HomeMy WebLinkAboutInterdepartmental Request and Agreement for Reimbursable work by the Public Works Department - Interlocal Agreement INTERDEPARTMENTAL REQUEST&AGREEMENT
FOR
REIMBURSABLE WORK BY THE PUBLIC WORKS DEPARTMENT
To the County Engineer:
The undersigned hereby requests that the following described work be performed by the Public Works
Department for the agency or department shown.
It is understood that this work will be done at the convenience of the Public Works Department.
Description of work or services requested: To provide Maintenance,En ing eering and Traffic Count Services/
Emergency Assistance/Fabrication of signs and materials upon request.
Agreement Termination Date: Upon Request of either party Total cost not to exceed$Actual Costs
The undersigned certifies that sufficient budgeted funds are available to cover the cost of the requested work or
services,and that payment to the Public Works Department will be made promptly unless otherwise modified
in this agreement.
Agency or Dept.:WA State Department of Natural Resources Signed:
Date: ��/-`,i/' Title: r-
j
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To the Board of County Commissioners: Date:
I have examined the above request and make the following recommendation:
I recommend approval of work,as submitted.
Courity hrigincer
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Action of the Board of County Commissioners: Date:
ZThe Engineer's recommendation is hereby approved.
The Engineer's recommendation is disapproved or modified as follows:
BOARD OF COUNTY COMMISSIONERS
MASON COUNTY,WASHINGTON A-1 r _
and Neatherlin,Chair
ATTEST: Terri Jeffreys, hair
L/
Julie Almanzor,Clerk of a Boar Tim Sheldon,Commissioner