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PUBLIC WORKS PARKS /OPEN SPACE CONTRACT ROUTING <br />DATE: 9/29/2010 <br />TO: FOR: <br />® Project Manager <br />® Division Manager <br />❑ Public Works Director <br />❑ City Manager <br />❑ PW Admin./Budget <br />Contractor: Lester Brock Construction <br />Contract# 2011 -05306 <br />Amendment/Addendum # <br />Good Job # <br />® Initials ❑ Signature <br />❑ Initials ® Signature <br />❑ Initials ❑ Signature <br />❑ Signature <br />® Return to: Contract Administrator (x4966) @ PWM/POS <br />Contract Title: Concrete Pad Pours for Park Benches <br />Manager: Peterson, Carne <br />Type: ® Trade Services Begin Date: 10/01/10 Review Date: <br />Term Date: Term Condition: * * * ** <br />Description of contract/agreement: <br />This agreement provides for the contrator to pour concrete pads for various park benches <br />purchased and donated to the City by citizens. The anticipated budget for this project is $XXX. <br />Three quotes were obtained and referred to Purchasing for approval of contractor awarded bid. <br />Budget Information: <br />❑ Revenue <br />❑ operating <br />Requisition # <br />❑ Expense <br />❑ Capital <br />RFQ /RFB/RFP # <br />Contract Total: <br />$0.00 <br />PO # <br />Authorization Name: Sandi LeGat/Lacey Risdal <br />Existing Contract / Amendment Total: <br />Account Code: 187 - 9335- 61739 - 922272 <br />Account Code: <br />Account Code: <br />Account Code: <br />Notes: <br />New Contract / Amendment Total: <br />Amount: <br />Amount: <br />Amount: <br />Amount: <br />Amount: <br />Total: $0.00 <br />Forward To: ® City Recorder's office ® Purchasing ❑ PW Admin <br />CC: ® Contract Manager (Email) ® File (.pdf) <br />P: \Cdocs\ Contracts\ POS- POSPlanning \CarriePeterson\ 2011- 05306LesterBrockCons truction\2011- 05306RF.doc Revised: <br />3/25/09 <br />