15-PW-016 Diversified Group Consulting-Summary - Split Bidding and Fraud in Hometead, Florida
15-PW-016 Diversified Group Consulting-Summary - Split Bidding and Fraud in Hometead, Florida
15-PW-016 Diversified Group Consulting-Summary - Split Bidding and Fraud in Hometead, Florida
SUMMARY FORM
3.Briefly explain the purpose or description of the scope of service of this Contract:
4. Is Insurance required?K!
[ Yes [: k No * Ifyes, lvho is required to have it?vendor
Please note it is the Departments responsibility to acquire Risk Approval)
5. Term of Contract: Start Date: upon execution End Date: upon completion
8. How much money is due or owed per circled item above: $ per invoice
12. All agreements involving payment to vendor must be accompanied by a requisition. Req. # /
r-
107 !
U/ns AvAa ih G cif
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City of Homestead * 650 N.E. 22 Terrace, Homestead, FL 33033
David Wolpin
13. Was this agreement drafted/ reviewed by a City Attorney? U No [ KYes: If yes, whom?
Right to Audit"clause included: Q No IM Yes: If not, please obtain City Manager's
authorization. The "Right to Audit"clause is included in the RFQ201307 agreement.
City Manager's Authorization: Finance Authorization:
14. Other than the expiration of this agreement; are ther any othe dates that you want to be notified by e mail
-
on? : I Yes No; if yes, please list dates and reason on 11 es below:
16. Would you like the agreement sent out by regular egular Mail
If by FedEx please provide account number.
I.
ST.Approval (for Technology Contracts Date: —
7
Procurement & Contracts Date:
L4 I l5
Completed & Appropriate Packet Submitted to Procurement on: off-
I.;)-
Prepared & Reviewed By: NqA 64U " Contract No. 1 5"P W — 0 t(Q