HomeMy WebLinkAboutReimbursable Work Request - Public WorksGRANT COUNTY
COMMISSIONEAS AGENDA MEETING REQUEST FORM
(Must be submitted to the Clerk of the Board by 12:00pm on Thursday)
REQUESTING DEPARTMENT: PUBLIC WORKS
REQUEST SUBMITTED BY: SHILO NELLIS
CONTACT PERSON ATTENDING ROUNDTABLE: DAVE BREN
CONFIDENTIAL INFORMATION: ❑YES ® NO
DATE:06/10/24
PHONE:509-754-6082
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REIMBURSABLE REQUEST FOR THE PORT OF MOSES LAKE TO PROVIDE
TRAFFIC CONTROL @ ROAD G NE FOR THE AIR SHOW FROM 12-4:45PM ON
06/14,06/15 AND 06/16 -SET UP AND REMOVAL WILL BE BILLED @OVERTIME
If necessary, was this document reviewed by accounting? ❑ YES ❑ NO ❑ N/A
If necessary, was this document reviewed by legal? ❑ YES ❑ NO ❑ N/A
DATE OF ACTION:
APPROVE: DENIED ABSTAIN
D2:
D3:
4/23/24
DEFERRED OR CONTINUED TO:
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®Agreement / Contract
❑AP Vouchers
❑Appointment / Reappointment
❑ABPA Related
❑ Bids / RFPs / Quotes Award
❑ Bid Opening Scheduled
❑ Boards / Committees
❑ Budget
❑Computer Related.
El County Code
❑Emergency Purchase
❑Employee Rel.
❑ Facilities Related
❑ Financial
❑ Funds
❑ Hearing
❑ Invoices / Purchase Orders
❑ Grants — Fed/State/County
❑ Leases
❑ MOA / MOU
❑ Minutes
❑ Ordinances
❑ Out of State Travel
❑ Petty Cash
❑ Policies
❑ Proclamations
❑ Request for Purchase
❑ Resolution
❑ Recommendation
❑ Professional Sery/Consultant
❑ Support Letter
❑ Surplus Req.
❑Tax Levies
❑Thank You's
❑Tax Title Property
❑WSLCB
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REIMBURSABLE REQUEST FOR THE PORT OF MOSES LAKE TO PROVIDE
TRAFFIC CONTROL @ ROAD G NE FOR THE AIR SHOW FROM 12-4:45PM ON
06/14,06/15 AND 06/16 -SET UP AND REMOVAL WILL BE BILLED @OVERTIME
If necessary, was this document reviewed by accounting? ❑ YES ❑ NO ❑ N/A
If necessary, was this document reviewed by legal? ❑ YES ❑ NO ❑ N/A
DATE OF ACTION:
APPROVE: DENIED ABSTAIN
D2:
D3:
4/23/24
DEFERRED OR CONTINUED TO:
GRANT COUNTY
REQUEST TO THE COUNTY ROAD DEPARTMENT
FOR REIMBURSABLE WORK
To The County Engineer:
Pursuant to terms of an agreement between the County and Port of Moses Lake
(Name of Requesting Agency)
adopted and approved on `�o3r Iq "7�
the undersigned hereby requests the
County to perform the work listed below at a time and in a manner convenient to the County. The
undersigned further requests that the work be completed no later than June 14, 2024, 12:00pm
and hereby guarantees reimbursement to the County for all work done up to a maximum of s20700
Work to be Completed:
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DATED:�0�s
w�tt< wt11 be.
6/9/2024 pyo° � ,,.��
SIGNATURE, RI C� Mueller Digitally signed by Rich Mueller
Date: 2024.06.09 20:03:22 -07'00'
(Agency Representative)
TITLE Airport Director, Grant Cty. Intl. Airport
To The Board of County Commissioners:
DATE (E> . to *,zOZ4
I have examined the above request and made the following recomme ns:
uny Road Engineer ctor of PublicWorks
Action of the Board of County Commissioners: DATE
The Engineer's recommendation is hereby approved.
❑ The Engineer's recommendations is disapproved or modified as follows:
est: BOARD OF COUNTY COMMISSIONERS OF
CO TY, WASHINGTON
Cle k of the o rd
Recommended for use with Section 2
of Form: CRAB # 101 and WAC 136-32-030