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Central Services <br /> Purchasa Order Date Revision Pa a Finance/Purchasing <br /> g 100 West 10th Avenue, Suite 400 <br /> COE-2004100514 05/13/2004 1 - 11/03/2004 1 Eugene, Oregon 97401 <br /> Payment Terms Freight Terms Ship Via (541) 682-5055 <br /> Now Destination COMMON (541) 682-6233 Fax <br /> Bu er: PW Admin-Svcs <br /> Date Needed: 05/13/2004 <br /> • • ' ' ~ • - <br /> VENDOR: SHIP TO: <br /> OBEC CONSULTING ENGINEERS INC City of Eugene Public Works <br /> 920 COUNTRY CLUB RD STE 100 B Administration Division <br /> EUGENE OR 97401-2208 858 Pearl Street 4th Floor <br /> United States Eugene OR 97401 <br /> United States <br /> Fax: 541-683-6576 <br /> CHANGE ORDER <br /> l.i~te# Description Oty. /Unit Unit Price Total <br /> ~ ***Please send both copies to Debbie Clark at PW <br /> Admin.*** <br /> 4 <br /> CO #1: Amendment No. 1 -Add Phase 3 to the PO. <br /> Increased contract amount by $41,700. New PO total to <br /> be at $122,800. KCY 11-03-04 <br /> 1-1 GJN4193 FSB Crack Repair 81,100.00 EA 1.00 81,100A0 <br /> To develops engineering plans and specifications for <br /> the repair of shear cracks in the Ferry Street Bridge. <br /> Contract #2007-00239 <br /> Project Manager: Steve Gallup x8460 PWE <br /> 9 <br /> Do not mail PO send to Debbie Clark x5728 PWA <br /> 2-1 Add Phase 3 41,700.00 $ 1.00 41,700.00 <br /> i - <br /> i <br /> ontract Number: 2004-00239 TOTAL' <br /> !rice Agreement: ~ 122,800.00 <br /> INSTRUCTIONS TO VENDOR <br /> 1 Show this purchase order number on all invoices, packages, and the City Purchasing Manager. <br /> related correspondence. 4. Acknowledge this order immediately and advise shipping date. <br /> 2. Prepay all shipping charges. Add agreed upon charges to invoice as 5. Invoice at time of shipment. <br /> separate line item. No collect shipments will be accepted. Mail invoices to: Accounts Payable, City of Eugene, Box 11110, Eugene, <br /> i. Deduct all excise and sales taxes. Municipalities are exempt. Federal Oregon 97440-3310. Show to which City Department shipped. <br /> Exemption Certificate #93-730106K, copies of which are available from 6. Federal Tax ID #93-6002160 <br /> <br /> Form PO-2 Rev. 0103 <br /> <br />