AG 2006 01 23 - Laserfiche WebLink

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..... . . .... .CAEi~RJi~:SqpqN!y"qQNT~~.T:'9QNTRQLSHr;r;T . ...... Routing Qrder(1)Ori. in!lli6gDepaMm~rit,:(2Y6btlfr'!ctAdOJYiii$tr~1~~,J~):~punty .Attorney, (4). Return to ConTract Admin ORIGINATING DEPARTMENT (THIS IS THE ONLY SECTION TO BE COMPLETED BY ORIGINA TING DEPARTMENT) Contractor/Vendor: Ike's Construction, Inc. Vendor Number: 11952 Purpose: Pharr Mill,Road Park Picnic Shelter and Restroom Facility Amount: $158560 Account # budgeted: 34091920-9832-0557 Department Number: 8110 Dept. Rep.: Randy Daniels TYPE OF CONTRACT (Please check one) ~ New D Renewal Effective Date: 03/01/2006 ~ ~ Expiration Date: 06/30/2006 Insurance Cerfificate(s) Reauested ~ General Liability Insurance ~ Automobile Liability Insurance ~ Worker's Comp Insurance Oriainals I Copies to be Distributed Original/copies to Vendor D Other Routing Instructions Copies to originating Department Electronic Form cdntract submitted to Contr Checklist County Policy ReView Vendor W-9 D D D dministrator Date: 01/04/2006 Department Head Signature Signature above verifies this document has been reviewed and approved by the Department Head. INFORMATION TECHNOLOGY DIRECTOR (Applicable only for hardware/software purchase or related services) This document has been reviewed and approved by the Information Systems Director as to technical content IT Director's Signature: Date: CONTRACT ADMINISTRATOR Date Received: _1-5-Q:p Contract Control #: Sufficient funds are available in the prpperaccount to pay for this expenditure. A budget amendment is necessary before this agreement is approved. A budget amendment is attached as rj1quired for approval of this .agreement Does this contract require Board of Cdmmissioners action? Yes D No D Does this contract require County Ma~ager action? Yes D No D Yes D No D Yes D No D Yes D No D Date of action: Date of action: D Pre-audit certification completed. Contract Administrator's Signature: D Non-appropriation clause included for multi-year contracts. Date: COUNTY ATTORNEY This document has been reviewed anij approved by the County Attorney in relation to legal content County Attorney's Signature: Date: ^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^ Completed and Filed bv Contract Administrator: Date: F-1 I I I I I I I I I I I I I I I I I I I