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PUBLIC WORKS ENGINEERING CONTRACT ROUTING <br />DATE: October 20, 2009 <br />Contract # 2010-00009 <br />Amendment/Addendum # <br />Good Job # 4656 <br />TO: <br />FOR: <br />® Project Manager <br />® Initials ❑ Signature <br />® Division Manager <br />® Initials ❑ Signature <br />® Public Works Director <br />® Initials ® Signature <br />❑ City Manager <br />❑ Signature <br />® PW Administration <br />® Return to: Lynn Brogden (x. 5238) @ PWE-Hotel <br />Contractor: John Hyland Const. Inc. <br />Contract Title: Lifeflight Helipad at Fire Station 2 <br />Manager: Teri Higgins x.8462 @ Public Works-Engineering <br />Contract Type: Public Improvement <br />❑ Operating ® Capital <br />Begin Date: Review Date: <br />Description of contract/agreement: <br />❑ Expense ❑ Revenue <br />Term Date: <br />To construction a helipad for lifeflight at Fire Station 2 <br />Original Contract Amt: $ 31,347.48 Requisition # b It, ()So I 'j`am <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 fill out section below <br />Account Code: 71 3 ~ 7`?) Eo.~,J Amount: <br />Account Code: Amount: <br />Account Code: Amount: <br />Total: $0.00 <br />Notes: <br />ate!G..t <br />L_Y' .chi` ; o <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 />