New Search
~"r ~ ~ <br /> ~~CONTRACT RE VEST F~RN~ . ~ ~ - <br /> ~ . <br /> ~ <br /> Project Manager: Matt Rodrigues Project Managers Supervisor: Paul Klope Contract Adnunistxatox: <br /> ca.~TRA cToR INFaR~rA TIa~ <br /> i <br /> Contractor Business Name: Lane County Public Works <br /> Contractor Engaged in the business of: County Government <br /> Street Address: 3040 N. Delta Hwy <br /> ' City, State, Zip: Phone# Fax# EmaillWebsite: <br /> Eugene, 4R 97408-1696 682-6999 652-8500 john.petsch a~co.lane.or.us <br /> Name of erson si in far Contractor: Jeff R. Phone: Contact) Title and phone: <br /> p gn g Spartz <br /> ~~2-3~~$` cif different than signer) <br /> Title of erson si In John PetschlMaintenance Planner <br /> p gn g for Contractor: County Administrator <br /> 682-4999 <br /> Start work date: June 1, 2009 ~ ~ Contract Termination date; June 1, 2010 . <br /> Please rovide a brief ex lanation of the ro'ect to be used on the routin sheet. A sentence or two is all that is needed <br /> This contract is for the County to perform chip seal of Riverview St. from 16~ Ave. to Floral Hill Dr, and Floral. Hill Dr. from , <br /> Address 3087 to Address 2$55. Repairs of these streets are funded by the $1 million in general funds authorized by City Council <br /> to be used for pothole re airs in FY2009. <br /> . . <br /> i <br /> EXI~TLBITS <br /> l <br /> The standard contract provisions will be attached as Exhibit A. Please list additional exhibits beginning with Exhibit B or attach <br /> to this contract request work sheet, Examples are: Scope of work, Schedule of Rates, Map of Area, etc. <br /> FEDERAL AII~ RE UIREMEII~TS <br /> <br /> ~ Federally Funded: 9 Yes No If marked YES the re-a eed federal lan a e will be added to the contract. The <br /> p S~ ~ g <br /> <br /> ~ federal language also includes civil rights language. t~~date~ 12-9-os - CAM) <br /> Payment schedule: Consideration paid to Contractor: ~ 9 Fixed 9 Hourly <br /> **Any entitlement to expense reimbursement must be s eci zed on the Schedule o Rates. Describe the es of ex enses for <br /> p f ~ p <br /> which the Contractor is entitled to be reimbursed, including mileage rate, etc. <br /> 3 <br /> f <br /> Maximum Total Contract Amount: $60,Og0 9 Capital l Good Job number 4624 9 Gperating Funds <br /> 3 Sub-Contract of Existing Pool contract? 9 Yes Nv ODGT Project number cif applicable} <br /> Account Code: ~ ~ ~ Amount: <br /> Account Code: Amount: TOTAL; <br /> 1 <br /> I <br /> I~sURA~vcE I~FaRMATra~v <br /> Comprehensive Liability Insurance Certificate required} 9 Attached 9 Requested, not received <br /> Automobile Usage: 9 Never 9 Dccasional~y 9 Regularly <br /> * If contractor used a personal vehicle or City vehicle for contract related activities, contractor must have Comprehensive <br /> 3 <br /> ~ Auto Liability Insurance Certificate on file with the contract <br /> ' ~ 9 Attached 9 Requested, not received <br /> . . <br /> Does contract require Professional Liability Insurance? .9 Yes 9 No <br /> . <br /> <br />