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Direct Bill Project Initiation Checklist <br />Project Name: Coal Basin <br />Project Manager: Steve Renner <br />Project Contractor: Darnell Oxford, Red Dog Enterprises <br />Received Date: November 15, 2012 <br />-6E <br />Is the project: Construction <br />Personal Services ❑ <br />Commodity ❑ <br />No professional services, e.g., engineering <br />or surveying allowed. <br />Description: Coal Basin Maintenance <br />YesNo <br />Comments <br />Have project objectives been defined and <br />th <br />are they clear? (SOW) <br />Have Deliverables been defined clearly? <br />d] <br />Ell <br />Funding Source: et - <br />Yes <br />No <br />Date Received <br />Signed and Dated Quote <br />2" <br />El <br />II-L- <br />OSM funding: AVS Form <br />EI <br />2-1, <br />Sole Proprietor. Exhibit IC <br />❑ <br />W-9 MBE/WBE Form <br />❑ <br />Insurance: Certificate of Liability, <br />Automobile coverage & Workers comp. <br />F-1 <br />Secretary of State <br />❑ <br />El <br />EPLS <br />Start Date: <br />Notes: <br />Confidential <br />Direct Bill Project Initiation Checklist.docx <br />Last printed 11/15/2012 4:14:00 PM <br />