Laserfiche WebLink
Contract Cover Sheet <br />Note: Shaded areas are for County Executive review. <br />Department <br />Planning and Development <br />Contract/Addendum #: <br />1. <br />This contract, grant or addendum: ® AWARDS ❑ ACCEPTS <br />Contract Addendum <br />POS ® ❑ <br />Grant ❑ ❑ <br />Lease ❑ <br />Other ❑ <br />2. This contract is discretionary ® Yes ❑ No <br />3. Term of Contractor Addendum: June 30, 2008 through June 31Q 2009 <br />4. Amount of Contract or Addendum: $18,000 <br />5. <br />Purpose: The Dane County Planning Division will provide comprehensive planning services to the Town of Primrose. <br />6. <br />Vendor or Funding Source: Town of Primrose <br />O" <br />Co oiler <br />6a. <br />If rant: Funds Positions? ❑ Yq§ Z No Will require on -doing or matching funds? Yes ® No <br />7. <br />Director's Approval: ,-A—+v <br />8. <br />Are funds included in A budget? ® Yes ❑ No <br />Account No(s). 538 6205 2925 <br />ADA Coordinator <br />9. <br />Is a resolution needed? ❑ Yes ® No If yes, has a resolution been prepared/submitted? ❑ Yes ❑ No <br />Please attach a copy of the Resolution. <br />Contract Review/Approvals <br />Dane County Res. # <br />Approvals <br />Initials <br />Date <br />1a. <br />b. HSD Res. ID# <br />Purchasing <br />g. Accountant <br />Town of Primrose <br />Co oiler <br />c. Program Manager Name <br />7 Z3 <br />h. Supervisor <br />orporation Counsel <br />Risk Management <br />7 <br />d. Current Contract Amount <br />ADA Coordinator <br />i. To Provider <br />F. Joshua Dein, Town Planning Commission <br />e. Adjustment Amount <br />J. From Provider <br />- J Grants Co <br />Purchasing Manager <br />f. Revised Contract Amount <br />E-mail Address twprim@chorus.net <br />k. Corporation Counsel <br />lD �- <br />Contract Review/Approvals <br />Vendor <br />Initials Ftnt <br />Date In <br />Date Out <br />Vendor Name <br />Purchasing <br />C) <br />Town of Primrose <br />Co oiler <br />7 Z3 <br />Contact Persons <br />orporation Counsel <br />Risk Management <br />7 <br />Dale Judd, Town Chairman <br />Winnie Losenegger, Town Clerk <br />ADA Coordinator <br />_Z7 <br />F. Joshua Dein, Town Planning Commission <br />Phone Nos. 608-832-6213 / 832-4471 <br />- J Grants Co <br />Purchasing Manager <br />E-mail Address twprim@chorus.net <br />.� <br />County Executive <br />lD �- <br />Foothotes: <br />1. <br />3. <br />Return to: Name/Title: Todd Violante, Director Dept.: Planning and Development <br />Phone: 266-4021 Mail Address: Room 116 CCB <br />E-mail Address: violante@co.dane.wi.us <br />