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CONTRACT COVERSHEET <br />NOTE: Shaded areas are for County Executive review. <br />DEPARTMENT <br />CONTRACT/ADDENDUM #: <br />PLANNING & DEVELOPMENT <br />C <br />1. This contract, grant or addendum: ❑ AWARDS ❑ ACCEPTS <br />Contract Addendum <br />If Addendum, please include <br />4 original contract number <br />2. This contract is discretionary ❑ YES ❑ NO✓❑ <br />POS <br />C3 Co Lesse <br />❑ <br />El <br />3. Term of Contractor Addendum: From: DATE OF EXECUTION To: MARCH 31, 201-? <br />❑ Co Lessor <br />❑ <br />4. Amount of Contract or Addendum $30,000 <br />❑ Intergovernmental <br />❑ <br />❑ Purchase of Property <br />5. Purpose: <br />PERPETUATION OF US PUBLIC LAND SURVEY SYSTEM <br />❑ -Property Sale <br />MONUMENTS AND ACQUISITION OF MEASURED COUNTY <br />E3Other: <br />❑ <br />COORDINATES FOR THE LOCATIONS THEREOF. <br />6. Vendor or Funding Source: BOWDEN SURVEYING, LTD <br />7. MUNIS Vendor Code: 22936 <br />8. Bid/RFP Number: 112049 <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. CP PLNDEV 58310 <br />Amount $ 30,000 <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 benef' requirement apply? ❑ YES 0 NO <br />14. Director's Approval °' <br />�,.@r� <br />CONTRACT REVIEW/APPROVALS <br />Initials Ftnt Date In Date Out <br />Received <br />Controller /0 30 <br />Corporation Counsel b Id '' <br />Risk Management tlfi v <br />ADA Coordinator <br />Purchasing Agent <br />County Executive II—i� Iz JI-9—IZ <br />Footnotes: <br />1 <br />2. <br />VENDOR <br />Name & Address <br />(Contact Person <br />Phone No. <br />IE -mail Address <br />Return To: Name/Title: DANIEL FRICK, DANE COUNTY SURVEYOR Dept.: PLANNING & DEVELOPMENT <br />Phone: 608-266-4252 Mail Address: 210 MLK,Jr. BLVD (RM 116 CCB) <br />E-mail: frick@countyofdane.com MADISON, WI 53703 <br />01247 (11/08) <br />