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PUBLIC WORKS ENGINEERING CONTRACT ROUTING <br /> DATE: 1/20/2004 Contract # 2003-00233 <br /> Amendment/Addendum # EIGHT <br /> Good Job # 3923 <br /> TO: FOR: <br /> ® Project Manager ®Iinitials ? Signature <br /> ® Division Manager ? Initials ®5ignature <br /> ? Public Works Director ? Initials ? Signature <br /> ? City Manager ? Signature <br /> ~ ®PW Admin./Budget(Peggy Hamlin) ®Return to: Sarah Maddox X 6034 @ 858 Pearl Street <br /> ~ ~ 0~~ ~ (Contract Administrator) <br /> Contractor: Coyote Creek Environm' <br /> ental Services <br /> Contract Title: Natural Resource -POOL Chad Drive Extension Project <br /> Manager: Seward Meintsma x5364 <br /> Type: ®PS ? AIA ? IGA ? Lease ? <br /> <br /> Begin Date: Upon Signing Review Date: Term Date:-- <br /> <br /> Descri lion of contract/a Bement: <br /> <br /> Add work for the Chad Drive Extension Project, as outlined in the attached scope of work. Work not <br /> to exceed $7000.00 <br /> p~ji.-t o 5C~ ~ 3Cp <br /> <br /> Budget Information: Requisition # Z <br /> Contract Total: $ P.O. # <br /> Authorization Name: `r'"~~1V1-~LKJ <br /> Account Code: X33 g3~2 (p ~ ~ g35~3~ lG~'Amount: -l~~• c~ ,~0:6'Or <br /> Account Code: Amount: <br /> Account Code: Amount: <br /> Account Code: Amount: <br /> Account Code: Amount: <br /> Total: '1~7. ~ <br /> Notes: ~ ~W a/y loy . ~C~ <br /> Forward To: Purchasing ? City Attorney's office City Recorder's office <br /> 02-04-04A09~27 RCVD <br /> Q:\SUPPOR'1~PER ERV\forms\Public Works Contract Form090703.doc <br /> <br />