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r <br />CONTRACT COVERSHEET <br />NOTE: Shaded areas are for County Executive review. <br />/ (, 9`f <br />koq <br />DEPARTMENT <br />CONTRACT/ADDENDUM #: <br />Planning and Development <br />Controller <br />Corporation Counsel <br />1. This contract, grant or addendum: M AWARDS CIACCEPTS <br />Contract Addendum <br />R <br />ADA Coordinator <br />'�- t 2-00%, <br />If Addendum; please include <br />original contract number <br />i <br />2. This contract is discretionary Ell YES C] NO <br />❑ POS <br />❑ Co Lesse <br />❑ <br />❑ <br />3. Term of Contractor Addendum: From: 1-1-09 To: 12-31-09 <br />❑ Cc Lessor <br />❑ <br />4. Amount of Contractor Addendum $5,000.00 <br />❑ Intergovernmental <br />❑ <br />❑ Purchase of Property <br />5. Purpose: <br />Cl Property Sale <br />Provide marketing and quality of life; provide central point for <br />_ <br />❑ Other: <br />❑ <br />business expansion and recruitment in Dane County; staff ESC <br />6. Vendor or Funding Source: Board of Regents of the UW - Small Business Development Center <br />7. MUNIS Vendor Code: 4380 <br />8. Bid/RFP Number: <br />9. If grant: Funds Positions? ❑ YES C3 NO Will require on-going or matching funds? ❑ YES C3 NO <br />10. Are funds included in the budget? U YES ONO <br />11. Account No. & Amount, Org. & Obj. PDPLNDIV 32675 <br />Amount $ 5,000 <br />Account No. & Amount, Org. & Obj. <br />Amount $ <br />Account No. & Amount, Org. & Obj. <br />Amount $ <br />12. Is a resolution needed: 0 YES T3 NO If "YES," please attach a copy of <br />the Resolution. <br />If Resolution has already been approved by the County Board, Resolution No. & <br />date of adoption <br />13. Does Domestic Partner equal benefits requirement apply? 0 YESvr NO <br />- <br />14. Director's Approval 77!7a. h ` i;`-` <br />CONTRACT REVIEW/APPROVALS <br />Initials <br />Date Out <br />Received <br />Controller <br />Corporation Counsel <br />_ <br />Risk Management <br />R <br />ADA Coordinator <br />Purchasing Agent <br />County Executive <br />Footnotes: <br />Ftnt Date In <br />Date Out <br />—� <br />31D <br />'�- t 2-00%, <br />3- I Z.-(� <br />VENDOR <br />Vendor Name & Address <br />975 University Avenue <br />Madison WI 53706 <br />Contact Person <br />Larry Westby <br />Phone No. <br />262-0927 <br />E-mail Address <br />Iwestby@rsp.wisc.ecd <br />Return To: Name/Title: Karen Pribbenow Dept.: Planning and Development <br />Phone: 266-4251 Mail Address: Room 116, CCB <br />E-mail: pribbenow@co.dane.wi.us <br />012-47 (11/08) <br />