REQUEST FOR CONTRACT PRESENTATION
TO THE BOARD OF TRUSTEES FOR APPROVAL
New
Renewal
Contract #
Amendment
Contract #
Contract to be presented at the Board Meeting of
Name of Contractor or Consultant
Address
City
Telephone
State
Fax
(
)
Area Code
(
)
Area Code
Federal I.D. #
Social Security #
Time Period from:
through
To be renewed yearly:
Yes
or
Contract Amount (income or expense)
Zip
No
$
Please circle or underline appropriate one.
Budget/Account Code (new or existing)
Please circle or underline appropriate one.
Federal Account:
Yes
or
No
An appropriation transfer form with the proper signature must be submitted with this form to
establish line item(s) for this project budget or attach a copy of an existing budget indicating
funds available for these costs.
Brief description of contract or service that will be provided:
Did or will the contractor submit a contract?
Yes
or
No
Does the Purchasing Office need to develop a contract agreement?
Yes
or No
Draft attached.
Please note: An employee of the District cannot be hired as a consultant.
Contract Recommended by:
Name of Division Dean/Area Manager
Signature
Date
Name of Vice President
Signature
Date