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s <br />Request for Signature County Manager <br />- <br />1. Type of document Revenue Agreement <br />2. Aspen PO, contract or document number <br />3. Original contract number <br />4. Contractor or grantor name City of Arden Hills <br />5. Contractor Aspen ID# and CERT SVN and/or DUN# Aspen # 004455 <br />-· <br />6. Requesting business unit PRK <br />Additional business unit SWCD / -/ <br />7. Authority (required -DO NOT leave blank) Admin Code: 3.40.27d <br />Resolution Number: <br />8. Program/project/service/grant name <br />I,/ 'Parks & Recreation/SWCD staff to provide <br />9. Brief description of goods, services or grant duties (will technical assistance for construction site <br />be used for the County Board monthly contract report) inspections on behalf of the city of Arden Hills. <br />10. Original contract start date <br />v 01/01/20 <br />11. Original contract end date / 12/31/20 <br />12. Amendment number and amendment start date <br />13. Amendment end date ----· <br />~ontract type Rate Settin;i <br />15. Original contract amount / $ 72.oo/hr rP\JPfl.IAf" <br />16. Previous amendment(s) total <br />·- <br />17. Amendment amount <br />18. New total contract value <br />19. Funding string / 312201-13901-750101-00000-2020 <br />Funding source Local <br />20. Revenue agreement budgeted amount / $10,000 <br />- <br />21. County contact and phone number Ann White Eagle 651-266-7271 <br />22. Signatures <br />WYvvtk-t;.y/:::. ~ate: I Department Preparer ]:;; LI') ---- <br />Department Director ~~M Date: /2/2{)//q- <br />Finance Analyst Date: --- <br />Attorney Date: <br />RAMSEY COUNTY