CM-05-04-071Request for City Council/City Manager Action
n City Council ii City Manager
Submit completed form for all City Manager and City Council approvals.
Department Name: Parks and Recreation
Contact Person: Vanessa Shrauner/Debbie Davila
Project
Manager/Resource: David Buzzell
Project Coordinator:
Assigned Attorney: Veronica Rivera
Council or
City Manager
Agenda Date: 15 -Apr -05
Blue Sheet Wording
For Administration Use, `ONLY
Tag# Cm -O0
Documents
Documents i1,r
Received: 14 4 - hS'
Return to! Varttn'8(,,,
Return date: (.) .. / 3�`.05
CC: Lynn Olsen
Project Name: Downtown Beautification Project
ContractorNendor: Utz Environmental Services
Funding Source: CDBG
Amount: $1,685.00
Request for approval of Change Order #1 to the contract for construction services with Utz Environmental Services for the Downtown
Beautification Project.
Finance Information
Is Funding Required?
X
El Yes 0 No
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
Purchase Order
Item(s) to be purchased:
Amount
$1,685
Other (Please clearly identify action on lines below)
Finance Approval
Finance E. Wilson
❑ Finance
EJPurchasing N/A
EJ Budget
Date 4/13/2005
Date
Date HB 04-13-05
Date
For Submission to Ci �� an • • - OnI
Project Mgr. Signature:
Dept. Director Signature:
City Attorney Signature`:
City Manager Signature:
Date:
Date: / (/
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ga pprovalls required for all Items requesting City Manager's approval.
Updated 3-9-05