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PUBLIC WORKS ENGINEERING CONTRACT ROUTING <br /> DATE: 3/4/2005 Contract # 2005-00206 <br /> Amendment/Addendum # THREE <br /> Good Job # 4003 <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 Hamlin) ®Return to: Sarah Maddox @ 858 Pearl Street <br /> Q~~C ph (Contract Administrator) <br /> Contractor: KCM, Inc. dba Tetra Tech/KCM, .Inc. <br /> Contract Title: Delta Ponds Permitting Support Project <br /> Manager: Kevin Finney x6018 <br /> Type: ®PS ? AIA ? IGA ? Lease ? <br /> Begin Date: upon signing Review Date: 4/30/2005 Term Date: 6/30/2005 <br /> Descri tion of contract/a reement: <br /> Add additional scope of work for Delta Ponds project as described: Agency coordination and other <br /> permit support for the City's water rights application per Attachment A. Amount for this effort not- <br /> e to-exceed $11,368.00. <br /> Budget Information: $11,368.00 Requisition # Lw `i'U ~ ~V <br /> Contract Total: $ P.O. # ~Q(~'T ~ ~D Z <br /> Authorization Name: Peggy Hamlin <br /> Account Code: 5.3 ( q 33 2 q t 5 0 4 L Amount: ~ ~ ~ ~ ~,g , pa ~ i y~Cro~~~ <br /> Account Code: Amount: <br /> Account Code: Amount: <br /> Total: x-1,2 ~'f~ <br /> Notes: <br /> PLEASE ROUTE ALL CAPITAL PURCHASE ORDER'S AND CHANGE ORDER COPIES TO <br /> DEBBIE CLARK X5728, PWA <br /> Forward To: ®Purchasing ? City Attorney's office Q City Recorder's office <br /> Q:\SUPPOR'IIPERSERV\forms\Public Works Contract Routing Form-Capital.doc <br /> <br /> r <br /> <br />