Loading...
CM-05-01-011Cffl +'O1—Oi( Request for City Council/City Manager Action Please submit this form when placing items on the council agenda or when submitting an item to the City Manager for approval. eeCA I)-`I(d5 oulor Department: Legal Project Manager/Resource: Bill Stablein Contact Person: Steve Sheets/Laura Levinson Project Name: Highway 79 Improvements Contractor/Vendor Name: N/A Council Meeting Date: N/A Funding Source: Assigned Attorney: 4B Funds Don Childs Amount: $5,000.00 (contract, agreement,amendment,change order, purchase order,etc.) aha z J cc -tNo Is Funding Required? Yes Council Agenda Item Yes Submission to City Manager - Yes X X No No X (see required signatures below before submission to the City Manager) Agenda Wording: ElInitial Construction Contract ▪ Construction Contract Amendment Change Order [jChange in Quantity [j Unforeseen Circumstances ElInitial Professional Services Agreement Supplemental Professional Svcs. Agr. # Purchasing/Service Agreement ❑ Purchase Order Item(s) to be purchased: Amount XD Other (Please clearly identify action on lines below) $5,000.00 City Manager to ececute a real estate contract for the purchase of 0.0221 acres from Michael Griffin for Highway 79 Improvements. (Parcel 13). For Submission to City Man Project Mgr. Signature: Dept. Director Signature: City Attorney Signature: City Manager Signature: Date: Date: Date: —2 —pir Date: * Leg Approval is required for all items requesting City Manager's approval. Finance Approval x❑ Finance -Date and Signature: 1-26-05 L. Olsen ▪ Purchasing -Date and Signature: © Budget -Date and Signature: N/A ESW 1/26/05