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PO Rec/Sup 2014
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PO Rec/Sup 2014
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CONTRACT COVERSHEET <br />NOTE: Shaded areas are for County Executive review. <br />DEPARTMENT <br />CONTRACT/ADDENDUM #: <br />Planning and Development <br />10245c <br />1. This contract, grant or addendum: ❑ AWARDS ❑ ACCEPTS <br />Contract Addendum <br />If Addendum, please include <br />original contract number <br />2. This contract is discretionary 0 YES ❑ NO <br />Cl POS <br />❑ <br />❑ Co Lesse <br />❑ <br />3. Term of Contractor Addendum: From: April 1, 2013 To: March 31, 201, <br />❑ Co Lessor <br />Cl <br />4. Amount of Contractor Addendum $45,000 <br />❑ Intergovernmental <br />❑ <br />❑ Purchase of Property <br />5. Purpose: <br />To extend the current contract term for an additional year. This is the third of four <br />❑ Property Sale <br />possible one-year extensions. This vendor provides printing services necessary for tax <br />❑ Other: <br />❑ <br />bills, notices, tax and assessment rolls, notices, reports and other forms as needed. <br />6. Vendor or Funding Source: API Outsourcing, Inc <br />7. MUNIS Vendor Code: 459-1 <br />8. Bid/RFP Number: RFP 110020 <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? O YES ❑ NO <br />11. Account No. & Amount, Org. & Obj. PDRECSUP 22043 <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 O NO If "YES," please attach a copy of <br />the Resolution. <br />If Resolution has already been approved by the County Board, Resolution No. & date of adoption <br />13. Does Domestic Partner equal benefit requirement apply? ❑ YES O NO <br />14. Director's Approval ; ,, .." <br />CONTRACT REVIEW/APPROVALS <br />Initials Ftnt <br />Received <br />Controller <br />orporation Counsel <br />Risk Management <br />ADA Coordinator <br />60 Purchasing Agent <br />County Executive <br />Footnotes: <br />2 <br />Date In Date Out <br />114g lu <br />3 <br />)� LA <br />6D-13 I,—c;-13 <br />VENDOR <br />Vendor Name & Address <br />API Outsourcing, Inc <br />2975 Lone Oak Drive #100 <br />St Paul MN 55121 <br />Contact Person <br />Phone No. <br />651-675-2327 <br />E-mail Address <br />apiacctg@apioutsourcing.com <br />Return To: Name/Title: Troy Everson/Land Records Administrator Dept.: Planning and Development <br />Phone: 1-9750 Mail Address: CCB, Room 116 <br />E-mail: everson@countyofdane.com <br />01247 (11/08) <br />
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