CM-05-03-058Request for City Council/City Manager Action
City Council
City Manager
Submit completed form for all City Manager and City Council approvals.
Department Name: EDS
Contact Person: Latha Kumar/Laura Flores
Project
Manager/Resource: Michael Thane
Project Coordinator: n/a
Assigned Attorney: J.Kay
Council or
City Manager
Agenda Date: 3/18/2005
Blue Sheet Wording
For Administration Use ONLY
Tag #
Documents
Received:
Return to:
Return date
CC: Lynn Olsen
Project Name: N/A (Easement for Mayfield Ranch)
ContractorNendor: n/a
Funding Source: n/a
Amount: n/a
Authorization for City Manager to execute a Declaration of Waterline and Storm Sewer Easement for Mayfield Ranch, Section 7 subdivision.
Finance Information
Is Funding Required? U Yes gi No
0
Purchasing/Service Agreement
Initial Construction Contract
Construction Contract Amendment #
Change Order
Change in Quantity
Unforeseen Circumstances
Initial Professional Services Agreement
Supplemental Professional Svcs. A #
Purchase Order
Item(s) to be purchased:
Amount
Other (Please clearly identify action on lines below)
Finance Approval
El Finance n/a L. Olsen Date 3/16/2005
XEFinance N/A E. Wilson Date 3/16/2005
0Purchasing N/A Date IiB 03-16-05
J Budget N/A CYD Date 3/15/2005
For Submission to City Manager Only
Project Mgr. Signature:
Dept. Director Signature:
City Attomey Signature
City Manager Signature:
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oval is required for all items requesting City Manager's approval.
Updated 3-9-05