HomeMy WebLinkAboutCOI - Kenyatta Ali - Expires 2023-09-01DocuSign Envelope ID: 6F95C1B0-C048-4FC6-B126-6D3E50E35F5B
DocuSign Envelope ID: 6F95C1B0-C048-4FC6-B126-6D3E50E35F5B
DocuSign Envelope ID: 6F95C1B0-C048-4FC6-B126-6D3E50E35F5B
DocuSign Envelope ID: 6F95C1B0-C048-4FC6-B126-6D3E50E35F5B
City of Gilroy
Agreement/Contract Tracking
Today’s Date:
August 12, 2022 Your Name: Adam Henig
Contract
Type:
Other (Non-Standard contracts
must be reviewed by the City
Administrator prior to initiating)
Phone Number: 408-846-0577
Contract Effective Date:
(Date contract goes into effect)
9/1/2022
Contract Expiration Date: 9/1/2025
Contractor / Consultant Name:
(if an individual’s name, format as
last name, first name)
Hilary Little
Contract Subject:
(no more than 100 characters)
Recreation Independnet Contract Instructor
Contract Amount:
(Total Amount of contract. If no
amount, leave blank)
By submitting this form, I confirm
this information is complete:
Date of Contract
Contractor/Consultant name and complete address
Terms of the agreement (start date, completion date or “until
project completion”, cap of compensation to be paid)
Scope of Services, Terms of Payment, Milestone Schedule and
exhibit(s) attached
Taxpayer ID or Social Security # and Contractors License # if
applicable
Contractor/Consultant signer’s name and title
City Administrator or Department Head Name, City Clerk
(Attest), City Attorney (Approved as to Form)
Routing Steps for Electronic Signature
Risk Manager
City Attorney Approval As to Form
City Administrator or Department Head
City Clerk Attestation
DocuSign Envelope ID: 6F95C1B0-C048-4FC6-B126-6D3E50E35F5B