HomeMy WebLinkAboutAgreements/Contracts - Public Works(;1;3'W`RANT COUNTY
COMMISSIONERS AGENDA MEETING REQUEST FORM
(Must be submitted to the Clerk of the Board by 12:OOpm on Thursday)
REQUESTING DEPARTMENT: PUBLIC WORKS DATE: 05/29/25
LO NELLIS 509-754-6082
REQUEST SUBMITTED BY', PHONE..
CONTACT PERSON ATTENDING ROUNDTABLE,
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ISUGGESTEDWO , RDING IF I OR AG I ENDA: (Who, What, When, Why, Term, cost,
REQUEST FOR REIMBURSABLE WORK WITH ADAMS COUNTY PUBLIC
WORKS FOR THE RENTAL OF CHIPSPREADER, OPERATOR AND P[CKUP
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If necessary, was this document reviewed by accounting? 7 YES
LEGAL REVIEW:
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DATE OF ACTION -
APPROVE, DENIED ABSTAIN
Di
D 2:
D1
4/23/24
DEFERRED OR CONTINUED TO:
J im7 N/A
RECEIVED
MAY z s 2o2s
GRANT COUNTY COMMISSIONERS
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
adopted and approved on
Adams County Public Works
- - --------------
(Name of Requesting Agency)
July 30th, 2012
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 August 1 st 2025
and hereby guarantees reimbursement to the County for all work done up to a maximum of $ 60j000
Work to be Completed:
Rental of hip reader, Operator, and Pickup for the Adams County Sealcoat
DATED.- 5/27/2025
SIGNATURE
(Ag Representative)
TITLE
To The Board of County Commissioners:
DATE 51499/aS
I have examined the above request and made following lreS�amm ions:
made following
Approved
bounty y 0
Denied i,-Iounty o Engineer/Director of PublicWorks
Action of the Board of County Commissioners: DATE o:24
laThe Engineer's recommendation is here approved.
The Engineer's recommendations is disapproved or modified as follows:
W�w
Recommended for use with Section 2
of Form: CRAB #101 and WAC 136-32-030
BOARD OF COUNTY COMMISSIONERS OF
COUNTY, WASHINGTON