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PUBLIC WORKS ENGINEERING CONTRACT ROUTING <br /> DATE: 9/27/2004 Contract #.893-A9~1 ~0~~-~~Z.2 <br /> Amendment/Addendum #!-8~' ~'w O <br /> <br /> ~Irw Good Job # 4270 <br /> TO: FOR: <br /> ® Project Manager ®Initials ? Signature <br /> ® Division Manager Initials ®Signature <br /> Public Works Director ~ Initials ~ Signature <br /> City Manager ? Signature <br /> ~ ®PW Admin./Budget(Peggy ~ mlin) ®Return to; Sarah Maddox X 6034 @ 858 Pearl Street <br /> (Contract Administrator) <br /> ~4' <br /> Contractor: GeoDesign, Inc. <br /> Contract Title: Pavement Design -Pool Contract <br /> Manager: Seward Meintsma x5364 <br /> Type: ? PS ? AIA ? IGA ? Lease <br /> Begin Date: upon signing Review Date: Term Date:12/31/2005 <br /> Descri tion of contract/a reement: <br /> Add work for pavement en Bering services as outlined in the following attahcment. Work not to <br /> exceed $39,673.00 <br /> Budget Information: Requisition # ~~5 ~ S ~ ~ ~ l U~'7 <br /> Contract Total: $ '3G1 ~ ~Q`~~~~ P.O. # j 1 ~`J' 1~ <br /> Authorization Name: <br /> Account Code: ~ ~3 93~a g'~ C~ Amount: ~ ~9 ~ ~ ~ ~ ° ~ ~ <br /> Account Code: Amount: <br /> Account Code: Amount: <br /> Account Code: Amount: <br /> Account Code: Amount: <br /> Total: 3C,~ ~ ~ <br /> Notes: <br /> Forward To: ? Purchasing ? City Attorney's office ~ City Recorder's office <br /> Q:\SUPPORTIPERSERVIforms\Public Works Contract Form090703.doc <br /> <br />