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PUBT .TC WORKS ENGINEERING CONTRA r'T' ROUTING <br /> DATE: 12/22/2004 Contract # 2005-00217 <br /> AmendmenbAddendum # N/A <br /> Good Job # 4264 <br /> TO: FOR: <br /> ® Project Manager ®Initials ? Signature <br /> ® Division Manager ? Initials ®Signature <br /> ? Public Works Director ? Initials ? Signature <br /> ? City Manager ? Signature <br /> ~ ®PW.Admin./Budget(Peggy Ha~~1'n)~ ®Return to: Sarah Maddox X 6034 @ 858 Pearl Street <br /> (ContractAdministrator) <br /> Contractor: Spec Industries, Inc. <br /> Contract Title: 43`~ & Donald Storm Line TV Inspection <br /> Manager: Matt Rodrigues X 6036 <br /> Type: ? PS ? AlA ? IGA ? Lease ®Trade Services <br /> Begin Date: 12-27-04 Review Date: Term Date: l/7/2005 <br /> Descri tion of contract/a reement: <br /> TV inspection of storm line from Donald and 46 to the outfall near West Amazon and Foz Hollow. <br /> This agreement includes cleaning of the line, if needed. <br /> Budget Information: Requisition # 2~50~ ~ 2 ~ ~ ~ 3/ate <br /> Contract Total: $ ~'QQ~7 . Q~ P.O. # <br /> Authorization Name: ~.eG~~ <br /> Account Code: ~S Q.3~ (A.113~1 q~i 2~Amount: ~ . Oy $ r~ <br /> Account Code: Amount: <br /> Account Code: Amount: A <br /> , <br /> Account Code: Amount: <br /> Account Code: Amount: _ , <br /> Total: ~ ~~7 ; <br /> 1 • <br /> <br /> Notes: (.~rv~~i liZ. 3 U S <br /> <br /> Forward To: ®Purchasing ? City Attorney's office ®City Recorder's office <br /> Q:\SUPPORT\PERSERV\forms\Public Works Contract Form.doc <br /> <br />