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PUBLIC WORKS ENGINEERING CONTRACT ROUTING <br />DATE: June 3, 2010 Contract # 2010-00021 <br />Amendment/Addendum # <br />Good Job # 4589 <br />TO: FOR: <br />® Project Manager <br />® Initials ❑ Signature <br />® Division Manager <br />® Initials ❑ Signature <br />® Public Works Director <br />® Initials ❑ Signature <br />® City Manager <br />® Signature <br />® PW Administration ® Return to: Lynn Brogden (x. 5238) @ PWE <br />Contractor: H & J Construction, Inc. <br />Contract Title: 2010 Wastewater Rehabilitation at various locations <br />Manager: David Starns x 8306 (a), PWE <br />Contract Type: Public Improvement <br />❑ Operating ® Capital <br />Begin Date: Review Date: <br />Description of contract/agreement: <br />❑ Expense ❑ Revenue <br />Term Date: <br />2010 Wastewater Rehabilitation at various locations <br />-7 ;N -7 el <br />Original Contract Amt: $ 555,703.00 Requisition # 2-0160-503 <br />n-T <br />Existing Contract/Amendment Total $ RFQ/RFB/RFP # <br />New Contract/Amendment Total: $ P.O. # <br />Authorization Name: Tammy Smith <br />If Capital, do not fill out section below <br />Account Code: l- q,332_- to i ~7 8S-- 9a 511,1 Amount: 31, 06a °o <br />Account Code: Amount: ~O <br />Account Code: <br />Notes: 3 <br />wto <br />Forward To: ❑ Purchasing ❑ City Attorney's office <br />❑ Contract Manager ❑ File <br />Q:\SUPPORT\LynnB\P WContractRoutingForm. doe <br />