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CUNTRACT FEE SECTION <br />PREVAILING WAGE RATE UNIT <br />BUREAU OF LABUR AND INDUSTRIES <br />800 N.E.` UREGUN ST., #1045 <br />PURTLAND, UR 97232-2184 <br />For use by public agencies that. have contracted with a contractor on a public works project regulated by <br />qRS 279C.800 to 279C.870, in compliance with URS 279C.825. Also for use by public agencies that are a <br />party to a public works prof ect pursuant to ORS 279C.800~6}~a}~B} or (C}. <br />PUBLIC AGENCIES; Please complete and mail this form to BGLI 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 B4LI. The <br />minimum fee is $250.00; the maximum fee is $7,500.00. Without the following completed information, the <br />bureau may be unable to properly credit you for payment received. <br />PUBLIC AGENCY: Cit of Eu ene - En ineerin AGENCY #: 1336 <br />AGENCY CUNTACT PERSUN: Lynn Brogden ____ . _ PHgNE: ~541~,682-5238 <br />PRUJECT MANAGER NAME: Scott Milovich <br />PHUNE: 541 682-6086 <br />MARLING ADDRESS: 244 E. Broadwa Eu ene CR 97441 <br />PRUJECT NAME: Delta Ponds Ri arian Plantin <br />CUNTRACT NAME cif part of larger project}: <br />PRUJECT LUCATIUN: Delta Ponds off of Good asture Road <br />PRgJECT NUMBER: Job #4572 <br />DATE AWARDED: 111211200$ <br />CUNTRACTUR BUSINESS NAME ~DBA}: Second Growth Inc. <br />CUNTRACTUR CCB#: 75643 <br />CUNTRACT AMUUNT: 110 025.00 AMUUNT DUE: <br />Please duplicate this form for future use} <br />~~ <br />Contract amount x .001 <br />