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FACILITY MANAGEMENT CONTRACT ROUTING FORM <br /> Date: October 24, 2005 <br /> Contract No.: 2005-03871 <br /> Amendment No.: 1 <br /> GJN: 50477 <br /> Assessable? <br /> `Routing <br /> - - <br /> ' TO X Mike Penwell Section M r. <br /> FOR X <br /> ni i I <br /> I tas <br /> g <br /> X Glen L. Svendsen, Div. Mgr. Initialsi,~~` Signature <br /> Jim R. Carlson, Asst City Mgr Initials Signature <br /> Dennis M. Taylor, City Manager Signature <br /> <br /> i <br /> Signed documents: To Mary Hamilton @ FAC PO: X To Debbie Clark @ PWA <br /> ~ Contractor: WBGS Architecture & Planning, PC <br /> ~ Project: Public Works Building No 6 Expansion <br /> i <br /> Type: ~ Project Manager: Russ Mecredy ~ <br /> Begin Date: ~ Review Date: ~ Termination Date: <br /> Purpose of Amendment: Increase to Scope of Work. Additional civil engineering services to document <br /> Alternate #3 for site grading, paving, and storm drain work. Increase to contract sum $1,280.00 <br /> Bud et Information: <br /> REQ. No. ~jC~ ~U SCE Q Date: B <br /> P.O. No. ~S l d~ ~ Date: By: <br /> Amount: $1,280.00 Authorization by: <br /> Line 1 Acct. Code: 531- Q w32 -(Q f `SdU - ~ 3(~ ( Amount: $1,280.00 <br /> tif-te 2 Aect-Code: ~ , - _ - - Amount` ~ $ - - --f- <br /> Line 3 Acct. Code: Amount: $ <br /> Line 4 Acct. Code: Amount: $ <br /> TOTAL $125,287.00 <br /> Note: Purchasing Please forward contract to CRO Route form (Revised Feb 2005) <br /> <br />