HomeMy WebLinkAboutReimbursable Work Request - Public Works1
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GRANT COUNTY
COMMISSIONERS 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..ANDY BOOTH
CONFIDENTIAL INFORMATION: DYES i9NO
DATE: 02/13/25
PHONE: 509-754-6082
FwAgreement / Contract
OAP Vouchers
OAppointment / Reappointment
DARPA Related
OBids / RFPs I Quotes Award
OBid Opening Scheduled
[]Boards I Committees
ElBudget
[]Computer Related
[]County Code
OErnergency Purchase
[]Employee Rel.
[]Facilities Related
El Financial
1--1 Funds
0 Hearing
OInvoices / Purchase Orders
[] Grants — Fed/State/County
L-1Leases
DIVIOA / MOU
DMInutes
00rdinances
FlOut of State Travel
[]Petty Cash
OPolicies
0 Proclamations
F1 Request for Purchase
n Resolution
ORecommendation
0 Professional Serv/Consultant
El Support Letter
E]Surplus Req.
E]Tax Levies
[]Thank You's
[]Tax Title Property
OWSLCB
---- - -- ------------ 01- Wh-zft, WehP.IOWORDING�FORAGENDhn WhTerm, cast, o t et"
REQUEST FOR REIMBURSABLE WORK FOR THE CITY OF MATTAWA
COMPLETED NO LATER THAN 04/30/2025 FOR A MAXIMUM OF $1,450 FOR
120 TONS 5/8 MINUS TOP COURSE & 10-0--TONS 1-1/4 BASE COURSE
If necessary, was this document reviewed by accounting`? El YES El NO 5R N/A
If necessary, was this document reviewed by legal? F] YES 0 NO W N/A
DATE OF ACTION.-
APPROVE- DENIED ABSTAIN
D1:
D2:
D3:
DEFERRED OR CONTINUED TO:
RECEIVED
4/23/24 FEB 13 2025
GRANT COUNTY COMMISSIONERS
GRANT COUNTY
RETEST TO THE COUNTY ROAD DEPARTMENT
FOR REIMBURSABLE ''CORK
To The County Engineer;
Pursuant to terms of an agreement between the County and City of Mttawa
(Name of Requesting Agency)
adopted and approved can 8-18-2020 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 he completed no later than
4/30/2025
and herebyguarantees reimbursement to the for all work done up to a maximum of `1,4 0
� County
Work to he Completed:
120 tons 5/8 minus tap course & 100 tons 1-114 bass course(City to load & haul)
DATED: 1/22/2025
SIGNATURE
4(AgencFyR=epresentat1ve)
TITLE Public Works Director
-------
can ossioners. DATE
To The Board. of t
I have examined the above request and made t following recommendations:
Approved
County fUad Engineer/Director of PublieWorks
El Denied
Action of the Board of County omrnissioners: DATE
The Engineer's recommendation is hereby approved.
The Engineer's recommendations is disapproved or modified as follows:
A s . BOARD COUNTY COMMISSIONERS P
O T , WASHrNGTON
✓Clerk of the Board
i
't 4
Recommended for use with Section ?
of Form- CRAB # 101 and WA.0 136-32-030