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CityClerk’sDivision(DoteStamp)CHECKLISTFORNEWCONTRACTS_____PleasereturntotheCityClerk’sDivision***ViewPolicy250-02formoreinformation***SPECIFICATIONSOFCONTRACTTYPEOFDOCUMENT:Contract/AgreementLeaseQPermitNewJobOrderContractWorkOrderContractorName:BuDuRacingLLC.AgreementQescription:ProfessionalRaceTimingforK9CandyCane5KFunRun(Briefexplanationofservicesprovided)CONTACTINFORMATION_____SigningAuthority:KellyBeymerParksandRecreationAdministratorThisisthenameoftheperson(s)signingthecontract7ApproveU/ReviewedbyAdministratorStaffName&Ext.:JenniferSpencerDept./Division:ParksandRecreationThenameofthepersonwhowillreceivethecompletedcontractPerformanceBondVerificationMemofoppicoble,_________________DateofCouncilApproval(ifapplicable)(pleaseentercAGnumberattopifcontracthasapresiouslyassignednumber)FORCLERKSOFFiCEUSEONLYMayor’sSignatureNeeded:YesNoDateCompleted/Returned:LIInsuranceInfototforwo)legalReview1RiskManagementReviewFederalExcludedPartiesListVerification(FederalFundedProjectsOnly)CorrespondingORDorRES#:ContractNumber:(AssignedbyClerkStaff)jjEXPIRATIONDATE:December5,2021-DATEMUSTMATcHDATEINCONTRACT1IIfnoactualdate,pleaseprovideestimate—infarmaNonisrequiredbyEden,FISCALIMPACTAGREEMENTCLASS;Payable,VendorU:012130QReceivableGrantMisc.(no$$)TOTALAMOUNTOFTHISAGREEMENT:$2,500.00(1opp’abe1RetainageWithheld:YesIfYes,tEJNoIfNo,ITEMSTOINCLUDE/SUBMIT2SignedOriginalsYcuwillrecessonesignedorigbun)ORIi1SignedOriginal(Youwi1rereiveaneiectr3n,ccopybackviaemol,)DCindySandiDeputyApproved:VendorUHAttyApprovalSigAuthorityCorrectInsInfoCurrent/ProvidedElectronicPrint