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B REAU OF LABOR AND INDUSTRIA <br />_ :0 NOTICE OF PUBLIC WORKS <br />(For.,use by public agencies in complying with ORS 279C.835 <br />s for public works awarded after January 1,2008) <br />NOTE: ORS 279C.835 requires that public contracting agencies include with this form a copy of the disclosure of first -tier <br />subcontractors submitted pursuant to ORS 279C.370. <br />PUBLIC AGENCY INFORMATION <br />Agency Name: City of Eugene, Public Works Parks & Mainenatie Agency Number (if known): 2781 . <br />Address: 1820 Roosevelt Blvd. Agency Division: PW <br />City, State, Zip: Eugene OR 97402 <br />Agency Representative: Kris Aanderud, Contract Administrator Phone: 541- 6824966 <br />SECTION A: To be completed when a public agency awards a contract to a contractor for a public works project, including <br />CM /GC projects. (See reverse for public works projects in which no public agency awards a contract to a <br />contractor.) <br />CONTRACT INFORMATION: <br />Project Name: Ridgeline Trail Renovation Project Number: 965252 <br />Contract Name (if part of larger project): <br />Contract Number: 2010 -05301 <br />Project Manager Name: Jesse Cary-Hobbs Phone #:. 541- 682 -4843 Fax #: 541- 6824882 <br />Project Location (Street(s), City): Ridgeline Trail, Eugene Project County: Lane <br />Contract Amount: $ 71,422.00 If under $50,000, 4s this contract part of a larger project? YES ❑NO❑ <br />If yes, total project amount: $ <br />Will project use federal funds that require compliance with the Davis -Bacon Act? YES❑ NON <br />Date Contract Specifications First Advertised for Bid (if not advertised, date of RFP or first contact with contractor): 07/30/09 <br />If CM /GC Contract, Date Contract Became a Public Works Contract (see OAR 839 - 025- 0020(7)): <br />Date Contract Awarded: 08/20/09 Date Work Expected to Begin: 09/01/09 <br />Date Work Expected to be Complete: 8/31/2010 <br />PRIME CONTRACTOR INFORMATION: <br />Name: Oregon Woods, Inc. <br />Address: PO Box 11680 <br />City, State Zip: Eugene OR 97440 Phone: 541- 334 -6634 <br />Construction Contractors Board Registration Number: 99032 <br />Name of Bonding Company: Travelers Casuality and Surety Company of America <br />Address: 4000 Kruse Way Place, Guilding One, Suite 265, Lake Oswego OR 97035 <br />Agent Name and Phone Number: Margaret Huffman, Attorney -in -fact <br />Bond Number: 105306512 <br />❑ Copy of first -tier subcontractors attached (see NOTE above). <br />THIS FORM WILL BE RETURNED TO THE PUBLIC AGENCY FOR CORRECTION AND RESUBMITTAL IF INCOMPLETE. <br />I <br />I <br />WH-81 (Rev 03 -08) <br />