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BUREAU OF LABOR AND INDUSTR4~S <br />NOTICE OF AWARD OF PUBLIC WORKS G~NTRACT <br />(For use by Public Agencies in Complying with ORS 279.363) <br />1. CONTRAC <br />Hame ~ <br />Address ~~ <br />Clty~ State, Zip <br />Agency Repres <br />INFORMATION <br />~ <br />Num6er ~ ~~o ~ <br />Project Locatian (Street(a), Cfty, 31 <br />i <br />Project County a~~~ <br />`SOUree of Funds (i.e. 100°/a Federal <br />Date Contract Speciflcatlona <br />iate Contrect Awarded <br />~ate First Progress Payment <br />3. PRIME <br />~0 N~ <br />city, seaee, <br />Conlrect <br />Federal/State, ~00% Local, ete.)_ <br />a Advertlsad for Bld <br />Da <br />a I,~Piv~ ~ <br />~ wJO1 CL ~i <br />IN~RMATION <br />Construction Contracton Board Registration <br />L <br />,Yorkan' Comp. Inauranee Company <br />Work Expeeted to Begin <br />-zz5 - <br />Workers' Comp PolicylBinder Num6er iJ~ ~~ ~~~ <br />THIS FORM WILL BE RETURNED TO THE CONTRACTING AGENCY FOR <br />CORRECTION AND RESUBMITTAL IF INCOMPLETE. <br />RETURN THIS COMPLETED FORM TQ Bureau of Labor and Industries <br />Wage and Hour Dlvision Rm 1160 <br />Prevailing Wage Section <br />800 NE Oa~ooN # 32 <br />PoRruNO, OR 97232 <br />(503) 731-4074, exr. 233 Fax: (503)731-4B23 <br />q:\whd\pwr\bidaward.sa m(Rev. 1 /96) <br />W H-81 <br />2. CONTRACT INFO~ ATION ',~,~a,,~,, /~(,'~~~ ~~ <br />Project Name ~~ l.S~ ~l~/ ~ u~~_ ~~~1~u.s /" l; b ec Numher ~' <br />Project Manager Name Fax Number <br />