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HomeMy WebLinkAbout2008-013 Contract - CVO Electrical Systems
Contract for PERSONAL SERVICES Less than $25,000
CITY OF
ASHLAND
20 East Main Street
Ashland, Oregon 97520
Telephone: 541/488-6002
Fax: 541/488-5311
CONSULTANT: CVO ELECTRICAL SYSTEMS, LLC
CONTACT:
DAVID CASTOR, PE
ADDRESS: 1600 SW WESTERN BLVD, STE 160
CORVALLIS OR 97333
TELEPHONE: 541/752-2829
FAX:
541/752-4830
DATE AGREEMENT PREPARED: 11/16/07
BEGINNING DATE: 11/26/07 COMPLETION DATE:
COMPENSATION: NTE $10,000.00
SERVICES TO BE PROVIDED: ARC FLASH HAZARD ASSESSMENT
ADDITIONAL TERMS:
&/
CITY AND CONSULTANT AGREE:
1. All Costs by Consultant: Consultant shall, at ns own risk and expense, perform the personal services described above and, unless otherwise specified, furnish all labor,
equipment and materials required for the proper Performance of such service.
2. Qualified Work: Consultant has represented, and by entering into this contract now represents, that all personnel assigned to the work required under this contract are fully
qualified to perform the service to which they will be assigned in a skilled and workerlike manner and, n required to be registered, licensed or bonded by the State of Oregon, are so
registered, licensed and bonded.
3. Completion Date: Consultant shall start performing the service under this contract by the beginning date indicated above and complete the service by the completion date
indicated above.
4. Compensation: cny shall pay Consultant for service performed, including costs and expenses, the sum specified above. Once work commences, invoices shall be prepared and
submitted by the tenth of the month for work completed in the prior month. Payments shall be made within 30 days of the date of the invoice. Should the contract be prematurely
terminated, payments will be made for work completed and accepted to date of termination.
5. Ownership of Documents: All documents prepared by Consultant pursuant to this contract shall be the property of City.
6. Statutory Requirements: ORS 279C.505, 279C.515, 279C.520 and 279C.530 are made part of this contract.
7. Uving Wage Requirements: If the amount of this contract is $15,964 or more, Consultant is required to comply with chapter 3.12 of the Ashland Municipal Code by paying a living
wage, as defined in this chapter, to all employees performing work under this contract and to any subcontractor who performs 500/0 or more of the service work under this contract.
Consultant is also required to post the attached notice predominantly in areas where it will be seen by all employees.
8. Indemnification: Consultant agrees to defend, indemnify and save cny, ns officers, employees and agents harmless from any and all losses, claims, actions, costs, expenses,
judgments, subrogations, or other damages resulting from injury to any Person (including injury resulting in death), or damage (including loss or destruction) to property, of whatsoever
nature arising out of or incident to the Performance of this contract by Consultant (including but not limited to, Consultant's employees, agents, and others designated by Consultant to
perform work or services attendant to this contract). Consultant shall not be held responsible for any losses, expenses, claims, subrogations, actions, costs, judgments, or other
damages, directly, solely, and proximately caused by the negligence of City.
9. Termination: This contract may be terminated by City by giving ten days written notice to Consultant and may be terminated by Consultant should City fail substantially to perform
its obligations through no fault of Consultant.
10. Independent Contractor Status: Consultant is an independent contractor and not an employee of the cny. Consultant shall have the complete responsibility for the performance
of this contraCt. Consultant shall provide workers' compensation coverage as required in ORS Ch 656 for all persons employed to perform work pursuant to this contract. Consultant
is a subject employer that will comply with ORS 656.017.
· Assignment and Subcontracts: Consultant shall not assign this contract or subcontract any portion of the work without the written consent of City. Any attempted assignment or
subcontract without written consent of City shall be void. Consultant shall be fully responsible for the acts or omissions of any assigns or subcontractors and of all persons employed
b" them, and the a oval b . Cit of an . assi nmant or subccntmct shall not create an contractual ralation bet\lJcen the assi nee or subcontractor and Ci. .
CONSULTANT CITY OF ASHLAND:
BY j)~ BY ~~ .
fl' · B /_ Sjgnature FINAN DIRECTOR
~lIt({ LAS7t!Jr OR
Print Name
TITLE
M~~w-MC(VJet,~
11/~7/b7
CITY ADMINISTRATOR
/ 1-/2,/ /0/
(
DATE
DATE
Date: I
6 ftJ. I/./'B .()tJ. ~ OL{ /~O
(For City purposes only)
FederallD# cJO-d9d59/S-
*Completed W9 form must be submitted with contract
ACCOUNT #
PURCHASE ORDER #
Form W-g
Request for Taxpayer
Identification Number and Certification
Give form to the
requester. Do not
send to the IRS.
Enter your TIN in the appropriate box. The TIN provided must match the name given on Line 1 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 (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
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. I 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. I am a U.S. person (including a U.S. resident alien).
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, yments other an interest and dividends, you are not required to sign the Certification, but you must
provide your correct TIN. (See t instr ctions Q age 4.)
(Rev. November 2005)
Department of the Treasury
Internal Revenue Service
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Name (as shown on your income tax return)
CVO Electrical Systems, LLC.
Business name, if different from above
D Individual!
Check appropriate box: Sole proprietor
Address (number, street, and apt. or suite no.)
1600 SW Western Blvd, Suite 160
City, state, and ZIP code
Corvallis, OR 97333
List account number(s) here (optional)
D Corporation
Sign
Here
Signature of
U.S. person.
Purpose of Form
A person who is required to file a . formation return with the
IRS, must obtain your correct tax yer identification number
(fIN) to report, for example, income paid to you, real estate
transactions, mortgage interest you paid, acquisition or
abandonment of secured property, cancellation of debt, or
contributions you made to an IRA.
U.S. person. Use Form W-9 only if you are a U.S. person
(including a resident alien), to provide your correct TIN to the
person requesting it (the requester) and, when applicable, to:
1. Certify that the TIN you are giving is correct (or you are
waiting for a number to be issued),
2. Certify that you are not subject to backup withholding, or
3. Claim exemption from backup withholding if you are a
U.S. exempt payee.
In 3 above, if applicable, you are also certifying that as a
U.S. person, your allocable share of any partnership income
from a U.S. trade or business is not subject to the
withholding tax on foreign partners' share of effectively
connected income.
Note. If 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 similar to this Form W-9.
For federal tax purposes, you are considered a person if you
are:
III Partnership 0 Other ~ _ _ __ _ __ __ _ __ __ __ _
D Exempt from backup
withholding
Requester's name and address (optional)
~
or
Date .
. An individual who is a citizen or resident of the United
States,
. A partnership, corporation, company, or association
created or organized in the United States or under the laws
of the United States, or
. Any estate (other than a foreign estate) or trust. See
Regulations sections 301.7701-6(a) and 7(a) for additional
information.
Special rules for partnerships. Partnerships that conduct a
trade or business in the United States are generally required
to pay a withholding tax on any foreign partners' share of
income from such business. Further, in certain cases where a
Form W-9 has not been received, a partnership is required to
presume that a partner is a foreign person, and pay the
withholding tax. Therefore, if you are a U.S. person that is a
partner in a partnership conducting a trade or business in the
United States, provide Form W-9 to the partnership to
establish your U.S. status and avoid withholding on your
share of partnership income.
The person who gives Form W-9 to the partnership for
purposes of establishing its U.S. status and avoiding
withholding on its allocable share of net income from the
partnership conducting a trade or business in the United
States is in the following cases:
. The U.S. owner of a disregarded entity and not the entity,
Cat. No. 10231X
Form W -9 (Rev. 11-2005)
~osal for:
evo
Electrical
Systems, LLC
City of Ashland
Electric System Arc-Flash Hazard Assessment
Prepared by CVO Electrical Systems, LLC
Proposal Reference Number 042207
Contact Information:
David Castor, P.E.
CVO Electrical Systems, LLC
1600 SW Western Blvd, Suite 160
Corvallis, OR 97333
541.752.2829, Ext 21
David. castor@cvoes. com
Introduction
CVO Electrical Systems (CVOES) is pleased to provide this proposal to perform an arc-
flash hazard assessment of the City of Ashland's electrical distribution system with a
project scope as described below. If there are any questions regarding this proposal, or
any additional information is required please contact us at any time.
Objective
Provide a detailed arc-flash hazard assessment, in accordance with the requirements of
the 2007 NESC and, where applicable, NFPA 70E-2004 and IEEE 1584-2002, to identify
potential arc-flash risk levels for major electrical equipment in the City of Ashland
electrical distribution system. The scope of the hazard assessment will include the
following portions of the electrical system:
Mountain Avenue Substation
. City of Ashland owned substation distribution equipment downstream ofBP A's
12.47-kV, 1600A Disconnect Switch (L-621) located upstream of the City's
Voltage Regulator.
Ashland Substations
. City of Ashland owned substation distribution equipment downstream of
PacifiCorp's 12.47-kV, 1200A Circuit Breaker (5R241) load side disconnect and
by-pass switches.
@evo ELECTRICAL SYSTEMS, LLC - APRIL 2007 PAGE 1 OF 1
PROPOSAL 042207
12.47 kV Distribution System
. All City of Ashland Distribution Feeders
Low Voltage Equipment
. City of Ashland-owned service transformers, metering equipment and other low
voltage equipment that is part of the City of Ashland electrical distribution
system.
General
The project will consist of the following major tasks:
. Data collection to obtain necessary information for system analysis and modeling.
. Computer modeling of the electrical system using commercial software to
determine short circuit currents, fault clearing times and calculated arc energy.
/' Determination of fault clearing times for each major portion of the system.
~ Determination of expected worst-case arc-flash energy based on applicable
standards.
/" Determination of required PPE for each portion of the system based on applicable
standards and calculated arc-energy.
. Preparation of a concise Summary ofPPE Requirements suitable for field use.
. Prepare Arc-flash warning label PDF files where applicable with estimated energy
levels, PPE requirements, amplifying information.
. Prepare recommendations for PPE and energized work practices.
. Prepare a written draft and final report documenting the results of the Arc-Flash
hazard assessment.
Task Descriptions
Data Collection
We anticipate a two-step process in obtaining the necessary data in an efficient manner.
The first step would be to review all available relevant documentation on the electrical
system, including system maps, one-line diagrams, relay setting data and test reports.
This would allow us to develop basic system modeling, while noting areas where
additional information is needed. Any missing data would be collected by field
inspection. We anticipate up to 2 days of on-site data collection would be required.
System Modeling
An accurate computer model will be developed for the three-phase portions of the City of
Ashland electrical system. This model will be used to determine the available fault
currents and the expected fault clearing times. Supplemental calculations will be done
for single-phase and V-phase taps. The NESC arc-flash tables are based on arc-flash
calculations methods in the commercial software program ArcPro. This software is
applicable to overhead lines and outdoor substations, but not for low voltage systems or
@evo ELECTRICAL SYSTEMS, LLC - APRIL 2007 PAGE 2 OF 2
PROPOSAL 042207
enclosed equipment. The IEEE 1584 calculations are appropriate for the enclosed
equipment and low voltage systems.
The low-voltage calculations will be performed with other commercial software, such as
EasyPower. CVOES has both ArcPro and EasyPower software and we will use a
combination of both programs to determine the most appropriate arc-flash energy levels
and required PPE.
Protective Device Settings and Clearing Times
Because the calculated arc-flash levels are highly dependent on the fault duration, it is
necessary to determine the expected fault clearing times for each portion of the system.
Where protective device setting changes or replacement could result in significant
improvement in arc-flash energy estimates, recommendations will be provided for such
improvements. Further analysis, such as system protective device coordination studies,
may be recommended but are outside the scope of this study.
Arc-Flash Hazard Assessment
We will perform an arc-flash hazard assessment based on the scope of work and the
recommended practices of the 2007 NESC, IEEE 1584-2002 and NFPA 70E-2004 as
applicable. In general, the scope of the arc-flash study will extend from the interface
with the transmission system down to low voltage locations for which the utility has
ownership or responsibility
The arc-flash hazard assessment will include evaluation of the following system areas:
Substations
Available short-circuit currents and expected clearing times will be determined using the
EasyPower system model. Arc energy will be determined for each portion of the
substation using the ArcPro software in conjunction with the assumptions used in the
2007 NESC. For each substation, at a minimum the following areas will be computed
separately:
. Incoming primary system, including disconnect, circuit switcher and transformer
prImary
. Transformer and portions of the system within the transformer differential zone
. Secondary Bus through the feeder breakers or substation reclosers
. 12.47 kV feeders downstream of feeder breakers or reclosers. This would include
voltage regulators.
. Any metal-clad switchgear will be evaluated based on IEEE 1584-2002
requirements
For each substation, a concise table will be provided summarizing the required PPE for
each area in the substation. In addition, arc-flash warning label PDF files can be
provided. for major equipment, such as Circuit Switchers, Power Circuit Breakers, Circuit
Reclosers, Voltage Regulators, and Capacitor Banks.
@CVO ELECTRICAL SYSTEMS, LLC - APRIL 2007 PAGE 3 OF 3
PROPOSAL 042207
Distribution System
Medium voltage distribution systems will be evaluated using the tables in the NESC
where applicable. Clearing times will be based on recloser or relay fast curves assuming
all energized distribution work is conducted with upstream protective device in one-shot
or hot line tag mode. Special cases will be evaluated using Arc-Pro software. A concise
table of arc-flash hazard levels and PPE requirements indexed by feeder and, if
necessary, location will be provided. For distribution feeders that can be fed from
multiple substations or feeder positions, the worst-case arc-flash will generally be used.
We will also provide guidance on when the arc-flash levels need to be re-evaluated as the
system configuration changes or system improvements are made.
Low Voltage Equipment
Low voltage calculations will be based on the most current IEEE 1584 recommendations
and in compliance with NFP A 70E requirements. The calculations will provide the
maximum expected arc flash incident energy and arc-flash boundary at each piece of
electrical equipment covered in the scope of the study. We will evaluate the arc-flash
levels for each scenario and provide worst-case arc-flash results.
For 120/240 V locations recommendations will be provided for the applicability of the
NESC guideline ofPPE rated for 4 cal/cm2. For 480/277 V locations, the arc-flash
hazard is frequently higher than 4 cal/cm2 and a detailed assessment will be performed in
accordance with IEEE 1584. Per IEEE 1584 guidelines, arc-flash energy will be
determined at 100% and 85% of the calculated arcing current, and the worst-case arc
energy will be used.
A detailed arc-flash report will be provided that tabulates the arc-flash energy for the low
voltage equipment and provides the Flash Hazard Boundary at each location. We will
provide arc-flash label .PDF files for all major 480 V equipment such as padmount
transformers and 480 V metering equipment.
Project Deliverables
Project Report
A complete report summarizing the results of the study and our recommendations will be
provided. Prior to project completion we will issue a draft report for review by City of
Ashland. After review of the draft report and resolution of any concerns, we will issue
three (3) copies of the final report.
The report will also include the following information:
. Documentation of the system configuration and system data used.
. List of any necessary assumptions made
. Calculated short-circuit currents and fault clearing times
. Individual arc-flash summaries for the substations and each feeder
@evo ELECTRICAL SYSTEMS, LLC - APRIL 2007 PAGE 40F 4
PROPOSAL 042207
. Recommendations for PPE
Optional Services
· PowerPoint presentation to City of Ashland management and staff of the Arc
Flash Study results
· Customized, pre-printed weatherproof vinyl Arc-Flash warning labels.
· Review of existing City of Ashland work practices, standards and policies that
may be impacted by the study and make suggested changes based on the new
2007 NESC requirements.
Progress Reports
We will provide briefmonthly progress reports for the duration of the project outlining
project status, information required, and project financial information.
Relevant Experience
CVO Electrical Systems' engineers specialize in the analysis and design of electrical
power systems for industrial facilities and electric utilities. We have a wide range of
experience in electrical system analysis of all types and CVOES engineers have been at
the forefront in the application of the new emerging arc-flash standards for industrial,
commercial and utility clients. We have performed arc-flash hazard studies for several
major utilities and large industrial facilities. We have also taught numerous seminars on
the application ofNFPA 70E and IEEE 1584. The following projects are representative
of our unique variety of projects:
Dominion - Brayton Point Station - Protective device coordination study and arc-flash
hazard analysis for a 1200 MW coal-fired power plant near Boston, MA. This project
included a 345 kV substation.
Dominion - Salem Harbor Station - Protective device coordination study and arc-flash
hazard analysis of a 650 MW coal-fired power plant near Salem, MA.
TransCanada Hydro - Arc-flash hazard analysis of thirteen hydroelectric facilities on
the Connecticut and Deerfield rivers in Vermont, New Hampshire and Massachusetts.
Hawaiian Sugar & Commercial Company; Puunene, Maui, ID. - Complete power
system study, including short circuit, protective device coordination and power flow.
Alcoa Aluminum - Intalco Works, Femdale, W A. Complete power system study
including system modeling, short circuit, coordination and arc-flash.
Georgia-Pacific - Complete electrical system studies, including arc-flash hazard analysis
for large pulp and paper mills at Camas, Washington and Toledo, Oregon.
@evo ELECTRICAL SYSTEMS, LLC - APRIL 2007 PAGE 5 OF 5
PROPOSAL 042207
Staff
The engineering work for the Arc-Flash Hazard Analysis will be performed by David
Castor and Martin Stoddard. Mr. Castor has performed numerous arc-flash studies and
teaches seminars on conducting arc-flash hazard studies using EasyPower. He is a
registered Professional Engineer with over 30 years experience in the design and analysis
of electrical power systems of all types. Martin Stoddard is a registered professional
engineer and has performed numerous arc-flash hazard studies, including the Dominion
Energy Salem Harbor power plant, Georgia-Pacific Camas mill, and others. He regularly
conducts seminars on EasyPower including use of EasyPower for arc-flash studies.
Resumes are provided with this proposal.
Business Background
CVO Electrical Systems, LLC was formed in July 2005, when ESA, Inc was re-organized
into two separate companies. ESA, Inc was started in 1984 to provide electrical
engineering services and analysis software to the electric power industry. The ESA
office in Corvallis Oregon became CVO Electrical Systems, and we are focused
primarily on electrical consulting services. ESA, Inc remains owner and developer of the
EasyPower software products and also provides specialized consulting services.
The business goal of CVO Electrical Systems is to support the electrical industry by
providing ,an independent source of specialized expertise. This expertise can be used to
supplement an existing engineering team or it can be used to provide independent
analytical engineering services, such as specialized system design, specification
development, engineering studies and commissioning services.
By concentrating on analytical services, we are able to maintain the unique expertise
required for specialized studies such as conceptual design, protective relaying, short
circuit, power flow, transient stability, harmonics, power quality, reliability, energy
efficiency, lightning protection and motor starting.
Where system performance and reliability is essential, CVO Electrical Systems offers
power system design, plan development, and commissioning services. We focus on the
system view, taking into account the successful operation of the entire system along with
the individual components. This approach provides for significantly greater performance
and reliability as compared to only testing individual components. The highest level of
performance, reliability, and accountability can be achieved when project performance
specifications are developed with integrated commissioning criteria. This sets clear,
measurable performance goals for the manufacturers and the installers.
Proposed Cost for Engineering Services
Based on the Scope of Work described in this proposal, we propose to perform this work
on a time and expense basis, including all related expenses including:
. Computer services
. Printing/plotting
. TelephonelFax
@CVO ELECTRICAL SYSTEMS, LLC - APRIL 2007 PAGE 6 OF 6
PROPOSAL 042207
. Miscellaneous supplies and consumables
Assuming all work is completed before January 2008, we propose to provide the
engineering services described above for a total cost not to exceed $9,980.
This is based on the following cost detail breakdown:
Service Fee
Data Collection & Modeling $3,700.00
Engineering Analysis and Report $5,890.00
Site Visit Travel Costs (three trips) $390.00
TOTAL $9,980.00
This proposal is valid until December 2008.
Option for Arc-Flash labels
As an option, we can provide the printed arc-flash labels instead of just the PDF label
files. These are high-quality vinyl labels using Brady material. The cost for the labels
would be:
6" x 8" labels
$7.00Ilabel
$5.35/label
4" x 6" labels
Assumptions
System Scope
This proposal is based on the scope of work described above.
Data Collection
To the extent possible, required data will be obtained from the existing documentation or
from City of Ashland statI We have included costs for field data collection for up to 2
days on site to collect any additional information that may be necessary for the arc-flash
hazard studies.
Protective Device Clearing Times
Protective device clearing times will be based on manufacturers curves and settings either
field collected/verified or provided by City of Ashland statI Protective devices and
associated relaying are assumed to be operating normally and within calibration
tolerances. Clearing times for distribution feeders will be based on fast curves assuming
the devices are in one-shot or hot-line-tag modes.
@evo ELECTRICAL SYSTEMS, LLC - APRIL 2007 PAGE 7 OF 7
PROPOSAL 042207
Arc-Flash Hazard Analysis
Based on input from City of Ashland on the most common operating conditions, we will
evaluate up to 2 different operating scenarios in order to determine the worst-case arc-
flash energy for each bus.
Site Visits, Meetings and Travel
Our proposal includes 3 trips to the utilities site, a data-gathering visit, an interim meeting
to review the draft results, and a meeting to go over the final report.
Payments
CVO Electrical Systems will submit monthly invoices for progress payments based on
work actually completed.
Schedule
The following proposed schedule is based on time duration after receipt of a Notice to
Proceed.
Task After Notice to
Proceed
City of Ashland provides initial drawings and other data 2 weeks
Data Collection Completed 4 weeks
Preliminary modeling complete 5 weeks
Submit draft report 8 weeks
Comments received from the City of Ashland 10 weeks
Submit Final Report 12 weeks
This is a preliminary schedule and can be expedited. We will work closely with City of
Ashland to develop a schedule that meets your requirements.
Conclusion
We look forward to working with City of Ashland on this project and we appreciate your
trust and confidence in CVO Electrical Systems. If you have any questions, or require
any additional information, please do not hesitate to contact me at any time.
Respectfully Submitted,
CVO Electrical Systems, LLC
David P. Castor, P.E.
Principal
@evo ELECTRICAL SYSTEMS, LLC - APRIL 2007 PAGE 8 OF 8
PROPOSAL 042207
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CITY OF
ASHLAND
REQUEST FOR QUOTATIONS
Provide a detailed arc-flash hazard assessment, in accordance with the requirements of
the 2007 NESC and, where applicable, NFPA 70E-2004 and IEEE 1584-2002, to
identify potential arc-flash risk levels for major electrical equipment in the City of
Ashland electrical distribution system.
Please indicate your quotation for each of the following items as indicated below.
- -
. ...... ).
Item Description
Unit Price, if applicable
Amount
1 Data Collection
2 Prelimina S stem Modelin
3 Re ort Submission
4 Arc Flash Hazard Assessment
5 Warnin labels
PLEASE RETURN QUOTE BY: 9:00 AM Fridav. November 2. 2007
Date:
By:
~f,~ -N1.~ ,^<<.-p-
Ie
C.VO c\e.ct-r~<A.1 $y~)Uc
company
Address: lhOO S~ UJt,st~y~ Blvd
Svrk, II~O
Corv~ /1;$ ) of<
~1&3~
Phone: 5 4/;/ .l5~. ;..Bf)..q I i-d- {)!
,
Electric Division
20 E'. Main Street
Ashland, Oregon 97520
www.ashland.or.us
G:\pub-wrks\eng\dept-admin\ENGINEER\PROJECT\2007\2007 Arc Flash Study RFQ Ele Dept 10 07.doc
6
Tel: 541/488-5357
Fax:541~552-2436
TTY: 800/735-2900
r~'
CERTIFICATIONS OF REPRESENTATION
Contractor, under penalty of perjury, certifies that:
(a) The number shown on this form is its correct taxpayer 10 (or is waiting for the number to be issued to it; and
(b) Contractor is not subject to backup withholding because (i) it is exempt from backup withholding or (ii) it has
not been notified by the Internal Revenue Service (IRS) that it is subject to backup withholding as a result of a
failure to report all interest or dividends, or (iii) the I RS has notified it that it is no longer subject to backup
withholding. Contractor further represents and warrants to City that (a) it has the power and authority to enter
into and perform the work, (b) the Contract, when executed and delivered, shall be a valid and binding obligation
of Contractor enforceable in accordance with its terms, and
(c) The work under the Contract shall be performed in accordance with the highest professional standards, and
(d) Contractor is qualified, professionally competent and duly licensed to perform the work. Contractor also
certifies under penalty of perjury that its business is not in violation of any Oregon tax laws, and it is a
corporation authorized to act on behalf of the entity designated above and authorized to do business in Oregon
or is an independent contractor as defined in the contract documents, and has checked four or more of the
following criteria:
)( (1) I carry out the labor or services at a location separate from my residence or is in a specific portion of
my residence, set aside as the location of the business.
)( (2) Commercial advertising or business cards or a trade association membership are purchased for the
business.
)( (3) Telephone listing is used for the business separate from the personal residence listing.
)( (4) Labor or services are performed only pursuant to written contracts.
)( (5) Labor or services are performed for two or more different persons within a period of one year.
1 (6) I assume financial responsibility for defective workmanship or for service not provided as evidenced
by the ownership of performance bonds, warranties, errors and omission insurance or liability insurance relating
to the labor or services to be provided.
~CZiJ
ontractor
/ I /':'7 In 7
Date
Page 1 / 1
ASH LAN BITY RECORDE
20 E MAIN ST.
ASHLAND, OR 97520
(541) 488-5300
2/5/2008
08095
VENDOR: 010860
CVO ELECTRICAL SYSTEMS, LLC
1600 SW WESTERN BLVD, STE 160
CORVALLIS, OR 97333
SHIP TO: Ashland Electric Department
(541) 488-5354
90 N MOUNTAIN
ASHLAND, OR 97520
FOB Point:
Terms: Net 30 days
Req. Del. Date:
Speciallnst:
Req. No.:
Dept.: ELECTRIC
Contact: Scott Johnson
Confirming? No
ARC Flash Study for the Electrical
System
Not to exceed $10,000
10,000.00
Contract for Personal Services
Date of aQreement: 11/16/07
BeQinninQ date: 11/26/2007
Completion date: 01/01/2009
Insurance reQuired/On File
BILL TO: Account Payable
20 EAST MAIN ST
541-552-2028
ASHLAND, OR 97520
SUBTOTAL
TAX
FREIGHT
TOTAL
.
tb<
VENDOR COpy
CITY OF
. ASHLAND
REQillSITION
No. PW _ - FY 2008
Department ELECTRIC UTILITY Date November 16,2007
Vendor CVO ELECTRICAL SYSTEMS, LLC Requested Delivery Date ASAP
1600 SW WESTERN BLVD. STE 160 Deliver To DICK W ANDERSCHEID
CORVALLIS OR 97333 _ Via SCOTT JOHNSON
Account No. 690.11.18.00~ (* Note: Please allow approximately two(2) weeks for delivCJY on items not
6 t:' /f' I' ~ ~ caried in stored, and approximately two (2) months on printing jobs.)
.c/cL -' ::? ~ p- ~ /'. .
, If i:t~~.tt ~ '7~tt'Z;
/P-
Item No. Quantity
Unit
Description
ARC Flash Study for the electrical system
$ 10,000.00
~.ceJ
.-~9
Job No.
Unit No. I hereby certify that the above items are necessary for the operation
of this department and are budgeted
~tf~p~
Issued By
Date Received By
r~'
G:\pub-wrks\eng\dept-admin\ENGINEER\PROJECT\2007\2007 CVO Arc Flash Req 11 07.xls