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REQUEST FOR:DELIVER CHECK TO: <br />CHECK <br />P.O.RETURN TO DEPT. <br />CHANGE ORDER X MAIL TO VENDOR <br />DATE OF REQ.DEPARTMENT DATE OF DELIVERY NEEDED DEPARTMENTAL REQUISITION NUMBER <br />07-Apr-23 <br />DELIVER GOODS TO: <br />CITY HALL 835 E. 14TH STREET WILL PICK UP <br />PUBLIC WORKS SERVICE CENTER, HAVE PICKED UP <br />WATER POLLUTION CONTROL PLANT, 3000 DAVIS STREET GOODS ALREADY DELIVERED <br />COMMUNITY LIBRARY CENTER, 300 ESTUDILLO AVENUE CONFIRMS PHONE REQUEST <br />MARINA OFFICE <br />MARINA COMMUNITY CENTER <br />OTHER <br />CHARGE T0 ACCOUNT CODE <br />QTY/UNIT DESCRIPTION OF SERVICES OR ITEMS ACTIVITY UNIT PRICE EXTENSION <br />FUND ITEM <br />1 LS <br />233,559.00$ <br />Project Manager: Kyle Lei <br />TOTAL 233,559.00$ <br />An approved budget item. <br />Not an approved item, appropriation Accounting Approval <br />transfer within budget. City Manager Approval <br />Not an approved item, requires <br />additional appropriation. City Manager Approval <br />F.O.B.APPROVAL <br />VENDOR DESTINATION I hereby certify that the items requested <br />NO. 1 o are necessary for the operation of this <br />FACTORY department. <br />VENDOR <br />NO. 2 o SAME, FRT ALL'D <br />QUOTED PRICE $_______________________ <br />OTHER <br />VENDOR AUTHORIZED SIGNATURE <br />NO. 3 o <br />QUOTED PRICE $_______________________ <br />DELIVERY DATE <br />PROJECT NO.: 2014.0470 <br />CITY OF SAN LEANDRO <br />REQUISITION <br />ENGR & TRANS <br />P.O. NUMBER _____55449_______ <br />Please issue a Change Order No. _5__ to Purchase Order No. 55449_ <br />as follows: <br />PROJECT NAME: MacArthur Blvd./Superior Ave. Roundabout Design <br />Contact: Gordon Sweet <br />DESCRIPTION: This CSA Amendment No. 5 is to extends the contract <br />term to June 30, 2024, increases the total compensation $233,559 from <br />$164,300 to $397,859 and includes an updated Scope of Services for <br />the MacArthur/Superior Roundabout Project, Project 2014.0470. The <br />original agreement, Amendments 1-4 and the authorizing resolution for <br />Amendment #5 are attached to the envelope. <br />210-38-901-5240 <br />ATTACH QUOTES TO REQUISITION <br />BKF Engineers <br />4670 Willow Road, Suite 250 <br />Pleasanton, CA 94588 <br />X <br />4/12/23 <br />Docusign Envelope ID: 03576432-3B39-4EC1-A7D7-FEA905D933FA