0 <br />FACILITY MANAGEMENT CONTRACT ROUTING FORM <br />October 20, 2003 <br />Contract No.: 2004-03839 <br />C,OO pal <br />Amendment No.: <br />GJN: 3825 <br />Assessable? No <br />X Mike Penwel I For: <br />X Glen Svendsen <br />X Mark Schoening, City Engineer <br />X Initials <br />~i'~~ Initials Signature <br />X Initials Signature <br />', _X- Kurt Corey Public Works Dir. Initials -~ Signature <br />' u:. aQ-l- ~ ° ' uO ~ ~3 <br />~li ~~~ a o ' y a Lure <br />Please return to Hamilton at Facility Mgt X Send PO to Clark at PWA <br />Qwest Corporation <br />Train Depot Construction to temporarily relocate MPDP & remove temp MPDP <br />MOA Project Manager: Ross MPCrPdy ~ lpo2.y <br />Date: ~ Review Date: 11/1/04 Termination Date: 12/31/04 <br />Purpose of Agreement: Special construction for Qwest to temporarily relocate phone service main point of <br />presence (MPDP) and remove temporary MPDP during remodeling of the train station. <br />'~ <br />Bf~dget Information: REQ. No. ~~~b~y~~ ~ Date I%`~ By~ <br />Amount: $6.804.80 P.O. No.: <br />Authorization by: Debbie Clark / Peggy Hamlin <br />Mine 1 Acct. Code: 3 / ~ 9 3.31p l~ ~ ?3 p 3 ~~~' Amount: $6,804.80 <br />9 ~ S/ 7 <br />4ine 2 Acct. Code: Amount: $ <br />Dine 3 Acct. Code: Amount: $ <br />Line 4 Acct. Code: Amount: $ <br />~;~, ~~ ,g ~ ~(~r~,G~Q~T~ G ~~ TOTAL CONTRACT $6.804.80 ___ ~ <br />Npte: Purchasing -- Please forward contract to C O ~~~~ ~f ~,c ~w.~as~ng t CoP ~N WA <br />10-28-03P02~Ob RCVD <br />Route form (Revised April 2003) <br />