Fiscal Responsibilities of GRANTEE. GRANTEE shall:
Fiscal Responsibilities of GRANTEE. 5. Certify insurability subject to CITY approval as outlined in EXHIBIT G, entitled “INSURANCE.” You have selected - Meets Requirements for contract Hidden Fields Hidden Fields Risk management approvers Risk Management Key Risk Approver 1 xxxxx.xxxxxxxx@xxxxxxxxx.xxx Risk Approver 2 xxxxxxxx.xxx@xxxxxxxxx.xxx Risk Approver 3 xxxxxx.xxxxxx@xxxxxxxxx.xxx Risk Approver 4 Hidden CMO Key CMO Email xxxxx.xxxxxxx@xxxxxxxxx.xxx City of San Xxxx Contract/Agreement Transmittal Form Route Order Attached / Completed Electronically Signed TO: City Attorney Insurance Certificates / Waivers Electronically Signed: Select one City Manager City Clerk OR Return to Business Tax Certificate Contacted Clerk re: Form 700 Audit Trail Attached (if applicable) Scanned Signature Authorization Dept. (circle one) Type of Document: New Contract Supplemental Memorandums (if applicable): Select One Type of Contract: Grant Applications/Agreements REQUIRED INFORMATION FOR ALL CONTRACTS: Existing XXXXX # 667346-001 Contractor: County of Santa Xxxxx, Office of Supportive Housing Address: 0000 X. Xxxxx Xxxxxx, Xxxxx 000, Xxx Xxxx, XX 00000 Phone: 000-000-0000 Email: xxxxxxxx.xxxxxxxxx@xxx.xxxxxx.xxx Contract Description: Provide outreach to tenants and landlords on the eviction mortarium, State of California (“CA”) COVID-19 Rental Assistance program and provide application assistance. Term Start Date: 06/29/2022 Term End Date: 12/31/2022 Extension: Yes Method of Procurement: N/A RFB, RFP or RFQ No.: N/A Date Conducted: Agenda Date (if applicable): 12/07/2021 Resolution No.: 80315 Original Contract Amount: _1,000,813 Agenda Item No.: 2.1 Ordinance No.: N/A Amount of Increase/Decrease: N/A Option #: of Option Amount: N/A Updated Contract Amount: N/A Fund/Appropriation: Form 700 Required: No Revenue Agreement: Yes Business Tax Certificate No.: Department: Housing (56) N/A Expiration Date: N/A Department Contact Name/Phone: Xxxxx Xxxxxxx Xxxxxxx Notes: Secondary contact: Xxxxxxx Xxxxxxxx (xxxxxxx.xxxxxxxx@xxxxxxxxx.xxx) Date Department Director Signature: Office of the City Manager Signature: Date
