Central Services <br /> Purchase Order Date Revision Pa a Finance/Purchasing <br /> g 100 West 10th Avenue, Suite 400 <br /> COE-2006100023 _ 07/13/2005 1 Eugene, Oregon 97401 <br /> Payment Terms Freight Terms Ship Via (541) 682-5055 <br /> N30_ Destination COMMON (541) 682-6233 Fax <br /> j Bu er: PW Admin-Svcs <br /> Date Needed: 02/07/2006 <br /> ~ • <br /> VENDOR: SHIP TO: <br /> MOUNTAIN STATE CONSTRUCTION City of Eugene Public Works <br /> 10757 YAQUINA BAY ROAD Administration Division <br /> TOLEDO OR 97391 858 Pearl Street 4th Floor <br /> Eugene OR 97401 <br /> Phone: 541-336-2595 <br /> Fax: 541-336-1307 <br /> Lirtee# Description Qty. /Unit Unit Price Total <br /> C0 per CO #1;increase amount by $26,961.76, new PO <br /> total $445,272.76. 2/7/06 DIF <br /> 1-1 GJN 4166 WW Pmp Stn Upgrdade per Contract #2005-00033 418,311.00 $ 1.00 418,311.00 <br /> Division Avenue Wastewater Pump Station Upgrade at <br /> Lone Oak Drive and Lone Oak Way. This project is to <br /> i upgrade the electrical componets and improve the <br /> wastewater system <br /> :Project Manager: John Bonham x5300, PWE <br /> Do not mail PO, send to Debbie Clark, PWA <br /> 2-1 Contingency 41,831.10 $ 1.00 41,831.10 <br /> I <br /> 3-1 Cd -GJN 4166 WW Pmp Stn Upgrdade per Contract 26,961.76 $ 1.00 26,961.76 <br /> #2b05-00033 <br /> 1 <br /> i <br /> ontract Number: 2005-00033 TOTAL' <br /> rice Agreement: ~ 487,103.86 <br /> I~JSTRUCTICINS TO VENDOR <br /> 1~ Show this purchase order number on all invoices, packages, and the City Purchasing Manager. <br /> related correspondence. 4. Acknowledge this order immediately and advise shipping date. <br /> Prepay al! shipping charges. Add agreed upon charges to invoice as 5. Invoice at time of shipment. <br /> separate line item. No collect shipments will be accepted. Mail invoices to: Accounts Payable, City of Eugene, Box 11110, Eugene, <br /> . Deduct all excise and sales taxes. Municipalities are exempt. Federal Oregon 97440-3310. Show to which City Department shipped. <br /> Exemption Certificate #93-730106K, copies of which are available from B. Federal Tax tD #93-6002160 <br /> <br /> Form PO-2 Rev. 0103 <br /> <br />