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PUBLIC WORKS ENGINEERING CONTRACT ROUTING <br /> DATE: 10/12/2004 Contract # 2004-00239 <br /> Amendment/Addendum # ONE <br /> Good Job # 4193 <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 lin,~~ ®Return to: Sarah Maddox X 6034 @ 858 Pearl Street <br /> ,~v (Contract Administrator) <br /> Contractor: OBEC Consulting Engineers <br /> Contract Title: Ferry Street Bridge Repair <br /> Manager: Steve Gallup x8460 <br /> Type: ®PS ? AIA ? IGA ? Lease ? <br /> Begin Date: upon signing Review Date: 10/31/04 Term Date: 12/31/04 <br /> Descri tion of contract/a reement: <br /> Add scope of work for Phase 3 -Construction Engineering for the Ferry Street Bridge Repair, as <br /> outlined in attached letter. Increase contract amount by 41,700.00 <br /> Budget Information: Requisition # <br /> Contract Total: $ P.O. # 5 <br /> Authorization Name: Ppp,~+,~ ~-~~~Ih v-`'~ <br /> '"'""~r'"'II-- <br /> Account Code: 3 ~ a Cj 3 3 a. CQ ! ~'aL7 C~ ~ c,,. 5 S~ 3 ! 3 Amount: $41,700.00 ~ `i' <br /> w <br /> .,s <br /> Account Code: Amount: <br /> Account Code: Amount: <br /> v"J <br /> Account Code: Amount: <br /> Account Code: Amount: <br /> ~ ~ < <br /> Total: _L~ <br /> Z , g~~ f~-}-`7~c~ <br /> Notes: ` ~ ~Z3 QL <br /> Forward To: ~rchasing ? City Attorney's office City Recorder's office <br /> <br /> Q:\SUPPORT~PERSERVIforms\Public Works Contract Form090703.doc <br /> <br />