CM-05-02-032cy9.
REC'n JAN 1 t< 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.
Department: Legal Project Manager/Resource: Bill Stablien
Contact Person: Don Childs Council Meeting Date: N/A
0-01-05 601- -03D—.
Project Name: Red Bud Lane Sidewalks
Contractor/vendor Name: Paul Hornsby & Company Assigned Attorney: Don Childs
Amount: $4,250.00 (contract, agreement,amendment,change order, purchase order,etc.)
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Funding Source: 2001 GO Bonds (2nd Issue)
Is Funding Required? Yes
Council Agenda Item Yes
Submission to City Manager - Yes
x
1 1
X
No
No
No
X
(see required signatures below before submission to the City Manager)
Agenda Wording:
ElInitial Construction Contract
Construction Contract Amendment
• Change Order
[]Change in Quantity
[] Unforeseen Circumstances
ElInitial Professional Services Agreement
• Supplemental Professional Svcs. Agr.
▪ Purchasing/Service Agreement
Purchase Order
Item(s) to be purchased:
Amount
Other (Please clearly identify action on lines below) $4,250.00
Authorization for the city manager to enter into an engagement letter
for the appraisal of right of way from Byron Miller for the Red Bud Lane project.
For Submission to City Mger Only
Project Mgr. Signature: Date: 1 U )
Dept. Director Signature: Date:
City Attorney Signature: Date: - 8 -bS'
City Manager Signature: , Date: A -1/ US
Approval is req fired for all items requesting City Manager's approval.
Finance Approval Ei Finance -Date and Signature: L. Olsen 01-05-05
• Purchasing -Date and Signature: