My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
Contract - Life Treatment Centers - Emergency Shelter Activites
sbend
>
Public
>
Public Works
>
Board of Works Documents
>
2016
>
Agreements, Contracts, Proposals, and Addenda
>
Contract - Life Treatment Centers - Emergency Shelter Activites
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
3/28/2025 12:55:50 PM
Creation date
9/21/2016 2:58:12 PM
Metadata
Fields
Template:
Board of Public Works
Document Type
Contracts
Document Date
9/13/2016
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
17
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
Show annotations
View images
View plain text
BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date <br />Name <br />8/24/16 <br />Lory Timmer Department <br />DCI <br />BPW Date 9/13/16 Phone Extension 5841 <br />Required Prior to Submittal to Board <br />Legal ® Attorney Name Michael Schmidt <br />Controller ® Controller review is required for all Contracts $5,000.00 or more and <br />greater than one year in length per the City Purchasing Policy <br />Purchasing <br />Check the Appropriate Item Type — Required for All Submissions <br />❑ Agreement ® Contract ❑ Proposal ❑ Addendum <br />❑ Professional Services ❑ Resolution <br />❑ Bid Opening ❑ Bid Award ❑ Req. to Advertise ❑ Title Sheet <br />❑ Quote Opening ❑ Quote Award <br />❑ Change Order No. ❑ C/O & PCA No. ❑ PCA <br />❑ Ease/Encroach. ❑ Traffic Control <br />❑ Other: Amendment <br />Required Information <br />Company or Vendor Name Life Treatment Centers, Inc. <br />New Vendor ❑ Yes ® No ❑ If Yes, Approved by Purchasing <br />MBE/WBE Contractor ❑ MBE ❑ WBE <br />MBEM/BE Contractor Requested ® No ❑ Yes Name of Company <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Shelter Activities <br />Solutions Grant <br />i0.39.30 <br />Terms of Contract 1/01/16 — 12/31/16 <br />Purpose/Description Assist with cost of providing emergency shelter for homeless <br />individuals <br />® Required Contractor's Certification Form Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) <br />Required For Change Orders Only <br />Amount of ❑ Increase $ <br />F] Decrease $ <br />Previous Amount <br />Current Percent of Change: <br />New Amount <br />Total Percent of Change: <br />Copy <br />Original <br />® <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />Love <br />Dispersal After Approval <br />
The URL can be used to link to this page
Your browser does not support the video tag.