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Notice of Public Works -Page 2 ` <br /> SECTION B: To be completed when a project is a public works pursuant to ORS 279C.800(6)(a)(B) (a project for the <br /> construction, reconstruction, major renovation or painting of a privately owned road, highway, building, <br /> structure or improvement of any type that uses funds of a private entity and $750,000 or more of funds of a <br /> public agency) and no public agency awards a contract to a contractor. <br /> ~ CONTRACT INFORMATION: <br /> II Name of Project Owner: Phone Fax <br /> Project Name: Project Number: <br /> Project Location (Street(s), City): Project County: <br /> Total Project Amount: $ Amount of Public Funds Provided for the project: $ <br /> <br /> j <br /> ! Name(s) of Public Agency(ies) Providing Public Funds: <br /> i <br /> Date-the public agency or agencies commit to the provision of funds for the project: <br /> Will project use federal funds that require compliance with the Davis-Bacon Act? YES NO <br /> Date Work Expected to Begin: <br /> Date Work Expected to be Complete: <br /> SECTION C: To be completed when a project is a public works pursuant to ORS 279C.800(6)(a)(C) (a project for the <br /> construction of a privately owned road, highway, building, structure or improvement of any type that uses <br /> <br /> ~ funds of a private entity and in which 25 percent or more of the square footage of the completed project will be <br /> occupied or used by a public agency) and no public agency awards a contract to a contractor. <br /> CONTRACT INFORMATION: <br /> Name of Project Owner: Phone Fax <br /> Project Name: Project Number: <br /> Project Location (Street(s), City): Project bounty: <br /> Total Project Amount: $ Amount of Public Funds Provided for the project: $ <br /> Name(s) of Public Agency(ies) Providing Public Funds: <br /> Total square footage of privately owned road, highway, building, structure or improvement: <br /> Percent of total square footage of the completed project that will be occupied or used by a public agency: <br /> Date the public agency or agencies entered into an agreement to occupy or use the completed project: <br /> Will project use federal funds that require compliance with the Davis-Bacon Act? YES NO <br /> Date Work Expected to $egin: <br /> Date Work Expected to be Complete: <br /> THIS FORM WILL BE RETURNED TO THE PUBLIC AGENCY FOR CORRECTION AND RESUBMITTAL IF INCOMPLETE. <br /> Signature of agency representative completing form: <br /> Printed Name: Phone Date: <br /> RETURN THIS COMPLETED FORM TO: <br /> Prevailing Wage Rate Unit • Bureau of Labor and Industries • 800 NE Oregon Street, #1045 • Portland, OR 97232-2180 <br /> Telephone (971) 673-0852 • FAX (971) 673-0769 <br /> WH-81 (Rev 03-08) <br /> <br />