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. l <br /> En~irheering and <br /> ConStruc~ion Ag Bement Engineering <br /> City of Eugene <br /> 858 Pearl <br /> Job Number: Contract Number: Eugene, OR 97401 <br /> (541)682-5291 <br /> Capital Project Number: FAX: (541) 682-5032 <br /> The undersigned Own r requests the Public Improvements as described below: <br /> Type of impr vement: ~i/fN(o G1/~QSTC'yt/ATFK ST~2.Ti'T~ L~~,r~TS <br /> (Paving, wastewater, stormwater, street lights) <br /> Location: /c- ~~5~ K T /T/G <br /> (Street or easement. If a subdivision, print subdivision name) <br /> North or east limit: South or west limit: <br /> (except for subdivisions) (except for subdivisions) <br /> be esigned and cons rutted during the ~U s or subsequent construction season in the following manner (check one): <br /> (Year) <br /> 1. As a Ci engineered and constructed project (eligible for assessment financing). <br /> City agr es: <br /> a) to perform engineering design, cost estimate, award of contract, construction inspection, and assessment <br /> it tabulation for the improvements; <br /> b) to participate in the cost of necessary additional capacity of improvements beyond the assessable amounts <br /> as stipulated in the Eugene Municipal Code. <br /> Owner grees: <br /> a) to pay all engineering and construction costs which are not eligible for assessment financing. <br /> b) if the undersigned owner chooses to discontinue the City engineering and construction process prior to <br /> execution of a construction contract, the owner further agrees to pay all engineering and other project-related <br /> costs incurred by the City to that point, and to comply with paragraph 2 below, if applicable. <br /> 2. As a pri ately engineered and constructed project with private financing arranged by the Owner. <br /> Owner grees: <br /> a) to install all required public improvements at no cost to the City; <br /> b) to pay actual City costs incurred for plan review and processing, inspection, materials testing, and other <br /> engineering services, all of which will be billed and payable monthly with final payment due prior to City's <br /> final acceptance of the completed improvements. <br /> c) to provide the City a bond, which includes aone-year warranty period, in an amount sufficient to cover all engineering and <br /> construction costs associated with completion of the required public improvements. <br /> d) to pay other charges and levies for public improvements, if required. Other charges may include, but are not limited to: <br /> 1) penalty charges: in the event the property owner fails to make payment when due under this agreement, the property <br /> owner shall be charged a penalty in the amount of $25 or ten percent (10%) of the past due amount, whichever is <br /> greater. Payment of the penalty shall not consitute a waiver by the City of its other remedies. <br /> 2) interest charges: property owner shall pay interest on all past due amounts at the rate of eighteen percent (18%) <br /> per annum from the due date until paid. This sum shall be in addition to penalty charges. <br /> PROPERTY O NER CO-OWNER CITY OF EUGENE <br /> tcl~ I ~-d ~ • ~ ~N <br /> PRO E W A 'nt) 4 CO- N/ER'S NAME (pant) SIGNATURE <br /> SI UR SIGNATURE TITLE <br /> DAT DATE DATE <br /> ~eSS e fj <br /> ADD ESS ADDRESS 777 PEARL STREET <br /> u ~ u' ' 7 0 ~ EUGENE, OREGON 97401 <br /> Crrv! / ST /ZIP CITY /STATE / ZI P <br /> PHO E NUMBER ( sines hou ) PHONE NUMBER (fwsiness hours) <br /> <br /> ENG(429)'', j ORIGINAL/CITY YELLOW/OWNER PINK/INSPECTOR FEBRUARY2d02 <br /> <br />