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PUBLIC WORKS ENGINEERING CONTRACT ROUTING <br />DATE: April 8, 2009 Contract # 2009 -00220 <br />Amendment/Addendum #One <br />TO: FOR: Good Job #4546 <br />® Project Manager Supervisor ® Initials F Signature <br />® Division Manage ❑ Initials ® Signature <br />❑ Public Works Director ❑ Initials ❑ Signature <br />❑ City Manager ❑ Signature <br />❑ PW Administration ® Return to: Jeanne Oakes x5257 6a PWE -99 E. Broadway, Suite 400 <br />Contractor: Pavement Services, Ina <br />Contract Title: Crest Drive Pavement Testing and Design <br />Manager: Jenifer Willer x5364 —.PWE @ 99 E. Broadway, Suite 300 <br />Contract Type: Personal/Professional Services <br />❑ Operating ® Capital Expense ❑ Revenue <br />Begin Date: upon signing Review Date: 4/01/2009 Term Date: 6/1/2009 <br />Description of contract/agreement: <br />Amendment One extending contract completion date to June 1, 2009, with no additional funds. <br />Original Contract Amt: $24,600.00 <br />Account Code: <br />Existing Contract/Amendment Total <br />New Contract/Amendment Total: $ <br />Authorization Na <br />Account Code: <br />Account Code: <br />Account Code: <br />Notes: <br />If G <br />312 - 9332 -61 <br />Requisition #2009050201 <br />RFQ/RFB/RFP # <br />P.O. # <br />o not fill out section below <br />4 Amount: <br />Amount: <br />Amount: <br />Total: <br />Forward To: ❑ Purchasing <br />® Debbie PWA <br />❑ City Attorney's office <br />❑ Contract Manager <br />City Recorder's <br />File <br />