HomeMy WebLinkAboutCORRESPONDENCE - AGREEMENT MISC - HENRY BROS ELECTRONICS INCAIRPORT CONTRACT ROUTING FORMwy`�(�
Loveland / Fort Collins
RE: Airport Stelio Parking Kiosk Refurbishment
(Please route the attached contract as follows (check applicable box once complete):
Loveland City Attorney's Office — Sunita Sharma
1. Please approve the attached three (3) original agreements as to form.
2. Forward all agreements to Public Works Director's Office as appropriate.
Loveland Public Works Director's Office
1. Please sign the attached three (3) original agreements.
2. Return all original documents and forward to Loveland City Clerk's Office.
Loveland City Clerk's Office
1. Please attest the attached three (3) original agreements.
2. Return three (3) fully executed documents to Airport.
Notes/comments:
' / (Please route the attached contract asfollows (check applicable box once complete):
Fort Collins City Attorney's Office — Steve Mason
1. Please approve the attached three (3) original agreements as to form.
2. Forward all agreements to Fort Collins Purchasing Manager's Office as appropriate.
❑ Fort Collins City Purchasing Manager's Office
1. Please sign the attached three (3) original agreements.
2. Forward all agreements to Fort Collins City Clerk's Office.
Fort Collins City Clerk's Office
1. Please attest the attached three (3) original agreements.
,2._ Retain one original for City Clerk's file
3. Contact Larry Mack at 970-203-5382 to pick-up remaining 2 contracts
Notes/comments:
JECigM(Please route the attached contract as follows (check applicable box once complete):
❑ Airport
1. Airport to retain one (1) fully executed copy in Vendors file.
2. Send one (1) fully executed original agreement to Loveland City Clerk's Office for filing.
3. Send one (1) fully executed original to Henry Bros. Electronics, Inc.
AIRPORT PROCUREMENT CONTRACT ROUTING FORM V
All steps in this process are mandatory. Attach completed routing form to contracts and route as indicated below. Initial
and date each line as completed. Please allow at least one week for processing.
Contract Administrator: Larry Mack
Project Name: Airport Stelio Parking Kiosk Refurbishment Project Manager: Larry Mack
Account #: 018-5503-409-03-69 Project M AP1108
Who should sign? (Circle one) City Manager or Department Director / Other (insert name) Keith Reenter
Project Manager's Change Order Authority (if contract above $1,000,000): N/A
Are State/Federal grant funds being used? ❑ Yes ❑ No
Date item was approved by City Council or LUC, if applicable: WA
Balance Available (Less) Contract Amount Remaining Balance
1 $20,700 1 $6,278.85 1 $14,421 1
Initial I Date
Contract Administrator
omplete section above. Prepare four original contracts and send to contractor for
completion. Inform contractor that they should not date the contracts. Check vendor
list on the iSeries system. If contractor is not listed, send a W-9 form and letter to be
completed by contractor and returned with the completed contracts. Upon receipt of the
executed contracts, ensure completion (notarization, appropriate exhibits, certificate of
insurance attached to EACH original contract, etc.), and route as indicated below.
end originals with quote/bid/sole source documentation to the Purchasing Office.
Purchasing Office
erify accuracy of account and project numbers. Verify that adequate funds have been
ro riated. Verify that all purchasing policies have been followed and documented.
tillCheck
Excluded Parties List System. (www.epls.gov)
11
did contract to City Clerk's Routing Checklist. Send originals to Risk Management.
Risk Management
g q f I
erify accuracy of certificate of insurance. Return to Airport. Send to City Attorney's Office.
i rt
`f
end originals to , f8F City of Loveland for signatures including City
ttorneys, City Managers or Department Director, and City Clerk's Offices. City Clerks to
retain original fully executed originals for files upon completion.
City Manager's Offi6q or Department Director / Other
/d /
Pee above under "Airport"
CI 'so 1 AI
Pee above under "Airport"
Gontra-ct Admi str toe
Ensure that both Fort Collins and Loveland City Clerk's have retained one original
reement for files.
Return one fully executed original to the contractor.
Place one photocopy in the Department's project file.
Pend one photocopy to the Purchasing Office.
Purchasing Office
Produce a purchase order. Place a photocopy of the contract in the project file.
If Federal/State grant funds are being used, provide copies of the purchase order and
ontract to Accounting.
If you have any questions, please contact the Purchasing Office at 962-2696. Thank you.