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i <br />�o' 7 <br />CONTRACT FEE SECTION <br />PREVAILING WAGE RATE UNIT <br />BUREAU OF LABOR AND INDUSTRIES <br />800 N.E OREGON ST., #1045_ <br />PORTLAND, OR 97232 -2180 <br />PHONE: (971) 673 -0852 <br />FAX: (971) 673 -0769 <br />F CEIVED <br />EP 1 S 2009 <br />U1vTS PAY ABLE <br />For Office Use Only: <br />Project-M, <br />PUBLIC WORKS FEE INFORMATION. FORM <br />For use by public agencies that have contracted with a contractor on a public works project regulated by <br />ORS 279C.80010 279C.87% in compliance with ORS 279C.825. Also for use by public agencies that are a <br />a - to.a ublic- works- ro'ect= ursuant to.ORS= 279'':800 6 a or C_._ - -> u: - -•. _ <br />PUBLIC AGENCIES:. Please, complete and mail this form to BOLI at the above address; along.with the public <br />works fee of one -tenth of one percent of the contract price (contract amount x .001),, payable lu BOLI. The <br />minimum fee is $250.00; the maximum fee is $7;500.00. Without the, >611owing ; completed information, the'',.- <br />bureau may be unable to properly credit you for pay <br />aymentxeceived. <br />PUBLIC AGENCY: City of Eugene -PW Parks &= Maintenance . AGENCY #:2781 <br />AGENCY MAILING ADDRESS: 4820 Roosevelt Blvd. <br />CITY, STATE, ZIP Eugene OR 97402 <br />AGENCY CONTACT PERSON: Kris Aanderud, Contract Administrato PHONE: (541) 6824966 <br />PROJECT MANAGER NAME: Jesse Cary -Hobbs PHONE: (541)682- 4843 <br />PROJECT NAME: Ridgeline Trail Renovation <br />CONTRACT NAME (if part of larger project): <br />PROJECTLOCATION:'' Trail; Eugene <br />PROJECT NO: 965252 DATE CONTRACT FIRST ADVERTISED: 07 /30/09 <br />DATE CONTRACT AWARDED: 08/20/09 CONTRACTOR CCB #: 99032 <br />CONTRACTOR BUSINESS NAME (DBA): Oregon Woods, Inc. <br />CONTRACTOR ADDRESS: PO Box 11680 <br />• 2 <br />CITY, STATE ZIP Eugene OR 97440 <br />CONTRACT AMOUNT: $ 71,422.00 FEE AMOUNT DUE/PAID: $ 250.0 0 <br />If less than $50K is it part of a larger project? ❑yes [kno Contract4trubULLLA.001 = fee due <br />(Please duplicate this form for future use.) <br />WH -39 (Rev. 03/09) - - : 2 ) — 1 3 4 1 t? <br />