New Search
~ a~53 <br /> o F o ~ = 02 ~ ~ I ~ ~ CONTRACT FEE SECTION <br /> ~4i PREVAILING WAGE RATE UNIT <br /> : O BUREAU OF LABOR AND INDUSTRIES <br /> F : ~ : O 800 N.E. OREGON ST., #1045 <br /> m = - ~ t PORTLAND, OR 97232-2180 <br /> PHONE: (971) 673-0852 <br /> lgs9 FAX: (971) 673-0769 For Office Use Only: <br /> Project DI3 <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: Cit oy f Eugene - En ineering AGENCY 1336 <br /> AGENCY MAILING ADDRESS: 99 E. Broadway Suite 400 <br /> CITY, STATE, ZIP: Eugene, OR 97401 <br /> AGENCY CONTACT PERSON: Lynn Brogden PHONE: (541) 682-5238 <br /> PROJECT MANAGER NAME: Matt Rodrigues PHONE: (541) 682-6036 <br /> PROJECT NAME: 2009 Pavement Preservation Program- 1) W. 11~` Ave. from Garfield St. to Tvinn St. (Job #43402 <br /> 2) 6`~' and 7~` Avenues from High St. to Washington St. (Job #4529) <br /> CONTRACT NA1V~E (if part of larger project): <br /> PROJECT LOCATION: W. 11`i' from Garfield St. to Tyinn St. 2) 6th & 7`~ Avenues from High St. to Washin on St. <br /> PROJECT NO: 4340 & 4529 DATE CONTRACT FIRST ADVERTISED: May 12, 2009 <br /> Contract #2009-00025 <br /> DATE CONTRACT AWARDED: June 15, 2009 CONTRACTOR CCB#: 695 <br /> CONTRACTOR BUSINESS NAME (DBA): Wildish Construction Co. <br /> <br /> .CONTRACTOR ADDRESS: PO Box 7428 <br /> CITY, STATE, ZIP: Eugene, OR 97401 <br /> CONTRACT AMOUNT: $789,585.00. FEE AMOUNT DUE/PAID: '7 <br /> If less than $SOK, is it part of a larger project? ?yes ?no Contract amount x .001.= fee due , <br /> (Please duplicate this form for future use) <br /> ~3b~~ <br /> WH-39 Rev. 03/09 E ~3"~332 ° (v1 ~Co~'- ~~v~°~c)"`~ _ <br /> ( ) <br /> ~sa-q <br /> <br />