CONTRACT ROUTING FORM □Original Contract �Amendment/Renewal/Change Order D Grant □Subdivision Agreement O0ther Council approval required? Yes D No Jgi If no, provide account# _N_/_A ________ (Council approval required for contracts over $29,685 for FY 08/09) Approved by Council on: NIA Scheduled for Council on: _N_A _____ _ Resolution No: _3\ '3'li I i·r· oz,..( rgjCopy Attached + 'l'=t-� 00'2�
I Notary Required? Yes D No� Recordation Required? Yes D No@ Contract Title: Third Amendment to Lease - �1.-£.-t:-k:{;'J <>v� Project start date Spring 2009 Estimated Completion date Summer 2009 Vendor/Other Party Stephens Marine, Inc.
Contract
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unt@A ::S---,, 1, 1,
Dept: R . Project Mgr: M ike Wallace ext� Staff: Joe Mulligan Vendor/Other Party Signed (2) Originals on ______ _
(Construction Contracts signed by vendor after Council Approval) ext8059
The following documents shall be submitted with the signed contract when required: · Business License Required? Yes !RI No D Business License No . .Jm �• f"1.. l'Y'(1Vr\,I,) Vwt!.U Insurance Required? Yes� No D O ·
Bonds Required? Yes D No 12'1
City Attorney � // Approved as to F�111 and Content on .S. d 1 't)� Forwarded to fx',_J.S/..!., on: s5--o2(k09 by
by£:
Tfl
Risk Services
Insurance Approved on: 5 -,.;>o--oq
Bonds Approved on:
I&] Risk Services Review exempted (see attached)
by JP
Forwarded to City Manager's Office on:
RM# �/djbypt/\/
City Manager
V' Signed by City Manager on: _ ____,i---"--
Forwarded to City Clerk's Office on:
City Clerk
City Clerk attested on: Q/o--f0---09 a Returned one original to Originating Dept. on: 0/4 ✓(Q / 0 I Retained .Qllil. original for City's file
Originating Department
Requisition No. NA Original sent to vendor on: 2-24-09
Copy of contract sent to Purchasing on NA by A
I Purchasing
Purchase Order# NA PUR# NA
G:\CM\prlv\_Staff_\Agenda Preparation - Intranet files\contract routing form 091008.doc September 10, 2008
by Mike Wallace
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