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~- '„ , <br />` CONTRACT REVI~W SHEET <br />Person Sending: Bob McCune Department Name: Business Services - FM <br />Date Sent: 6/05/00 <br />Tl,e ~a+~,.l.,.,J. <br />- --- --____.._... ,,.~....~.~ .,..~, <br />~ Contract Amendment #_ Grant Lease Intergov't Agreement <br />INCOMING FUNDS? YES NO (CIRCLE ONE) ~ <br />Contractors Interface Engineering <br />Name: <br />Date From: 5/10/00 Date To: 1 1/30/00 <br />Amount of Contract or Amendment: $48,950.00 <br />If an Amendment, New Contract Total =$n/a <br />Certificates of Liability Workers Comp If no insurance attached, why not? <br />Insurance (circle one) (circle one) <br />Attached: <br /> Yes No Yes No <br />Process taken to select contractor: <br />Verbal quote: Written quote: RFP: _XX <br />Competitive Bid: Renewal: <br />_ <br />(Attach copy for reference) <br />Description of Contract Services: <br />Provide various building testing, adjusting and balancing services related to the Courthouse Square building <br />systems in Salem, Oregon <br />, _ <br />For Support Services Us~ ' '' <br />Date Contract Received: (~ I-rj I~~~'j Date Scheduled on BOC Agenda: <br />Authorization for Health Administration to Additional Comments: I UJG.,1_~~ ~ ,3 ~~ ~9-~~ <br />sign on behalf of BOC: <br /> <br />yes no _ '~ ..i'„E ~ .~ ~~ <br />/ ~ ~ <br />St view Sig a es: <br />~ / C~ (o G~ <br />C ntr ordinator date Legal ounse date <br />Risk M~ager date <br />~y~: ey~ <br />/G~r.~.la .[J.P..Iw„1/ ~ir ~iufrn/. <br />Review.CON 8/99 <br />