BOLIWH81andWH39~1.xlsx
XLSX spreadsheet 143 KB Posted
- Solicitation number
- S-C14005-00014216
- Issued by
- Hood River County, Oregon
About this file
This document is a Bureau of Labor and Industries (BOLI) form package for reporting public works projects in Oregon, specifically the WH-81 Notice of Public Works and associated WH-39 Public Works Fee Information forms. The forms are designed to track and document public works contracts, requiring public agencies to submit detailed information about projects involving contractors, including project name, location, contract amount, project dates, and prime contractor details. Agencies must complete these forms within 30 days of awarding a contract, with specific sections to be filled out depending on the type of public works project.
The forms require agencies to calculate and pay a public works fee of one-tenth of one percent of the contract price, with a minimum fee of $250 and a maximum of $7,500. Additional requirements include attaching a copy of first-tier subcontractors, providing Construction Contractors Board registration numbers, and indicating whether federal funds (such as Davis-Bacon Act) are involved. The documentation must be submitted to BOLI's Prevailing Wage Rate Unit in Portland, Oregon, and agencies are instructed to save copies of completed forms for their records. The forms are linked electronically to ensure consistent data entry across multiple sections and worksheets.
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Text version
Instructions
BUREAU OF LABOR AND INDUSTRIES
Instructions for Public Works Project Linked Forms:
WH-81 = Notice of Public Works WH-39 = Public Works Fee Information WH-40 = Public Works Fee Adjustment
| Go to tab WH-81 (Pg 1) and fill in the applicable spaces in the Public Agency |
| Information section on page 1 of the WH-81 form. Use the "TAB" key to advance |
| to the next space. The other spaces are locked and cannot be altered. |
| For public works projects in which a public agency awards a contract, fill in the |
| applicable spaces in Section A, Prime Contractor Information, and the bottom |
| of page 1 of the WH-81 form. |
| For public works projects in which no public agency awards a contract to a | |
| contractor, go to tab WH-81 (Pg 2) and complete page 2 of the WH-81 form. Fill out | |
| Section B, C, D or E on WH-81 (Pg 2) depending on the type of project. The | |
| corresponding WH-39A, WH-39B,C,D,E and WH-40 worksheets are linked and will | |
| be automatically updated with the information entered: | |
| - WH-81 Pg 1, Section A is linked to form WH-39A | |
| - WH-81 Pg 2, Sections B,C,D & E are linked to WH-39 B,C,D,E | |
| - WH-81 Pg 1, various fields are linked to WH-40 |
| Print out the WH-81 and appropriate WH-39. Sign the WH-81, then mail the WH-81, |
| WH-39, and the PWR fee payment to BOLI. These should be submitted within 30 |
| days after awarding a contract subject to the prevailing wage rate laws. |
| If upon completion of the public works project the final contract/project amount is |
| revised, complete the WH-40 Fee Adjustment Form to calculate the Public Works |
| Fee balance/refund. |
Save a copy of the completed forms for your records.
Instructions (Rev 6-22)_linked
WH-81 (Pg 1)
| BUREAU OF LABOR AND INDUSTRIES | ||
| NOTICE OF PUBLIC WORKS | ||
| (For use by public agencies in complying with ORS 279C.835) | ||
| NOTE: ORS 279C.835 requires that public contracting agencies include with this form a copy of the disclosure of | ||
| first-tier subcontractors submitted pursuant to ORS 279C.370. |
| PUBLIC AGENCY INFORMATION: | ||
| Agency Name: | ||
| Agency Division: | Agency # (if known): | |
| Agency Mailing Address: | ||
| City, State, Zip: | ||
| Email Address: | ||
| Agency Representative: | Phone: |
| SECTION A: | To be completed when a public agency awards a contract to a contractor for a public works project, including | ||||||||||
| CM/GC projects. (See pg 2 for public works projects in which no public agency awards a contract to a contractor.) | |||||||||||
| CONTRACT INFORMATION: | |||||||||||
| Project Name: | |||||||||||
| Contract Name (if part of larger project): | |||||||||||
| Project #: | Contract #: | ||||||||||
| Project Manager Name: | Phone: | Fax: | |||||||||
| Project Location (Street(s), City): | Project County: | ||||||||||
| Date specifications first advertised for bid (if not advertised, date of RFP or first contact with contractor): | |||||||||||
| OR If CM/GC contract, date contract became a public works contract (see OAR 839-025-0020(8)): | |||||||||||
| Contract Amount: | $ | ||||||||||
| Is this contract part of a larger project? (Yes/No) | If Yes, total project amount: | $ | |||||||||
| If yes, INITIAL date specifications for project advertised for bid ( see OAR 839-025-0020(6)(b)): | |||||||||||
| Will project use federal funds that require compliance with the Davis-Bacon Act? | (Yes/No) | ||||||||||
| Date contract awarded: | Date work expected to begin: | Date work expected to be complete: |
| PRIME CONTRACTOR INFORMATION: | |||||
| Name: | |||||
| Address: | Contruction Contractors Board Registration #: | ||||
| City, State Zip: | Phone: | ||||
| Name of Bonding Company for Payment Bond: | |||||
| Address: | |||||
| Agent Name: | Phone: | Payment Bond #: | |||
| Copy of first-tier subcontractors attached (see NOTE above). |
| Signature of agency representative completing form: | |||
| Printed Name: | Phone: | Date: | |
| Email Address: | |||
| THIS FORM WILL BE RETURNED TO THE PUBLIC AGENCY FOR CORRECTION AND RESUBMITTAL IF INCOMPLETE. | |||
| WH-81 Page 1 (Rev 6-22)_linked |
For Office Use Only:
Project DB#:
WH-81 (Pg 2)
| Notice of Public Works – Page 2 |
| Complete this page for public works projects in which NO PUBLIC AGENCY AWARDS A CONTRACT TO A |
| CONTRACTOR. Complete the CONTRACT INFORMATION AND SECTION B, C, D or E, whichever applies to |
| the project. |
| CONTRACT INFORMATION: | |||||
| Name of Project Owner: | Phone: | ||||
| Project Name: | Project #: | ||||
| Project Location (Street(s), City): | Project County: | ||||
| Total Project Cost: | Amount of public funds provided for the project: | ||||
| Name(s) of public agency(ies) providing public funds: | |||||
| Will project use federal funds that require compliance with the Davis-Bacon Act? | Yes/No | ||||
| Date work expected to begin: | Date work expected to be complete: |
| SECTION B: | To be completed when a project is a public works pursuant to ORS 279C.800(6)(a)(B) (a project for the | |
| construction, reconstruction, major renovation or painting on a road, highway, building, structure or | ||
| improvement of any type that uses $750,000 or more of funds of a public agency). | ||
| Date the public agency or agencies committed to the provision of funds for the project: |
| SECTION C: | To be completed when a project is a public works pursuant to ORS 279C.800(6)(a)(C) (a project for the | ||
| construction of a privately owned road, highway, building, structure or improvement of any type that uses funds | |||
| of a private entity and in which 25 percent or more of the square footage of the completed project will | |||
| be occupied or used by a public agency). | |||
| Total square footage of privately owned road, highway, building, structure or improvement: | sq ft | ||
| Percent of total square footage of the completed project that will be occupied or used by a public agency: | % | ||
| Date the public agency or agencies entered into an agreement to occupy or use the completed project: |
| SECTION D: | To be completed when a project is a public works pursuant to ORS 279C.800(6)(a)(D) (a project that | |
| includes the construction or installation of a device, structure or mechanism that uses solar radiation on | ||
| public property, regardless of project cost or whether the project uses funds of a public agency). | ||
| Date the public agency entered into an agreement for the project: |
| SECTION E: | To be completed when a project is a public works pursuant to ORS 279C.800(6)(a)(E) (a project for the | |
| construction, reconstruction, major renovation or painting of a road, highway, building, structure, or improve- | ||
| ment of any type that occurs, with or without using funds of a public agency, on real property that a public university | ||
| listed in ORS 352.002 owns). | ||
| Date the public agency entered into an agreement for the project: |
| Signature of agency representative completing form: | |||
| Printed Name: | Phone: | Date: | |
| Email Address: | |||
| THIS FORM WILL BE RETURNED TO THE PUBLIC AGENCY FOR CORRECTION AND RESUBMITTAL IF INCOMPLETE. | |||
| RETURN THIS COMPLETED FORM TO: | |||
| Prevailing Wage Rate Unit · Bureau of Labor and Industries · 800 NE Oregon Street, #1045 · Portland, OR 97232-3601 | |||
| Telephone (971) 353-6762 · FAX (971) 673-0769 · pwr.email@boli.oregon.gov | |||
| WH-81 Page 2 (Rev 6-22)_linked |
mailto:pwremail@boli.state.or.us
WH-39A
| CONTRACT FEE SECTION | |
| PREVAILING WAGE RATE UNIT | |
| BUREAU OF LABOR AND INDUSTRIES | |
| 800 NE OREGON ST., #1045 | |
| PORTLAND, OR 97232-3601 | |
| PHONE: (971) 353-6762 | |
| FAX: (971) 673-0769 | |
| PUBLIC WORKS FEE INFORMATION FORM |
| For use by public agencies that have contracted with a contractor on a public works project regulated by ORS |
| 279C.800 to 279C.870, in compliance with ORS 279C.825. (See form "WH-39 B, C, D, E" for public agencies that |
| are a party to a public works project pursuant to ORS 279C.800(6)(a)(B), (C), (D) or (E).) |
| PUBLIC AGENCIES: Please complete and mail this form to BOLI at the above address, along with the public works fee | ||||||||||||||||
| of one-tenth of one percent of the contract price (contract amount x .001), payable to BOLI. The minimum fee is $250.00; | ||||||||||||||||
| the maximum fee is $7,500.00. Without the following completed information, the bureau may be unable to properly credit | ||||||||||||||||
| you for payment received. | ||||||||||||||||
| PUBLIC AGENCY: | 0 | AGENCY #: | 0 | |||||||||||||
| AGENCY MAILING ADDRESS: | 0 | |||||||||||||||
| CITY, STATE, ZIP: | 0 | |||||||||||||||
| AGENCY CONTACT PERSON: | 0 | PHONE: | -0 | |||||||||||||
| PROJECT MANAGER NAME: | 0 | PHONE: | -0 | |||||||||||||
| PROJECT NAME: | 0 | |||||||||||||||
| CONTRACT NAME (if part of larger project): | 0 | |||||||||||||||
| PROJECT LOCATION: | 0 | |||||||||||||||
| PROJECT NO: | 0 | DATE CONTRACT FIRST ADVERTISED: | 12/31/99 | |||||||||||||
| DATE CONTRACT AWARDED: | 12/31/99 | CONTRACTOR CCB#: | 0 | |||||||||||||
| CONTRACTOR BUSINESS NAME (DBA): | 0 | |||||||||||||||
| CONTRACTOR ADDRESS: | 0 | |||||||||||||||
| CITY, STATE, ZIP: | 0 | |||||||||||||||
| CONTRACT AMOUNT: | $0.00 | FEE AMOUNT DUE/PAID: | $250.00 | |||||||||||||
| If less than $50K, is it part of a larger project? (yes/no) | 0 | Contract amount x .001 = fee due |
WH-39A (Rev 6-22)_linked
For Office Use Only:
Project DB#:______________
WH-39 B, C, D, E
| CONTRACT FEE SECTION | |
| PREVAILING WAGE RATE UNIT | |
| BUREAU OF LABOR AND INDUSTRIES | |
| 800 NE OREGON ST., #1045 | |
| PORTLAND, OR 97232-3601 | |
| PHONE: (971) 353-6762 | |
| FAX: (971) 673-0769 | |
| PUBLIC WORKS FEE INFORMATION FORM |
| For use by public agencies that have NOT AWARDED A CONTRACT TO A CONTRACTOR and that are a party to |
| a public works project pursuant to ORS 279C.800(6)(a)(B), (C), (D) or (E). |
| PUBLIC AGENCIES: Please complete the CONTRACT INFORMATION AND SECTION B, C, D or E (whichever | ||||||||
| applies to the project) and mail this form to BOLI at the above address, along with the public works fee on one-tenth of one | ||||||||
| percent of the contract price (contract amount x .001), payable to BOLI. The minimum fee is $250.00; the maximum fee | ||||||||
| is $7,500.00. Without the following completed information, the bureau may be unable to properly credit you for | ||||||||
| payment received. | ||||||||
| CONTRACT INFORMATION | ||||||||
| PROJECT OWNER: | 0 | PHONE: | -0 | |||||
| PROJECT NAME: | 0 | |||||||
| PROJECT NUMBER: | 0 | |||||||
| PROJECT LOCATION: | 0 | |||||||
| NAME OF PUBLIC AGENCY(IES) PROVIDING PUBLIC FUNDS: | 0 | |||||||
| TOTAL PROJECT COST: | $0.00 | FEE AMOUNT DUE/PAID: | $250.00 |
*SECTION B: Date the public agency(ies) committed to the provision of funds for the project: 12/31/99
*SECTION C: Date the public agency(ies) entered into an agreement to occupy or use the completed project: 12/31/99
*SECTION D: Date the public agency entered into an agreement for the project: 12/31/99
*SECTION E: Date the public agency entered into an agreement for the project: 12/31/99
*See form WH-81 Pg. 2
WH-39 B,C,D,E (Rev 6-22)_linked
For Office Use Only:
Project DB#:______________ image1.jpeg image2.jpeg image3.jpeg image4.jpeg image5.jpeg
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