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PUBLIC WORKS ENGINEERING CONTRACT ROUTING <br /> DATE: 1/26/2004 Contract # 2003-00214 <br /> Amendment/Addendum # <br /> Good Job # 3820 <br /> TO: FOR: <br /> ® Project Manager ®Initials ? Signature <br /> ® Division Manager ? Initials ®Signature <br /> ? Public Works Director ? Initials .Q Signature <br /> ? City Manager ? Signature <br /> ~ ®PW Admin.Budget(Peggy amlin~ ~ Return to: Sarah Maddox X 6034 @ 858 Pearl Street <br /> , p (Contract Administrator) <br /> Contractor: DHI Water & Environment <br /> Contract Title: Technical Assistance <br /> Manager: Rich Heil x8307 <br /> Type: ®PS ? AIA ~ ? IGA ? Lease ? <br /> Begin Date: Upon Signing Review Date: Term Date: 1/26/2004 <br /> Descri lion of contract/a meat: <br /> Extend end date to 1/26/04 and add $3,000.00 of additional funding as described in the attached scope <br /> of work. <br /> Budget Information: Requisition # <br /> Contract Total: $ P.O. # ~ ~ y Q q <br /> Authorization Nam c ~ 7~ <br /> Account Code: °j~ Q ~ ~ gQQ qQ~~ <br /> j Amount: ~ ~ ppp, ~b C~SR~ <br /> Account Code: Amount: <br /> Account Code: ~ Amount: <br /> Account Code: Amount: <br /> Account Code: Amount: <br /> Total: $B.~A- <br /> <br /> Notes: ~ i ~ <br /> <br /> Forward To: ? Purchasing ? City Attorney's offce ~ City Recorder's office <br /> ~.SUPPOR'I~PERSERV~forms\Public Works Contract Form090703.doc <br /> 01-28-J'? h10~26 IN <br /> <br />