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AYI'L\D:.\ li <br />CITI" OF EUGENE <br />STANDARD CONTRACT COVER SHEET <br />Contract Number: <br />Title or Purpose of Contract: <br />Amount: S <br />Contractor's Name: 111&)A <br />Address: <br />/ <br />Responsible Department: 6 <br />Other Departments Involved: _ <br />Contract Administrator: <br />Signatures (Check): 2yCyt-y ;.}trw;B.rr MV/Alt- I-J Finance Of,icrr <br />!tanner of Award: t~ Formal Bid 0 Formal Quotation <br />In File Required <br />General Requirements <br />LJ I I 1. Eugene's standard contract <br />provisions <br />t t t 2. Hold harmless clause and <br />proof of insurance coverage <br />refer to Appendix "A" CEPCPM <br />t t 3. Independent contractor's declaration <br />cf "A" CEPCPM <br />t i I I 4. Performance bond <br />t t S. Bid tabulation and record of <br />bid invitation <br />or <br />t I quotations <br />or <br />t proposals and requests for proposals <br />t 1 1 6. Affidavit of contractor's <br />compliance <br />t t 7. Agency approval for final payment <br />on federal or state projects <br />t i t 8. Review and approval - City Atty. <br />t i t 9. Council approval <br />Date: <br />I t t 10. Resolution No.! <br />t i I 11. Other <br />If Contract is for Right-of-Way Property Appraisal <br />I t t I 1. Appraisal specifications, <br />drawings and maps <br />Account Code: <br />unds: 0l'es I_JNo <br />Phone: <br />Phone: c5~-T 54 <br />contractor <br />Professional Service <br />In File Required <br />If Contract is for Community Development Project <br />I t L Certification of contractor's <br />eligibility <br />t i I 2. Notice of preconstruction conference <br />t I 3. Notice of Section 3 contract award <br />i 4. Preconstruction conference summary <br />t 5. Minority standards form <br />I t 6. Neighborhood group recommendation <br />(over S10,000 only) <br />I I 7. Certification of non-segregated <br />facilities <br />I i t 8. Certification of equal employment <br />opportunity <br />t 9. Contractor's notification of <br />sub-contract awarded <br />10. Contacting activity report <br />t i t 11. Preconstruction conference summary <br />checklist <br />If Contract is for HCC Rehabilitation Loan <br />t i t 1. Promissory note <br />2. Mortgage <br />I 3. Mortgage title insurance policn• <br />4. Borrower's loan application <br />I I i 5. Credit Report <br />