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Central Services <br /> Purchase Order Date Revision Pa a Finance/Purchasing <br /> g 100 West 10th Avenue, Suite 400 <br /> COE-2005100455 06/02/2005 1 - 08/19!2005 3 Eugene, Oregon 97401 <br /> Payment Terms Freight Terms Ship Via (541) 682-5055 <br /> N30 Destination COMMON (541) 682-6233 Fax <br /> Bu er : PW Admin-Svcs <br /> Date Needed: 12/08/2005 <br /> ~ ~ <br /> VENDOR: SHIP TO: <br /> 2G CONSTRUCTION INC City of Eugene Public Works <br /> PO BOX 11735 Administration Division <br /> EUGENE OR 97440-3935 858 Pearl Street 4th Floor <br /> Eugene OR 97401 <br /> Phone: 541-689-3850 <br /> Fax: 541-689-3915 <br /> CHANGE ORDER <br /> Lin~# Description Qty. /Unit Unit Price Total <br /> I <br /> i <br /> 13-1 Change Order -Fund 311 20,000.00 $ 1.00 20,000.00 <br /> 4-1 Change Order -Fund 187 220,000.00 $ 1.00 220,000.00 <br /> j <br /> '5-1 Change Order -Fund 321 4,902.88 $ 1.00 4,902.88 <br /> ~6-1 Change Order -Fund 321 14,880.15 $ 1.00 14,680.15 <br /> I <br /> 1 <br /> -1 Change Order -Fund 321 82,215.36 $ 1.00 82,215.36 <br /> 1 <br /> Con ract Number: 2005 00025 TOTAL: <br /> Pric Agreement: 699,120.65 <br /> INS RUCTIONS TO VENDOR <br /> 1. S w this purchase order number on all invoices, packages, and the City Purchasing Manager. <br /> re ted correspondence. 4. Acknowledge this order immediately and advise shipping date. <br /> 2. Pr pay all ishippmg charges. Add agreed upon charges to invoice as 5. Invoice at time of shipment. <br /> s arate line item. No collect shipments will be accepted. Mail invoices to: Accounts Payable, City of Eugene, Box 11110, Eugene, <br /> . D uct all excise and sales taxes. Municipalities are exempt. Federal Oregon 97440-3310. Show to which City Department shipped. <br /> E mption Gertificate #93-730106K, copies of which are available from 6. Federal Tax ID #93-6002160 <br /> <br /> Form PO-2 Rev. 0103 <br /> <br />