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PUBLIC WORKS ENGINEERING CONTRACT ROUTING ,,,~I <br /> ~ DATE: 2/17/2004 Contract # 2004-00234 <br /> Amendment/Addendum # N/A <br /> Good Job # 4166 <br /> TO: FOR: <br /> ® Project Manager ®Initials ? Signature <br /> ® Division Manager ? Initials ®Signature <br /> ? Public Works Director ? Initials ? Signature <br /> ? City Manager ? Signature <br /> r~ ®PW Admin./Budget(Peggy Hamlin) ~ ®Return to: Sarah Maddox X 6034 .@ 858 Pearl Street <br /> ~/~d5 •D (ContractAdministrator) <br /> ~G~.O~ Contractor: M.R. Richards <br /> <br /> ~ Contmct Title: Division Pump Station <br /> Manager: Mikael Shields x5300 <br /> Type: ®PS ? AIA ? IGA ? Lease ? <br /> Begin Date: 2/23/04 Review Date: 10/15/2004 Term Date: 12/15/2004 <br /> Descri tion of contract/a reement: <br /> Provide structural engineering services for the Division Pump Station project. <br /> t~-~'~ ~ ~ CV ~ <br /> Budget Information: $5,000.00 Requisition # Z <br /> Contract Total: $ P.O. # <br /> Authorization Name: <br /> 5, ppO.OU <br /> Account Code: R 3 3~ LO 1$Ob 9 ~S~~S Qom. Amount: ~$A:90' <br /> Account Code: Amount: <br /> Account Code: Amount: <br /> Account Code: ~ Amount: <br /> Account Code: ~ Amount: <br /> / ~ Total: J~ BQO dd $9:66 <br /> Notes. ~ ~ r (1~.rC.~4o! i'l. ~/a <br /> Forward To: ? Purchasing ? City Attorney's office ? City Recorder's office <br /> Q:ISUPPORIIPERSERV~forms~Public Works Contract Form090703.doc <br /> 02-26-04A06~42 RCVD <br /> <br />