r <br /> o CONTRACT FEE SECTION <br /> ~ PREVAILING WAGE RATE UNIT <br /> a'. BUREAU OF LABOR AND INDUSTRIES <br /> ~ ~ 800 N.E. OREGON ST., #1045 <br /> PORTLAND, OR 97232-2180 <br /> 2 PHONE: (971) 673-0852 <br /> 1 For~Office Use.Only <br /> FAX: (971) 673-0769 ~ ~ ~ <br /> ~ ~ _ , <br /> Pro~ect?DB~#:58824 - <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 /> <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 /> minimu~ri- 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 DIVISION / BROGDEN AGENCY #:1336 <br /> ....MAILING-ADDRESS: 244 E, Broadway, Eugene. OR __9740__ <br /> AGENCY CONTACT PERSON: Lynn Brogden PHONE: ii41 ) 682-5238 <br /> PROJECT MANAGER NAME: Teri 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 AIltPORT, EUGENE <br /> . ~ PROJECT-NUMBERr 4417/200800019 DATE AWARDED:, 27-Mar-08 <br /> CONTRACTOR BUSINESS NAME (DBA): WILDISH CONSTRUCTION. CO <br /> CONTRACTOR CCB#: 695 CONTRACT ls` ADVERTISED FOR BID: 13-Feb-08 <br /> CONTRACT AMOUNT: X977.090.70 <br /> AMOUNT DUE: X977.09 <br /> Contract amount x .001 <br /> WH=39 (Rev. 11107) <br /> <br />