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~~ 83 8a <br />~ <br />M <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•q3~~r-~,~~~- `~95342 <br />¢y =i, For Office Use Onty <br />~:;~ ~.' ~ <br />P"ro~ect'DB`# 58824 .~~~µ~ > <br />PUBLIC WORKS FEE INFORMATION 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 9740~ <br />AGENCY CONTACT PERSON: Lvnn Brogden PHONE: 1~41 1 682-5238 <br />PROJECT MANAGER NAME: Ter~ Higgins PHONE: ( 541) 682-8462 <br />PROJECT NAME: EUGENE AIRPORT TERMINAL RAMP RECONSTRUCTION,SEC.1 <br />CONTRACT NAME (if part of larger project):EUGENE AIRPORT TERMINAL RAMP <br />RECONSTRUCTION,SEC.1 <br />PROJECT LOCATION: EUGENE AIRPORT, EUGENE <br />~ PROJECT NUMBER: 4417/200800019 DATE AWARDED: 27-Mar-OS <br />CONTRACTOR BUSINESS NAME (DBA): WILDISH CONSTRUCTION CO <br />CONTRACTOR CCB#: 695 CONTRACT 1s1 ADVERTISED FOR BID: 13-Feb-08 <br />CONTRACT AMOUNT: $977,090.70 <br />AMOUNT DUE: $977.09 <br />Contract amount x .001 <br />WH-39 (Rev. 11/07) <br />