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`,VV "' v`w- ` `~t./ ~,~ ~ <br />~ ~~ G~W ~ ~ <br />.- :- <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 />v ~i- -~ ., v ~ - ~ Y~~~ <br />q75 152 <br />`~~ ~ For Office~Use Only: <br />~, <br />Pro~ect DB #:59303 <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 percenf of the contract price (contract amount x.001), payable to BOLL The <br />minimum::fee~is $250.00; the maximum fee is $7,500.00. Without tlie following completed information; the, <br />-;bureau may 6e unable to properly credit you for payment received. • <br />PUBLIC AGENCY: CITY OF EUGENE, EIVGINEERING DNISION 7. BROGDEN AGENCY #:1336 <br />~_ ~ <br />MAILINGADDRESS• 244 E. Broadway~, Eugene, OR 97401 <br />AGENCY CONTACT PERSON: Terr Colvi PHONE: (541 ) 682-5398 <br />PROJECT MANAGER NAME: L nn Bro den PHONE: (541 ) 682-5238 <br />PROJECT NAME: GOLDEN GARDENS PONDS IMPROVEMENTS <br />CONTRACT NAME (if part of larger project):GOLDEN GARDENS PONDS IMPROVEMENTS <br />PROJECT LOCATION: SOUTH OF CLEAR LAKE RD WEST OF BELTLINE RD, EUGENE <br />---_, PROJECT NUMBER: BID# 16/J.OB#4474/200800032 DATE.AWARDED: 20-Jun-08 ___. <br />= CONTRACTOR BUSINESS NAME (DBA): KSH CONSTRUCTION CO <br />CONTRACTOR CCB#: 166194 CONTRACT lst ADVERTISED FOR BID: 25-Apr-08 <br />CONTRACT AMOUNT: $926,926.00 <br />AMOUNT DUE: $926.93 <br />Contract amount x .001 <br />WH-39 (Rev. I 1 /07) <br />