New Search
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:O~'ice.Use Oily: <br />Project I)B:#: <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 -Public GTorks (Eng) AGENCY #: 1336 <br />AGENCY CONTACT PERSON: Lynn. Brogden PHONE: 541) 682-5238 <br />PROJECT MANAGER NAME: dBHn Bonham PHONE: (541) 682-5300 <br />MAILING ADDRESS: 244 E. Broadway, Eugene, Oregon 97401 <br />PROJECT NAME: Legacy Wastewater intercepttor -Phase II from Royal Avenue to <br />Terry Street <br />CONTRACT NAME (if part of larger project): <br />PROJECT LOCATION: Royal Avenue to Terry Street <br />PROJECT NUMBE~t: ~~Ah #~a514 DATE AWARDED: 03/27/08 <br />CONTRACTOR BUSINESS NAME (DBA): C ~ M Construction, Inc. <br />CONTRACTOR CCB#: 64507 <br />CONTRACT AMOUNT: $1,169,978.20 AMOUNT DUE: ~ 1 ~ 1,10 a~ <br />Contract amount x .OQ.1 <br />(Please duplicate this form for future use) <br />W'H-39 (Ftev. 11%07) <br />SCAtyI ~~~PWA <br />PATE: `~ l~ U <br />INITIALS' (~ <br />\\ . <br />~~o~ 2 <br />~_~~s~ <br />