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N-j Y RECORDER
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ASHLAND CITY O F
DATE .. PO NUMBER;
,� 2L E MAIN ST. 7/20/2011 10315
ASHLAND, OR 97520
_ (541)488-5300
VENDOR: 010860 SHIP TO: Ashland Electric Department
CVO ELECTRICAL SYSTEMS, LLC (541)488-5354
1600 SW WESTERN BLVD, STE 160 90 N MOUNTAIN
CORVALLIS, OR 97333 ASHLAND, OR 97520
FOB Point: Req.No.:
Terms: Net 30 days Dept.:
Req.Del.Date: Contact: Dave Tygerson
Special Inst: Confirming? NO
.Auanti 'Unit=, `, ,:. - . �:�, '_ . , Description � .. . ;;� .. . Unit Price-' - .: _ Ext:,Price'
-...
Electrical Engineering Services FY 2012 50,000.00
Special Procurement
Approved by City Council 06/07/2011
Valid until 06/30/2016
Contract for Electrical Engineerinq
Services
Beginning date: July 1, 2011
Completion date: June 30, 2016
Insurance required/On file
SUBTOTAL 50 000.00
BILL To:Account Payable TAX 0.00
20 EAST MAIN ST FREIGHT 0.00
541-552-2028 TOTAL 50,000.00
ASHLAND, OR 97520
Account Numtiec,'�"� ..�;:Pro ectNumtier Amount," ` - '" --
J Account Number PioJect Number„ aw. -Amount_ ,.,_
E 690.11.18.00.60410 50 000.00
Authfatized Signature VENDOR COPY
FORM CITY OF
A request for a Purchase Order ASHLAND
REQUISITION Date of request:
Required date for delivery:
Vendor Name
Address,City,State,Zip t inn St,7 wQA A F)100 , S19' 16 o
Contact Name&Telephone Number ( ��/4 k.11s 02 9 7 -;5,!?-5
Fax Number t
SOLICITATION PROCESS
❑ Exempt from Competitive Bidding ❑ Emer-gencv
❑ Written Findings(Form attached) ❑ Invitation to Bid (Copies on file) ❑ Written findings attached
❑ Quote or Pro sal attached Date approved b Council: ❑ Quote or Proposal attached
❑ Small Procurement Cooperative Procurement
Less than$5,000 ❑ Request for Proposal (Copies on file) ❑ State of Oregon
Note:Total contract amount,including any Date approved by Council: Contract#
amendments may not exceed$6,000 ❑ State of Washington
Intermediate Procurement ❑ Sole Source Contract#
GOODS&SERVICES ❑ Written Findings(Form attached) ❑ Other government agency contract
$5,000 to$100.000 ❑ Quote or Proposal attached Agency
❑ (3)Written quotes attached Contract#
PERSONAL SERVICES D—Special Procurement ❑ Intergovernmental Agreement
$5.000 to$75,000 W—Written Findings(Form attached) Agency
❑ Less than$35,000,by direct appointment 9-Quote or Proposal attach d Contract#
El (3)Written proposals attached Date approved b Council: 4M--e,7— x Date approved by Council:
Description of SERVICES --,2o 16 Total Cost
e +-z-t. a-P
Y S
$ So
Item # Quantity Unit Description of MATERIALS Unit Price Total Cost
❑ Per attached QUOTE $ oa rwv
.—`Or47A .
k
Project Number______-___ Account Numbert 0/O- It - 00. teOq,tM Account Number___-__-__-
Account Number _ __ _ Account Number _ _ _
'Expenditure must be charged to the appropriate account numbers for the financials to reflect the actual expenditures accurately. Attach extra pages if needed.
By signing this requisition form,i certify that the information provided above meets the City's public contracting requirements,and the documentation can be provided
upon request.
Employee Signature: Department Head Signature:
Additional signatures(if applicable):
Funds appropriated for current fiscal year: �S / NO / ZO��
Finance Director Date
Comments:
i
G FinancelProcedure l4PTormslForm#3-Requisition.doc Updated on:7/15/2011
Contract for Electrical Engineering Services
CITY OF CONSULTANT: CVO Electrical Systems
ASHLAND CONTACT: Jerry Witkowski
20 East Main Street
Ashland, Oregon 97520 ADDRESS: 1600 SW Western Blvd., Suite 160,
Telephone: 541/488-6002 Corvallis, OR 97333
Fax: 541/488-5311
TELEPHONE: 541-752-2829
DATE AGREEMENT PREPARED: 06/27/2011 FAX: 541-752-4830
BEGINNING DATE: July 1, 2011 COMPLETION DATE: June 30, 2016
COMPENSATION: Per CVO Electrical Systems, LLC, Hourly Billing Rates for the City of Ashland attached as
Exhibit C. The funds that are budgeted for these services each fiscal year will determine the actual cost.
Additional cost may be incurred if an emergency dictates the need for additional services.
SERVICES TO BE PROVIDED: Electrical engineering services to be provided on an as needed basis.
ADDITIONAL TERMS: Approved as a Special Procurement on June 7, 2011.
FINDINGS:
Pursuant to AMC 2.52.040E and AMC 2.52.060, after reasonable inquiry and evaluation, the undersigned Department
Head finds and determines that: (1) the services to be acquired are personal services; (2) the City does not have
adequate personnel nor resources to perform the services; (3) the statement of work is consistent with the department's
plan for utilization of such personal services; (4) the undersigned consultant has specialized experience, education,
training and capability sufficient to perform the quality, quantity and type of work requested in the scope of work within the
time and financial constraints provided; (5) the consultant's proposal will best serve the needs of the City; and (6) the
compensation negotiated herein is fair and reasonable.
NOW THEREFORE, in consideration of the mutual covenants contained herein the CITY AND CONSULTANT AGREE as
follows:
1. Findings/ Recitations. The findings and recitations set forth above are true and correct and are incorporated herein
by this reference.
2. All Costs by Consultant: Consultant shall, at its 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.
3. 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 worker-like'manner and, if required to be registered, licensed or bonded by the State of
Oregon, are so registered, licensed and bonded.
4. 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.
5. Compensation: City shall pay Consultant for service performed, including costs and expenses, the sum specified
above. 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.
6. Ownership of Documents: All documents prepared by Consultant pursuant to this contract shall be the property of
City.
7. Statutory Requirements: ORS 279C.505, 279C.515, 279C.520 and 279C.530 are made part of this contract.
8. Living Wage Requirements: If the amount of this contract is$18,890 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 50% or more of the service work under
this contract. Consultant is also required to post the notice attached hereto as Exhibit B predominantly in areas where
it will be seen by all employees.
9. Indemnification: Consultant agrees to defend, indemnify and save City, its 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.
10. Termination:
a. Mutual Consent. This contract may be terminated at any time by mutual consent of both parties.
Contract for Electrical Engineering Services, 06127/2011, Page 1 of 5
b. City's Convenience. This contract may be terminated at any time by City upon 30 days' notice in writing
and delivered by certified mail or in person.
C. For Cause. City may terminate or modify this contract, in whole or in part, effective upon delivery of
written notice to Consultant, or at such later date as may be established by City under any of the following
conditions:
L If City funding from federal, state, county or other sources is not obtained and continued at levels
sufficient to allow for the purchase of the indicated quantity of services;
ii. If federal or state regulations or guidelines are modified, changed, or interpreted in such a way
that the services are no longer allowable or appropriate for purchase under this contract or are
no longer eligible for the funding proposed for payments authorized by this contract; or
iii. If any license or certificate required by law or regulation to be held by Consultant to provide the
services required by this contract is for any reason denied, revoked, suspended, or not renewed.
d. For Default or Breach.
i. Either City or Consultant may terminate this contract in the event of a breach of the contract by
the other. Prior to such termination the party seeking termination shall give to the other party
written notice of the breach and intent to terminate. If the party committing the breach has not
entirely cured the breach within 15 days of the date of the notice, or within such other period as
the party giving the notice may authorize or require, then the contract may be terminated at any
time thereafter by a written notice of termination by the party giving notice.
ii. Time is of the essence for Consultant's performance of each and every obligation and duty under
this contract. City by written notice to Consultant of default or breach may at any time terminate
the whole or any part of this contract if Consultant fails to provide services called for by this
contract within the time specified herein or in any extension thereof.
iii. The rights and remedies of City provided in this subsection (d) are not exclusive and are in
addition to any other rights and remedies provided by law or under this contract.
e. Obligation/Liability of Parties. Termination or modification of this contract pursuant to subsections a, b, or
c above shall be without prejudice to any obligations or liabilities of either party already accrued prior to such
termination or modification. However, upon receiving a notice of termination (regardless whether such notice is
given pursuant to subsections a, b, c or d of this section, Consultant shall immediately cease all activities under
this contract, unless expressly directed otherwise by City in the notice of termination. Further, upon termination,
Consultant shall deliver to City all contract documents, information, works-in-progress and other property that are
or would be deliverables had the contract been completed. City shall pay Consultant for work performed prior to
the termination date if such work was performed in accordance with the Contract.
11. Independent Contractor Status: Consultant is an independent contractor and not an employee of the City.
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.
12. 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 by them, and the approval by City of any assignment or subcontract shall not create any
contractual relation between the assignee or subcontractor and City.
13. Default. The Consultant shall be in default of this agreement if Consultant: commits any material breach or default
of any covenant, warranty, certification, or obligation it owes under the Contract; its QRF status pursuant to the QRF
Rules or loses any license, certificate or certification that is required to perform the Services or to qualify as a QRF if
consultant has qualified as a QRF for this agreement; institutes an action for relief in bankruptcy or has instituted
against it an action for insolvency; makes a general assignment for the benefit of creditors, or ceases doing business
on a regular basis of the type identified in its obligations under the Contract; or attempts to assign rights in, or
delegate duties under, the Contract.
14. Insurance. Consultant shall at its own expense provide the following insurance:
a. Worker's Compensation insurance in compliance with ORS 656.017, which requires subject employers to
provide Oregon workers' compensation coverage for all their subject workers
b. Professional Liability insurance with a combined single limit, or the equivalent, of not less than Enter one:
$200,000, $500,000, $1,000,000, $2,000,000 or Not Applicable for each claim, incident or occurrence. This is to
cover damages caused by error, omission or negligent acts related to the professional services to be provided
under this contract.
C. General Liability insurance with a combined single limit, or the equivalent, of not less than Enter one:
$200,000, $500,000, $1,000,000, $2,000,000 or Not Applicable for each occurrence for Bodily Injury and Property
Damage. It shall include contractual liability coverage for the indemnity provided under this contract.
d. Automobile Liability insurance with a combined single limit, or the equivalent, of not less than Enter one:
$200,000, $500,000, $1,000,000, or Not Applicable for each accident for Bodily Injury and Property Damage,
including coverage for owned, hired or non-owned vehicles, as applicable.
e. Notice of cancellation or change. There shall be no cancellation, material change, reduction of limits or
Contract for Electrical Engineering Services, 06/2712011, Page 2 of 5
intent not to renew the insurance coverage(s) without 30 days' written notice from the Consultant or its insurer(s) to
the City.
.f. Additional Insured/Certificates of Insurance. Consultant shall name The City of Ashland, Oregon, and its
elected officials, officers and employees as Additional Insureds on any insurance policies required herein but only
with respect to Consultant's services to be provided under this Contract. The consultant's insurance is primary and
non-contributory. As evidence of the insurance coverages required by this Contract, the Consultant shall furnish
acceptable insurance certificates prior to commencing work under this contract. The certificate will specify all of
the parties who are Additional Insureds. Insuring companies or entities are subject to the City's acceptance. If
requested, complete copies of insurance policies; trust agreements, etc. shall be provided to the City. The
Consultant shall be financially responsible for all pertinent deductibles, self-insured retentions and/or self-
insurance.
15. Governing Law; Jurisdiction; Venue: This contract shall be governed and construed in accordance with the laws
of the State of Oregon without resort to any jurisdiction's conflict of laws, rules or doctrines. Any claim, action, suit or
proceeding (collectively, "the claim") between the City (and/or any other or department of the State of Oregon) and
the Consultant that arises from or relates to this contract shall be brought and conducted solely and exclusively within
the Circuit Court of Jackson County for the State of Oregon. If, however, the claim must be brought in a federal
forum, then it shall be brought and conducted solely and exclusively within the United States District Court for the
District of Oregon filed in Jackson County, Oregon. Consultant, by the signature herein of its authorized
representative, hereby consents to the in personam jurisdiction of said courts. In no event shall this section be
construed as a waiver by City of any form of defense or immunity, based on the Eleventh Amendment to the United,
States Constitution, or otherwise, from any claim or from the jurisdiction.
16. THIS CONTRACT AND ATTACHED EXHIBITS CONSTITUTE THE ENTIRE AGREEMENT BETWEEN THE
PARTIES. NO WAIVER, CONSENT, MODIFICATION OR CHANGE OF TERMS OF THIS CONTRACT SHALL
BIND EITHER PARTY UNLESS IN WRITING AND SIGNED BY BOTH PARTIES. SUCH WAIVER, CONSENT,
MODIFICATION OR CHANGE, IF MADE, SHALL BE EFFECTIVE ONLY IN THE SPECIFIC INSTANCE AND FOR
THE SPECIFIC PURPOSE GIVEN. THERE ARE NO UNDERSTANDINGS, AGREEMENTS, OR
REPRESENTATIONS, ORAL OR WRITTEN, NOT SPECIFIED HEREIN REGARDING THIS CONTRACT.
CONSULTANT, BY SIGNATURE OF ITS AUTHORIZED REPRESENTATIVE, HEREBY ACKNOWLEDGES THAT
HE/SHE HAS READ THIS CONTRACT, UNDERSTANDS IT, AND AGREES TO BE BOUND BY ITS TERMS AND
CONDITIONS.
17. Nonappropriations Clause. Funds Available and Authorized: City has sufficient funds currently available and
authorized for expenditure to finance the costs of this contract within the City's fiscal year budget. Consultant
understands and agrees that City's payment of amounts under this contract attributable to work performed after the
last day of the current fiscal year is contingent on City appropriations, or other expenditure authority sufficient to allow
City in the exercise of its reasonable administrative discretion, to continue to make payments under this contract. In
the event City has insufficient appropriations, limitations or other expenditure authority, City may terminate this
contract without penalty or liability to City, effective upon the delivery of written notice to Consultant, with no further
liability to Consultant.
Certification. Consultant shall sign the certification attached hereto as Exhibit A and herein incorporated by reference.
onsulta�nt: City of Ashland
0
Signature Department a
' /C�Vict LRSTOf SEE %ualLB6�2G
Print Name Print Name
- /
lvlt'nM 44n4wd r 7�d/Zoi/
Title Date
W-9 One copy of a W-9 is to be submitted with G D 2��
the signed contract. Purchase Order No.
AP 04E9& FORM
SicfnKt re�
Date
Contract for Electrical Engineering Services, 06/27/2011, Page 3 of 5
EXHIBIT A
CERTIFICATIONS/REPRESENTATIONS: Contractor, under penalty of perjury, certifies that (a) the
number shown on the attached W-9 form is its correct taxpayer ID (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 IRS
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, (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) 1 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.
V (5) Labor or services are performed for two or more different persons within a period of one
V/ year.
(6) 1 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.
7L6/,Z61 I
Contractor (Date)
Contract for Electrical Engineering Services, 06/27/2011, Page 4 of 5
Cv
Electrica
SysteMS, LL
CVO Electrical Systems, LLC
Hourly Billing Rates For City of Ashland
Fiscal Year(1 Jul- 30 June)
Grade Description 2011-12 2012-13 2013-14 2014-15 2015-16
EN5 Principal 125.00 125.00 130.00 130.00 135.00
Engineer
EN4 Senior Engineer 105.00 105.00 110.00 110.00 115.00
EN3 Lead Engineer 95.00 95.00 95.00 100.00 100.00
EN2 Engineer 80.00 80.00 85.00 85.00 85.00
EM Engineer 70.00 70.00 75.00 75.00 75.00
TE CAD Technician 60.00 60.00 60.00 60.00 65.00
OA Office Support 50.00 50.00 50.00 50.00 55.00
Expenses
Direct Expenses billed at cost plus 10%.
1600SW WESTERN BLVD,SUITE 160 ■ CORVALLIS,OR 97333 ■ PHONE(541)752-2829 ■ Fm(541)752-4830
From:Liz Stevens FaxID: Page 2 of 2 Oate:7/62011 11:09 AM Page:2 of 2
-� CVOELEC-01 LIST
�.coRO CERTIFICATE OF LIABILITY INSURANCE
DATE 6/1412011 WI
6/1412011
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 (541) -1321 CONTACT
( )757 NAME: Sharon King
Barker-Uerlings Insurance Inc O EN: 541)757-1321 x314 INC,No): (541)757-1328
340 N W 5th Street _
P O Box 1378 ADDRESS: sharonk barkeruerlings.com
Corvallis,OR 97339 INSURER(SI AFFORDING COVERAGE NAICY
INSURERA:Harttord Casualty Insurance Company
INSURED CVO Electrical Systems, LLC INSURER B:Twin City Fire Insurance Company
1600 SW Western Blvd., Suite 160 INSURER C:U S Specialty Insurance Company
Corvallis,OR 97333- INSURER D:
' INSURER E
NSURER 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 REOUIREMENT,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.
INS. POLICY EFF POLICY EXP
LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MMIDDIYYYY MMIDDIYYYY LIMITS
GENERAL LIABILITY EACH OCCI IRRENCE £ 1,000,000
• X COMMERCIALGENERALLIABILITY 52SBATL7259 715/2011 7/512012 PREMISES EA OCCnrznnca ¢ 300,00
CLAIMS MADE HI OCCUR MED EXP(A+ly onx Pxr sun) ¢ 10,000
PERSONAL d ADV INURY £ 1,000,000
GENERAL ASGREGATE £ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS-COMPIOP AGO £ 2,000,000
POLICY
F7
PRO ECT LOC £
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000
Ea ecddentl $
• Ix AMY AUTO 52SBATL7259 7/512011 7/512012 BODILY INJURY(Pxr nxrmm ¢
ALL OWNED SCHEDULED
At ROS Al1TD5 BODILY INJURY IPw n[nrler,l) £
NOIJOWNED PROPERTY DAMAGE £
HIRED AUTOS X AUTOS Per necident
UMBRELLA LIAR OCCUR EACH OCCURRENCE £ 1,000,000
A EXCESS LIAR CLAIM,4MADE 52SBATL7259 7/512011 715/2012 AGGREGATE ¢ 1,000,000
DED I X RETENTION $ 10,000 ¢
WORKERS COMPENSATION X WCSTATU OTFL
AND EMPLOYERS'LIABILITY TORY LIMITS ER
B ANY rROPRIETORIPAFTNER/EXECUTIVE Y❑ E
NIA 52WECNZ9065 7/5/2011 7/5/2012 L EACH ACCIDENT t 500,000
OFFICER/MEMBER EXCLUDED4
(Mandatory In NH) EL DISEASE-EA EMPLOYEE 3 500,000
It yxq tlxL:nne uutlxr
DESCRIPTION OF OPERATIONSI,nIow E.LDISEASE-POLICYLIMIT £ 500,000
C Professional Liability LISS 10 20742 9/112010 9/1/2011 Claims Made Basis 1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Addltlonal Remarks Schedule,It more apace ie required)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Ashland THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN
ty ACCORDANCE WITH THE POLICY PROVISIONS.
Attn: Karl Olson
90 North Mountain Ave. AUTHORIZED REPRESENTATIVE
Ashland,OR 97520-
O 1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD
From Liz Stevens FaxID: Page 1 of 2 Date:7/02011 11:09 AM Page:1 of 2
DARKER UERLINC3 "yy
1 N S U R A N C E
P O Hox 1378 CORVAELiS OR 97339 Phone! (541)757-1321 Fax= (541)757-1325 ukswanceQbarkenpedings.ccrn
Fax
From: Liz Stevens To: Kari Olson/City of Ashland
Pages: 2 Fax: 5414885320
Date: 7/6/2011 11 :09:16 AM Phone: ( ) -
Subject: Certificate of Insurance/City of Ashland
Message:
Attn: Kari Olson
Please see attached certificate of insurance from CVO Electrical Systems, LLC
Thank you,
Liz Stevens
cc: Audrey Irvin/CVO Electrical Systems, LLC