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a' , <br /> Engpneering and <br /> Con'~struction A ement ~ ~ ~ Public w°rks <br /> g Engineering <br /> City of Eugene <br /> 858 Pearl <br /> J~b!,Number: ~ Contract Number: Eugene, OR 97401 <br /> (541)682-5291 <br /> i Capital Project Number. FAX: (541)682-5032 <br /> 1 ~ <br /> T~1e undersigned Own r requests the Public Improvements as described below: <br /> I I <br /> Type ofimpro ement: nr4VI?VG. W.rk'S?~IrLly4'CidC..S2oethn~N(k?E~-.5"irLrE~,'( ~lGt{Z3 <br /> ~ I (Paving, wastewater, stormwater, street lights) <br /> 1 ~ Location: ~ ~ <br /> (Street or easement. If a subdnision, print subdivision name) <br /> i <br /> ' North or east I mit: LE ` ~ I f`'d South or west limit: t','I L~ <br /> (except for subdivisions) (except for subdivisions) <br /> I <br /> bg designed and const cted during the or subsequent construction season in the following manner (check one): <br /> (Year) <br /> ? 1. As a C' engineered and constructed project (eligible for assessment financing). <br /> City ag s: <br /> a) to perform engineering design, cost estimate, award of contract, construction inspection, and assessment <br /> 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 Munidpal Code. <br /> I Owner a Tees: <br /> a; a) to pay all engineering and construction costs which are not eligible for assessment finanang. <br /> i~+' j 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 /> i costs incurred by the City to that point, and to comply with paragraph 2 below, if applicable. <br /> i <br /> 2. As a pri ly engineered and constructed project with private financing arranged by the Owner. <br /> Owner a rees: <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 sons-year warranty period, in an amount sufficient to cover all engineering and <br /> construction costs assoaated 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 /> I <br /> PROPERTY O ER CO-OWNER CITY OF EUGENE <br /> G ~ <br /> ER'S ( CO-OWNER'S NAME (print) SIGNATURE <br /> SI RE SIGNATURE TITLE <br /> G S <br /> D TE DATE DATE <br /> ~A-f;l.~ t~tl..t_ <br /> R GG ADDRESS 777 PEARL STREET <br /> ~',VC,F,1Jl~ ~ "~~~5 EUGENE, OREGON 97401 <br /> /STATE /ZIP CITY /STATE /ZIP <br /> ~ 5- 6 <br /> N N BER (business hours PHONE NUMBER (business hours) <br /> <br /> ENG(429) ORIGINAL/CnY YELLOW/OWNER PINK/INSPECTOR FEBRUARY20G2 <br /> <br />