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Agmt09 HSFA - Salvation Army
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Agmt09 HSFA - Salvation Army
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Last modified
12/22/2009 2:29:02 PM
Creation date
12/22/2009 2:29:02 PM
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Template:
Agreement
Contractor Name
Salvation Army
PROJECT NAME
HSFA
RMP File Number
304
Date
11/30/2009
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<br />. '.; <br /> <br />. ~.' <br /> <br />DATE RECEIVED - THQ LEGAL DEPT. <br /> <br />\ \ . \ 0 .1--0 '0 ~ <br /> <br />THE SALVATION ARMY <br />a Califorllu, corporadon <br /> <br />I ()I?)- l1IQ"" OI'ILI') <br />CONTRACTS r- ~ -:::1 , ^O <br />DATABASE" '? --. 'LI <br /> <br />LEGAL DEPARTMENT FACE SHEET <br />m,ls shut Is to 1M complet.d and forwtuded to the T.".ltoritll u,al DflpdI1trfe1f1 witll aU agreements to 1M mbtrtilW 10 the Board of DireCI0l'3) <br /> <br />~ Command: Golden State I Unit: Redwood City I Subunit: <br />(Corps, SocIal S4ni<< Coordillallon Cent.I', 01' mQ Dept.) (Facility 01' pro~m nlurre illo 1M used speCiIiCtJlly) <br /> <br />City, State (o/Ilnit): Redwood City, CA <br /> <br />Service( s) to be provided (1/ a I'entlWdl. plea.r. specljlCtJlIy idenlify any changes): <br />Assistance In lodltiDI and food prOlram expenses. <br /> <br />Other Party: City of Redwood City <br /> <br />Other Party Contact: Peter Ingram <br />Nam. <br /> <br />City Manager <br />Tid, <br /> <br />(650) 780-7300 <br />Telepholl' <br />Other Party's Contract Reference # <br /> <br />Email <br /> <br />Tenn: <br /> <br />7/1/2009 <br /> <br />to <br /> <br />6/3012010 <br /> <br />Check this box if the submission is an application or notification of award: 0 <br />Type of contract (Including appliCtJlioll$ and "olljlcallons 0/ awtU'd) (select on.): <br /> <br />Location Code: <br /> <br />08-170 <br /> <br />General Business: o Lease/Rental of Equipment Grants: DHUD Mise: o Goods <br /> o Purchase or Sale of Goods or Services 181 Other Government/Public o Services <br /> o Release or Waiver o Private o Other <br /> <br />Reference type (select one): <br /> <br />CNew S Renewal: o Amendment or Addendum # _' o Bid or RFQIRFP/RFI Response <br />I I I I <br /> (Contracts Database # of (Contracts Database # of <br /> Dreviously approved contract) Dreviouslv aDDroved contract) <br /> <br />181 Income or 0 Expense <br /> <br />Total over life of contract: $14,000.00 Periodic payment or receipt: If this is an amendment/addendum which changes <br />Check here if sum is based on estimated o pa'month o per year funds paid or received indicate total amount of <br />award or estimated reimbursement: 0 o other: o increase or 0 decrease: <br /> <br />Matching funds required? 0 Yes <br />Is a complete budget attached to this submission? <br /> <br />This submission: <br /> <br />ONo <br />Dyes 181 No <br /> <br />THQ DEPARTMENT HEAD APPROVAL <br /> <br /> <br />C Check here ifSystem8euerat~ed <br /> <br /> <br />o Requires a certificate of insurance; pg(s).: <br />o It has already been requested OR 0 Request form is attached; please forward to Risk MlD8gement <br />Contains an indemnity or hold-hannless clause; pg(s).: \ \ <br /> <br />Contains language about churches or religious! faith-based organizations; pg(s).: <br />o Requires a corporate resolution; pg(s).: <br />o Requires certification on Anny letterhead; pg(s).: <br /> <br />\1 <br /> <br />iv 1 0 2009 <br />~. <br />Comma Finance Council <br />o Not8d Re/App 0 Not Approved <br />o Interfm 0 Approved <br /> <br />o Requires electronic signature.lnstroctions attached. <br />Other Concem(s): Sendinll two ori2inal eODies for si2l1aturc. <br /> <br />\ \ . ~. LEGAL REVIEW <br />DlItc: . , ~ lnitials: l\t'-.O <br />Recollllllftded 0 Not Recommeaded to Board of DirectOlS <br /> <br />Processmg Instructions: <br />Due to Other Party by: Number to be Executed: 2 <br />o Notary Required; pg(s).: _ 0 Corporate Seal Required; pg(s).: - o Blue Ink Only <br />Please return via: 0 First Class Mail 181 Overnight o Express o Email o Interoffice (THQ Only) <br />To the attention of: Bonnie Miller, Redwood City Corps <br />Address .t Phone: 1270 Marshall St, Redwood City, CA 94063 <br />THQ USE ONLY: [Jrnt C1ass Mail ~gbt CEllpRlII CEmai1 CIotcroffiee CPlc:ked-Up By <br />D8te: t'. )-0. D~ By: .1{ l ~ <br /> <br />BOARD OF DIRECTORS APPROVAL <br /> <br />THE SALVATION ARMY <br />BOARD OF DIRECTORS <br /> <br />NOV 1 9 2009 <br /> <br />APPROVED c:RJ NOTED c:::J <br />NOT APPROVED c::J DEFERRED c:::J <br /> <br />PRESIDENTI VICE PRESIDENT: <br /> <br />
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