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<br />k{)J <br /> <br />i <br /> <br />. <br /> <br />Department of Natural Resources <br />Contract Routing Checklist <br /> <br /> <br /> <br />~'::::k (5-1,~."n-DNR "P""=) <br />, ~L;:;{~ ~:;~lp screenprint attached <br />C. u cIn>-- o~ ~ <br />.... 0 :>ELM. ;cct ally necessary J <br />d entation <br />uting on CLIN is correct flJ.. i1 -:;L.., <br />BidJRFP # is included (ifapplica 'lY~O/" <br />~ J~ggie's name as ACCT Con act <br />~"a and expration FY in REF# for multi- <br />contracts <br />. Encum rance # in the COMMENTS field <br /> <br />o <br /> <br />Ilfance screenprint attached <br />o ting ~~ ?~~~~ts of PO cent <br />"Cert FO~Il'LVOO' a a (A <br />contracts) <br /> <br /> <br />~ci . <br />o mg-# in upper right-hand comer <br />~Cihfu contract <br />tvfJriM Agreement or Contract <br />av-contra ,codes & amount matches <br />e mbrance amount <br />de date filled-in ( except leases) <br />~e and address of contractor <br />nuWname [and address] of Division <br />General reason for contracting <br />o ~tOry authority <br />,9/Procurement statement (method &/or <br />- st_ or rule - A & B type only) <br />tv1'ages numbered as part oftotal (page # of# <br />pages) <br /> <br /> <br /> <br /> <br />Provisionsrrenns of Contract <br />o "ExecutiYll Orlkrs satisfied (pPTsonal <br />services) <br />o ~p~ial f\!,!"ovals!Fiscal rule waivers <br />attaclled <br />o/Correct form used (i.e. intergovernmental, <br />./ngineer studies. cap construction, waived) <br />V Scope of work clear and measurable <br /> <br />. If <br />Routing # () r.:s I<A 14 .~ (_ <br />DNR CopJt) ~ <br /> <br /> <br />;0 ~eliverables and due dates are defin~d <br />~~ of contract - beginning and end date <br />o Effective date "upon approval of State <br />Controller or designee" 5 <br />D Maximw;n dollar 1imit 131 5 X- <br />D Method and rate of payment . <br />D Any ~bits are referenced and a <br />~~~g priority assigned 0-. <br />D Exhibits labeled and attached in order <br />D Notice provisions, with names/titles and <br />addresses <br />~o plete understanding/integration <br />vision <br />Termination provisions - for convenience <br />and cause <br />o SoitW'are piracy language <br />~orrect Special Provisions/signature page <br />for IG/All Other <br /> <br /> <br />Signature Block ~ ? '/ <br />.0 D~ent name included c _ L <br />~rt!/Slgne~y authorized signatory fotDNR' <br />~u.Y1egal name of contractor <br />. ature & title of signatory <br />Ef Aifustation [corporate seal] for corporations <br />tYTJllQ)'ayer ID# (FEIN or SS#) <br />~E # on contract matches eLIN & <br />cumbrance <br />Controller & AG signature blocks correct <br /> <br />Amendments <br />D Additional funds require change in or <br />additional work <br />D Original contract & any previous <br />amendments referenced and attached <br />D Amendments routed before contract <br />expiration <br /> <br />Controller Review <br />D Fund availability statement with correct <br />account codes <br />