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~. <br />., <br />CONTRACT FEE SECTION <br />PREVAILING WAGE RATE UNIT <br />BUREAU OF LABOR AND INDUSTRIES <br />800 N.E. OREGON ST., #1045 <br />PORTLAND, OR 97232-2180 <br />PHONE: (971) 673-0852 <br />FAX: (971) 673-0769 <br />5~a- 933y-~~ ~c~-~gs~~ z <br />'For Office Use Oniy <br />~~ <br />Project, DB #.59U37 : <br />PUBLIC WORKS FEE INFORM[A~'ION FORM <br />For use by public agencies that have contracted with a contractor on a public works project regulated by <br />ORS 279C.800 to 279C.870, in compliance with ORS 279C.825. Also for use by public agencies that are a <br />party to a public works project pursuant to ORS 279C.800(6)(a)(B) or (C). <br />PUBLIC AGENCIES: Please complete and mail this form to BOLI at the above address, along with the public <br />works fee of one-tenth of one percent of the contract price (contract amount x.001), payable to BOLI. The <br />minimum fee is $250.00; the maximum fee is $7,500.00. Without the following completed information, the <br />bureau may be unable to properly credit you for payment received. ~ ~ <br />PUBLIC AGENCY: CITY OF EUGENE. ENGINEERING DNISION / BROGDEN AGENCY #:1336 <br />MAILING ADDRESS• 244 E. Broadway, Eugene, OR 97408 <br />AGENCY CONTACT PERSON: Lynn Brogden PHONE: (541 ) 682-5238 <br />PROJECT MANAGER NAME: Teri Higgins PHONE: (~41 ~ 682-8462 <br />PROJECT NAME: EUGENE AIRPORT 2008 REHABILITATION SOUTH RAMP <br />CONTRACT NAME (if part of larger project):EUGENE AIRPORT 2008 REHABILITATION SOUTH <br />RAMP <br />PROJECT LOCATION: EUGENE AIRPORT, EUGENE <br />, ,.., . ,, , _.. : <br />,.: <br />`` PROJECT NUMBER: BID#~/4530/200800026 DATE AWARDED: 6-Jun-08 T ' <br />CONTRACTOR BUSINESS NAME (DBA): KNIFE RIVER (DBA) <br />CONTRACTOR CCB#: 2101 CONTRACT lst ADVERTISED FOR BID: 20-Mar-08 <br />CONTRACT AMOUNT: $673,376.00 <br />AMOiJNT DUE: $673.38 <br />~ ~~3$~ <br />~b a0 <br />Contract amount x .001 <br />WH-39 (Rev. 11/07) <br />