Laserfiche WebLink
CONTRACT ROUTING COVERSHEET <br />To: Clerk's Office <br />From: <br />RE: <br />HAS THE CONTRACTOR SIGNED THE AGREEMENT? N/A <br />IS THE CONTRACT IN FINAL FORM AND READY FOR ROUTING? <br />DOES THIS CONTRACT REQUIRE INK SIGNATURES FROM BOTH PARTIES ON THE SAME DOCUMENT? (THIS IS RARE. CONTACT TIM BENEDICT IN LEGAL BEFORE MARKING YES.) <br />IS A CITY NOTARY REQUIRED TO AUTHENTICATE THE MAYOR'S SIGNATURE? <br />LIST ALL PAGE #s THAT REQUIRE MAYOR'S SIGNATURE/INITIALS/NOTARY: <br />UPLOAD THIS COVERSHEET AND COMPLETE CONTRACT TO SHAREPOINT UNLESS CLERK'S OFFICE OR LEGAL SAY OTHERWISE <br />Please fill out completely (Enter n/a if not applicable): <br />Subject / Project Title (Describe work to be performed): <br />City Project Manager / Contact Person: <br />Contractor / Agency: <br />Council Agenda Date: <br />Original Date Approved by Council (if applicable): <br />Contract End Date: <br />Amendment / Supplemental / Change Order #: <br />Public Works WO Number: <br />Contract No. (Federal, State, County): <br />Total Compensation Amount: <br />PLEASE SELECT THE DOCUMENT TYPE: <br />Previous Action (if any): <br />Legal Approval (If applicable, who approved?): <br />Project Description/Special Handling Instructions: <br />Amended SF 424, Assurances, and Certification for the 2023 Annual Action Plan. These are standard application documents for annual HUD CDBG entitlement funds. <br />Routing (for department use): <br />Project Manager <br />Supervisor <br />FOR CLERK'S OFFICE USE (DISTRIBUTION): <br />Date reviewed by City Attorney: <br />1) Professional Services (PSA, Performer, etc.) <br />2) Grant (Applications, Human Needs, etc. ) <br />3) Interlocal / Interagency <br />4) Capital Contract (Construction) <br />5) Amendment / Change Order <br />6) Technology (IT, Telecom, Software) <br />Kembra Landry <br />Documents for Mayor's Signature <br />KKL <br />Department Head <br />Date: <br />Department: <br />Amended HUD SF 424, Assurances & Certification for 2023 Annual Action Plan <br />Kembra Landry <br />HUD <br />3.29.2023 <br />3.29.2023 <br />6.30.2024 <br />n/a <br />n/a <br />B23MC530004 <br />859155 <br /> <br /> 7) Lease / Use of Property <br /> 8) Real Property (Deed, Easement, Covenant, etc.) <br /> 9) Purchase Agreement <br />10) Purchasing Cooperative Interlocal <br />11) Purchasing - JOC / Small Works <br />12) Other <br />6.1.2023 <br />Community Development <br />Yes <br />Yes <br />Yes <br />Yes <br />SF 424 p3; Assurances p2, p2; Certif p1, p3 <br />JW <br />Routing date: <br />Date signed by Mayor: <br />No <br />No <br />No <br />No