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PiJBLIC WORKS PARKS AND OPEN SPACE CONTRACT <br /> • ROUTING <br /> DATE: 10/30/2003 Contract # 2004-05321 <br /> Amendment/Addendum # <br /> Good Job # 4151 <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 Ham ' Return to: MaryBeth Perkins x4966 @ PWM <br /> (Contract Administrator) <br /> Contractor: Lane Council of Governments <br /> Contract Title: Grant Writing Services - ltiverPlay LWCF Grant <br /> Manager: Robin Hostick x4915 <br /> <br /> Type: ®PS ? AIA ~,IGA ? Lease ? <br /> <br /> Begin Date: 10!23/2003 Review Date: 4/1/2004 Term Date: 6/1/2004 <br /> <br /> Description of contract/agreement: Contract covers services to write, assemble and submit a grant <br /> <br /> application to the Oregon State Parks Land Water and Conservation Fund in support of the Alton Baker <br /> <br /> Park regional playground project (a part of the 1ZiverPlay project). <br /> <br /> Budget Information: Good Job # 4151 Requisition # ~ d0 O 5 d 3 j <br /> Contract Total: $4200 P.O. # <br /> Authorization Name: Peggy Hamlin <br /> Account Code: Via! G~335 ~~~oa 93~'~~oe'~ Amount: $4,200.00 <br /> Account Code: Amount: <br /> Account Code: Amount: <br /> Account Code: Amount: <br /> Total: $4,200.00 S~~ <br /> Notes: <br /> <br /> Forward To: ®Purchasing ? City Attorney's office ®City Recorder's office ~c~,(~ <br /> <br /> C:\WINDOWS\Temporary Internet Files\OLK8121\I,COG_IGA_RoutingForm.doc / <br /> co <br /> <br />