The URL can be used to link to this page

Home My WebLink AboutContractCONTRACT FACE SHEET *Denotes mandatory fields. If referring to Retainage, please indicate the Termination Date same as the Contract Termination Date. Face Sheet Date: Scan Date: Index Date: Document Type: Contract MOU Interlocal Agreement Notice of Acceptance Retainage Franchise Agreement Right of Way Use Agreement Lien Correspondence Collective Bargaining Agreement Status: New Amendment Change Order Renewal Cancellation Contract Documents: Scan and toss Do not scan and toss (keep) *Vendor Name: *JDE PO Number: *Effective Date: *Termination Date: Amendment Effective Date: *Clerk's Receiving Number: Related Receiving Number: Bid/RFP/RFQ/ITQ Number: Ordinance Number: Resolution Number: CIP Number: Project Name: Site Name: Vendor Number: File Location: 2410268.000 CAG-24-040 CONTRACT REVIEW CRITERIA Dept. PS Does the Contract Routing/Approval Form and Contract have consistent information? Is the Contract Type and template appropriate for the services performed? Are the contract values (i.e aggregate values, yearly budget totals, taxable amounts, acct. numbers, etc.) accurate? Is the JDE vendor name and number accurate? Does the Company have a Bellevue Business License? If not, date Tax Office was notified? . Do the Contract Start/End Dates comply with current policies (maximum 5 years unless exception noted)? Is this an amendment or renewal? If so, are the original contract #'s and values indicated? Has the Selection Method been explained in Additional Comments? Are results attached? If there is an ordinance/resolution/motion for this contract, are the date and # noted and a copy attached? Does the contractor meet requirements of the Independent Contractor Threshold question? Is Attachment "A" (Scope of Work and/or Services) attached? Is Attachment "B" (Insurance Requirements) attached? Does Insurer have a Best rating of A or better? Is the Contractor identified as the insured? Does the Contractor have Commercial General Liability, Commercial Auto Liability, Worker's Compensation, and Employer's Liability/Stop Gap and special coverages as required? Are the policy expiration date(s) on the Certificate of Insurance current? Does the Contractor have a self-insured retention? I Is the City listed as the Certificate Holder? Is the City of Bellevue (& contracting partners) listed as an additional insured on the Certificate of Insurance? If this contract requires the payment of Prevailing Wages, are current Wage Rates referenced in Attachment "C"? Does the Contractor have an open account with the Washington State Department of Revenue? Are the Contractor's worker's compensation premiums current? Does the Vendor have an active Professional/Contractor License with the Washington State Department of Licensing? Have you checked the Office of Minority and Women-Owned Businesses website? Have you checked the King County Small Business Certification website? Is the Vendor on the Federal Debarred Suspended List? https://sam.gov/SAM/pages/public/searchRecords/search.jsf Verify LNI Debarment status at: https://secure.lni.wa.gov/debarandstrike/ContractorDebarList.aspx 2410268.000 2410268.000 2410268.000 2410268.000 2410268.000 2410268.000 2410268.000 2410268.000 2410268.000 Approved by Patrice Kent via email 12/19/2024 2410268.000 2410268.000 2410268.000 2410268.000 2410268.000 2410268.000 2410268.000 2410268.000 2410268.000 2410268.000 2410268.000 2410268.000 2410268.000 2410268.000 2410268.000 2410268.000 2410268.000 2410268.000 2410268.000 2410268.000 2410268.000 2410268.000 2410268.000 2410268.000 2410268.000 2410268.000 2410268.000 2410268.000 2410268.000 2410268.000 2410268.000 Prepared For:________________________ Date:_______________ Heat Pump Installation Process Terms and Conditions Addendum This document advises certain terms and conditions required in order for your heat pump installation project to be funded by Energy Smart Eastside’s Boost Program via Hopelink. Please read it carefully. This document should be retained for your records. Important Terms: Recipient will work with a third-party installer who will deliver and install the heat pump. Recipient is responsible for coordinating the project with the installer, including, but not limited to, scheduling, preparing the worksite, being present for the installation, and signing off on the successful completion of the project. Your heat pump installation costs will be paid by Hopelink & Energy Smart Eastside’s Boost Program upon completion of the project directly to the installer. Energy Smart Eastside will only fund the approved quote’s heat pump related costs. Back-up gas system costs or any other supplemental services agreed upon between the recipient and installer cannot be paid with Energy Smart Boost Program funds. Upon project completion, the recipient takes over all responsibility for the heat pump, including but not limited to proper use and maintenance. Neither Hopelink nor the Boost Program pays for future maintenance or repair costs. We make no warranties for and accept no responsibility in connection with the use of the heat pump. In addition, we are not responsible or liable for any defect, damage, accidents, or injuries resulting from handling or operating the unit. Please refer all comments, concerns, or other requests about the heat pump to the unit manufacturer or installer, including any defects, damages, or malfunction issues. We cannot assist with any of these matters. If you acknowledge and agree to the above requirements, terms and conditions to receive, please sign below and return a copy of this document to us. ACKNOWLEDGED AND AGREED TO BY: ________________________________ Signature ________________________________ Printed Name Date:____________________________ HOME ADDRESS: ______________________________ ______________________________ _______________________________ 2410268.000 2410268.000 CR #: Date: PO #: City of Bellevue Finance & Asset Management Department Procurement Services 450 110th Ave. NE. Bellevue, WA 98004 Contract Routing Form Current Contract Information: Contract Title: MOA - Energy Smart Eastside Boost Program and City of Renton Contract Description: This is a memo of understanding between the City of Bellevue and the City of Renton on how the HEAR grant funds will be allocated to City of Renton and administered. Total Contract Value: $0.00 This Amendment Value: Department: 592 - Planning & Community Development Contract Manager: Sarah Phillips Contract Type:Memo of Understanding (MOU) Contract Form: Custom contract document Budget Expenditure: Grant - Expenditure Grant Funded? If yes, please attach/e-mail copy of grant. Vendor Information: New Vendor? COB License #: Vendor Name: UBI #: Vendor Email: JDE Vendor Number: Independent Contractor? City of Renton mvancleave@rentonwa.gov No Contractor's Lic. #: Contract Term: Original Effective Date: 2024-11-01 End Date: 2025-12-31 Estimated Subject To: No Renewal Council Approval: Does this contract require council approval? No Council Award Date: Council Action: Legislative #: Route: Approvers Name or Designee Signature Date Signed Vendor Contact Name: Procurement Services: Information Technology: Not Required Legal Reviewer: Soojin Kim Insurance Reviewed By: Department Director: Thara Johnson Return To: Sarah Phillips City Clerk's Office: Related Contract Information: Amendment/change order/renewal? No Amendment #: Amendment Effective Date: Original PO #: Original Contract Value: Total Value of Previous Change Orders/Amendments: This Change Order/Amendment Value: Selection Method: Selection Method: Interlocal/MOU Solicitation Issue Date: Solicitation Due Date: Length Bid/Proposal is valid for: Bid/RFP/RFQ #: Bid/RFP/RFQ/ITQ Title: Quote# Vendor Name MWDBE Fee/Cost 1 No Budget Information: Line # Description Account # Subtotal Tax Total 1 No Additional Comments: