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~.r° •,,.•' <br />~~NTU a r_T uFVIEW SHEET <br />Person Sending: Elyn Lyon Department Name: General Services <br />Date Sent: April 11, 1997 <br />~J;.~1@-~ttd` C~1~~ (CIRCLE ONE) <br />Contract ~ Amendment #_ Grant I.ease <br />_ _ ~..._.._.._____-_~ <br />_ . _.._~.._ .. ._ _ _ , __`~,. <br />, <br />INCOMING FUNDS? YE NO (C RCLE ONE) <br />If incoming funds you must~attach a Revenue Management Sheet <br />Contractors Cummings - Mayflower <br />Name: <br />Date From: January 30, 1997 Date To: June 30, 1997 <br />Amount of Contract or Amendment: $18,000.00 <br />If an Amendment, New Contract Total =$n/a <br />Certificates of Liability Workers Comp If no insurance attached,why not? <br />Insurance (circle one) (circle one) <br />Attached: ~ ~ <br />Yes o <br />~ <br />Yes ~ No <br />r-• <br />/ <br />Description of Con ract Services: <br />Moving services for the relocation of county offices from the Senator Block for the construction of Courthouse <br />Square. Services will be as requested by Elyn Lyon, General Services. <br />For Risk Management Vse <br />Date Risk Received: 04-11-97 Date Scheduled on BOC Agenda N/A less than 'L5M <br />Authorization for Health Administration to Additional Comments: <br />f BOC: <br />lf <br />h <br />b <br />i <br />o <br />e <br />a <br />gn on <br />s <br />___.___.__..._ <br />ti <br />y~s no <br />. ___ ... _ <br />Staff Review Signatures: <br />1 <br />/1 ~/ ~ / /' ~~7~ <br />+ ~ f - l~~/ <br />~ <br />isk Managemen date Fiscal Services date <br />F~~~~ •~'`-~ ~l(.e. S~-~ ~---,. ~, ~ `~ f~a~ ( l ~1 w ~ <br />~ <br />' <br />/ <br />:~~ <br />. <br />~/ '~ <br />~~ <br />-~ <br />a~~~ <br />General Services date Le al Counsel date <br />Date: <br />lj,eturne~f to Depamnent/ for signatures._ <br />Copy to ~iscalServices ~ <br />Reveiw.CON 1/97 <br />