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PUBLIC WORKS ENGINEERING CONTRACT ROUTING <br /> SATE: 5/5/04 Contract # 0739-791-9971# <br /> Amendment/Addendum # N/A <br /> Good Job # 4172 <br /> TO: FOR: <br /> roject Manager itials ? Signature <br /> Division Manager IniNals ? Signature <br /> Public Works Director . Initials ®Signature <br /> ? City Manager ? Signature <br /> ~ ®PW Admin./Budget(Peggy Hamlin) ®Return to: Sarah Maddox X 6034 @ 858 Pearl Street <br /> ~ ~ p ~ (Contract Administrator) <br /> Contractor: Balzhiser & Hubbard Engineers <br /> Contract Title: West University Alley Paving Projects -Alleys #6, 10, 16, and 17 <br /> Manager: Seward Meintsma x5364 <br /> Type: ? PS ? AIA ? IGA ? Lease <br /> Begin Date: Upon Signing Review Date: Term Date: <br /> Descri tion of contracda Bement: <br /> Engineering and Surveying Services for West University Alley Paving Projects. <br /> ~USU582. <br /> Budget Information: Requisition # <br /> Contract Total: $ P.O. # <br /> Authorization Name: ~,~;,q N m i i n <br /> Account Code: / G~ 33a ~ lg p p. G~,~~'O!o`~ Amount: $78,459.00 <br /> Account Code: Amount: <br /> Account Code: Amount: <br /> Account Code: Amount: <br /> Account Code: Amount: <br /> Total: $78,459.00 <br /> <br /> Forward To: ? Purchasing ? City Attorney's office ? City Recorder's office <br /> Q:~SUPPORTPERSERV~forms~Public Works Contract Form090703.doc <br /> 05-~~-.)4AG~~~J4 RCVD <br /> <br />