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., -, t_Y <br /> • ., lob , 6/2E IS 1 co <br /> ou G�zwt ' P1ror:4a <br /> Jet l QAu.I N• 'Cc\v, ) CC.�u <br /> \ . <br /> SPECIAL PROJECTS GRANT APPLICATION SMALL PROJ ' > to 0 <br /> APPLICANT: Hendricks Park Rhododendron Garden <br /> Parent organization (if applicant is a committee or a local chapter) <br /> City of Eugene, Public Works Maintenance - Parks Services <br /> TITLE OF PROJECT: Printing Hendricks Park Rhododendron Garden Brochure and <br /> Index of Plants <br /> BRIEF DESCRIPTION OF PROJECT: Printing of a new garden brochure; includes <br /> updating photos, text and garden map and index of plants; 5000 copies of a new <br /> brochure <br /> AMOUNT OF GRANT REQUEST: $ 5,000 PRIORITY 1 of 1 (if more than one <br /> application is submitted) <br /> The undersigned, as proposer, declares that he /she has carefully examined the specifications and <br /> requirements of the Lane County Requests for Proposals for Tourism Special Projects, and agrees, if <br /> the proposal is accepted, that proposer will contract with the County to furnish services as specified, in <br /> accordance with the proposal offered here. <br /> The proposer may withdraw the proposal at any time prior to the date of the opening. However, all <br /> proposals shall be irrevocable for a period of 60 days from the date of the opening. <br /> By initialing this space Mr_ proposer hereby certifies that she /he has not discriminated against <br /> minority, women or emerging business enterprises in obtaining any required subcontracts. By initialing <br /> this space A proposer hereby certifies that to the best of proposer's knowledge, she/he is in <br /> compliance with all the Oregon tax laws described in ORS 305.380 (4). <br /> The proposer represents that the proposal is made without connection or agreement with any person, <br /> firm or corporation making a proposal for the same services, and is in all respects fair and without <br /> collusion. <br /> Name: Michael Robert Business i.d. #: 93- 6002160 <br /> Address: 1800 Skyline Blvd. Contact Person (if different) <br /> Eugene, OR. 97403 Name: same <br /> Phone #: (503) 687 -5324 Phone: same <br /> Signature of Official Applicant D ate <br /> 5-I-t1 e- of Or' �n <br /> l.- Rn e__ c__ <br /> Signed and swo to before me this ? day of i , 1995 by <br /> O ic,hQE R0b.er-I aq,Cl/ <br /> 4 <br /> Notary Public for the State of Of D r� <br /> My commission expires: 77/ 9 / �j 7 <br /> • <br /> • <br /> IIPPOILAIL <br /> . ,, : MARGARITA <br /> NOTARY mug . <br /> ( Pr, w aor__ * OOP <br /> CM XII 11, <br />