IGS) 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 endorsoment(s).
PRODUCER
Moloney O NellItAlliant Insurance Services Inc.
818 W. Riverside, Ste 800
Spokane, WA 99201
CONTACT
NAME: Kim Johanson, CIC
PHONE FAx
arc No Ext • 1609} 326-3024 A/O No :
ESIAIL
ADDRESS: dpike mo-ins.com
— - —.�
INSURED
INSURER(SIAFFORDING COVERAGE NAIC X
INSURERA:LiberW Northwest InsuraneeCorporationt'i 41939
INSURER B!
OXarc, Inc.
4003 E Broadway
Spokane, WA 99202
INSURERC!
INSURER D ;
INSURER E;
-
INSURER F:
(Inv r- P A el. r__Q
CCIVFRA(2RC—M-nu-,.....-.-, ......�_
-----" KCVIbIUIV INUMtItK:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECTTO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN ISSUBJECTTOALL THE TFRMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR A'13`01 SUURPOLICY EFP POLICY EXP
LTR TYPE OF INSURANCE IN WVD POLICYNUMBER MMJDDIYYW FOLIC YFXP LIMITS
COMMERCIALGENERAL LIABILITY
CLAIMS -MADE 0 OCCUR
EACH OCCURRENCE S
'rT0-RENTE
PREMISES Ea occurrence S
MEO EXP (Anyone person) S
PERSONAL&ADV INJURY S
GEN'L AGGREGATE LIMIT APPLIES PER,
POLICY PRO -
JECT ❑ LOC
OTHER:
GENERAL AGGREGATE 5
PRODUCTS -COMPIOPAGG $
S
AUTOMOBILE
LIABILITY
ANYAUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
HIREDALIT05 NNONOSWNED
.
.— -
— — -- y
-C L
at3Lclent JNGLE
Eaaccident )
BODILY ii JURY(Perperson) S
BODILY INJURY (Per accident) S
PROPERTYOAMAGE S
Per a %Z'
S
UMBRELLA LIAR
EXCESS UAB
OCCUR
CLAIMS -MADE
EACH OCCURRENCE S
AGGREGATE S
DED RETENTIONS
WORKERS COMPENSATION_
AND EMPLOYERS' LIABILITY
OFFICERIMEANY OPRI BERIEXCLUD D ECUTIVE Yj
(gas. d tory In NN) (�
If(yes, asedbe under
DESCRIPTION OF OPERATIONS balow
S
X STATUTE ERH
A
NIA
041NCO15464015OR,ID,MT
10/0112015
10/01/2016
E.L. EACH ACCIDENT 5 1,000,00
E.L. DISEASE -EA EMPLOYE S 1,000,000
E.L. DISEASE - POUCY LIMIT S 1,000,000
DESCRIPTION OF OPERATIONSILOCAT1ONS1 VEHICLES JACORO 101, Additional Remarks Schedule, maybe attached Ir mom apace is required)
f+C6TrCih wT��f�f ��w
City of Meridian
33 E Broadway Ave Suite 106
Meridian, ID 83642
-11
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
w tnoa-LV14AUUKU C:VKI'UKATION. All rights reserved.
ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD