PUBLIC WORKS ENGINEERING CONTRACT ROUTING <br /> DATE: 9/27/2004 Contract # 2003-00231 <br /> Amendment/Addendum # ONE <br /> Good Job # 3787 <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 /> (Contract Administrator) <br /> Contractor: Inter-Fluve, Inc. <br /> Contract Title: Geotech & Environmental Pool Contract <br /> Manager: Seward Meintsma x5364 <br /> Type: ? PS ? AIA ? IGA ? Lease <br /> Begin Date: upon signing Review Date: 3/1/2005 Term Date: 4/10/2005 <br /> Descri tion of contract/a reement: <br /> Add work for the 34`~ Avenue Drainage Restoration Project as outlined in the following attachment. <br /> Work not to exceed $11,818.00 <br /> Budget Information: Requisition # <br /> Contract Total: $ P.O. # 2Vv ~ ~ ~ ~ ~ ~ l ~ / lQ <br /> c~ <br /> Authorization Name: <br /> Account Code:rJ3 ~ q 3~ ~ ~ gad Amount: $11,818.00 <br /> q~~o~c~ <br /> Account Code: Amount: <br /> Account Code: Amount: <br /> Account Code: Amount: ~ <br /> Account Code: Amount: <br /> y-~ Total: $11,818.00 <br /> <br /> Notes: ~ t-' b•'~~c~- P~I.J~~CI~-S~ 1(~ ~v 1C~ <br /> Forward To: ? Purchasing ? City Attorney's office City Recorder's office <br /> Q:~SUPpOR'IIPERSERV~forms~Public Works Contract Form090703.doc <br /> <br />