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F- CONTRACT FEE SECTION <br /> ~4r ~ PREVAILING WAGE RATE UNIT <br /> BUREAU OF LABOR AND INDUSTRIES <br /> N ~ . ~ 800 N.E. OREGON ST., #1045 <br /> PORTLAND, OR 97232-2180 <br /> PHONE: (971) 673-0852 <br /> FAX: (971) 673-0769 For Office Use Ouly: <br /> Project DB <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.800 to 279C.870, in compliance with ORS 279C.825. Also for use by public agencies that are a <br /> party to a public works project pursuant to ORS 279C.800(6)(a)(B) or (C). <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 to BOLI. The <br /> minimum fee is $250.00; the maximum fee is $7,500.00. Without the following completed information, the <br /> bureau may be unable to properly credit you for payment received. <br /> PUBLIC AGENCY: City of Eugene - En ineering AGENCY 1336 <br /> AGENCY CONTACT PERSON: Lynn Brogden . PHONE: (541) 682-5238 <br /> PROJECT MANAGER NAME: Chuck Mueller PHONE: (541) 682-5295 <br /> MAILING ADDRESS: 244 E. Broadway Eugene . OR 97401 <br /> PROJECT NAME: Delta Ponds Boardwalk off Goodpasture Island Road <br /> CONTRACT NAME (if part of larger project): <br /> PROJECT LOCATION: Delta Ponds off Goodpasture Island Road <br /> PROJECT NUMBER: 4559 DATE AWARDED: 8/4/2008 <br /> CONTRACTOR BUSINESS NAME (DBA): 2G Inc. dba 2G Construction <br /> CONTRACTOR CCB#: .40559- <br /> <br /> . ~2~~~~ <br /> CONTRACT AMOUNT: $230,674.35 AMOUNT DUE: <br /> Contract amount x .001 <br /> (Please duplicate this form for future use) <br /> s <br /> WH-39 (Rev. 11/07) _ <br /> <br />