No preview available
HomeMy WebLinkAboutContract ChecklistX Contract Checklist In accordance with City of Renton Policy 250-02 Guidance on using this form can be found here. Please note: It may take up to one week for the City Clerk's office to process your contract. Please connect with your City Clerk Department Contact if you need an exception. Contract Specifications Contract Document Type* Contract/Agreement Contract Type New Agreement Interlocal Agreement Grant Agreement Amendment Has a CAG Number Been Preassigned? (for NEW contracts only) Yes No Contractor Name* RENTON ECUMENICAL ASSOCIATION Agreement Description* (?) 2024-2025 REACH Emergency Overnight Cold Weather Shelter Operation Services Provide a description (4000 characters max). 4000 characters remaining Keywords REACH Cold Weather Shelter Provide keywords (4000 characters max). 4000 characters remaining Effective Date* 11 /1 /2024 If the effective date is unknown put in today's date. Expiration Date*(?) 05/01 /2025 Contact Information Signing Authority* Maryjane Van Cleave The name of the City of Renton staff person signing the contract for Renton. * Approved by Administrator Please ensure your Department Administrator has approved. Staff Contact Info Staff Email* Staff Name* Ifleming@rentonwa.gov FLEMING, LORI All individuals who need to be notified of final processed agreement. Department/Division PR - Human Services Fiscal Impact Agreement Class* Payable I attest this is accounted for in the budget. Since this is a payable, the expense must be budgeted for already. By checking this box, you attest that is already accounted for in the budget. Account Number Account Title 001.000000.020.565.10.49.010 COLD WEATHER SHELTER $ Please enter the GL account number(s) that will be used for this agreement. Format is: XXX.XXXXXX.XXX.XXX.XX.XX.XXX AP Vendor # (?) 067105 Leave this blank if you do not know the AP Vendor #. AP Vendor Name RENTON ECUMENICAL ASSOCIATION Automatically populated based on a valid AP Vendor # Agreement Amount $ 20,000.00 Retainage Withheld? Yes No Required Attachments `All attachments must be uploaded in pdf format AP Vendor Status (?) ACTIVE Status in Eden. If No* N/A (Main, Prof Svs, Supplies, etc.) Contract* Contract-2024-25 REACH CWS- Legal Review* 516.69KB Contract -Approved as to legal Signed.pdf 423.41 KB If your contact is a DocuSign document, please be sure to print the form Memo -REACH CWS.pdf contract to PDF and then upload that printed PDF. Email from Legal in PDF format. Risk Contract Review* (? Contract -Risk Mgmt Approval- 465.88KB REACH-24-25 CWS contract.pdf Email from Risk Management in PDF format. Is insurance required on this agreement?* Yes No Certificate of Insurance* (?) Insurance Certificate thru 6-3- 25.pdf Certificate of Insurance in PDF format. Additional Attachments Certificate of Insurance Approval Memo* Insurance -COI Approval Memo 150.06KB 67.03KB thru 6-3-25.pdf Memo from Risk Management approving the COI in PDF format. Federal Excluded Parties List Verification Federal Excluded Parties List Verification in PDF format. Additional Documents Any additional documents in PDF format. Council Approval if applicable Did this agreement require Council Approval?* Yes No Additional Information (Optional) Performance Bond Verification Memo Performance Bond Verification Memo in PDF format. Note to Clerk's Office Please use this field if you have any additional notes/guidance for the Clerk's Office for this contract. Example: Also need Mayor's signature on Exhibit A and B.