New Search
0 <br /> 0 <br /> :c Bureau of Labor and Industries <br /> Yv~Oj j Brad Avakian <br /> Commissioner <br /> 8 59• <br /> September 26, 2008 f <br /> CITY OF EUGENE <br /> ENGINEERING DIVISION / BROGDEN <br /> 244 E BROADWAY <br /> EUGENE; OR 97401 <br /> PAYMENT RECEIPT FOR PUBLIC WORKS FEE <br /> (ORS 839-025-0210) <br /> Name of Project: ROBIN HOOD AVE STORM MODIFICATION #59909 <br /> This certificate is proof the CITY OF EUGENE, ENGINEERING DIVISION / BROGDEN <br /> made a fee payment of $250 for the public works project named above, based on the contract <br /> awarded to KIPCO INC (CCB#: 52470) on 02-SEP-08, leaving a balance.. of $0 for this contract. <br /> As required by ORS 279C.825 and OAR 839-025-021,0, the agency shall, upon completion of ~ <br /> the contract, determine the final contract price, including change orders and.adjustments to the <br /> contract. If the final contract price varies by $100,000 or more, the agency shall submit any <br /> additional payment or request for refund of fees, using form WH-40, to the bureau within 30 <br /> days of final payment to the contractor by the agency. <br /> POR'T'LAND EUGENE BEND MEDFORD <br /> <br /> 800 NE Oregon St. Suite 1045 1400 Executive Parkway, Suite 200 Worksource Bend 119 N Oakdale Ave. <br /> PortIand,'OR 97232-2180 Eugene, OR 97401-2158. 1645 NE Forbes Rd, Ste 106 Medford, OR 97501-2629 <br /> (971) 673-0763 (541) 686-7623 Bend, OR 97701-4990 (541) 776-6270 <br /> Pax (97I) 673-0762 FAX (541) 686-7980 (541) 322-2435 FAX (541) 776-6284 <br /> TTY (971) 673-0766 PAX (541) 389-8265 <br /> SALEM PENDLETON <br /> 3865 Wolverine St. NE; E-1 1327 SE 3'a St. <br /> Salem, OR 97305-1268 Pendleton, OR 97801-4101 <br /> (503) 378-3292 www:oregon.gov/boli (541> 276-7ss4 r n <br /> PAX (503) 373-7636 p,,N EQUAL OPPORTUNITY EMPLOYER FAX (541) 276-5767 ~ C t 0 fi 2Q08 <br /> <br />