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10-022.12(h) <br />Discretionary Work Request for King County Road Services <br />FORM A <br />City of: tukwila Request Number: TK -005 (Supplement # 8) Date: 04/18/2012 <br />Problem Description: Six Tukwila bridges are due for inspections in 2012. <br />Nature of Request: Provide bridge inspection services for six Tukwila bridges. <br />Location: TUK 5 - Southcenter Boulevard (over Green River); TUK 12 - Boeing Access Road (over <br />RR s); TUK 15 - Tukwila International Blvd. (over Duwamish River); TUK 20 - Interurban Trail Bridge <br />(over S 180 St); TUK 21 - Fort Dent Vehicle Bridge (over Green River); TUK 22 - Fort Dent Trail Bridge <br />(over Green River). <br />Description of Change: This contract compensates King Count for the actual cost of time and <br />materials. The original cost estimate was $9,000.00. Actual costs total $9,885.22. This Supplement <br /># 8 encumbers an additional $885.22. <br />City Priority: Medium <br />Special scheduling requirements: <br />City Project Manager - Telephone Number: Robin Tischmak - 206 - 431 -2455 <br />Authorized By: Robin Tischmak Date: 01/7/2013 <br />FORM B <br />ARMS Project #: EBS Project #: 1116343 Work Order #: Form B Sent to City Date: <br />07/17/2012 <br />Recommended Action: Provide inspection for six city owned bridges; provide inspection reports to <br />WSDOT and the city after completion of the inspections. The bridges to be inspected are Tuk -5, Tuk -12, <br />Tuk- 20,Tuk -21, Tuk -22 and a UBIT inspection forTuk -15. Original cost estimate details: Tabor- $2050; <br />equipment- $50; UBIT- $6,000; and contract- $900. This Supplement # 8 in the amount of <br />$885.22. <br />Proposed Schedule: Summer 2012 <br />County Project Manager: Margaret Holwegner/Richard Hovde <br />Cost Estimate: $885.22 <br />Authorized By (City - $500):Bob Giberson <br />Comments: Approved by <br />Date: 1/7/2013 <br />Date: t (t( //- <br />