HomeMy WebLinkAboutCIS MT-BSTF-1-20-05 Amendment B.xlsContract Information Sheet
Division staff are required to complete the items in blue print.
Amendment B
Contract Number:MT-BSTF-1-20-05B Division:
Contractor's Name:City of Bozeman MOTBD
Contractor (Signee) Name:Jeff Mihelich
Contractor's Email:jmihelich@bozeman.net
Clerk's Name Mike Maas Vendor Number:
Clerk's Email mmaas@bozeman.net 23437
Contractor's Address:P. O. Box 1230
Contractor's Address 2:Bozeman, MT 59771 Begin Date:
5/9/2019
End Date:
(Federal Funds Required)N/A 5/9/2022
Current Term Amount:60,000.00 Absolute End Date:
Total Contract Value:60,000.00 N/A
Organization Number:535301 Original Contract FY:
RFP Number (if applicable):N/A FY__20____
Program Number:51 Funding Source:
Contract Type:Grant State
(Standard, Sole Source, Exigency, Term Contract, Lease, MOU, PO, Grant)(State, Federal, Both, Other)
Contract Usage:As Needed
(As Needed, Fixed, No Cost)
Purpose of this contract:
Scope & duties of this contract:
Liaison:Alyssa Townsend Program Manager:Annmarie Robinson
Liaison Email:ath@mt.gov Bureau Chief:Wayne Johnston
Liaison Phone:406.438.6865 cell Additional Email:arobinson3@mt.gov
Brit Fontenot bfontenot@bozeman.net
Additional APO Email:Jmorand@mt.gov
Signatures:Carbon Copies:
Division Adminstrator Liaison:
Fiscal Review Director (> $200K):
Legal Counsel Deputy Director (<$25K):
Deputy Director Perceptive:
OBPP
Job Creation Award or Planning Award or Recovery Award
BSTF Award
DocuSign Envelope ID: F7BB40AF-9E75-4642-97B1-69B378ECBD0F
4/12/2021
4/12/2021
4/12/2021