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11 ~ PUBLIC WORKS ENGINEERING CONTRACT ROTTTING <br /> :t <br /> DATE: 12/7/2004 ~ ~ Contract # 2004-00234 <br /> Amendment/Addendum # ONE <br /> <br /> ® ~ Good Job # 4166 <br /> TO: FOR: <br /> ® Project Manager ®Initials ? Signature <br /> ® Division Manager ®Initials ? Signature <br /> ® Public Works Director ? Initials ®Signature <br /> j ? City Manager ? Signature <br /> ? PW Admin./Budget(Peggy Hamlin) ®Return to: Sarah Maddox X 6034 @ 858 Pearl Street <br /> ' (Contract Administrator) <br /> Contractor: M.R. Richards Engineering <br /> Contract Title: Division Pump Station <br /> Manager: Gale Mills x6854 <br /> i <br /> i <br /> Type: ®PS ? AIA ®IGA ? Lease ? <br /> Begin Date: upon signing Review Date: 10/31/2005 Term Date: 12/31/2005 <br /> Descri lion of contract/a reement: <br /> Extend termination date to December 31, 2005. <br /> Budget Information: Requisition # <br /> Contract Total: $ P.O. # ~Q(~ <br /> Authorization Name:~~ 5 ~ r; f V'\. <br /> Account Code: Amount: <br /> Account Code: Amount: <br /> Account Code: Amount: <br /> Account Code: Amount: <br /> Account Code: Amount: <br /> Total: - ~C.j <br /> Notes: <br /> Forward To: ? Purchasing ? City Attorney's office City Recorder's office <br /> Q:\SUPPOR'I~PERSERV~forms~Public Works Contract Form090703.doc <br /> <br />