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FACILITY MANAGEMENT CONTRACT ROUTING FORM <br /> <br />Date: February 13, 2006 <br />Contract No.: 2006-03854 <br />Amendment N_o.: <br />GJN: 3825 -_ <br />Assessable? <br />` Rquting_ <br />TO X Mike Penwell, Section Mgr. FOR X Initials <br />X Glen L. Svendsen, Div. Mgr. X Initials _ Signature <br />X Mark Schoening, City Engineer X Initials Signature <br />X Kurt Corey, Public Works Dir. X Signature <br />Please return a copy of this routing form after PO: X Debbie Clark @ PWA <br />assigning Requisition <br />Contractor: Betsy Wolfson dba Woof Works Studio 8~ David Thompson (Artist Team) <br />Project: Eugene Train Depot 1 % for Air - Marker of Origin <br />Type: PS Project Manager: Russ Mecredy ext 6024 ! <br />Begin Date: NTP Review Date: 8/31/06 Termination Date: ~ <br />Purpose of Contract: Joint endeavor by artists to design, construct, deliver and install artwork "Marker of <br />Origin" at the Willamette Street entrance to the Eugene Train Depot parking lot. Work shall be completed <br />no later than August 31, 2006. Total contract sum $18,000 (payable in three installments of $9,000 / <br />$4,500 ! $4,500 as defined by conditions of the contract). <br />Bud et Information: <br />REQ. No. Z~C~(QU U3l $ ^ c~c~ c.~XS~-S Date: 2 I O B : ~,, <br />P.O. No. ~ QO ~ 13 ^ w S Date: Z By: <br />Amount: $9,000.00 Authorization by: Debbie Clark /Tish Peterson~~ <br />Line 1 Acct. Code: 341- ~~3ta - (p 1738 - 51 3 Amount: $ Q~ • G~ <br />Line 2 Acct. Code: Amount: $ <br />REQ. No.~?Q(~(D0 ~(ja~l2 0.~~ 4 U n Date:2 i B:~ C <br />P.O. No. (~(- ~ ~'~ r, Date:2~Z(~O~ By: C <br />Amount: $9,000.00 Authorization by: Debbie Clark /Tish Peterson`..>` <br />Line 1 Acct. Code: ~ t . ~,~,(,R - (.ec~3~! - gv5c ~3 ~ 'Amount: $ Ldp . cw <br />Line 2 Acct. Code: Amount: $ <br />TOTAL $18,000.00 <br />Note: Purchasing -- Please forward contract to CRO <br />Route form (Revised Feb 2005) <br />