HomeMy WebLinkAboutChristopher Bennett - FY12 Lou Henry Hoover Mem. Sculpture-8/15/2016Form 64WO3
0304 Iowa Department of Transportation
CERTIFICATE of COMPLETION and
FINAL ACCEPTANCE of AGREEMENT WORK
COMPANY: L1U U, ) PtIQQ COUNTY/CITY: N CLCt l "7 VVLtt �-/ b0
ADDRESS: �I M(,(%'{M/ PROJECT NO.:�E—�ISSC/Z3,—WV D /
KIND OF WORK: Ar-11,06rK
AGREEMENT DATE:_/19IZO/Z FIELD COMPLETION DATE:
This is to certify that the work covered by the above referenced agreement has been completed in accordance with said
agreement and is hereby accepted, subject to final audit of costs.
Project Engineer (Res. Construction) Uvea Engineer) (County) (City) (Consultant) Yeer
'SIGNATURE: DATE:
OisinA (ConsVucgon)(Mm
aintenance)(Local Systes)Engineer Year
Approved and work accepted by the Board of Supervisors/City Council of Wr lmi-t--
this !Sndayof _ --I 'r, I
Year n
SIGNATURE: E a�/Y[>�
Chairma�r
Acknowledge completion of project in accordance with referenced agreement by the Iowa Department of Transportation
this day of
*On Local State Assisted
Projects District does
NOT certify but
acknowledges
completion of project.
Year
SIGNATURE:
Iowa Depargnent of Transportation
DO NOT WRITE IN THIS BOX. CENTRAL OFFICE USE ONLY.
(Check or Initial Appropriate Box)
❑ Office of Audits
❑ Copies to District
❑ Copy to Company
11 Original to Files
Item Coversheet
CITY OF WATERLOO
Council Cornrnuriication
Page 1 of 1
Resolution approving Cornpletion of Projeet and Recommendation of Acceptance of Work Performed for the artwork portion ofthe projeet
performed by Christophp-BEThtt, of Keosauqua, Towa, at a total eost of $90,000.00 in conjunction with F.Y. 2012 Lou Flenry Floover Mernorial
Sculpture Garden, Copftact No, 8
City Conncil Meeti4g: 8/t3/2O16)
Prepared: 8/10/201
REYIE\VERS:
Department Reviewer Action Date
Fngincerrig 1IIONOO, kric Approwd 3/1012016- 1:00 AM
ClcrI Oftiec Folelile. KelIev Approved 8/10/2016- 3:13 PM
SUBJECT:
Submitted by:
Recornrnended Action:
Summai'y Statement:
Source ofFunds:
Resolution approving Comptetion of Project and Reeominendation of Aceeptanee of Work Pcrformed
for the artwork portion oI' the proieet performed by Christopher Beirnet(, of Keosauqua, Iowa, at a total
eost of $90,000,00 in conjunetion with F.Y. 2012 Lou Henry Hoover Meinorial Sculoture Garden,
Contraet No. 803.
Subrnitted Bv: Erie Tborson, P6, Citv Engineer
11 is reeonimended tbat the artsvorkportion of the projeet be aecepted and that Council approve the
"Certitieate of Complelion and Final Acceptance ofAgreernent Work' and autborize the Mayor to
sign said docuinent.
1 report that Christopher Bennett, of Keosauqua, Iowa, has eompleted the above referenced work in
accordance with the approved artwork agreement.
http://waterloo.novusagenda.com/AgendaWeb/CoverSheet.aspx7ItemIDS98 1 8/16/2016