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PUBLIC WORKS ENGINEERING CONTRACT ROUTING <br /> DATE• June 15, 2009 Contract # 2009-23 <br /> • Amendment/Addendum # <br /> Good Job # 4595 <br /> TO: FOR: <br /> ® Project Manager ®Initials ? Signature <br /> Division Manager ®Initials Si nature <br /> Pu i r irector ?Initials Signat <br /> i 4 Signature <br /> ® PW Administration ®Return to: Lynn Brogden (x. 5238)@ PWE <br /> Contractor: Scott Brown Construction Inc. <br /> Contract Title: Fire Station 8 parking lot resurfacing located.at 500 Berntzen Road <br /> Manager: Adam Steffen x 5040 @PWE <br /> Contract Type: Public Improvement <br /> ? Operating ®Capital ? Expense ? Revenue <br /> Begin Date: Review Date: Term Date: <br /> Description of contract/agreement: <br /> This project is for the parking lot resurfacing at Fire Station 8 and storm water treatment improvements. <br /> Original Contract Amt: $ 81,681.05 Requisition # n~t~d 5~ <br /> Existing Contract/Amendment Total $ RFQ/RFB/RFP # <br /> New Contract/Amendment Total: $ P.O. # <br /> Authorization Name: Tammy Smith <br /> Tf Capital, clo not fill Drat section below <br /> Account Code: - .Amount: <br /> ~i1-g33t~,-- f~I735- ~3~31o32a -.~I~ ~~I~c~' ~~~3~~i <br /> Account Code: Amount: <br /> Account Code: Amount: <br /> Total: $0.00 <br /> Notes: <br /> <br /> Forward To: ? Purchasing ? City Attorney's office ? City Recorder's. <br /> ? Karen Loy, PWA ? Contract Manager ? .File <br /> Q:\SUPPORT\LynnB\P WContractRoutingForm. doc <br /> <br />