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FACILITY MANAGEMENT CONTRACT ROUTING FORM <br /> Date: October 28, 2005 <br /> Contract No.: 2005-0387.1 _ <br /> Amendment No.: 2 _ <br /> GJN: 50477 <br /> Assessable? <br /> Routing <br /> - <br /> TO X Mike Penwell, Section Mgr. FOR _X__ Initials . <br /> X Glen L. Svendsen, Div. Mgr. Initials ,.~%X ~ Signature <br /> Jim R. Carlson, Asst City Mgr Initials Signature <br /> Dennis M. Taylor, City Manager Signature <br /> Signed documents: To Mary Hamilton @ FAC PO: X To Debbie Clark @ PWA <br /> C trno <br /> actor: WBGS Architecture 8~ Planning, Inc. <br /> - <br /> ;Project: Public Works Bldg. 6 Expansion <br /> Type: ~ Project Manager: Russ Mecredy <br /> Begin Date: ~ Review Date: Termination Date: <br /> _ ; <br /> Purpose of Amendment: Increase to Scope of Work. Additional electrical engineering services for new <br /> electrical services. Increase to contract sum $2,250.00 <br /> Bud et Information: <br /> REQ. No. ~ <br /> ~J Q~CC 3 Date: t I "Z 05- B <br /> P.O. No. ~ ~ ~ ~ Date: ~ ~ 2 By: ~ <br /> Amount: $2,250.00 Authorization by: <br /> <br /> .Line 1 Acct_ fade: _ - ~ _ Amnunfi $ Y <br /> Line 2 Acct. Codc: Amount: $ <br /> Line 3 Acct. Code: Amount: $ <br /> Line 4 Acct. Code: Amount: $ <br /> T • C AL $127,537..00 <br /> Note: Purchasing-== Please forward contract to CRO Route f"orm (Revisetl Feb 2005) <br /> <br />