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DBPR CONTRACT ROUTING REVIEW FORM <br /> L 1. Originator: Alison A. Parker I Date: 10/26/2020 _ `elephone#:(850)717-1239 <br /> } 2. Financial ❑ Non-Financial El <br /> If Financial, Complete All Sections If Non-Financial, Complete Sections 1-6,8-11, 13, 15, 16-17,20-21 <br /> 13.Purpose of Contract/Amendment(include the names of all contractual parties)and Any Special Instructions or <br /> Comments: The City of Sunny Isles Beach will allow the CTMH Ombudsman to use office space to meet with local condo <br /> owners and provide other Ombudsman duties, pursuant to section 718.5012, Florida Statutes. <br /> ❑ Renewal, If so, Renewal Number: ❑Amendment, If so Amendment Number: <br /> If more than one funding source,show each source with amount of funds and Expansion Option(EO)and Version. If the contract will cross <br /> fiscal years,please indicate the amount that will be encumbered in the current fiscal year. <br /> 4 Department Contract# Mod. # Grant # Mod. # 5. Program Area Title <br /> 20-00018 j .CTMH_ <br /> 6. CFDA CSFA ARRA 7. Contract/Grant Total Increase Decrease Revised Contract/Grant Total <br /> r� �) jYes No : 0 <br /> i l iCirde Onel1 ' <br /> ............................ <br /> 8. Contractor/Grant Name 9. Payee Vendor ID#/Name/Address/Telephone#_ <br /> 1 City of Sunny Isles Beach N/A— No Cost <br /> 10. Chief/Manager or Other Responsible Party 11. Contract/Grant Manager's Name/Telephone# <br /> N/A 1 1 Alison A. Parker!(850)717-1239 <br /> 12. Method of Payment = 13. FLAIR Account Code: <br /> [❑ Cost Reimbursement L1 1 GF ' SF FID , BE J IBI I CAT YR <br /> ❑ Fixed Price XX I XX 1 j X XXXXXX XXXXXXXX 00 XXXXXX 1 00 <br /> ❑ Performance Based ! j 14. Method of Procurement!Number: <br /> ❑ Other (please specify) i r 15. FLAIR Organization Code(s): N/A <br /> 16. Begin Date _ End Date 17. 8 Digit Commodity Code: <br /> 10/2812020 10/27/2021 1 <br /> 18. Contractor Type 19. State Funded Project ..........__... <br /> A.Vendor B. Sub-recipient ❑ su sa ❑ _ os .__..__ __. 1 Yes E_ No CI Other El <br /> 1 20. ADMINISTRATIVE REVIEW COMMENTS <br /> PROGRAM DIRECTOR or CHIEF: Signature Date <br /> Boyd McAdams <br /> APPROVE DISAPPROVE <br /> -CONTRACT ADMINISTRATOR: Signature Date <br /> Beverlyn Elliot <br /> APPROVE DISAPPROVE SUBJECT TO <br /> Legislation/proviso reviewed for compliance Yes ❑ N/A ❑ <br /> IT MANAGER <br /> Signature Date ' <br /> APPROVE DISAPPROVE } <br /> BUDGET MANAGER: Signature Date <br /> APPROVE DISAPPROVE <br /> BUDGET OFFICE: ( Signature Date <br /> (APPROVE) I? APPRO <br /> lj GENERAL COUNSE Signature Date <br /> Ali n A. arker 01 12-1 UL _.. 1 i 4. , <br /> A RO DISAPPROVE <br /> DI TOR ADMIN.JX'MAN.,MGMT.: Signature Date <br /> Paige-Shoemaker "' <br /> APPROVE DISAPPROVE <br /> DEPurtstbzRET r Signature 1 Da <br /> Michael Johns 4t t Date <br /> OV DISAPP E i <br /> i <br /> F STAFF: Signature Date <br /> Tho t )O VEN z DISAPPROVE g CI6I. <br /> NOTE: Please return the contract revise qw, , n*. to ;w.,. .Administration after Director of <br /> Administration and Financial Managern r, .^ev'e -,poi >val. <br /> DBPR(Revised-4/25/2018) <br />