ContractTransportation Benefit District Disclosure Agreement • May 2nd, 2017 • Washington
TRANSPORTATION BENEFIT DISTRICT (TBD) DISCLOSURE AGREEMENT DOL Contract No. K6174 TBD Contract No Upon execution, this Contract is entered into by and between Washington State, Department of Licensing (hereinafter called "DOL" or “Department”), and the City of Longview Transportation Benefit District (hereinafter called “TBD” or “Contractor”) listed below. Contract Start DateDate of execution Contract End DateExtend through the life of the TBD Contractor Amount1% of each $20.00 fee collected will be paid to DOL Purpose (brief description)The purpose of this Contract is to provide the terms and conditions under which DOL shall administer and collect fees on behalf of cities who have established a Transportation Benefit District (TBD) in order to provide the funding for transportation improvements within the TBD’s area. CONTRACTOR CONTACT INFORMATION Contractor AddressPO Box 128Longview, WA 98632-7080 Uniform business identifier (UBI)084-003-807 Employment Identification Number(EIN)91
