Common use of TAX COMPLIANCE CERTIFICATION Clause in Contracts

TAX COMPLIANCE CERTIFICATION. The individual signing on behalf of CM/GC hereby certifies and swears under penalty of perjury that s/he is authorized to act on behalf of CM/GC, s/he has authority and knowledge regarding CM/GC’s payment of taxes, and to the best of her/his knowledge, CM/GC is not in violation of any Oregon tax laws. For purposes of this certification, "Oregon tax laws" are those tax laws listed in ORS 305.380(4), namely ORS Chapters 118, 314, 316, 317, 318, 320, 321 and 323 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.: 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 C ‐ 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 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 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 Cost Engineering

TAX COMPLIANCE CERTIFICATION. The individual signing on behalf of CM/GC hereby certifies and swears under penalty of perjury that s/he is authorized to act on behalf of CM/GC, s/he has authority and knowledge regarding CM/GC’s payment of taxes, and to the best of her/his knowledge, CM/GC is not in violation of any Oregon tax laws. For purposes of this certification, "Oregon tax laws" are those tax laws listed in ORS 305.380(4), namely ORS Chapters 118, 314, 316, 317, 318, 320, 321 and 323 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.: Signature of Authorized Representative of CM/GC Title Date OWNER: CITY OF LAKE OSWEGO REDEVELOPMENT AGENCY Xxxxx Xxxxxxx Executive Director 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 C ‐ 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 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 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 Cost Engineering

TAX COMPLIANCE CERTIFICATION. The individual signing on behalf of the CM/GC hereby certifies and swears under penalty of perjury that s/he is authorized to act on behalf of the CM/GC, s/he has authority and knowledge regarding the CM/GC’s payment of taxes, and to the best of her/his knowledge, the CM/GC is not in violation of any Oregon tax laws. For purposes of this certification, "Oregon tax laws" are those means a state tax laws listed in imposed by ORS 305.380(4)401.792 to 401.816, namely ORS Chapters 320.005 to 320.150 and 403.200 to 403.250, and ORS chapters 118, 314, 316, 317, 318, 320, 321 and 323 and Sections 10 to 20, Chapter 533, Oregon Laws 1981, as amended by Chapter 16, Oregon Laws 1982 (first special session)323; 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 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.: Signature of Authorized Representative of CM/GC Title Date OWNER: LAKE OSWEGO REDEVELOPMENT AGENCY Multnomah County, an Oregon political subdivision Signature of Xxxxxxx Xxxxxxx, Chair Date APPROVED AS TO LEGAL SUFFICIENCY Xxxxx Xxxxxxx Executive Director 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 D - Multnomah 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 C ‐ COST FOR GENERAL CONDITIONS WORK E.1 INSURANCE PROVISIONS PHASE 1: PRECONSTRUCTION PHASE SERVICES INSURANCE PROVISIONS Phase I Insurance Requirements The table below states reflects the categories minimum insurance required 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 for General Conditions Work, regardless of the final Project cost or the actual construction period required to complete the Projectprovide services in Phase I. REQUIRED INSURANCE. 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 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 table below may be compensated on a cost reimbursement basis if it is described as duration of Phase 1 of this Contract. Cost of the Work in Article 8liability insurance is a reimbursable expense. 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 Cost EngineeringType of Insurance Per Occurrence Aggregate Professional Liability $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

TAX COMPLIANCE CERTIFICATION. The individual signing on behalf of the CM/GC hereby certifies and swears under penalty of perjury that s/he is authorized to act on behalf of the CM/GC, s/he has authority and knowledge regarding the CM/GC’s payment of taxes, and to the best of her/his knowledge, the CM/GC is not in violation of any Oregon tax laws. For purposes of this certification, "Oregon tax laws" are those means a state tax laws listed in imposed by ORS 305.380(4)401.792 to 401.816, namely ORS Chapters 320.005 to 320.150 and 403.200 to 403.250, and ORS chapters 118, 314, 316, 317, 318, 320, 321 and 323 and Sections 10 to 20, Chapter 533, Oregon Laws 1981, as amended by Chapter 16, Oregon Laws 1982 (first special session)323; 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 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.: Signature of Authorized Representative of CM/GC Title Date OWNER: LAKE OSWEGO REDEVELOPMENT AGENCY Multnomah County, an Oregon political subdivision Signature of Xxxxxxx Xxxxxxx, Chair Date APPROVED AS TO LEGAL SUFFICIENCY Xxxxx Xxxxxxx Executive Director 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 . EXHIBIT C ‐ COST 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 GENERAL CONDITIONS REQUESTED ACCESS / WORK The table below states 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 categories 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 specific General Conditions Work costs 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 support the Cost for General Conditions Work that I will be payable under held accountable to 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 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 zero-tolerance standard set in the table below will be compensated either in a lump sum, fixed amount, or a not to exceed amount on a cost reimbursement basisPrison Rape Elimination Act 2003 (PREA). Any item of Work that might customarily be considered to be General Conditions Work by CMI 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/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 CoordinatorTITLE: SIGNATURE: CONTACT NUMBER: MUST BE COMPLETED BY MULTNOMAH COUNTY MANAGER/Supervisor B.3 Superintendent B.30 Clerical/Secretarial B.4 Field Supervision B.31 Project Coordination B.5 Field Coordination B.32 Estimating and Cost EngineeringSUPERVISOR REQUESTING ACCESS Rev SEP2016 CONTRACT NUMBER DCA-CNSTR-11499-2020 - EXHIBIT E.2

TAX COMPLIANCE CERTIFICATION. The individual signing on behalf of CM/GC hereby certifies and swears under penalty of perjury that s/he is authorized to act on behalf of CM/GC, s/he has authority and knowledge regarding CM/GC’s payment of taxes, and to the best of her/his knowledge, CM/GC is not in violation of any Oregon tax laws. For purposes of this certification, "“Oregon Tax Laws” means a state tax laws" are those tax laws listed in imposed by ORS 305.380(4)320.005 to 320.150 and 403.200 to 403.250, namely ORS Chapters chapters 118, 314, 316, 317, 318, 320, 321 and 323 and Sections 10 to 20, Chapter 533, Oregon Laws 1981, as amended by Chapter 16, Oregon Laws 1982 (first special session)323; 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.: Signature of Authorized Representative of CM/GC Title Date OWNER: LAKE OSWEGO REDEVELOPMENT AGENCY Xxxxx Xxxxxxx 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 Title Executive Director – Campus Operations, Contract Officer Date 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 C ‐ COST FOR DIRECT COSTS/GC WORK COSTS MATRIX This document will be sent separately. EXHIBIT D OUS SUPPLEMENTAL GENERAL CONDITIONS WORK The table below states the categories of specific General Conditions Work costs that support the Cost for General Conditions Work that This document 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 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 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 Cost Engineeringsent separately

TAX COMPLIANCE CERTIFICATION. The individual signing on behalf of the CM/GC hereby certifies and swears under penalty of perjury that s/he is authorized to act on behalf of the CM/GC, s/he has authority and knowledge regarding the CM/GC’s payment of taxes, and to the best of her/his knowledge, the CM/GC is not in violation of any Oregon tax laws. For purposes of this certification, "Oregon tax laws" are those means a state tax laws listed in imposed by ORS 305.380(4)401.792 to 401.816, namely ORS Chapters 320.005 to 320.150 and 403.200 to 403.250, and ORS chapters 118, 314, 316, 317, 318, 320, 321 and 323 and Sections 10 to 20, Chapter 533, Oregon Laws 1981, as amended by Chapter 16, Oregon Laws 1982 (first special session)323; 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 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.: Signature of Authorized Representative of CM/GC Title Date OWNER: LAKE OSWEGO REDEVELOPMENT AGENCY Xxxxx Xxxxxxx Executive 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 C ‐ COST FOR 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 the 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 not to exceed 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 either in a lump sum, fixed amount, or a not to exceed amount on a cost reimbursement basisbasis 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. 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 (Refer to RFP solicitation documentation Attachment 10 - A Fee /Price Proposal Form, and 10 – B Cost EngineeringAllocation Matrix for allocation of General Conditions 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

TAX COMPLIANCE CERTIFICATION. The individual signing By signature on behalf of CM/GC this GMP Amendment, the undersigned hereby certifies and swears under penalty of perjury that s/he the undersigned is authorized to act on behalf of CM/GC, s/he has authority GC and knowledge regarding that CM/GC’s payment of taxesGC is, and to the best of her/his the undersigned’s 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 laws" are those tax laws listed in imposed by ORS 305.380(4), namely 401.792 to 401.816 and ORS Chapters chapters 118, 314, 316, 317, 318, 320, 321 and 323 and Sections 10 to 20, Chapter 533, Oregon Laws 1981, as amended by Chapter 16, Oregon Laws 1982 (first special session)323; 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.: Signature of Authorized Representative of CM/GC Name Title Date OWNER: LAKE OSWEGO REDEVELOPMENT AGENCY Xxxxx Xxxxxxx Executive Director Oregon State Board of Higher Education (OSBHE) acting by and through Portland State University Signature of Owner’s Authorized Representative 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 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 C ‐ COST FOR GENERAL CONDITIONS D DIRECT COSTS/GC WORK The table below states the categories of specific General Conditions Work costs that support the Cost for General Conditions Work that COSTS MATRIX This document 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 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 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 Cost Engineeringsent separately EXHIBIT E

TAX COMPLIANCE CERTIFICATION. The individual signing By signature on behalf of CM/GC this GMP Amendment, the undersigned hereby certifies and swears under penalty of perjury that s/he the undersigned is authorized to act on behalf of CM/GC, s/he has authority GC and knowledge regarding that CM/GC’s payment of taxesGC is, and to the best of her/his the undersigned’s 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 laws" are those tax laws listed in imposed by ORS 305.380(4), namely 401.792 to 401.816 and ORS Chapters chapters 118, 314, 316, 317, 318, 320, 321 and 323 and Sections 10 to 20, Chapter 533, Oregon Laws 1981, as amended by Chapter 16, Oregon Laws 1982 (first special session)323; 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 C ‐ 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 CMD - DIRECT COSTS/GC for WORK COSTS MATRIX EXHIBIT E - REIMBURSABLE TRAVEL AND PER DIEM EXPENSES EXHIBIT F - RATE SCHEDULE Role Hourly Rate 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 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 Liability Insurance Payment and Cost EngineeringPerformance Bond Subguard EXHIBIT G - RENTAL RATES

TAX COMPLIANCE CERTIFICATION. The individual signing on behalf of the CM/GC hereby certifies and swears under penalty of perjury that s/he is authorized to act on behalf of the CM/GC, s/he has authority and knowledge regarding the CM/GC’s payment of taxes, and to the best of her/his knowledge, the CM/GC is not in violation of any Oregon tax laws. For purposes of this certification, "Oregon tax laws" are those means a state tax laws listed in imposed by ORS 305.380(4)401.792 to 401.816, namely ORS Chapters 320.005 to 320.150 and 403.200 to 403.250, and ORS chapters 118, 314, 316, 317, 318, 320, 321 and 323 and Sections 10 to 20, Chapter 533, Oregon Laws 1981, as amended by Chapter 16, Oregon Laws 1982 (first special session)323; 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 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.: Signature of Authorized Representative of CM/GC Title Date OWNER: LAKE OSWEGO REDEVELOPMENT AGENCY Xxxxx Xxxxxxx Executive 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 C ‐ COST FOR 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 the 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 not to exceed 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 either in a lump sum, fixed amount, or a not to exceed amount on a cost reimbursement basisbasis 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. 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 (Refer to RFP solicitation documentation Attachment 10 - A Fee /Price Proposal Form, and 10 – B Cost EngineeringAllocation Matrix for allocation of General Conditions 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

TAX COMPLIANCE CERTIFICATION. The individual signing By signature on behalf of CM/GC this GMP Amendment, the undersigned hereby certifies and swears under penalty of perjury that s/he the undersigned is authorized to act on behalf of CM/GC, s/he has authority GC and knowledge regarding that CM/GC’s payment of taxesGC is, and to the best of her/his the undersigned’s 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 laws" are those tax laws listed in imposed by ORS 305.380(4), namely 401.792 to 401.816 and ORS Chapters chapters 118, 314, 316, 317, 318, 320, 321 and 323 and Sections 10 to 20, Chapter 533, Oregon Laws 1981, as amended by Chapter 16, Oregon Laws 1982 (first special session)323; 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 C ‐ 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 CMD - DIRECT COSTS/GC for WORK COSTS MATRIX EXHIBIT E - REIMBURSABLE TRAVEL AND PER DIEM EXPENSES EXHIBIT F - RATE SCHEDULE Role Hourly Rate 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 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 Liability Insurance Payment and Cost EngineeringPerformance Bond Subguard EXHIBIT G - RENTAL RATES

TAX COMPLIANCE CERTIFICATION. The individual signing on behalf of the CM/GC hereby certifies and swears under penalty of perjury that s/he is authorized to act on behalf of the CM/GC, s/he has authority and knowledge regarding the CM/GC’s payment of taxes, and to the best of her/his her’/his knowledge, CM/GC the CWGC is not in violation of any Oregon tax laws. For purposes of this certification, "Oregon tax laws" are those means a state tax laws listed in imposed by ORS 305.380(4)401.792 to 401.816, namely ORS Chapters 320.005 to 320.150 and 403.200 to 403.250, and ORS chapters 118, 314, 316, 317, 318, 320, 321 and 323 and Sections 10 to 20, Chapter 533, Oregon Laws 1981, as amended by Chapter 16, Oregon Laws 1982 (first special session)323; 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 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.: Signature of Authorized Representative of CM/GC Name, Title Date OWNER: LAKE OSWEGO REDEVELOPMENT AGENCY Xxxxx Xxxxxxx Executive Director 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 C ‐ COST FOR Broadway 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 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 the 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 not to exceed 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 either in a lump sum, fixed amount, or a not to exceed amount on a cost reimbursement basisLump Sum Hourly Rate 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. B.1 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 B.28 Office Security B.2 / Project Director Project Executive Project Manager Project Superintendent Project Engineer(s) QA/QC Project Engineer B.29 Sustainability Coordinator/Supervisor B.3 Superintendent B.30 Clerical/Secretarial B.4 MEP & CxA Coordinator Field Supervision B.31 / 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 B.5 Field Coordination B.32 Estimating and Cost EngineeringCM/GC personnel computers / software Costs associated with managing & coordinating COBID programs Total GENERAL CONDITIONS ALLOCATION MATRIX CMGC Construction Contract - RFP 2023-003