Laserfiche WebLink
FOR CONTRACT UNIT USE ONLY <br /> 4,, HUMAN SERVICES DEPARTMENT <br /> DOWNLINE TRACKING SHEET Electronic Document Path: <br /> S:\\Admin\Staff\ContractProcessor\Contracts\ <br /> (All lines must contain information or N/A) <br /> CONTRACT NUMBER: HCS-18-70-1803-198 DIVISION: H&CS <br /> AMENDMENT NUMBER: HCS-18-70-1803-198 (1) PROGRAM: OCHS <br /> AGENCY: City of Everett STAFF 1 EXT: Tyler Verda ext. 2904 <br /> UPLINE 1/10th of 1%Sales Tax <br /> DESCRIPTION(S): <br /> UPLINE NUMBER(S): N/A UPLINE STATUS: 0 Executed 0 Pending <br /> ACTION TAKEN DATE INITIAL <br /> PROGRAM: <br /> Prepare Contract/Amendment L//l// / V. <br /> Basic Agreement Executed: Dit Yes 0 No '-f//f <br /> Status Determination I Debarred Status y/// //c <br /> *Is "No Service Disruption Guarantee" (Exhibit E) required? <br /> ❑ Yes I:51 No y/// /1 ;'f / '✓ <br /> **If yes, is Labor Harmony Plan required? 0 Yes Si No / // • /1/ <br /> Email Contract Hyperlink to HSD.Contracts@snoco.org L/ ! �V <br /> Supervisor Review 4/ ///7 <br /> Division Manager Review ` --/ 8 It <br /> FISCAL: <br /> Fiscal Review u / ii .Z°t--- <br /> Fiscal Risk Assessment Completed oto/ g bec.." <br /> a 0 +' c' .. o e �.a.: , g., <br /> •roofed/Returned to Supervisor for Revisions /1 Approved with Revisions if <br /> Log in Contract(Signature Authorization Form on file?) -/'/3) ) Q i <br /> Send to PA for Review <br /> Received from PA <br /> Saved as pdf File/Copy for Pending File ' //3// 9 AA-1- <br /> Email Contract to Agency <br /> Email to Risk Management 0/Approved .3h// 8 <br /> Received Signature Sheets Back from Agency 61j <br /> *Is LHP/CBA Submitted? (See** above) <br /> Attachment A rec'd: ❑ signed 0 initialed 0 LHP ❑CBA <br /> UPLINE EXECUTED I RISK MANAGEMENT 'a <br /> `A PROVA `O INSURANCE? IF SO: <br /> To Director for Signature //.3//e _ <br /> Contract Executed /Letter Mailed to Agency 5 f <br /> Email to Staff that Contract is Executed !f//6// h 1,-Th <br /> Original Contract to Fiscal I Electronic Working Copy Saved / <br /> Director Signs All Downline Contracts / <br /> *Applicable to all 1/10th of 1% Sales Tax contracts and amendments and private sector providers of homecare services. <br /> WORKING COPY <br /> Revised 2/23/2016 S:/CONTRACT RESOURCES/Contract Documents/TrackingSheet_Downline-PINK.docx <br />