Full Text
ROUTING CHECKLIST FOR CONTRACTS ***PLEASE CHECK ALL THAT APPLY*** 1 Entity: Ogden City Redevelopment Agency Municipal Building Authority 2 Contract Type: Expenditure Revenue Grant Real Estate Change Order 3 Department: 4 Division: 5 Contact Person: Phone/Ext: 6 Description/ Contractor/ Project: 7 Tax ID: 8 Property Address: 9 Document to be recorded at County: Yes No 10 Total Contract Amount: If more than one account is being used, please indicate below: Expenditure Revenue Budget Acct#: Amt: Expenditure Revenue Budget Acct#: Amt: 11Amends previously approved contract? City Identifying 12 Minimum of 2 (two) original copies of contract – MUST INCLUDE ORIGINAL SIGNATURE AND ALL EXHIBITS 13 Purchasing Procedures: Formal Bid Written Quote Telephone Quote Mayor’s Justification – MUST BE ATTACHED Other Sole Source – SIGNED AUTHORIZATION MUST BE ATTACHED 14 If this is for a grant: Source of funding: Federal State Other Match requirements: Cash In-kind 15 PO#(if known) 16 Insurance/bond certificates: Yes – MUST BE ATTACHED Not required 17E-Verify: Required Not required 18 W-9: Attached On file 19 Contract Start Date: or Upon completion of attestation 20 Contract Expiration Date: or Coincides with attestation date 21 Contract requires additional future action: Yes - If yes, please provide description below: No Description: Date: Description: Date: Description: Date: FOR RECORDER’S OFFICE USE ONLY Date Received: Initials: City Identifying Date Attested: Initials: Print Form