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<br /> ~ Y <br /> FACILITY MANAGEMENT CHANGE ORDER ROUTING FORM <br /> Date: June 16, 2008 <br /> Contract No.: 2007-03862 <br /> Amendment No.: 1 _ <br /> GJN: 4404 <br /> Assessable? No <br /> ,~~d , <br /> TO X Project Manager* FOR X .Initials <br /> _ X Mike Penwell, Section Mgr. X Initials <br /> X T Glen L. Svendsen, Div. Mgr. Initia~;?s~ Signature <br /> Jim R. Carlson, Executive Mgr. Initia s Signature <br /> ' Jon R. Ruiz, City Manager Signature <br /> ~I Pler 1».ro< Gv ~ np~.+ <br /> i Signed documents: To Mary Hamilton @ FAC PO: X To.L~k @ IAA ~A-C_ <br /> ~ `Contractor: Rowell-Brokaw Architects <br /> I Project: West Eugene Wetlands Environmental Education Center <br /> i~~~ <br /> Type: AIA B141 Project Manager: Mike Penwell ~ ~ <br /> j Begin Date: ~ Review Date: Termination Date: _ J` <br /> Purpose of Amendment: Increase in Scope of Work. Public Meeting held March 17~' Increase to contract <br /> sum $6,400.00. <br /> No other changes to contract. <br /> f Bud et Information: <br /> i <br /> I P.O. No. 2007100359 Date: By: <br /> i <br /> Amount: $6,400.00 increase Authorization by: MaryBeth Perkins tn~ <br /> Line 1 Acct. Code: 324-9335-61800-965493 Amount: $ b ~{d 0. O D <br /> Line 2 Acct. Code: 342-9335-61800-965493 Amount: $ <br /> f <br /> Line 3 Acct. Code: Amount: $ <br /> i <br /> Line 4 Acct. Code: Amount: <br /> TOTAL CONTRACT ''x~': <br /> Nofe: Purchasing Please forward contract to CRO Route form (Revised May 2008) <br /> CSe.n-~ ~v l~+rc~.as~'r~9 6/aa/os - ~G-) <br /> <br />