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CONTRACT REVIEW SHEET <br />Person Sending: Billy Wasson Deparhnent Name: Courthouse Square <br />Date Sent: 11/12/98 <br />The attached: ~czRCLE oNE~ <br />Contract Amendment # 3 Grant Lease <br />INCOMING FUNDS? YES NO (CIRCLE ONE) <br />If incoming funds you must attach a Revenue Management Sheet <br />. `~_, ~, <br />~y`~.' ,_1 ,, <br />.r~ r ,,5 ~~ ~ `6 `{ <br />~ ~~' , vL,, ~ •~ i <br />i, <br />~ ~' _ } ~j ~ r ~~ <br />~/ ~-L i . <br />f_ _. <br />Contractors Melvin Mark Companies <br />Name: <br />Date From: Date To: <br />Amount of Contract or Amendmenr. Amendment compensation not to exceed $1,500.00 <br />If an Amendment, New Contract Total =$n/a <br />Certificates of Liability Workers Comp If no insurance attached,why not? <br />II1S11T817Ce (d=cle one) (carcle one) <br />Attached: <br />Yes No Yes No <br />Process taken to select contractor: <br />Verbal quote: Written quote: RFP: Competitive Bid: Renewal: <br />(Attach copy for reference) <br />~. Description of Contract Services <br />For Risk Management Use <br />Date Risk Received: Date Scheduled on BOC Agenda <br />Authorization for Health Administration to Additional Comments: <br />sien on behalf of BOC: <br />yes no ~ <br />Review Signatures: <br />Management date <br />'~ General Services <br />_ Date: <br />Returned to Department/ for <br />Review.CON 5/98 <br />Fiscal Services <br />sel <br />ngnatures <br />date <br />_Copy to Fiscal Services <br />