Laserfiche WebLink
~ 1 <br />Person Sending: Hitesh Parekh <br />`~r. Date Sent: 11/6/97 _ <br />CONTRACT REVIEW SHEET <br />Department Name;,B~Oe' <br />ont a Amendment #2 Grant Lease <br />INCOMING FUNDS? YES ~(CIRCLE ONE) <br />If incoming funds you must attach a Revenue Management Sheet <br />Contractors Gardiner & Clancy LLC & R.S.Clements & Associates <br />Name: <br />Date From: Sept 1, 1996 Date To: Completion <br />Amount of Contract or Amendment: $10,000 <br />If an Amendment, New Contract Total =$n/a ~s5 ODO <br />Certificates of Liability Workers Comp <br />Insurance (circleone) (circleone) <br />Attached: <br />Yes o Yes No <br />Descripti n of C ntract Se vices: ' ~-~-~~~ ~ <br />z~ j <br />~'" Se ttachment A ; ~ P <br />Date Risk Received: <br />ithorization for I~ealth Administration <br />sign on behalf of BOC: <br />yes <br />Date Scheduled on BOC A~enda <br />Staff Revi Signatures: <br />. ~ ~ ~ ~ vr D ~ ~ <br />~;~~ <br />Risk Management date <br />date <br />General Services <br />Laa;~ <br />Kilurlud Fa 1J~Parlm~~ /or eiyxalune._ <br />~ l~o~ ~0 liecal~irvita / . <br />Fiscal Services <br />~ <br />~--~ ~a~~ ~~-~-~-~~-, <br />date Legal Counsel <br />If no insurance attached,why not? <br />~U~ ~ ~~2a~ <br />a,a u wv~- <br />~i7~v~,~ ~~, <br />U~~'~ /~u~.2,, <br />~ <br />~ <br />Reveiw.CON 1/97 <br />