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Ds)L %-� n 3 0 CONTRACT COVERSHEET <br />NOTE: Shaded areas are for County Executive review. <br />DEPARTMENT <br />\1 <br />CONTRACT/ADDENDUM #: <br />Planning and Development <br />Contract Addendum <br />1. This contract, grant or addendum: ❑ AWARDS ❑ ACCEPTS <br />If Addendum, please include <br />original contract number <br />2. This contract is discretionary ❑ YES ❑ NO <br />POS <br />Co Lesse <br />❑ <br />Nov. 11, 2014 April 11, 2015 <br />3. Term of Contract or Addendum: From: To: P <br />11Co Lessor <br />❑ Intergovernmental <br />El <br />❑ <br />4. Amount of Contractor Addendum $ 1 8,000 <br />❑ Purchase of Property <br />5. Purpose: <br />❑ Property Sale <br />Geo -referencing and compressing an inventory of digitally scanned historic aerial photos. There <br />are five distinct series of images that will be provided, resulting in a total count of 1275 images. <br />® Other: <br />Lj <br />6. Vendor or Funding Source: KUcera International Inc. <br />7. MUNIS Vendor Code: <br />8. Bid/RFP Number: RFP 114097 <br />9. If grant: Funds Positions? ❑ YES ❑ NO Will require on-going or matching funds? ❑ YES ❑ NO <br />10. Are funds included in the budget? ❑ YES ❑ NO <br />11. Account No. & Amount, Org. & Obj. PDRECSUP 20812 <br />Amount $ <br />Account No. & Amount, Org. & Obj. <br />Amount $ <br />Account No. & Amount, Org. & Obj. <br />Amount $ <br />12. Is a resolution needed: ❑ YES ❑ 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 quirement apply? ❑ YES ❑ NO <br />14. Director's Approval Q ' 14 <br />2 <br />12- <br />\1 - j <br />CONTRACT REVIEW/APPROVALS <br />I9itials Ftnt Datef In Date O t <br />Received <br />ontroller <br />Corporation Counsel `� l OV <br />Risk Management I <br />ADA Coordinator <br />SQL Purchasing Agent t ►� <br />4-i County Executive <br />Footnotes: <br />1 <br />2 <br />VENDOR <br />Vendor Name & Address <br />Kucera International Inc <br />38133 Western Parkway <br />Willoughby OH 44094 <br />Contact Person <br />Debbie Mazie <br />Phone No. <br />440-975-4230 <br />E-mail Address <br />map@kucerainternational.com <br />Return To: Name/Title: Troy Everson/Land Records Administrator Dept.: Planning and Development <br />Phone: 608-261-9750 Mail Address: CCB, Room 116 <br />E-mail: everson@countyofdane.com <br />012-47 (2113) <br />