Common use of TAX COMPLIANCE CERTIFICATION Clause in Contracts

TAX COMPLIANCE CERTIFICATION. By signature on this GMP Amendment, the undersigned hereby certifies under penalty of perjury that the undersigned is authorized to act on behalf of CM/GC and that CM/GC is, to the best of the undersigned’s knowledge, not in violation of any Oregon Tax Laws. For purposes of this certification, “Oregon Tax Laws” means a state tax imposed by ORS 401.792 to 401.816 and ORS chapters 118, 314, 316, 317, 318, 320, 321 and 323; the elderly rental assistance program under ORS 310.630 to 310.706, and local taxes administered by the Department of Revenue under ORS 305.620. THIS AMENDMENT is executed in four original copies of which one is to be delivered to the CM/GC, and the remainder to Owner. CM/GC: Name of Firm: Address: CM/GC's Federal Tax I.D. #: Construction Contractor's Board Registration No.: Name Title Date OWNER: Portland State University Signature of Owner’s Authorized Representative Name Title Date Signature of Authorized Representative of CM/GC Attachment A Plans, Specifications, Supplementary Conditions of the Contract, on which the Guaranteed Maximum Price is based, pages through dated . Attachment B Allowance items, pages through dated . Attachment C Assumptions and clarifications made in preparing the Guaranteed Maximum Price, pages through , dated . Attachment D Completion schedule, pages through , dated . Attachment E Alternate prices, pages through , dated . Attachment F Unit prices, pages through , dated . EXHIBIT D - DIRECT COSTS/GC WORK COSTS MATRIX EXHIBIT E - REIMBURSABLE TRAVEL AND PER DIEM EXPENSES EXHIBIT F - RATE SCHEDULE Role Hourly Rate General Liability Insurance Payment and Performance Bond Subguard EXHIBIT G - RENTAL RATES

Appears in 1 contract

Samples: www.pdx.edu

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TAX COMPLIANCE CERTIFICATION. By signature The individual signing on this GMP Amendment, the undersigned behalf of CM/GC hereby certifies and swears under penalty of perjury that the undersigned s/he is authorized to act on behalf of CM/GC GC, s/he has authority and that knowledge regarding CM/GC isGC’s payment of taxes, and to the best of the undersigned’s her/his knowledge, CM/GC is not in violation of any Oregon Tax Lawstax laws. For purposes of this certification, "Oregon Tax Laws” means a state tax imposed by laws" are those tax laws listed in ORS 401.792 to 401.816 and 305.380(4), namely ORS chapters Chapters 118, 314, 316, 317, 318, 320, 321 and 323323 and Sections 10 to 20, Chapter 533, Oregon Laws 1981, as amended by Chapter 16, Oregon Laws 1982 (first special session); the elderly rental assistance program under ORS 310.630 to 310.706, ; and any local taxes administered by the Oregon Department of Revenue under ORS 305.620. THIS AMENDMENT is executed in four original copies of which one is to be delivered to the CM/GC, and the remainder to Owner. CM/GC: Name of Firm: Address: CM/GC's Federal Tax I.D. #: Construction Contractor's Board Registration No.: Name Title Date OWNER: Portland State University Signature of Owner’s Authorized Representative Name Title Date Signature of Authorized Representative of CM/GC Title Date OWNER: CITY OF LAKE OSWEGO Signature of City of Lake Oswego Representative Title Date Attachment A Plans, Specifications, Supplementary Conditions of the Contract, on which the Guaranteed Maximum Price is based, pages through dated . Attachment B Allowance items, pages through dated . Attachment C Assumptions and clarifications made in preparing the Guaranteed Maximum Price, pages through , dated . Attachment D Completion schedule, pages through , dated . Attachment E Alternate prices, pages through , dated . Attachment F Unit prices, pages through , dated . EXHIBIT D - DIRECT COSTSC COST FOR GENERAL CONDITIONS WORK The table below states the categories of specific General Conditions Work costs that support the Cost for General Conditions Work that will be payable under the Contract. The total Cost for General Conditions Work shown below, based on the categories of General Conditions Work below, shall be the not to exceed amount that will be payable to CM/GC WORK COSTS MATRIX EXHIBIT E - REIMBURSABLE TRAVEL AND PER DIEM EXPENSES EXHIBIT F - RATE SCHEDULE Role Hourly Rate for General Liability Insurance Payment Conditions Work, regardless of the final Project cost or the actual construction period required to complete the Project. All items of General Conditions Work listed by Owner in the table below will be compensated either in a lump sum, fixed amount, or a not to exceed amount on a cost reimbursement basis. Any item of Work that might customarily be considered to be General Conditions Work by CM/GC but which Owner has not listed in the table below may be compensated on a cost reimbursement basis if it is described as Cost of the Work in Article 8. B.1 Project Manager B.28 Office Security B.2 Project Engineer B.29 Sustainability Coordinator/Supervisor B.3 Superintendent B.30 Clerical/Secretarial B.4 Field Supervision B.31 Project Coordination B.5 Field Coordination B.32 Estimating and Performance Bond Subguard EXHIBIT G - RENTAL RATESCost Engineering

Appears in 1 contract

Samples: www.ci.oswego.or.us

TAX COMPLIANCE CERTIFICATION. By signature The individual signing on this GMP Amendment, behalf of the undersigned CM/GC hereby certifies and swears under penalty of perjury that the undersigned s/he is authorized to act on behalf of the CM/GC GC, s/he has authority and that knowledge regarding the CM/GC isGC’s payment of taxes, and to the best of the undersigned’s her/his knowledge, the CM/GC is not in violation of any Oregon Tax Lawstax laws. For purposes of this certification, "Oregon Tax Laws” tax laws" means a state tax imposed by ORS 401.792 to 401.816 401.816, ORS 320.005 to 320.150 and 403.200 to 403.250, and ORS chapters 118, 314, 316, 317, 318, 320, 321 and 323; the elderly rental assistance program under ORS 310.630 to 310.706, and local taxes administered by the Department of Revenue under ORS 305.620. THIS AMENDMENT is executed in four original copies copies, of which one is to be delivered to the CM/GC, GC and the remainder to Owner. CM/GC: Name of Firm: Address: CM/GC's Federal Tax I.D. #: Construction Contractor's Board Registration No.: Name Title Date OWNER: Portland State University Signature of Owner’s Authorized Representative Name Title Date Signature of Authorized Representative of CM/GC Title Date OWNER: Multnomah County, an Oregon political subdivision Signature of Xxxxxxx Xxxxxxx, Chair Date APPROVED AS TO LEGAL SUFFICIENCY Xxxxx X. Xxxxxxx, Multnomah County Attorney Assistant County Attorney Date Attachment A Plans, Specifications, Supplementary Conditions of the Contract, on which the Guaranteed Maximum Price is based, pages through dated . Attachment B Allowance items, pages through dated . Attachment C Assumptions and clarifications made in preparing the Guaranteed Maximum Price, pages through , dated . Attachment D Completion schedule, pages through , dated . Attachment E Alternate prices, pages through , dated . Attachment F Unit prices, pages through , dated . EXHIBIT Exhibit D - DIRECT COSTSMultnomah County Sheriff’s Office Records Check Authorization MULTNOMAH COUNTY SHERIFF’S XXXXXX 000 XX XXXXXXXXX BLVD., Suite 350 • Xxxxxxxx, XX 00000 Exemplary service for a safe, livable community RECORDS CHECK AUTHORIZATION TYPE OR PRINT LEGIBLY: Fill in all fields - Incomplete forms WILL NOT be processed. NO ABBREVIATIONS! LAST NAME FIRST NAME MIDDLE NAME XXXXXXX XXXXX SHERIFF xxx.xxxx.xx OTHER NAMES USED (AKA’s, SURNAMES, MAIDEN NAME, ETC.) CURRENT ADDRESS CITY STATE ZIP CODE ( ) E-MAIL ADDRESS PHONE NUMBER DRIVER’S LICENSE: / / SOCIAL SECURITY NUMBER STATE LICENCE NO. EXP. HEIGHT: WEIGHT: EYE COLOR: HAIR COLOR: SEX (CHECK ONE): MALE / FEMALE A – Asian/Pacific Islander B – Black H – Latin American I – American Indian/Native Alaskan O – Other W - White RACE: DATE OF BIRTH PLACE OF BIRTH (CITY) (STATE) (COUNTRY) (__ )_ EMPLOYER NAME EMPLOYER TELEPHONE NUMBER EMPLOYEE JOB TITLE REASON FOR REQUESTED ACCESS / WORK BEING PERFORMED DO YOU HAVE ANY ARRESTS, INCARCERATIONS, OR CRIMINAL CONVICTIONS? (XXXX ONE) IF YES, LIST BELOW: Use additional page if needed YES or NO CHARGE DATE CHARGE DATE I hereby authorize the Multnomah County Sheriff's Office to conduct a criminal history records check prior to consideration for employment or association with this agency for official business. I understand and agree that a record of convictions, pending criminal court actions, and/or submitting false information may exclude me from employment consideration or association with the Multnomah County Sheriff's Office. Also, I agree to report any criminal conviction occurring after the submission of this authorization. I further understand that I will be held accountable to the zero-tolerance standard set in the Prison Rape Elimination Act 2003 (PREA). I HEREBY AFFIRM THE ABOVE INFORMATION IS TRUE: MUST BE COMPLETED BY MULTNOMAH COUNTY MANAGER/SUPERVISOR REQUESTING ACCESS SIGNATURE DATE PRINT NAME: DEPARTMENT/TITLE: SIGNATURE: CONTACT NUMBER: REQUESTING MCSO ID ( CJIS REQUIRED ) MCSO ID LIMITED DURATION (SPECIAL PROJECT – INTERN) OTHER CJIS ONLY MCSO SPECIFIC CONTRACTOR (JAIL SIDE - ESCORT ONLY) Rev OCT2018 EXHIBIT E.1 INSURANCE PROVISIONS PHASE 1: PRECONSTRUCTION PHASE SERVICES INSURANCE PROVISIONS Phase I Insurance Requirements The table below reflects the minimum insurance required of CM/GC WORK COSTS MATRIX EXHIBIT E - REIMBURSABLE TRAVEL AND PER DIEM EXPENSES EXHIBIT F - RATE SCHEDULE Role Hourly Rate General to provide services in Phase I. REQUIRED INSURANCE. CM/GC shall obtain the insurance specified in this Exhibit E.1 prior to performing Preconstruction Phase Services under this Contract, and shall maintain it in full force throughout the duration of Phase 1 of this Contract. Cost of liability insurance is a reimbursable expense. Type of Insurance Per Occurrence Aggregate Professional Liability Insurance Payment and Performance Bond Subguard EXHIBIT G - RENTAL RATES$5,000,000 $5,000,000 Commercial Gen Liability $1,000,000 $2,000,000 Commercial Auto Liability $1,000,000 $2,000,000 Workers Compensation Required

Appears in 1 contract

Samples: Multnomah County Construction Services Contract

TAX COMPLIANCE CERTIFICATION. By signature on this GMP Amendment, the undersigned hereby certifies under penalty of perjury that the undersigned is authorized to act on behalf of CM/GC and that CM/GC is, to the best of the undersigned’s knowledge, not in violation of any Oregon Tax Laws. For purposes of this certification, “Oregon Tax Laws” means a state tax imposed by ORS 401.792 to 401.816 and ORS chapters 118, 314, 316, 317, 318, 320, 321 and 323; the elderly rental assistance program under ORS 310.630 to 310.706, and local taxes administered by the Department of Revenue under ORS 305.620. THIS AMENDMENT is executed in four original copies of which one is to be delivered to the CM/GC, and the remainder to Owner. CM/GC: Name of Firm: Address: CM/GC's Federal Tax I.D. #: Construction Contractor's Board Registration No.: Signature of Authorized Representative of CM/GC Name Title Date OWNER: Oregon State Board of Higher Education (OSBHE) acting by and through Portland State University Signature of Owner’s Authorized Representative Name Title Date Signature of Authorized Representative of CM/GC Attachment A Plans, Specifications, Supplementary Conditions of the Contract, on which the Guaranteed Maximum Price is based, pages through dated . Attachment B Allowance items, pages through dated . Attachment C Assumptions and clarifications made in preparing the Guaranteed Maximum Price, pages through , dated . Attachment D Completion schedule, pages through , dated . Attachment E Alternate prices, pages _ through , dated . Attachment F Unit prices, pages through , dated . EXHIBIT D - DIRECT COSTS/GC WORK COSTS MATRIX This document will be sent separately EXHIBIT E - REIMBURSABLE TRAVEL AND PER DIEM EXPENSES EXHIBIT F - RATE SCHEDULE Role Hourly Rate General Liability Insurance Payment and Performance Bond Subguard EXHIBIT G - RENTAL RATESE

Appears in 1 contract

Samples: bid.oregonstate.edu

TAX COMPLIANCE CERTIFICATION. By signature The individual signing on this GMP Amendment, behalf of the undersigned CM/GC hereby certifies and swears under penalty of perjury that the undersigned s/he is authorized to act on behalf of the CM/GC GC, s/he has authority and that knowledge regarding the CM/GC isGC’s payment of taxes, and to the best of the undersigned’s her’/his knowledge, the CWGC is not in violation of any Oregon Tax Lawstax laws. For purposes of this certification, "Oregon Tax Laws” tax laws" means a state tax imposed by ORS 401.792 to 401.816 401.816, ORS 320.005 to 320.150 and 403.200 to 403.250, and ORS chapters 118, 314, 316, 317, 318, 320, 321 and 323; the elderly rental assistance program under ORS 310.630 to 310.706, and local taxes administered by the Department of Revenue under ORS 305.620. THIS AMENDMENT is executed in four original copies copies, of which one is to be delivered to the CM/GC, GC and the remainder to Owner. CM/GC: Name of Firm: Address: CM/GC's Federal Tax I.D. #: Construction Contractor's ’s Board Registration No.: Name Title Date OWNER: Portland State University Signature of Owner’s Authorized Representative Name Title Date Signature of Authorized Representative of CM/GC Name, Title Date OWNER: City of Astoria Oregon, an Oregon XXX Signature of (Name, Title) Date APPROVED AS TO LEGAL SUFFICIENCY Signature of (Name, Title) Date Attachment A Plans, Specifications, Supplementary Conditions of the Contract, on which the Guaranteed Maximum Price is based, pages through dated . Attachment B Allowance itemsAllowanceitems, pages through dated . Attachment C Assumptions and clarifications made in preparing the Guaranteed Maximum Price, pages through , dated . Attachment D Completion schedule, pages through , dated . Attachment E Alternate prices, pages through , dated . Attachment F Unit prices, pages through , dated . EXHIBIT D - DIRECT COSTSAstoria Public Library Renovation 2022 Bond Project Preconstruction Services Phase 1 Fee Preconstruction Position Months Average Hrs/Mo Total Hours Average Cost/Hr Total Name Senior Project Manager / Project Director Project Executive Project Manager Project Superintendent Project Engineer(s) QA/QC Project Engineer LEED Coordinator MEP Coordinator BIM Coordinator Estimator(s) Scheduler Purchasing Coordinator Project Document Control Coordinator Intern COBID Coordinator Labor burden and Payroll taxes and fringes CM/GC personnel computers / software Total ASTORIA PUBLIC LIBRARY RENOVATION PROJECT GENERAL CONDITIONS WORK COSTS MATRIX EXHIBIT E - REIMBURSABLE TRAVEL AND PER DIEM EXPENSES EXHIBIT F - RATE SCHEDULE Role PHASE 2 SERVICES The table below states the categories of General Conditions Work, applicable hourly labor rates, number of hours, and specific General Conditions Work costs that support the maximum Cost for General Conditions Work that will be payable under this CM/GC Contract. The total estimated Cost for General Conditions Work shown below, based on the categories of General Conditions Work below, shall be the maximum amount that will be payable to CM/GC for General Conditions Work, regardless of the final Project cost or the actual construction period required to complete the Project. All items of General Conditions Work listed by Owner in the table below will be compensated on a Lump Sum Hourly Rate as part of the ECOW. Any item of Work that might customarily be considered to be General Liability Conditions Work by CM/GC but which Owner has not listed in the table below may be compensated on a cost reimbursement basis if it is described as Cost of the Work in Article 8. Astoria Public Library Renovation 2022 Bond Project Construction Services Phase 2 Fee Construction Position Months Average Hrs/Mo Total Hours Average Cost/Hr Total Name Senior Project Manager / Project Director Project Executive Project Manager Project Superintendent Project Engineer(s) QA/QC Project Engineer MEP & CxA Coordinator Field Supervision / Project Coordinator(s) BIM Coordinator Field Office Manager(s) / Project Administrative support and project assistance Intern(s) Scheduler Project Document Control Coordinator Labor burden and Payroll taxes and fringes Other Costs for the CM/GC's key personnel as identified in the CM/GC Contract Planning and Layout Coordination CM/GC personnel computers / software Costs associated with managing & coordinating COBID programs Total GENERAL CONDITIONS ALLOCATION MATRIX CMGC Construction Contract - RFP 2023-00X Astoria Public Library Renovation 2022 Bond Project This Summary Matrix Defines how we have broken-down reimbursable costs between General Conditions and the Cost of Work. GMP Description of Section Costs Included in CM/GC Fee General Conditions / Requirements Work Cost Direct Cost of the Work Owner Cost Construction Management services Key Personnel including but not limited to: Senior Project Manager / Project Xxxxxxxx X Project Executive (for project specific time only) X Project Manager X Superintendence/Coordination X Project Engineer(s) X Field Engineer(s) X MEP & CxA Coordinator(s) X Project Admin & Coordinator(s) X LEED Coordinator X BIM/VDC Manager / Coordinator X Safety Manager / Coordinator X Project Administrative support and project assistance X Intern(s) X Scheduler during construction X Cost Engineer / Project Accounting X Project Document control coordinator X CM/GC personnel Computers / software X CM/GC personnel Trucks / Fuel X Partnering Session after GMP for Construction phase X Schedule and Construction software X Mobile communications / Cell Phones X Information technology "IT" and Electronic documentation X Drinking water for Personnel X Field office supplies and consumables X Temporary Jobsite Office X Postage and Handling / FedEx X Site Office Project Signage X Field office furniture & equipment X Toilet and handwashing facilities X Site Fencing X Construction waste / recycling Dumpsters (for non-demo work) X Project Photographs X Contractor's home office Overhead and Profit Corporate Accounting X Corporate Software X Corporate Safety office and safety program X Main Office Administration X Corporate IT Director and IT support X Legal X Main Office Payroll processing costs X Main Office Fringe/ Bonus Costs X Corporate Activity Tax applicable to CM/GC X Typical Owner Costs Actual cost of building permit X Coordination of Owner contracts X Owner Consultants X Soils Report, Geotechnical Engineering, Haz Mat Surveys X Historic Preservation X Owner's Responsbilities X Architect's Responsibilities X Independent testing laboratory & Special Inspections X 3rd party Envelope Commissioning Agent X 3rd party Commissioning Agent: (MEP) X Building and site security X Typical Cost of Work (outside of GC's but within GMP) Performance & Payment Bond, Insurance, and Builder Risk X Delivery of Bonds & evidence of Insurance Payment X Acceptance of Bonds & Insurance X Premium adjustment for bonds X Actual costs of other permits X Negotiated Support Services CM/GC "incidental pick up work" X Subcontract work X Self-Performance by CM/GC X Site and Performance Bond Subguard EXHIBIT G - RENTAL RATESArea Foremen X Craft morale lunches / events X Bid Document Reproduction Costs X Advertising for Subcontract Bid Packages X Subcontractor Bonding / Sub Default Insurance X Copies of documents & blueprints X Reference Points X Builders Risk Insurance Deductible X Survey and layout labor X Licensed Survey X Services, Materials, and Equipment X Patent fees and royalties X Actual cost of trade permits X Charges and inspection fees related to the permits necessary for the X Removal of debris during performance of work X Site Safety and protection X Safety equpment, first aid supplies X Temporary provisions X Extended equipment warranties X Delegation of professional design services X Cutting, fitting, and patching X Actual rental costs X Transportation, loading, unloading, assembly, dismantling, and removal X Royalty payments and fees X Tests and inspection by contractor X Uncovering work X Correction or removal of defective work X Additional copies of the Contract Documents, blue printing and X Additional staging space X Insurance and bond for stored materials X General cleaning / housekeeping X Cleaning required for specific trades X Final cleaning X Street sweeping X Protect building products X Security barriers X Restoration of Project site related to removal of temporary facilities X Contruction wages and benefits for trade labor X Material & Equipment Related to Craft Labor & Site Logistics X Rental-Contractor Owned equip X Small Tools and equipment rental X Flatbed Truck Rental/operations X Flatbed Truck Fuel/maintenance X Generator fuel X Provide and maintain construction lighting X Temporary heat (equipment and materials) X Temporary heat (fuel) X Use of Owner's HVAC system for construction X Water temporary piping X Construction waste / recycling program (for demo work) X Weather Protection X Parking and Shuttles X Cranes and Hoisting and material handling X Temporary facilities & enclosures X Temporary site fences and barricades X Dewatering X Noise Barriers X

Appears in 1 contract

Samples: www.astoria.gov

TAX COMPLIANCE CERTIFICATION. By signature The individual signing on this GMP Amendment, behalf of the undersigned CM/GC hereby certifies and swears under penalty of perjury that the undersigned s/he is authorized to act on behalf of the CM/GC GC, s/he has authority and that knowledge regarding the CM/GC isGC’s payment of taxes, and to the best of the undersigned’s her/his knowledge, the CM/GC is not in violation of any Oregon Tax Lawstax laws. For purposes of this certification, "Oregon Tax Laws” tax laws" means a state tax imposed by ORS 401.792 to 401.816 401.816, ORS 320.005 to 320.150 and 403.200 to 403.250, and ORS chapters 118, 314, 316, 317, 318, 320, 321 and 323; the elderly rental assistance program under ORS 310.630 to 310.706, and local taxes administered by the Department of Revenue under ORS 305.620. THIS AMENDMENT is executed in four three original copies copies, of which one is to be delivered to the CM/GC, GC and the remainder to Owner. CM/GC: Name of Firm: Address: CM/GC's Federal Tax I.D. #: Construction Contractor's Board Registration No.: Name Title Date OWNER: Portland State University Signature of Owner’s Authorized Representative Name Title Date Signature of Authorized Representative of CM/GC Title Date OWNER: Xxxxxx County, a political subdivision of the State of Oregon BOARD OF COMMISSIONERS Chair Date Commissioner Date Commissioner Date Authorized Signature: Department Director or designee Date Reviewed by Signature: Xxxxxx County Legal Counsel Date Reviewed by Signature: Xxxxxx County Contracts & Procurement Date Attachment A Plans, Specifications, Supplementary Conditions of the Contract, on which the Guaranteed Maximum Price is based, pages through dated . Attachment B Allowance items, pages through dated . Attachment C Assumptions and clarifications made in preparing the Guaranteed Maximum Price, pages through , dated . Attachment D Completion schedule, pages through , dated . Attachment E Alternate prices, pages through , dated . Attachment F Unit prices, pages through , dated . EXHIBIT D - DIRECT COSTSC SHERIFF’S OFFICE – CENTRAL DISTRICT OFFICE AND PAROLE & PROBATION BUILDINGS GENERAL CONDITIONS WORK The table below states the categories of General Conditions Work, applicable hourly labor rates, number of hours, and specific General Conditions Work costs that support the maximum Cost for General Conditions Work that will be payable under this CM/GC WORK COSTS MATRIX EXHIBIT E Contract. The total estimated Cost for General Conditions Work shown below, based on the categories of General Conditions Work below, shall be the maximum amount that will be payable to CM/GC for General Conditions Work, regardless of the final Project cost or the actual construction period required to complete the Project. All items of General Conditions Work listed by Owner in the table below will be compensated on a cost reimbursement basis as part of the ECOW. Any item of Work that might customarily be considered to be General Conditions Work by CM/GC but which Owner has not listed in the table below may be compensated on a cost reimbursement basis if it is described as Cost of the Work in Article 8. (Refer to RFP solicitation documentation Attachment 10 - REIMBURSABLE TRAVEL AND PER DIEM EXPENSES EXHIBIT F - RATE SCHEDULE Role Hourly Rate A Fee /Price Proposal Form, and 10 – B Cost Allocation Matrix for allocation of General Liability Insurance Payment and Performance Bond Subguard EXHIBIT G - RENTAL RATESConditions work Costs) Exhibit A Xxxxxx County GENERAL CONDITIONS FOR PUBLIC IMPROVEMENT CONTRACTS SEPTEMBER 1, 2014 Edition Changes to the General Conditions (including any additions, deletions or substitutions) should only be made by Supplemental General Conditions, unless the General Conditions are specifically modified in the Public Improvement Agreement (which has a higher order of precedence under Section A.3 of the General Conditions). The text of these General Conditions should not otherwise be altered. XXXXXX COUNTY GENERAL CONDITIONS FOR PUBLIC IMPROVEMENT CONTRACTS SEPTEMBER 1, 2014 TABLE OF SECTIONS SECTION A

Appears in 1 contract

Samples: www.co.marion.or.us

TAX COMPLIANCE CERTIFICATION. By signature The individual signing on this GMP Amendment, the undersigned behalf of CM/GC hereby certifies and swears under penalty of perjury that the undersigned s/he is authorized to act on behalf of CM/GC GC, s/he has authority and that knowledge regarding CM/GC isGC’s payment of taxes, and to the best of the undersigned’s her/his knowledge, CM/GC is not in violation of any Oregon Tax Lawstax laws. For purposes of this certification, "Oregon Tax Laws” means a state tax imposed by laws" are those tax laws listed in ORS 401.792 to 401.816 and 305.380(4), namely ORS chapters Chapters 118, 314, 316, 317, 318, 320, 321 and 323323 and Sections 10 to 20, Chapter 533, Oregon Laws 1981, as amended by Chapter 16, Oregon Laws 1982 (first special session); the elderly rental assistance program under ORS 310.630 to 310.706, ; and any local taxes administered by the Oregon Department of Revenue under ORS 305.620. THIS AMENDMENT is executed in four original copies of which one is to be delivered to the CM/GC, and the remainder to Owner. 305.620 CM/GC: Name of Firm: P&C Construction Address: 0000 XX Xxxx Xxxxxx, Xxxxxxxx, XX 00000 CM/GC's Federal Tax I.D. #: 00-0000000 Construction Contractor's Board Registration No.: Name Title Date OWNER: Portland State University Signature of Owner’s Authorized Representative Name Title Date 38619 Signature of Authorized Representative of CM/GC Title President Date 8/6/2024 OWNER: CITY OF MOLALLA Signature of City of Molalla Representative Title Date REVIEWED AS TO SCOPE SUFFICIENCY Reviewed Signature of Owners Representative Date Attachment A Plans, Specifications, Supplementary Conditions of the Contract, on which the Guaranteed Maximum Price is based, pages through dated . Attachment B Allowance items, pages through dated . XXX/Bid Package Cost Breakdown Attachment C Assumptions and clarifications made in preparing the Guaranteed Maximum Price, pages through , dated 8/7/2024. Attachment D Completion schedule, pages through , dated 7/16/2024. Attachment E Alternate prices, pages through N/A. Attachment F Cost Estimate, dated 8/6/2024. Attachment F Unit prices, pages through G Estimate Variance Report, dated 8/7/2024 Attachment H Bid Tab Report, dated 8/7/2024 ATTACHMENT A List of DD Documents City of Molalla New Police Facility Construction Document Estimate LIST OF CONSTRUCTION DOCUMENTS (CD) DOCUMENTS: Issue Date Phase I Environmental Site Assessment by NV5 07-01-2021 Soil Management Plan by NV5 07-12-2022 Report of Geotechnical Engineering Services by NV5 11-03-2022 SPECIFICATIONS: Construction Document Set 6/28/2024 June 28, 2024 P&C CLARIFICATIONS: Bid Package 04 – Clarification 01 7/18/2024 ADDENDA: Xxxxxxxxx Xxxxxxxx 3 7/17/2024 DRAWINGS: Construction Document Set 6/28/2024 Dwg No. EXHIBIT D Description Issue Date G0.01 TITLE SHEET AND DRAWING INDEX 7/17/2024 G0.02 PROJECT GENERAL NOTES, SYMBOLS, AND ABBREVIATIONS 6/28/2024 G1.10 CODE ANALYSIS 6/28/2024 G1.11 CODE PLAN 6/28/2024 A0.01 ARCHITECTURAL GENERAL NOTES AND SYMBOLS 6/28/2024 A0.02 PARTITION TYPES 6/28/2024 A0.03 INTERIOR PARTITION DETAILS 6/28/2024 A0.04 INTERIOR PARTITION DETAILS 6/28/2024 A1.10 FLOOR PLAN 6/28/2024 A1.11 ROOF PLAN - DIRECT COSTSLOW ROOF 6/28/2024 A1.12 ROOF PLAN - HIGH ROOF 6/28/2024 A1.13 CARPORT PLANS & SECTIONS 6/28/2024 A1.16 FINISH PLAN 6/28/2024 A1.17 FURNITURE, FIXTURES, AND EQUIPMENT REFERENCE PLAN 6/28/2024 A1.21 FIRST FLOOR REFLECTED CEILING PLAN 6/28/2024 A1.22 ENLARGED UPPER LID RCP & SECTIONS AT LOBBY 6/28/2024 A1.23 HIGH ROOF REFLECTED CEILING PLAN 6/28/2024 A1.30 COURSING PLAN 6/28/2024 A1.31 SLAB PLAN 6/28/2024 A2.10 BUILDING ELEVATIONS 6/28/2024 A3.10 BUILDING SECTIONS 6/28/2024 A3.20 WALL SECTIONS 6/28/2024 A3.21 WALL SECTIONS 6/28/2024 A3.22 WALL SECTIONS 6/28/2024 A4.10 ENLARGED PLANS 6/28/2024 A4.11 INTERIOR ELEVATIONS 6/28/2024 A4.12 INTERIOR ELEVATIONS 6/28/2024 A4.13 INTERIOR ELEVATIONS 6/28/2024 A4.19 CANOPY PLAN, SECTIONS AND DETAIL 6/28/2024 A5.01 SLAB DETAILS 6/28/2024 A5.10 ROOF DETAILS 6/28/2024 A5.11 ROOF DETAILS 6/28/2024 A5.12 EXTERIOR DETAILS - SECTIONS 6/28/2024 A5.13 EXTERIOR DETAILS - SECTIONS 6/28/2024 A5.14 EXTERIOR DETAILS - SECTIONS 6/28/2024 A5.15 EXTERIOR DETAILS - PLANS 6/28/2024 A5.16 EXTERIOR DETAILS - SECTIONS 6/28/2024 A5.20 INTERIOR DETAILS - CASEWORK 6/28/2024 A5.21 INTERIOR DETAILS 6/28/2024 A5.22 INTERIOR DETAILS - CEILING 6/28/2024 A5.23 INTERIOR DETAILS - DOORS AND RELITES 6/28/2024 A6.10 DOOR SCHEDULE AND INTERIOR WINDOW SCHEDULE 6/28/2024 A6.11 DOOR HARDWARE SETS 6/28/2024 A6.12 DOOR HARDWARE SETS 6/28/2024 A6.13 INTERIOR FINISH SCHEDULE 6/28/2024 A6.14 EXTERIOR WINDOW SCHEDULE 6/28/2024 A7.10 SIGNAGE PLAN 6/28/2024 A7.11 SIGNAGE TYPES AND SCHEDULE 7/17/2024 A7.12 SHIPS LADDER SECTION 6/28/2024 A8.10 SITE WALLS 6/28/2024 A8.11 TRASH ENCLOSURE PLAN, ELEVATION AND DETAILS 6/28/2024 A8.12 GATE PLANS 6/28/2024 TOPOGRAPHIC SURVEY 9/30/2022 C0.01 CIVIL GENERAL NOTES, SYMBOLS AND ABBREVIATIONS 6/28/2024 C1.01 DEMOLITION PLAN 6/28/2024 C1.10 SITE PLAN 6/28/2024 C1.20 GRADING PLAN 6/28/2024 C1.30 UTILITY PLAN 6/28/2024 C5.10 CIVIL DETAILS 6/28/2024 C5.11 CIVIL DETAILS 6/28/2024 EC1.0 EROSION AND SEDIMENT CONTROL COVER SHEET 6/28/2024 EC2.0 CLEARING AND DEMOLITION ESC PLAN 6/28/2024 EC3.0 MASS GRADING AND STABILIZATION ESC PLAN 6/28/2024 EC4.0 UTILITY ESC PLAN 6/28/2024 EC5.0 VERTICAL CONSTRUCTION ESC PLAN 6/28/2024 EC6.0 FINAL STABILIZATION ESC PLAN 6/28/2024 EC7.0 EROSION AND SEDIMENT CONTROL DETAILS 6/28/2024 L0.01 LANDSCAPE GENERAL INFORMATION AND PLANT SCHEDULE 6/28/2024 L1.10 LANDSCAPE MATERIALS PLAN 6/28/2024 L1.11 JOINT AND LAYOUT PLAN 6/28/2024 L3.10 OVERALL PLANTING PLAN 6/28/2024 L3.11 PLANTING PLAN 6/28/2024 L3.12 PLANTING PLAN 6/28/2024 L4.10 IRRIGATION PLAN 6/28/2024 L5.10 DETAILS 6/28/2024 L5.11 DETAILS 6/28/2024 L5.12 DETAILS 6/28/2024 S0.00 STRUCTURAL GENERAL NOTES 6/28/2024 S0.10 TYPICAL DETAILS 6/28/2024 S0.11 TYPICAL DETAILS 6/28/2024 S0.20 TYPICAL INTERIOR LIGHT XXXX XXXXX DETAILS 6/28/2024 S0.21 TYPICAL INTERIOR LIGHT XXXX XXXXX DETAILS 6/28/2024 S1.10 FOUNDATION PLAN 6/28/2024 S1.30 ROOF FRAMING PLAN 6/28/2024 S3.10 SECTIONS 6/28/2024 S5.00 MASONRY DETAILS 7/17/2024 S5.50 BASE PLATE DETAILS 6/28/2024 S5.51 STEEL FRAMING DETAILS 7/17/2024 M0.01 SYMBOL LIST AND GENERAL NOTES - MECHANICAL 6/28/2024 M0.02 SCHEDULES - MECHANICAL 6/28/2024 M0.03 SCHEDULES - MECHANICAL 6/28/2024 M1.10 FIRST FLOOR PLAN - MECHANICAL 6/28/2024 M1.13 ROOF PLAN - LOW ROOF - MECHANICAL 6/28/2024 M1.16 ROOF PLAN - HIGH ROOF - MECHANICAL 6/28/2024 M2.10 FIRST FLOOR PLAN - MECHANICAL PIPING 6/28/2024 M4.01 ENLARGED PLANS - MECHANICAL 6/28/2024 M5.01 DETAILS - MECHANICAL 6/28/2024 E0.01 SYMBOL LIST AND GENERAL NOTES - ELECTRICAL 6/28/2024 E0.02 LUMINAIRE SCHEDULE - ELECTRICAL 6/28/2024 E1.00 SITE PLAN - ELECTRICAL 6/28/2024 E1.01 PHOTOMETRIC SITE PLAN - ELECTRICAL 6/28/2024 E1.10 FIRST FLOOR PLAN - LIGHTING 6/28/2024 E2.10 FIRST FLOOR PLAN -POWER 6/28/2024 E2.13 ROOF PLAN - LOW ROOF - POWER 6/28/2024 E4.01 ENLARGED PLANS - ELECTRICAL 6/28/2024 E5.01 SINGLE LINE DIAGRAMS - ELECTRICAL 6/28/2024 E6.01 SCHEDULES - ELECTRICAL 6/28/2024 E6.02 SCHEDULES - ELECTRICAL 6/28/2024 E7.01 DETAILS - ELECTRICAL 6/28/2024 P0.01 SYMBOL LIST AND GENERAL NOTES - PLUMBING 6/28/2024 P0.02 SCHEDULES - PLUMBING 6/28/2024 P1.00 SITE PLAN - PLUMBING 6/28/2024 P1.01 UNDERGROUND PLAN - PLUMBING 6/28/2024 P1.10 FIRST FLOOR PLAN - PLUMBING 6/28/2024 P1.13 ROOF PLAN -LOW ROOF - PLUMBING 6/28/2024 P1.16 ROOF PLAN - HIGH ROOF - PLUMBING 6/28/2024 P4.01 ENLARGED PLANS - PLUMBING 6/28/2024 P5.01 DETAILS - PLUMBING 6/28/2024 FP0.01 SYMBOL LIST AND GENERAL NOTES -FIRE PROTECTION 6/28/2024 FP1.10 FIRST FLOOR - FIRE PROTECTION 6/28/2024 T0.01 SYMBOL LIST AND GENERAL NOTES - TECHNOLOGY 6/28/2024 T1.00 SITE PLAN - TECHNOLOGY 6/28/2024 T1.10 FIRST FLOOR PLAN - TECHNOLOGY 6/28/2024 T4.01 ENLARGED PLANS - TECHNOLOGY 6/28/2024 R00 TITLE SHEET 7/17/2024 R01 CITY OF MOLALLA GENERAL NOTES 7/17/2024 R02 LEGEND AND ABBREVIATIONS 7/17/2024 R03 DEMOLITION PLAN 7/17/2024 R04 GRANGE AVE PLAN AND PROFILE 7/17/2024 R05 GRADING ENLARGEMENTS 7/17/2024 R06a OVERALL COMPOSITE UTILITY PLAN 7/17/2024 R06b COMPOSITE UTILITY PLAN & PROFILES 7/17/2024 R07 SIGNING AND STRIPING PLAN 7/17/2024 R08 CITY OF MOLALLA DETAILS 7/17/2024 R09 CITY OF MOLALLA DETAILS 7/17/2024 R10 LANDSCAPE NOTES AND MATERIALS AND LAYOUT PLAN 7/17/2024 R11 PLANTING PLAN 7/17/2024 R12 IRRIGATION PLAN 7/17/2024 R13 DETAILS 7/17/2024 R14 DETAILS 7/17/2024 IL01 STREET LIGHTING PLAN 7/17/2024 SPACESAVER SHEETS 1 THROUGH 6 F Cost Estimate ATTACHMENT B XXX/GC WORK COSTS MATRIX EXHIBIT E Bid Package Cost Breakdown EWA-3 GMP EWA-2 EWA-1 PRECON BP#4 BP#2 & 3 BP#1 PRECON FINAL GMP PRECON $ 38,000 $ 38,000 COW $ 7,679,802 $ 7,043,567 $ 237,151 $ 14,960,520 CONTINGENCY $ 114,539 $ 824,792 $ 8,300 $ 947,631 FEE $ 416,997 $ 420,957 $ 13,132 $ 851,086 CAT $ 39,597 $ 39,789 $ 1,241 $ 80,627 TOTALS $ 8,250,935 $ 8,329,105 $ 259,824 $ 38,000 $ 16,877,864 FINAL TOTAL = $ 16,877,864 ATTACHMENT C Assumptions and Clarifications 08/07/2024 City of Molalla 000 X Xxxxxxx Xxx. Molalla, OR 97038 Re: Molalla Police Facility Estimate & Clarifications Dated 08/07/2024 Dear Client: Below is the estimate & clarifications for the New Molalla Police Facility Project based upon Mackenzie Architects Construction Documents Set dated 06/28/2024, Addendum #3 dated 07/17/2024 and other relevant reports Dated December 15, 2022, as they relate to the new building, see list of documents for more information: Estimate: $16,877,864 Please note the following Specific Qualifications & Clarifications: Division 1 - REIMBURSABLE TRAVEL AND PER DIEM EXPENSES EXHIBIT F - RATE SCHEDULE Role Hourly Rate General Liability Insurance Payment and Performance Bond Subguard EXHIBIT G - RENTAL RATESGeneral

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Samples: www.cityofmolalla.com

TAX COMPLIANCE CERTIFICATION. By signature The individual signing on this GMP Amendment, behalf of the undersigned CM/GC hereby certifies and swears under penalty of perjury that the undersigned s/he is authorized to act on behalf of the CM/GC GC, s/he has authority and that knowledge regarding the CM/GC isGC’s payment of taxes, and to the best of the undersigned’s her’/his knowledge, the CWGC is not in violation of any Oregon Tax Lawstax laws. For purposes of this certification, "Oregon Tax Laws” tax laws" means a state tax imposed by ORS 401.792 to 401.816 401.816, ORS 320.005 to 320.150 and 403.200 to 403.250, and ORS chapters 118, 314, 316, 317, 318, 320, 321 and 323; the elderly rental assistance program under ORS 310.630 to 310.706, and local taxes administered by the Department of Revenue under ORS 305.620. THIS AMENDMENT is executed in four original copies copies, of which one is to be delivered to the CM/GC, GC and the remainder to Owner. CM/GC: Name of Firm: Address: CM/GC's Federal Tax I.D. #: Construction Contractor's ’s Board Registration No.: Name Title Date OWNER: Portland State University Signature of Owner’s Authorized Representative Name Title Date Signature of Authorized Representative of CM/GC Name, Title Date OWNER: Seaside School District, an Oregon XXX Signature of (Name, Title) Date APPROVED AS TO LEGAL SUFFICIENCY Signature of (Name, Title) Date Attachment A Plans, Specifications, Supplementary Conditions of the Contract, on which the Guaranteed Maximum Price is based, pages through dated . Attachment B Allowance itemsAllowanceitems, pages through dated . Attachment C Assumptions and clarifications made in preparing the Guaranteed Maximum Price, pages through , dated . Attachment D Completion schedule, pages through , dated . Attachment E Alternate prices, pages through , dated . Attachment F Unit prices, pages through , dated . EXHIBIT D - DIRECT COSTSBroadway Field Softball Improvements Project Preconstruction Services Phase 1 Fee Preconstruction Position Months Average Hrs/Mo Total Hours Average Cost/Hr Total Name Senior Project Manager / Project Director Project Executive Project Manager Project Superintendent Project Engineer(s) QA/QC Project Engineer LEED Coordinator MEP Coordinator BIM Coordinator Estimator(s) Scheduler Purchasing Coordinator Project Document Control Coordinator Intern COBID Coordinator Labor burden and Payroll taxes and fringes CM/GC personnel computers / software Total BROADWAY FIELD SOFTBALL IMPROVEMENTS PROJECT GENERAL CONDITIONS WORK COSTS MATRIX EXHIBIT E - REIMBURSABLE TRAVEL AND PER DIEM EXPENSES EXHIBIT F - RATE SCHEDULE Role PHASE 2 SERVICES The table below states the categories of General Conditions Work, applicable hourly labor rates, number of hours, and specific General Conditions Work costs that support the maximum Cost for General Conditions Work that will be payable under this CM/GC Contract. The total estimated Cost for General Conditions Work shown below, based on the categories of General Conditions Work below, shall be the maximum amount that will be payable to CM/GC for General Conditions Work, regardless of the final Project cost or the actual construction period required to complete the Project. All items of General Conditions Work listed by Owner in the table below will be compensated on a Lump Sum Hourly Rate as part of the ECOW. Any item of Work that might customarily be considered to be General Liability Insurance Payment Conditions Work by CM/GC but which Owner has not listed in the table below may be compensated on a cost reimbursement basis if it is described as Cost of the Work in Article 8. Broadway Field Softball Improvements Project Construction Services Phase 2 Fee Construction Position Months Average Hrs/Mo Total Hours Average Cost/Hr Total Name Senior Project Manager / Project Director Project Executive Project Manager Project Superintendent Project Engineer(s) QA/QC Project Engineer MEP & CxA Coordinator Field Supervision / Project Coordinator(s) BIM Coordinator Field Office Manager(s) / Project Administrative support and Performance Bond Subguard EXHIBIT G project assistance Intern(s) Scheduler Project Document Control Coordinator Labor burden and Payroll taxes and fringes Other Costs for the CM/GC's key personnel as identified in the CM/GC Contract Planning and Layout Coordination CM/GC personnel computers / software Costs associated with managing & coordinating COBID programs Total GENERAL CONDITIONS ALLOCATION MATRIX CMGC Construction Contract - RENTAL RATESRFP 2023-003

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Samples: content.myconnectsuite.com

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TAX COMPLIANCE CERTIFICATION. By signature on this GMP Amendment, the undersigned hereby certifies under penalty of perjury that the undersigned is authorized to act on behalf of CM/GC and that CM/GC is, to the best of the undersigned’s knowledge, not in violation of any Oregon Tax Laws. For purposes of this certification, “Oregon Tax Laws” means a state tax imposed by ORS 401.792 to 401.816 and ORS chapters 118, 314, 316, 317, 318, 320, 321 and 323; the elderly rental assistance program under ORS 310.630 to 310.706, and local taxes administered by the Department of Revenue under ORS 305.620. THIS AMENDMENT is executed in four original copies of which one is to be delivered to the CM/GC, and the remainder to Owner. CM/GC: Name of Firm: Address: CM/GC's Federal Tax I.D. #: Construction Contractor's Board Registration No.: Name Title Date OWNER: Portland State University Signature of Owner’s Authorized Representative Name Title Date Signature of Authorized Representative of CM/GC Attachment A Plans, Specifications, Supplementary Conditions of the Contract, on which the Guaranteed Maximum Price is based, pages through dated . Attachment B Allowance items, pages through dated . Attachment C Assumptions and clarifications made in preparing the Guaranteed Maximum Price, pages through , dated . Attachment D Completion schedule, pages through , dated . Attachment E Alternate prices, pages through , dated _ . Attachment F Unit prices, pages through , dated . EXHIBIT D - DIRECT COSTS/GC WORK COSTS MATRIX EXHIBIT E - REIMBURSABLE TRAVEL AND PER DIEM EXPENSES EXHIBIT F - RATE SCHEDULE Role Hourly Rate General Liability Insurance Payment and Performance Bond Subguard EXHIBIT G - RENTAL RATES

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Samples: www.pdx.edu

TAX COMPLIANCE CERTIFICATION. By signature The individual signing on this GMP Amendment, the undersigned behalf of CM/GC hereby certifies and swears under penalty of perjury that the undersigned s/he is authorized to act on behalf of CM/GC GC, s/he has authority and that knowledge regarding CM/GC isGC’s payment of taxes, and to the best of the undersigned’s her/his knowledge, CM/GC is not in violation of any Oregon Tax Lawstax laws. For purposes of this certification, “Oregon Tax Laws” means a state tax imposed by ORS 401.792 320.005 to 401.816 320.150 and 403.200 to 403.250, ORS chapters 118, 314, 316, 317, 318, 320, 321 and 323; the elderly rental assistance program under ORS 310.630 to 310.706, ; and local taxes administered by the Department of Revenue under ORS 305.620. THIS AMENDMENT is executed in four original copies of which one is to be delivered to the CM/GC, and the remainder to Owner. CM/GC: Name of Firm: Address: CM/GC's Federal Tax I.D. #: Construction Contractor's Board Registration No.: Name Signature of Authorized Representative of CM/GC Title Date OWNER: Portland STATE OF OREGON acting by and through the Oregon State Board of Higher Education (OSBHE) on behalf of Oregon State University Signature of Owner’s Authorized Representative Name Title Executive Director – Campus Operations, Contract Officer Date Signature of Authorized Representative of CM/GC APPROVED AS TO LEGAL SUFFICIENCY OSU GENERAL COUNSEL Assistant General Counsel Date Attachment A Plans, Specifications, Supplementary Conditions of the Contract, on which the Guaranteed Maximum Price is based, pages through dated . Attachment B Allowance items, pages through dated . Attachment C Assumptions and clarifications made in preparing the Guaranteed Maximum Price, pages through , dated . Attachment D Completion schedule, pages through , dated . Attachment E Alternate prices, pages _ through , dated . Attachment F Unit prices, pages through , dated . EXHIBIT D - C DIRECT COSTS/GC WORK COSTS MATRIX This document will be sent separately. EXHIBIT E - REIMBURSABLE TRAVEL AND PER DIEM EXPENSES EXHIBIT F - RATE SCHEDULE Role Hourly Rate General Liability Insurance Payment and Performance Bond Subguard EXHIBIT G - RENTAL RATESD OUS SUPPLEMENTAL GENERAL CONDITIONS This document will be sent separately

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Samples: bid.oregonstate.edu

TAX COMPLIANCE CERTIFICATION. By signature The individual signing on this GMP Amendment, behalf of the undersigned CM/GC hereby certifies and swears under penalty of perjury that the undersigned s/he is authorized to act on behalf of the CM/GC GC, s/he has authority and that knowledge regarding the CM/GC isGC’s payment of taxes, and to the best of the undersigned’s her/his knowledge, the CM/GC is not in violation of any Oregon Tax Lawstax laws. For purposes of this certification, "Oregon Tax Laws” tax laws" means a state tax imposed by ORS 401.792 to 401.816 401.816, ORS 320.005 to 320.150 and 403.200 to 403.250, and ORS chapters 118, 314, 316, 317, 318, 320, 321 and 323; the elderly rental assistance program under ORS 310.630 to 310.706, and local taxes administered by the Department of Revenue under ORS 305.620. THIS AMENDMENT is executed in four three original copies copies, of which one is to be delivered to the CM/GC, GC and the remainder to Owner. CM/GC: Name of Firm: Address: CM/GC's Federal Tax I.D. #: Construction Contractor's Board Registration No.: Name Title Date OWNER: Portland State University Signature of Owner’s Authorized Representative Name Title Date Signature of Authorized Representative of CM/GC Title Date OWNER: Xxxxxx County, a political subdivision of the State of Oregon BOARD OF COMMISSIONERS Chair Date Commissioner Date Commissioner Date Authorized Signature: Department Director or designee Date Reviewed by Signature: Xxxxxx County Legal Counsel Date Reviewed by Signature: Xxxxxx County Contracts & Procurement Date Attachment A Plans, Specifications, Supplementary Conditions of the Contract, on which the Guaranteed Maximum Price is based, pages through dated . Attachment B Allowance items, pages through dated . Attachment C Assumptions and clarifications made in preparing the Guaranteed Maximum Price, pages through , dated . Attachment D Completion schedule, pages through , dated . Attachment E Alternate prices, pages _ through , dated . Attachment F Unit prices, pages through , dated . EXHIBIT D - DIRECT COSTSC XXXXXX COUNTY JUVENILE COURTS EXPANSION AND ADMINISTRATION REMODEL GENERAL CONDITIONS WORK The table below states the categories of General Conditions Work, applicable hourly labor rates, number of hours, and specific General Conditions Work costs that support the maximum Cost for General Conditions Work that will be payable under this CM/GC WORK COSTS MATRIX EXHIBIT E Contract. The total estimated Cost for General Conditions Work shown below, based on the categories of General Conditions Work below, shall be the maximum amount that will be payable to CM/GC for General Conditions Work, regardless of the final Project cost or the actual construction period required to complete the Project. All items of General Conditions Work listed by Owner in the table below will be compensated on a cost reimbursement basis as part of the ECOW. Any item of Work that might customarily be considered to be General Conditions Work by CM/GC but which Owner has not listed in the table below may be compensated on a cost reimbursement basis if it is described as Cost of the Work in Article 8. (Refer to RFP solicitation documentation Attachment 10 - REIMBURSABLE TRAVEL AND PER DIEM EXPENSES EXHIBIT F - RATE SCHEDULE Role Hourly Rate A Fee /Price Proposal Form, and 10 – B Cost Allocation Matrix for allocation of General Liability Insurance Payment and Performance Bond Subguard EXHIBIT G - RENTAL RATESConditions work Costs) Exhibit A Xxxxxx County GENERAL CONDITIONS FOR PUBLIC IMPROVEMENT CONTRACTS SEPTEMBER 1, 2014 Edition Changes to the General Conditions (including any additions, deletions or substitutions) should only be made by Supplemental General Conditions, unless the General Conditions are specifically modified in the Public Improvement Agreement (which has a higher order of precedence under Section A.3 of the General Conditions). The text of these General Conditions should not otherwise be altered. XXXXXX COUNTY GENERAL CONDITIONS FOR PUBLIC IMPROVEMENT CONTRACTS SEPTEMBER 1, 2014 TABLE OF SECTIONS SECTION A

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Samples: www.co.marion.or.us

TAX COMPLIANCE CERTIFICATION. By signature The individual signing on this GMP Amendment, the undersigned behalf of CM/GC hereby certifies and swears under penalty of perjury that the undersigned s/he is authorized to act on behalf of CM/GC GC, s/he has authority and that knowledge regarding CM/GC isGC’s payment of taxes, and to the best of the undersigned’s her/his knowledge, CM/GC is not in violation of any Oregon Tax Lawstax laws. For purposes of this certification, "Oregon Tax Laws” means a state tax imposed by laws" are those tax laws listed in ORS 401.792 to 401.816 and 305.380(4), namely ORS chapters Chapters 118, 314, 316, 317, 318, 320, 321 and 323323 and Sections 10 to 20, Chapter 533, Oregon Laws 1981, as amended by Chapter 16, Oregon Laws 1982 (first special session); the elderly rental assistance program under ORS 310.630 to 310.706, ; and any local taxes administered by the Oregon Department of Revenue under ORS 305.620. THIS AMENDMENT is executed in four original copies of which one is to be delivered to the CM/GC, and the remainder to Owner. CM/GC: Name of Firm: Address: CM/GC's Federal Tax I.D. #: Construction Contractor's Board Registration No.: Name Title Date OWNER: Portland State University Signature of Owner’s Authorized Representative Name Title Date Signature of Authorized Representative of CM/GC Title Date OWNER: LAKE OSWEGO REDEVELOPMENT AGENCY Xxxxx Xxxxxxx Executive Director Date Attachment A Plans, Specifications, Supplementary Conditions of the Contract, on which the Guaranteed Maximum Price is based, pages through dated . Attachment B Allowance items, pages through dated . Attachment C Assumptions and clarifications made in preparing the Guaranteed Maximum Price, pages through , dated . Attachment D Completion schedule, pages through , dated . Attachment E Alternate prices, pages through , dated . Attachment F Unit prices, pages through , dated . EXHIBIT D - DIRECT COSTSC ‐ COST FOR GENERAL CONDITIONS WORK The table below states the categories of specific General Conditions Work costs that support the Cost for General Conditions Work that will be payable under the Contract. The total Cost for General Conditions Work shown below, based on the categories of General Conditions Work below, shall be the not to exceed amount that will be payable to CM/GC WORK COSTS MATRIX EXHIBIT E - REIMBURSABLE TRAVEL AND PER DIEM EXPENSES EXHIBIT F - RATE SCHEDULE Role Hourly Rate for General Liability Insurance Payment Conditions Work, regardless of the final Project cost or the actual construction period required to complete the Project. All items of General Conditions Work listed by Owner in the table below will be compensated either in a lump sum, fixed amount, or a not to exceed amount on a cost reimbursement basis. Any item of Work that might customarily be considered to be General Conditions Work by CM/GC but which Owner has not listed in the table below may be compensated on a cost reimbursement basis if it is described as Cost of the Work in Article 8. B.1 Project Manager B.28 Office Security B.2 Project Engineer B.29 Sustainability Coordinator/Supervisor B.3 Superintendent B.30 Clerical/Secretarial B.4 Field Supervision B.31 Project Coordination B.5 Field Coordination B.32 Estimating and Performance Bond Subguard EXHIBIT G - RENTAL RATESCost Engineering

Appears in 1 contract

Samples: www.ci.oswego.or.us

TAX COMPLIANCE CERTIFICATION. By signature The individual signing on this GMP Amendment, behalf of the undersigned CM/GC hereby certifies and swears under penalty of perjury that the undersigned s/he is authorized to act on behalf of the CM/GC GC, s/he has authority and that knowledge regarding the CM/GC isGC’s payment of taxes, and to the best of the undersigned’s her/his knowledge, the CM/GC is not in violation of any Oregon Tax Lawstax laws. For purposes of this certification, "Oregon Tax Laws” tax laws" means a state tax imposed by ORS 401.792 to 401.816 401.816, ORS 320.005 to 320.150 and 403.200 to 403.250, and ORS chapters 118, 314, 316, 317, 318, 320, 321 and 323; the elderly rental assistance program under ORS 310.630 to 310.706, and local taxes administered by the Department of Revenue under ORS 305.620. THIS AMENDMENT is executed in four original copies copies, of which one is to be delivered to the CM/GC, GC and the remainder to Owner. Contract# DCA-CNSTR-11499-2020 Exhibit B CM/GC: Name of Firm: Address: CM/GC's Federal Tax I.D. #: Construction Contractor's Board Registration No.: Name Title Date OWNER: Portland State University Signature of Owner’s Authorized Representative Name Title Date Signature of Authorized Representative of CM/GC Title Date OWNER: Multnomah County, an Oregon political subdivision Signature of Xxxxxxx Xxxxxxx, Chair Date APPROVED AS TO LEGAL SUFFICIENCY Xxxxx X. Xxxxxxx, Multnomah County Attorney Assistant County Attorney Date Contract# DCA-CNSTR-11499-2020 Exhibit B Attachment A Plans, Specifications, Supplementary Conditions of the Contract, on which the Guaranteed Maximum Price is based, pages through dated . Attachment B Allowance items, pages through dated . Attachment C Assumptions and clarifications made in preparing the Guaranteed Maximum Price, pages through , dated . Attachment D Completion schedule, pages through , dated . Attachment E Alternate prices, pages _ through , dated . Attachment F Unit prices, pages through , dated . DocuSign Envelope ID: D3BF23CD-1A8D-47A9-B973-F41086E458CA Contract #DCA-CNSTR-11499-2020 Exhibit C.1 Preconstruction Services Phase 1 Fee PRE-CONSTRUCTION SERVICES HOURLY RATES PRE-CONSTRUCTION NOT TO EXCEED FEE: $76,000 Contract Number DCA-CNSTR-11499-2020 - Exhibit D MULTNOMAH COUNTY SHERIFF’S XXXXXX 000 XX XXXXXXXXX BLVD., Suite 350 • Xxxxxxxx, XX 00000 Exemplary service for a safe, livable community RECORDS CHECK AUTHORIZATION XXXXXXX XXXXX SHERIFF xxx.xxxx.xx TYPE OR PRINT LEGIBLY: Fill in all fields - Incomplete forms WILL NOT be processed. NO ABBREVIATIONS! LAST NAME FIRST NAME MIDDLE NAME OTHER NAMES USED (AKA’s, SURNAMES, MAIDEN NAME, ETC.) CURRENT ADDRESS CITY STATE ZIP CODE ( ) E-MAIL ADDRESS PHONE NUMBER DRIVER’S LICENSE: / / SOCIAL SECURITY NUMBER STATE LICENCE NO. EXP. HEIGHT: WEIGHT: EYE COLOR: HAIR COLOR: SEX (CHECK ONE): MALE / FEMALE _______ A – Asian/Pacific Islander B – Black H – Latin American I – American Indian/Native Alaskan O – Other W - White RACE: DATE OF BIRTH PLACE OF BIRTH (CITY) (STATE) (COUNTRY) (__ )_ EMPLOYER NAME EMPLOYER TELEPHONE NUMBER EMPLOYEE JOB TITLE REASON FOR REQUESTED ACCESS / WORK BEING PERFORMED DO YOU HAVE ANY CRIMINAL CONVICTION’S OR INCARCERATION’S? (XXXX ONE) IF YES, LIST BELOW: Use additional page if needed YES or NO CHARGE DATE CHARGE DATE I hereby authorize the Multnomah County Sheriff's Office to conduct a criminal history records check prior to consideration for employment or association with this agency for official business. I understand and agree that a record of convictions, pending criminal court actions, and/or submitting false information may exclude me from employment consideration or association with the Multnomah County Sheriff's Office. Also, I agree to report any criminal conviction occurring after the submission of this authorization. I further understand that I will be held accountable to the zero-tolerance standard set in the Prison Rape Elimination Act 2003 (PREA). I HEREBY AFFIRM THE ABOVE INFORMATION IS TRUE: SIGNATURE DATE MCSO SPECIFIC CONTRACTOR (JAIL SIDE - ESCORT ONLY) CJIS ONLY OTHER MCSO ID LIMITED DURATION (SPECIAL PROJECT – INTERN) MCSO ID ( CJIS REQUIRED ) REQUESTING PRINT NAME: DEPARTMENT/TITLE: SIGNATURE: CONTACT NUMBER: MUST BE COMPLETED BY MULTNOMAH COUNTY MANAGER/SUPERVISOR REQUESTING ACCESS Rev SEP2016 CONTRACT NUMBER DCA-CNSTR-11499-2020 - EXHIBIT D - DIRECT COSTS/GC WORK COSTS MATRIX EXHIBIT E - REIMBURSABLE TRAVEL AND PER DIEM EXPENSES EXHIBIT F - RATE SCHEDULE Role Hourly Rate General Liability Insurance Payment and Performance Bond Subguard EXHIBIT G - RENTAL RATESE.2

Appears in 1 contract

Samples: Emergency Construction Services Contract

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