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PUBLIC W~ ~'I~S "ADMINISTRATION CONTRACT 7UTING <br /> DATE: 6/7/2004 Contract # 2004-00246 <br /> Amendment/Addendum # <br /> Good Job # 4220 <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: Department of Transportation <br /> <br /> i <br /> Contract Title: Surface Transportation Program Agreement -Fern Ridge Bike Path <br /> . Manager: Paige Dickinson x5585 <br /> Type: ? PS ? AIA ®IGA ? Lease ? <br /> . Begin Date: Upon Signing Review Date: Term Date: <br /> Description of contract/agreement: <br /> Pavement preservation and total reconstruction of Fern Ridge Bike Path. Vte~o- Cl~,,Kl~,v Ss'r~ <br /> Budget Information: ~u,Qn~, Requisition # <br /> Contract Total: $ P.O. # <br /> Authorization Name: ~~au ~ ~ <br /> f <br /> Account Code:. ~,~a Q33~ ~3~~d `7 Amount: 1~~ $ <br /> Account Code: Amount: <br /> Account Code: Amount: <br /> Account Code: Amount: <br /> Account Code: Amount: <br /> Total: $0.00 <br /> Notes• <br /> Forward To: ? Purchasing `[City Attorney's office ? City Recorder's office <br /> Q.\SUPPOR'N'ERSERV~forms~Public Works Contract Fonn.doc <br /> <br />