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i <br /> PUBLIC WORKS ENGINEERING CONTRACT ROUTING <br /> DATE• November 14, 2006 Contract #2005-00208-B <br /> • Amendment/Addendum #Five <br /> Good Job # 4'$ <br /> TO: FOR: <br /> ® Proiect Manager & Supervisor ®Initials ?Signature <br /> ® Division Manager ~ ®Initials ?Signature <br /> ® Public Works Director ?Initials ®Signature <br /> ? City Manager ?Signature <br /> ? PW Administration Return to: Jeanne Oakes (5257) @ PWE-858 Pear <br /> Contractor: CH2MHi11 <br /> Contract Title: Polk Street Outfall Quality Improvements <br /> Manager: Terry Colvin x5398 @ PWE-244 E. Broadway <br /> Contract Type: PersonaVProfessional Services <br /> ? Operating ®Capital ? Expense ? Revenue <br /> Begin Date: upon signing Review Date: 10/31/2007 Term Date: 12/31/2007 <br /> Description of contract/agreement: <br /> Time extension to December 31, 2007 for the Polk Street Outfall Quality Improvements to enable vendor <br /> to attend up to twelve conference call meetings and prepare brief meeting minutes. Add $1.650.00 to <br /> contract. <br /> Original Contract Amt: $ °I~ 772 • Requisition # <br /> Ezisting Contract/Amendment Totat $ RFQ/RFB/RFP # <br /> N <br /> 00 i <br /> New Contract/Amendment Total: $ q 22 P.O. # ~j(j'~ (U O2'? ~ <br /> rn <br /> Authorization Name: o <br /> If Capital, do not fill out section below <br /> Account Code: ~ ~ ~ 2r~ C~'~ Amount: ~ ~ 1 h e~ q,i~ <br /> z <br /> Account Code: Amount: <br /> Account Code: Amount: <br /> Total: $0.~ <br /> Notes• <br /> <br /> Forward To: ? Purchasing ? City Attorney's office ®City Recorder's <br /> ? Karen Loy, PWA ? Contract Manager ? File <br /> Q:\SUPPORTVeanne\Contracts\PWContractRoutingForm.doc 1 <br /> <br />