HomeMy WebLinkAboutContract ChecklistDC/forms/city/contracts/cklist.doc/SW Rev:3/05
CONTRACT CHECKLIST (revised March 2005)
STAFF NAME & EXTENSION NUMBER: George McBride x6886
DIVISION/DEPARTMENT: FIS
CONTRACT NUMBER: (Assigned by City Clerk Division.)
TASK ORDER NUMBER: (If applicable.) N/A
CONTRACTOR: ePoliceDepartment Inc
PURPOSE OF CONTRACT: Allow citizens the option to file a police reports
over the Web (Web-based Incident Reporting)
1. LEGAL REVIEW: (Attach memo from City Attorney.)
2. RISK MANAGEMENT REVIEW FOR INSURANCE: (Attach memo from HRRM Administrator.)
3. RESPONSE TO LEGAL OR RISK MGMT CONCERNS: (Contract was changed to meet City Attorney
recommendations.)
4. INSURANCE CERTIFICATE AND/OR POLICY: (Attach original.)
5. CITY BUSINESS LICENSE NUMBER: N/A (Call Finance Department.)
6. ACCOUNTS PAYABLE W-9 VENDOR FORM: (If not already on file with the Finance Department, make
sure the contractor completes the form and submits it to the Finance Department.)
7. PERFORMANCE BOND VERIFICATION IF PUBLIC WORK CONTRACT: (Attach memo.)
8. MEMO TO MAYOR IF COUNCIL APPROVAL NOT REQUIRED: (Explain contract purpose, budget
source, work program fit, and scope of work.)
9. CHECK FEDERAL EXCLUDED PARTIES LIST (DEBARRED BIDDERS): (Access web site through
RentonNet-Useful Links-Excluded Parties List System - Attach printout of search results; debarred
contractors cannot be used.)
__ 10. ATTACHED CONTRACTS ARE SIGNED BY CONTRACTOR/CONSULTANT: (If not, provide explanation.)
11. FISCAL IMPACT: (see 12.B.)
A. AMOUNT BUDGETED: (LINE ITEM) 16,230.00
B. EXPENDITURE REQUIRED: 16,230.00
12. COUNCIL APPROVAL REQUIRED IF: (Prepare Agenda Bill; see Policy & Procedure 250-02.)
A. CONTRACT OR TASK ORDER IS $50,000 OR OVER. (Refer to Council committee for initial contract approval;
place subsequent task orders on Council agenda for concurrence.)
B. FUND TRANSFER REQUIRED IF CONTRACT EXPENDITURE EXCEEDS AMOUNT BUDGETED.
(Refer to Council committee.)
C. SOLE SOURCE CONTRACT IS $20,000 OR OVER. (Refer to Council committee.)
D. INTERLOCAL AGREEMENT. (Requires resolution.)
13. DATE OF COUNCIL APPROVAL: (If applicable.) N/A
14. RESOLUTION NUMBER: (If applicable.) N/A
15. KEY WORDS FOR CITY CLERK'S ELECTRONIC INDEX:
ePolice, ePoliceDepartment, police reports, web reports, police case, police incidents
DC/forms/city/contracts/cklist.doc/SW Rev:3/05