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Central Services <br /> Purchase Order Date Revision Page Finance/Purchasing <br /> 100 West 10th Avenue, Suite 400 <br /> COE-2007100027 07/20/2006 1 Eugene, Oregon 97401 <br /> Payment Terms Freight Terms Ship Via (541) 682-5055 <br /> NOW Destination COMMON (541) 682-6233 Fax <br /> Bu er: PW Admin-Financial Svcs <br /> Date Needed: 12/07/2006 <br /> • ~ - ' ~ • - <br /> VENDOR: SHIP TO: <br /> CH2M HILL INC City of Eugene Public Works <br /> 825 MULTNOMAH, SUITE 1300 Administration Division <br /> PORTLAND OR 97232-2146 858 Pearl Street 4th Floor <br /> Eugene OR 97401 <br /> Phone: 503/872-4458 <br /> Fax: 503/736-2019 <br /> Line# Description Qty. l Unit Unit Price Total <br /> Change Order #1: Per Amendment #5, increase PO by <br /> $1,650.00, new PO total $53,150.00. 12/7/06 jpf <br /> 1-1 GJN3984 Water Qlty Impr 51,500.00 EA 1.00 51,500.00 <br /> Phase III Final Design. Execution of the Polk Street <br /> Outfall Water Quality Improvement Project. <br /> POOL Contract #2005-00208 #3 <br /> Project Manager: Terry Colvin x5398, PWE <br /> Send copy of PO to Debbie Clark x5728, PWA <br /> 2-1 Change Orders -GJN3984 Water Qlty Impr 1,650.00 EA 1.00 1,650.00 <br /> Contract Number: TOTAL' <br /> Pride Agreement: POOL #2005-00208#3 ~ 53,150.00 <br /> INSTRUCTIONS 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 all shipping charges. Add agreed upon charges to invoice as 5. Invoice at time of shipment. <br /> separate line item. No collect shipments wilt be accepted. Mail invoices to: Accounts Payable, City of Eugene, Box 11110, Eugene, <br /> 3. D®duct 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 6. Federal Tax ID #93-6002160 <br /> <br /> Form PO-2 Rev. 0103 <br /> <br />