New Search
~` <br />2~~~ <br />®Ar~: ° <br />rr~rrrsa~.s -~-__ <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 />For Office Use Only: <br />Project DB #: <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 BOLL 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 AGENCY #: 1336 <br />AGENCY CONTACT PERSON:. inn Brogden PHONE: X541) 682-5238 <br />PROJECT MANAGER NAME: Matt Rodrigues PHONE: (541) 682-6036 <br />MAILING ADDRESS: 244 E. Broadway ,,Y <br />PROJECT NAME: 2008 Pavement Preservation Program-Roosevelt Blvd. from Beltline Highway to Chambers <br />Connector (Federal Aid Project #X-STP-2385 (0580 <br />CONTRACT NAME (if part of larger project): <br />PROJECT LOCATION: Roosevelt Blvd. from Beltline Highway to Chambers Connector <br />PROJECT NUMBER: 4479 DATE AWARDED: 9/12/2008 <br />CONTRACTOR BUSINESS NAME (DBA): Eugene Sand Construction Inc. <br />CONTRACTOR CCB#: 177967 <br />CONTRACT AMOUNT: $1,677,137.85 .AMOUNT DUE: 1 t l~ ~ ~o <br />Contract amount x .001 <br />(Please duplicate this form for future use) <br />