HomeMy WebLinkAboutPort of Allyn Reimbursable Work Agreement - Interlocal Agreement INTERDEPARTMENTAL REQUEST&AGREI Mf-N"I'
FOR
REP BURSABLE WORK BY THE PUBLIC WORKS DLPARTVIt-NT
To the County Engineer.
The undcrsimed hereby requests that the follot�rin?described work be performed l y the Public Worts
Department for the agency or department shown-
It is understood that this work will be done at the convenience of the Public Works D6nartmetit.
Description of work or services requested: To provide Maintenance.Engineering and Tr�ffic Count Services(
Emereency Assistance/Fabrication of siens and-materials upon request.
Agreement Tennination Date: Upon Request of either party_ Total cost not to exc�r d S Actual Costs
The undersigned certifies that sufficient budgeted funds are aeaiiable to cover the cost of le requested work or
services,and Ghat payment to the Public Works Departmcnt Mll be made promptly unless that%ise modified
in this a&reement_
Agency or Dept.:Port of Allyn Signed: I %
Date: �s �` Title: l _rI r-1 S i �ltiE
#:r#* Y-4****##4;*4 *4 ***4**-;�I.
To the Board of County Commissioners: Date: 2.i t. Zd 14
I have examined the above request and make the follo%ving recommendation:
I recommend approval of work,as submitted.
,Vw,
County Engirt er
Acti of the Board oI'County Commissioners: Date:
The Engineer's recommendation is hereby approved_
The Engineer's recommendation is disapproved or modified as fol lows:
BOARD OF COUNTY COMMISSIONERS
4V
MASON COUNTY; A5 GTDN
t
Terri Jeffreys,-thai r
zs
ATTEST: Tim Sheldon,Commissione
Diane 7_oren,Clerk ofthe Board Randy Ncatberlin,Commiss oner