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Port 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