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O F' ~ <br /> ~ * ' ° re on Bureau of Labor and Industries <br /> <br /> F: <br /> ~ Brad Avakian <br /> - Commissioner <br /> •65B <br /> October 14, 2008 <br /> CITY OF EUGENE <br /> ENGINEERING DIVISION / BROGDEN <br /> 244 E BROADWAY <br /> EUGENE, OR 97401 <br /> PA~~MENT RECEIPT FOR PUBLIC WOF:KS FEE <br /> (ORS 839-025-0210) <br /> Name of Project: 2008 WASTEWATER MANHOLE REHABILITATION #59908 <br /> This certificate is-proof the CITY-OF EUGENE, ENGINEERING DIVISION / BROGDEN - <br /> made afee payment of $250 for the public works project named above, based on the contract <br /> awarded to 2G CONSTRUCTION (DBA) (CCB#: 40559) on 12-SEP-08, leaving a balance of $0 <br /> for this contract. <br /> As-required by_ORS_279C.825 and OAR 839-Q25-0210, the agency.shall,_upon completion of <br /> the contract, determine the final contract price, including change orders and adjustments to the <br /> contract. If the final contract price varies by $100,000 or more, the agency shall submit any <br /> additional payment or request for refund of fees, using form WH-40, to the bureau within 30 <br /> days of final payment to the contractor by the agency. <br /> PORTLAND EUGENE BEND MEDFORD <br /> 800 NE Oregon St. Suite 1045 1400 Executive Parkway, Suite 200 Worksource Bend 119 N Oakdale Ave. <br /> Portland, OR 97232; <br /> 2180 Eugene, OR 97401-2158 1645 NE Porbes Rd, Ste 106 Medford, OR 97501-2629 <br /> (971) 673-0763 (541) 686-7623 Bend, OR 97701-4990 ~ (541) 776-6270 <br /> Pax (971) 673-0762 FAX (541) 686-7980 (541) 322-2435 PAX (541)776-6284 <br /> TTY (971) b73-0766 FAX (541) 389-$265... <br /> SALEM PENDLETON <br /> 3865 Wolverine St. NE; E-1 1327 SE 3~d St. <br /> Salem, OR 97305-1268 Pendleton, OR 97801-4101 <br /> (503> s7s-3292 www.oregon.gov/boli (541) 276-7ss4 <br /> FAX (503) 373-7636 AN EQUAL OPPORTUNITY EMPLOYER FAX (541) 276-5767 <br /> <br />