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PUBLIC WORKS ENGINEERING CONTRACT ROUTING <br /> DATE• February 5, 2009 Contract # 2009-12 <br /> AmendmentlAddendum # <br /> Good-Job # 4552 <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 Administration ®Return to: Lynn Brogden (x. 5238) @ PWE-Hotel <br /> Contractor: Professional Underground Services <br /> Contract Title: Acorn Park Street sidewalks from 630' south of W. 11th Avenue to 360' <br /> north of W. 13 Place <br /> Manager: Kris Olson x 5249 @ Public Works -Engineering <br /> Contract Type: Public Improvement <br /> ? Operating ®Capital ? Expense ? Revenue <br /> Begin Date: Review Datec Term Date: <br /> Description of contract/agreement: <br /> This project is to construct sidewalks on Acorn Park street from 630' south of W. 11 Avenue to 360' <br /> north of W. 13~' Place <br /> 19.1'-~- ~SZ-~~' ~ . ? <br /> Original Contract Amt: $ 45,507.10 Requisition # ~ [j/'~\~~~ 2 <br /> :Existing Contract/Amendment Total $ RFQ/RFB/RFP # <br /> New Contract/Amendment Total: $ P.O. # <br /> Authorization Name: Tammy Smith <br /> ~ If Capital, do not f11 out section b lo~~= C~j <br /> ~ <br /> Account Code: ( ~ ~~(QC~ t: <br /> a <br /> Account Code:. ount: <br /> Account Code: Amount: n~ <br /> Total: ~ ~ 5 ~ JV / • ~ ~ O I <br /> .Notes: <br /> 2 <br /> <br /> Forward To: ®Purchasing ? City Attorney's office ~ City Recorder's <br /> ? Karen Loy, PWA ? Contract Manager ? File <br /> Q:\SUPPORT\LynnB\PWContractRoutingForm.dos ~ /~~-'Z ~-t ~ <br /> rte` ~ ~~C~~" ~ ~ ! ~ t <br /> <br />