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FACILITY MANAGEMENT CONTRACT ROUTING FORM <br /> Date: March 29, 2006 <br /> Contract No.: 2005-03871 <br /> Amendment No.: 4 <br /> GJN: 50477 <br /> - - <br /> Assessable? <br /> --Ro~tin~ - - <br /> TO X Mike Penwell, Section Mgr. FOR, X Initials <br /> <br /> ~ X Glen L. Svendsen, Div. Mgr. Initials Signature <br /> Jim R. Carlson, Asst City Mgr Initials~s~~ Signature <br /> Dennis M. Taylor, City Manager Signature <br /> ~ Signed documents: To Mary Hamilton @ FAC PO: X To Debbie Clark @ PWA <br /> Contractor: Pivot Architecture (previously WBGS Architecture & Planning) <br /> Project: Public Works Bldg. 6 Expansion <br /> ~ Type: Project Manager: Russ Mecredy <br /> Begin Date: I Review Date: ~ Termination Date: <br /> - <br /> Purpose of Amendment: Change name of architecture firm and additional engineering services for <br /> additional catch basin. Increase to contract sum $1,713.00 <br /> Bud et Information: <br /> REQ. No. 2005050493 Date: B <br /> P.O. No. 2005100469 Date: By: <br /> ~~~o~ot~ <br /> 'n rea Auth rization b : Tish Peterson <br /> Amount: 1 713.00 i c se o <br /> Y <br /> Line 1 ~Accf. Code`: ~ Ct cal ~p~ ` !amount: $1-;713 ~ <br /> Line 2 Acct. Code: ~ Amount: $ <br /> Line 3 Acct. Code: Amount: $ <br /> Line 4 Acct. Code: Amount: $ <br /> TOTAL $12.9,850.0.0 <br /> Note: Purchasing Please forward contract to CRO Route form (Revised Feb 2005) <br /> G~~~, <br /> <br />