HomeMy WebLinkAboutReimbursable Work Request - Public Works�' RANT 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: JOHN BRISSEY
CONFIDENTIAL INFORMATION: ❑YES ENO
DATE: 06/1 2/25
PHONE: 509-754-6082
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UGGES "ED WORDING f9kAPEND&- Who, What, When, Why, Term, cost, etc.REIMBURSABLE REQUEST FOR THE PORT OF MOSES LAKE FOR SIGNS
AND BARRICADES TO USE ON ROAD G FOR THE MOSES LAKE AIR SHOW JUNE
19TH - 21 ST7 2025 FOR $2500
If necessary, was this document reviewed by accounting? ❑ YES ❑ NO 0 N/A
If necessary, was this document reviewed by legal? ❑ YES ❑ NO 0 N/A
DATE OF ACTION:
APPROVE: DENIED ABSTAIN
D1: Kg 6
D2:
D3:
DEFERRED OR CONTINUED TO:
4/23/24
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
adopted and approved on
(ame of Requesting Agency)
March 1 st, 1976
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 19, 2025- June 21 7 2025
and hereby guarantees reimbursement to the County for all work done up to a maximum of $ $2500
Work to be Completed:
Signs and barricades to use on Road G for the Moses Lake Air Show.
DATED: 6/6/2025
To The Board of County on
SIGNATURE a�elly signed by0'�Mu-OrODERich Mueller 2024.06.09 :22
(Agency Representative)
TITLE Airport Director, Grant Cty. Intl. Airport
DATE 6/1 �/�
I have examined the above request and made the following recommendations:
County Road Engineer/Director of PublieWorks
Action of the Board of County Commissioners: DATE _&
9 The Engineer's recommendation is hereby approved.
El The Engineer's recommendations is disapproved or modified as follows:
Att
.74K Clerk of the Board
Recommended for use Nkith Section 2
of Fon-n: CRAB# 101 and WAC 136-32-030
BOARD OF COUNTY COMMISSIONERS OF
COUNTY, WASHINGTON