CM-05-04-069Request for City Council/City Manager Action
CI
City Council Lai City Manager
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Submit completed form for all City Manager and City Council approvals.
Department Name: Engineering & Development Services
Contact Person: Latha Kumar/Laura Flores
Project
Manager/Resource: Ruth Haberman, P.E.
Project Coordinator:
Assigned Attorney: N/A
Council or
City Manager
Agenda Date: 04/08/05
Blue Sheet Wording
For Administration Use ONLY
Tag# i'.-ttr'G,LJ .c4 -0(01
Documents rP-
Received: LI -1 - 0.6
Return to: (p [1 WI
Return date: -I - 12:C4-7
CC: Lynn Olsen
Project Name: Sidewalk Gap Remed ation (2001 G.O. Bond)
ContractorNendor: Muniz Concrete & Contracting, Inc.
Funding Source: City Wide Sidewalks
Amount: $17,713.00
Consider an action by the City Manager to execute Change Order No. 1 to the Sidewalk Gap Remediation (2001 G.O. Bond)
contract with Muniz Concrete & Contracting, Inc.
Finance Information
Is Funding Required? O Yes EI No
LJ
x
Initial Construction Contract
Construction Contract Amendment #
Change Order # 1
Change in Quantity
Unforeseen Circumstances
Initial Professional Services Agreement
Supplemental Professional Svcs. A #
Purchasing/Service Agreement
Q Purchase Order
Item(s) to be purchased:
Amount
17,713.00
Other (Please clearly identify action on lines below)
Finance Approval
xD Finance L. Olsen Date 4/6/2005
Finance N/A E. Wilson Date 4/6/2005
J Purchasing Date
XQ Budget
N/A CYD
Date
4/5/2005
For Submission to Ci
Project Mgr. Signature:
Dept. Director Signature:
City Attorney Signature(
City Manager Signature:
Date: li'0j—
pge: 4 %6 /oS"
Date:
Date: "(4'''
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Leg Approval Is required for all items requesting City Manager's approval.
Updated 3-9-05