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PUBLIC WORKS ENGINEERING CONTRACT ROUTING <br /> DATE: 4/2/2003 Contract # 2003-00212 <br /> Amendment/Addendum # ONE <br /> <br /> ~s 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 @ PWE <br /> (Contract Administrator) <br /> Contractor: Oregon Solutions <br /> Contract Title: Delta Ponds <br /> Manager: Finney <br /> Type: ®PS ? AIA ? IGA ? Lease ? <br /> Begin Date: Upon Signing Review Date: 11/15/2003 Term Date: 12/15/2003 <br /> Description of contract/agreement: Extend end date to December 15, 2003 and increase the contract <br /> amount by $2,000.00 in order to complete the work. <br /> Budget Information: Requisition # <br /> Contract Total: $3500.00 P.O. # ~('Q 3 (Q~ ZC~ 3 <br /> Authorization Nam . <br /> Account Code: GJ3 (p i S~j~-,C'~ 33 Z _ q'~ ~c~(p Amount: $1,500.00 iSj n ceD <br /> Account Code: Increase Contract Amount: $2,000.00 ~ no'lQC~ ~.Q <br /> Account Code: Amount: <br /> Total: $3,500.00 = ~ <br /> f~ <br /> Notes: <br /> Forward To: ~ Purchasing ? City Attorney's office ®City Recorder's office <br /> ~ ~ ~l ~1~3 . <br /> Q:~.SUPPOR'IIPERSERV~forms~Public Works Contract Form.doc 0 4- 0 8- 0 3 A 0 7~ 2 6 R C V D <br /> <br />