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Intergovernmental Request and Agreement with Cemetery District No. 1 - Interlocal Agreement INTERGOVERNMENTAL REQUEST&AGREEMENT FOR REIMBURSABLE WORK BY MASON COUNTY PUBLIC WORKS The undersigned hereby requests that Mason County Public Works Department perform the following described work. It is understood that the requests for services will be done at the convenience of the Public Works Department. Description of work or services requested: To provide fabrication and materials of signs upon request. Authorizing Rep.for Public Works: Cyndi Ticknor, Road Operations&Maintenance Manager OR Allan Eaton Assistant Road Operations&Maintenance Manager Authorizing Rep.for Cemetery District#I: Termination Date: Upon Request of either party Total cost not to exceed: S Actual Costs l ,rvl� y�l��sr.l The undersigned representatives of Mason County and t-fir each ce i that sufficient budgeted funds are available to cover the cost of the requested work or services arld that payment be made prom tly unless otherwise modified in this agreement �r Agency or Dept:Cemetery District#1 Signed: Date: / " , / i` Title: e d—k To the Board of County Commissioners: Date: 1 0• I have examined the above request and make the following recommendation: I recommend the Board approve the above,as presented. Coun Engineer Action of the Board of County Commissioners: Date: (f The Engineees recommendation is hereby approved. _ The Engineer's recommendation is disapproved or modified as follows: BOARD OF COMMISSIONERS MASON LINTY,WAS TON RANDYNEAiHIALIN,61iiiir TIM SHELDON,Commissioner ATTE : SA—ON GOUDY,Cl k o the Board LY' TERRI JEFFREY ,ko4issioner