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PLTB ~ WORKS CONTRACT ROT, •.~NG <br /> DATE• 4/20/06 Contract # 2004-00242 <br /> ' Amendment/Addendum # One <br /> Good Job # 4193 <br /> TO: FOR: <br /> ® Project Manager ®Initials ? Signature <br /> ® Division Manager ~ Initials ? Signature <br /> ® Public Works Director ®Initials ? Signature <br /> <br /> j ® City Manager ~ ~ ® Signatu <br /> r... <br /> ®PW Admin/Budget (Tammy Smith) ®Return to: Jeanne Oakes (x5257) @ PWE-858 Pear <br /> j e (Contract Administrator) <br /> i <br /> Contractor: ODOT <br /> Contract Title: OTIA III Local Agency Bridge Agreement <br /> Manager: Jenifer Willer x5364 <br /> <br /> i <br /> <br /> i <br /> Type: ? PS ? AIA ®IGA ? Lease ? ? Other <br /> 3-30-0 7 ~0-30~-200 <br /> Begin Date: upon signing Review Date: ~~1.9~3~'^^•wv6-~ Term Date• <br /> Description of contract/agreement: <br /> Rehabilitate Ferry Street Bridge (#06648), ODOT Contract #21639: Extend termination date to.l~eee~er <br /> No additional funds. - ~ •30.2a~ <br /> . Budget Information: ~L.~~~~11~1.~ Requisition # <br /> Contract Total: $ ~`(~O j . P.O. # <br /> Authorization Name: O._~-~~~ ~y~~.~-~ <br /> Account Code: - 3?j - ~ ~~j 1 Amount: ~ Qv - <br /> ~r z ~ 2 ~ <br /> Account Code: Amount: <br /> Account Code: Amount: <br /> Total: ~ ~ <br /> . ~ , <br /> Notes: ~ ~ ~ <br /> PLEASE ROUTE ALL CAPITAL PUR HAS UKliERS AND CHANGE <br /> ORDER COPIES TO DEBBIE CLARK x5728 @ PWA <br /> Forward To: ? Purchasing ? PW Admin ? City Attorney's office City Recorder's office <br /> CC: ? Karen Loy, PWA ? Contract Manager ? File <br /> Q:\SUPPORTUeanne\Contracts\Public Works Contract Routing Form-Capital.doc <br /> 4/20/2006 <br /> _ _ <br /> <br />