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FACILITY MANAGEMENT CONTRACT ROUTING FORM <br />Date: February 13, 2006 <br />Contract No.: 2006-03854 <br />Amendment N_o.: <br />GJN: 3825 <br />Assessable? <br />Ra+u ^in9 <br />TO X Mike Penwell, Section Mgr. FOR X .Initials <br />X Glen L. Svendsen, Div. Mgr. X Initials Signature <br />X Mark Schoening, City Engineer X Initials Signature <br />X Kurt Corey, Public Works Dir. X Signature <br />Please return a copy of this routing form after PO: X Debbie Clark @ PWA <br />assigning Requisition <br />Contractor: Betsy Wolfson dba Woof Works Studio 8~ David Thompson (Artist Team) <br />Project: Eugene Train Depot 1 % for Air - Marker of Origin <br />Type: PS Project Manager: Russ Mecredy ext 6024 <br />Begin Date: NTP Review Date: 8/31/06 Termination Date: <br />Purpose of Contract: Joint endeavor by artists to design, construct, deliver and install artwork "Marker of <br />Origin" at the Willamette Street entrance to the Eugene Train Depot parking lot. Work shall be completed <br />no later than August 31, 2006. Total contract sum $18,000 (payable in three installments of $9,000 / <br />$4,500 / $4,500 as defined by conditions of the contract). <br /> <br />R~.~Innf Infnrm~+inn• <br />VMM <br />REQ. No. 11JC.YQO U31 $ ^ wcxi.~ c.~Xs~-S <br />Date: 2 I O <br />B <br />P.O. No. (QO ~ 13 -• w S Date: Z By: <br />Amount: $9,000.00 Authorization by: Debbie Clark /Tish Peterson~~ <br />Line 1 Acct. Code: 31t-433(.a -C¢1739- 5l 3 Amount: $ a~~ • G~ <br />'Line 2 Acct. Code: Amount: $ <br />REQ. No.~~05(ja4 Z - ~ a n Date:2 B : ~ e.. <br />P.O. No, ~ ~ - a. 1~ r-. Date:2~Zf f 0~ BY: <br />e. <br />,,c~ <br />Amount: $9,000.00 Authorization by: Debbie Clark /Tish Peterson`..}` <br />Line 1 Acct. Code: ~ t . ~,~(~ - (..2I?3~l - `~"U5l ~3 ~ Amount: $ Q(~p • Uv <br />Line 2 Acct. Code: Amount: $ <br />TOTAL $18,000.00 ~ ' <br />Note: Purchasing -- Please forward contract to CRO <br />Route form (Revised Feb 2005) <br />