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r :, ~Po aoo~a~$~op- nil~ ~~~c~l - . ~~~,o`~ ~~z~ld~ ~~ ~ ~ ACCREDITATION COUNCIL ~ OF THE AMERICAN PUBLIC WORKS ASSOCIATION CHECKLIST AND APPLICATION FOR RE~UESTING SITE EVALUATION FOR VOLUNTARY RE-ACCREDITATION Public Works Management Practices Manual - Fifth Edition 0 Agency Name: *_City Of Eugene, Oregon Public Works Department *An entire operating division of a public works agency can apply for accreditation if it is a separate, semi-autonomous unit of government. Street Address: SSS Pearl Street, Suite 400 City: `_Eugene ~ State: _Oregon Zip: _97401 Mailing Address: City: (if different from street address) State: • Parent Agency's Chief Executive Officer; _Jon R. Ruiz Title: _City Manager o Public Works Agency's Chief Executive: Title: Director of Public Works Phone: _541-682-5241_ APWA Member? APWA Agency Member? Kurt A. Corey FAX: 541-682-6826 X -- Yes, I.D. Number _ Zip: Elected - ~ Or Appointed - X Elected - ^ Or Appointed - X E-Mail kurt.a.core~(a~ci.eu~ene.or.us 44131 ^ -- No X-- Yes, Contact Kurt Corey ^ -- No • Public Works Agency's Accreditation Manager: _G~ry McNeel and Carla Spangler Title: _Sr. Management Analyst and Technical Specialist 2 APWA Member? X-- Yes, I.D. Number 601334 ^-- No Phone: _541-682-8451; 541-682-4894_ FAX: 541-682-5598;_ 541-682-488Z E-Mail, garv.a.mcneel~a,ci.eugene.or.us; carla.y.span~ler(a~ci.eugene.or.us The public works agency is responsible for the Functional Areas, which are checked on the reverse side of this application form. A total of Functional Areas have been checked. The agency is responsible for complying with all recommended practices in the Functional Areas which the public works agency has responsibility. Each area is covered by a separate chapter in the Public Works Management Practices Manua! and forms the basis for fees charged for the accreditation process. We hereby appty for a site evatuation for voluntary accreditation by the Accreditation Council of the American Public Works Association. By this application, the agency affirms that we are in compliance with all applicable practices, have submitted the findings of the Agency's Self Assessment to the elected governing body, and are prepared to demonstrate compliance through written documentation. The agency is prepaced to provide such documentation and information necessary for the Council to fairly evaluate the agency's eligibility for accreditation. Agency will indemnify and hold harmless APWA and the Council from liability, claims, suits, expenses, including court costs and attorneys' fees, and other obligations arising o~t of or attributable to, APWA's and the Council's negligence in such accreditation. Agency releases APWA and the Council, and will indemnify them against and hold them harmless from, any claim or liability of Agency or its employees and agents, for damages for defamation, libel or slander, arising out of, or attributable to, Agency's Application for Accreditation and/or the approval, denial, renewal or termination thereof. The Agency hereby requests that a site evaluation be scheduled upon the determination by the Accreditation Council that the required info:marion has been submitted, as enumerated in this checklist or subsequenf correspondence. Executed this _18th day of _April , 2008 By: ~---- -~_ , , Title: _City Manager Jon R. Ruiz ~ (typed or printed name) ~ f J i V 'rl-V `