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CONTRAST FEE SECTION <br /> PI~EVAI~IN~ VVACE RATI; I]NIT <br /> I311REACl OF LABOR AIVD INDT,75TRIE5 <br /> + 80~ N.E. OREGON ST,, #X45 <br /> l'ORTLANI), OR ~?~~~-184 <br /> iy r . <br /> PI~V~AiJr ~7 f l~ ~~3-~V~lr ~r t - ~ <br /> r*~ - <br /> l~'A~[: (471) 673-764 ~F~r=1~~~#~e ~]se O~iy: <br /> . <br /> ~P~~ eCt D$ <br /> , <br /> F~B~~C ~V~R~~ XNF~RM~TII~N CORM ' <br /> Far use by pabllc agencies that hive contracted with a cantreetar ou a public works pro~eet regal~ted by <br /> ~R5 I79C.$QO to ~7~C.S7~, in compliance with IRS 279C.82~. Also for use by public agencies that are a <br /> party to a public vrorks pra~ect pur:usnt to ORS 2~4C.$4i}(~}(a)il or {C~. <br /> PUBLIC AGENCIES: Please complete and mail #his fDrm to BOLI at the above address, al~u~ with the public <br /> vrarks fee of one-tenth of one percent of the contract price ~cantract amount x ,I~~1), payable to HDf.I. The <br /> minimum fee is SZS~.O~; the ma~uEUm fee is S7,Sall.UO. V~ithout the following compacted imfnrmation, the <br /> bureau may be unable io graper]y credit you for payment received. <br /> PU>ILIC AGENCY: Cat of Eu ene • l;n incerin AGENCY 133 <br /> AGENCY MAYLINC AIIDRES5: ~9 E. I3roadwa~r. Suite 4~~ <br /> CITY, STATE, SIP: Eugene. Orc~a~ ~74~I <br /> AGENCY CON'PACT PERSON: Lynn 13r~~~en PR~NI{}: ~4l ~S~-~Z38 <br /> PROJECT MA~IAOER NAME. Patrick ~ x PHONE: 541 68~-6854 <br /> PROJECT NA11+IF: Eu~eae Aim rt -Rehab North Rnrnp a South ICi1o AIP 3~1-0{]18.43 {F'A}1 Pr~tectL <br /> CONTRACT NAME {if part of larger project): _ , <br /> PRO,~C'C LOCATIONt Eu ene ' <br /> PRO,IE~T N0: 4598 [Cnntra~t #2~4~-~I~ bATL CONTRACT FIRST ADVERTISED: 3J24124~9 <br /> <br /> HATE CONTRACT AWARDED: ~610111~09 CONTRACTOR CCB#: d95 <br /> <br /> CONTRACTOR I3USINLSS NAIVIE (DBA~: V~ildish CnnatNCtion Co. <br /> <br /> CONTRACTOR ADDRESS: F.O. Box ?4~8 <br /> <br /> CITY, STATE, GYP: Eugene. OR ~74~.~, <br /> <br /> CONTRACT AMOUNT: 5587,959.7 FEE AMOUNT DUI;IPAxD: ~587,~b <br /> <br /> If less than 55DIC, is It part of a larder pro~ert? ?yes [~na CoAtr~ret amount ~ .U01=fee due <br /> Please duplicate this forte for future uce) <br /> ~~4 s12-~:~~a-~t86~~9g~~~~ <br /> WU-~9 {Rev. ~31~9) <br /> <br />