Contract Review Process
Jan 19, 2023
submission
#2045
Enter Basic Contract Information
Administrative Information
| Contract Manager Name (City Staff) | Leslie Isenberg |
| Contract Manager Email ([email protected]) | [email protected] |
| Administrator completing this workflow, if different (City staff) | Dee Saunders |
| Administrator email ([email protected]) | [email protected] |
| Department | 05 - HSRS |
| Division | 53 - Social Services |
Basic Contract Details
| Vendor Name | Disability Community Resource Center |
| Vendor Number (3____ for AP and 00___ for AR) | 326470 |
| Vendor Contact Name | TJ Hill |
| Vendor Contact Email | [email protected] |
| Contract / Amendment Title | Agreement for Services |
| Contract / Amendment Amount | $5,000.00 |
| Is this a new agreement or an amendment to an existing agreement? | Amendment |
| If this is if a Contract Amendment, what is the Contract Number? | 010613 |
| Supplemental Insurance (for Risk team only) | --- |
Upload Contract Documents
Upload Documents
| Upload Contract or Amendment Authorization Form | DCRC Authorization.pdf |
| Upload Agreement or Amendment | DCRC Agency Development Amendment.pdf |
| Describe changes to Insurance Requirements, if any (if no insurance is required, type "None required") | --- |
| Describe changes to Contract Template, if any (If none, type "None required") | --- |
| Upload other supporting documents here, if necessary (e.g. staff reports, etc.) | Agency Development Budget.pdf |