HomeMy WebLinkAboutChecklist DocumentsRevised 8/1/2022
City Clerk’s Division
NEW or AMENDED
CONTRACT CHECKLIST
(Date Stamp) Contract Number(LAG/CAG):
(Assigned by Clerk Staff)
IF PRE-ASSIGNED, LIST # HERE:
Please return to the City Clerk’s Division ***View Policy 250-02 for more information***
SPECIFICATIONS OF CONTRACT
TYPE OF DOC: Contract/Agreement Lease Permit Interlocal Agreement Grant Agreement
(Note: Most GRANT Contracts Require a Resolution) Grant Manager:
AMENDMENT #________ TO AGREEMENT # ______________: Addendum Change Order Work Order
Contractor Name:
Brief Description of this Agreement:
FOR NEW CONTRACTS - ADD KEYWORDS FOR SEARCHING:
EFFECTIVE DATE: EXPIRATION DATE:
EXPIRATION DATE MUST MATCH DATE IN CONTRACT!! If no actual date, please provide estimate – information is required by Eden.
CONTACT INFORMATION Approved/Reviewed by Administrator
Dept/Div
This is the name of the person(s) signing the contract
Signing Authority:
Staff Name/Emails:
(1 staff per line)
The name of the person(s) who will receive the completed contract
FISCAL IMPACT
AGREEMENT CLASS: Payable, Vendor #: Receivable Misc. (no$$)
TOTAL AMOUNT OF AGREEMENT or ADDEN/CO:
FOR NEW CONTRACTS: Retainage Withheld: (if applicable) Yes If yes, %: ________ No
ITEMS TO INCLUDE/SUBMIT FOR NEW ITEMS TO INCLUDE/SUBMIT FOR AMENDED
1 Signed Original 1 Signed Original
(You will receive an electronic copy back via email)(You will receive an electronic copy back via email)
Legal Review(Attach Memo) Insurance Info Legal Review(Attach Memo) Insurance Info(if expired)
Risk Management Review(Attach Memo)
FOR NEW CONTRACTS:
Performance Bond Verification Memo (if applicable)
Federal Excluded Parties List Verification (for Federal Funded Projects Only)
Date of Council Approval (if applicable) Corresponding ORD or RES #:
(Please enter LAG/CAG number at top if contract has a previously assigned number.)