2008-05357 IGA Check List Form - Laserfiche WebLink

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PUBLIC W S PARKS /OPEN'SPACE CONTRA OU7 Contract # 2008 - 05357 DATE: January 24, 2008 Amendment/Addendum # Goo Job # i TO: j FOR: ® Project Manager ® Division Manager ❑ Public Works Director ❑ City Manager I or ® PW Admin./Budget (Tammy Smith) Contractor: ; Rushmore Group, LLC ,v ®.Initials ❑ Signature ❑ Initials Signature [:]'Initials ❑ Signature ❑ Signature ® Return to: Kris Aanderud (x. 4966) @ PWM/POS Contract Title: Street Tree Plan for Crest Meadows PUD, SF07 -26 I Manager: Mark R. Snyder (x4819) /Mike Bellmore (x4820) I Type: ® Street Tree f Begin Date: 1/24/2008 Review Date: 1/24/2011 Term Date:` Description of contract/agreement: Developer contracts with City to meet requirements of E.C. 7.280 related to this development. Option B Developer Plant i Contract Total: i ® Revenue $1,5 P.O. # ® Operating Requisition # Authorization Name: Sandi LeGat / Lacey Risdal ❑ Ex pens ❑ Capital Existing Contract/ Amendment Total: Amount: Account Code: Budget Information: 131- 9650 -45790 Amount: RFQ/RFB/RFP # Account Code: i Contract Total: $1,5 P.O. # Authorization Name: Sandi LeGat / Lacey Risdal I Existing Contract/ Amendment Total: Amount: Account Code: 131- 9650 -45790 Amount: $510.13 Account Code: 312- 9335 -45789 Amount: $0.00 Account Code: 131- 9650 -45790 Amount: $1,012.60 G I New Contract / Amendment Total: Total: $1,522.73 Notes: Forward To: ❑ Purchasing ❑ PW Admin ❑ City Attorney 's office ® City Recorder's office CC: Karen Loy, PWA ® Contract Manager ® File I C:\Documents and Settings \cermjmb\My Documents\STRT-PRO\DEVELOPM\RoutingForm StreetTreeSDe v eloperPlant.doc 1/24/2008 i }