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Contract Agreement Routing/Review Checklist Dept Head_________ <br />Finance__________ <br />------------------------------------------------------------------------------------------------------------------------------------ <br />General Information: <br />1.Contractor/Vendor Name: ______________________________________ Munis Contract #__________________ <br />Department Staff Contact: ____________________________ Ext: ______ Business License #________________ <br />2.Funding Source (list all sources) <br />Org: _____________________________________________ Obj: _______________________ Project: _____________ <br />__________________________________________________________________________________________________ <br />__________________________________________________________________________________________________ <br />3.Contract/agreement information: <br />Spending Authority: ____________________________ Duration:__________Not-to-exceed ☐ Encumbrance ☐ <br />------------------------------------------------------------------------------------------------------------------------------------ <br />Pre-Finance Checklist: <br />1.Using the City’s standard agreement template? Y ☐ N ☐ If yes, skip 2. <br />2.If using a non-standard agreement, CAO review is required. CAO reviewer: ____________ <br />3.For any purchase or subscription of software/hardware, IT review is required. IT reviewer: ____________ <br />4.Has contractor/vendor signed the agreement? Y ☐ N ☐ <br />5.Current certificate of insurance with proper coverage levels and with appropriate endorsements to the City <br />included? Y ☐ N ☐ <br />6.(Over $10k) Completed sole source justification or minimum 3 bid quote information included? Y ☐ N ☐ <br />7.(Over $10k) If utilizing any co-op program, relevant information included? Y ☐ N ☐ N/A ☐ <br />8.(Over $200k) A copy of the final Council agenda report w/ attachment(s) included? Y ☐ N ☐ N/A ☐ <br />9.(Amendment) A copy of the fully executed original and prior amendment(s) included? Y ☐ N ☐ N/A ☐ <br />10.Is surety/performance bond(s), if applicable, included? Y ☐ N ☐ N/A ☐ <br />Van Meter Williams Pollack- 2nd Am 2025381 <br />Shweta Bonn 5611 1000275 <br />43010100130302 <br />$15,000 (original amount)6/30/27 <br />Docusign Envelope ID: 384FB28A-92CF-861F-8149-5F9C3333E4E8