DEPARTMENT: Department of Health
DATE: 10/24/2024
COMMITTEE: Human Resources and Insurance
1. Proposed Resolution Title:
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New Dog Park
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2. Specific Details on what the resolution will authorize:
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3. Is a Budget Amendment needed: ☒ YES or ☐ NO
If yes, budget lines and impact must be provided.
Any budget amendments must have and offsetting entries.
☐ Please see attachments for impacted budget lines. (Use only when more than four lines are impacted.)
Revenue
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Account Number |
Account Name |
Amount |
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111111 |
Dogs |
$1.25 |
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Expense
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Fund Balance (if applicable): (Increase = additional revenue. Decrease = additional expenses)
Choose an item.
Amount: Click or tap here to enter text.
4. Identify Budget Impact (Required):
Choose an item.
a. G/L line impacted fhskjhfsdhfkh
b. Budget year impacted Click or tap here to enter text.
c. Details Click or tap here to enter text.
5. Are there Amendments to the Compensation Schedule? ☐ YES ☐ NO (if yes, provide details)
a. Is a new position being created? ☐ YES ☐ NO
Effective Date: Click or tap here to enter text.
Salary and Grade: Click or tap here to enter text.
b. Is a new employee being hired? ☐ YES ☐ NO
Effective date of employment: Click or tap to enter a date.
Salary and grade: Click or tap here to enter text.
Appointed position: Click or tap here to enter text.
Term: Click or tap here to enter text.
c. Is this a reclassification? ☐ YES ☐ NO
Is this position currently vacant? ☐ YES ☐ NO
Is this position in the current year compensation plan? ☐ YES ☐ NO
6. Does this item require the awarding of a contract: ☐ YES ☐ NO
a. Type of Solicitation: Choose an item.
b. Specification # (BID/RFP/RFQ/OTHER CONTRACT #) Click or tap here to enter text.
c. If a sole source, appropriate documentation, including an updated letter, has been
submitted and approved by Purchasing Department? ☐ YES ☐ NO ☐ N/A
d. Vendor Information (including contact name): Click or tap here to enter text.
e. Is the vendor/contractor an LLC, PLLC, or Partnership: Click or tap here to enter text.
f. State of vendor/contractor organization: Click or tap here to enter text.
g. Commencement date of contract term: Click or tap here to enter text.
h. Termination of contract date: Click or tap here to enter text.
i. Contract renewal date and term: Click or tap here to enter text.
j. Is this a renewal agreement: ☐ YES ☐ NO
l. Vendor/Contractor comments/remarks: Click or tap here to enter text.
7. Is a grant being accepted: ☐ YES ☐ NO
a. Source of grant funding: Choose an item.
b. Agency granting funds: Click or tap here to enter text.
c. Amount of grant: Click or tap here to enter text.
d. Purpose grant will be used for: Click or tap here to enter text.
e. Equipment and/or services being purchased with the grant: Click or tap here to enter text.
f. Time period grant covers: Click or tap here to enter text.
g. Amount of county matching funds: Click or tap here to enter text.
h. Administrative fee to County: Click or tap here to enter text.
8. Supporting Documentation:
☐ Marked-up previous resolution
☐ No markup, per consultation with County Attorney
☐ Information summary memo
☐ Copy of proposal or estimate
☐ Copy of grant award notification and information
☐ Other Click or tap here to enter text.
9. Remarks: Click or tap here to enter text.