PUBLIC WORKS ENGINEERING CONTRACT ROUTING <br /> DATE: 11/23/2004 Contract # 2005-00206 <br /> • Amendment/Addendum # TWO <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 X 6034 @ 858 Pearl Street <br /> `_~,~p~.0 (ContractAdministrator) <br /> Contractor: KCM Inc.dba Tetra Tech/KCM, Inc. <br /> Contract Title: Delta Ponds Permitting Support Project ~pp~ <br /> Manager: Kevin Finney x6018 <br /> Type: ®PS ? AIA ? IGA ? Lease ? • <br /> <br /> Begin Date: upon signing Review Date: 1/31/2005 Term Date: 3/31/2005 <br /> <br /> Descri tion of contract/a Bement: <br /> To increase the dollar value of the Delta Ponds Permitting Support project by $2,304.00 and extend th <br /> project end date to March 31, 2005. <br /> <br /> Budget Information: Requisition # <br /> Contract Total: $ P.O. # ~QU 1 LVV~j~(Q ~ < <l3 Ul~ OG <br /> Authorization Name: ~~q u N Q,m,Lt.r~ <br /> Account Code: Amount: $2,304.00 <br /> ~f~ <br /> Account Code: Amount: <br /> Account Code: Amount: <br /> 0 <br /> --a <br /> Account Code: Amount: <br /> iv <br /> Account Code: Amount: <br /> Total: $2,304.00 <br /> <br /> Notes• ~ `t ~ ~ 'f1~ ~ 11(30 0 <br /> ~ -tom mac.- u ~ ~y u U ~ <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 />