10g Consent - Laserfiche WebLink

Home

REQUEST FOR: DELIVER CHECK TO: CHECK P.O. RETURN TO DEPT. CHANGE ORDER X MAIL TO VENDOR DATE OF REQ.DEPARTMENT DATE OF DELIVERY NEEDED DEPARTMENTAL REQUISITION NUMBER 30-Sep-21 ASAP DELIVER GOODS TO: CITY HALL 835 E. 14TH STREET WILL PICK UP PUBLIC WORKS SERVICE CENTER, HAVE PICKED UP WATER POLLUTION CONTROL PLANT, 3000 DAVIS STREET GOODS ALREADY DELIVERED COMMUNITY LIBRARY CENTER, 300 ESTUDILLO AVENUE CONFIRMS PHONE REQUEST MARINA OFFICE MARINA COMMUNITY CENTER OTHER CHARGE T0 ACCOUNT CODE QTY/UNIT DESCRIPTION OF SERVICES OR ITEMS ACTIVITY UNIT PRICE EXTENSION FUND ITEM 1 LS $117,277 Project Manager: Austine Osakwe TOTAL 117,277.00$ An approved budget item. Not an approved item, appropriation Accounting Approval transfer within budget. City Manager Approval Not an approved item, requires additional appropriation. City Manager Approval F.O.B.APPROVAL VENDOR DESTINATION I hereby certify that the items requested NO. 1 are necessary for the operation of this QUOTED PRICE $_______________________FACTORY department. VENDOR NO. 2 SAME, FRT ALL'D QUOTED PRICE $_______________________ OTHER VENDOR AUTHORIZED SIGNATURE NO. 3 QUOTED PRICE $_______________________ DELIVERY DATE ATTACH QUOTES TO REQUISITION Nichols Consulting Engineers 5253 College Avenue #B Oakland, CA 94618 Contact: J. Ryan Shafer DESCRIPTION OF WORK: Amendment No. 3 extends the contract from December 31, 2021 to December 31, 2022, amends the contract to include additional services for utility coordination, permitting and design for Aurora Drive and increase the total compensation by $117, 277 from $895,248 to $1,012,525. This amendment will be funded by account 210-38-419-5120. These actions are authorized by Reso. 2021-088 as follows: PROJECT NAME: Annual Street Overlay/Rehabilitation 2019-21 210-38-419-5120 PROJECT NO.: 2019.0050 CITY OF SAN LEANDRO REQUISITION ENGR & TRANS P.O. NUMBER __58386__________ Please issue Change Order No. 3__ to Purchase Order No. _58386 X