ADMINISTRATOR USE ONLY

CONTRACT SUMMARY I+'

ORM

City Primary Contact: Julio Brea Vendor: Diversified Group Consulting

Secondary Contact: Contact: Neal de Jesus
Department: Public Works & Engineering Address: 5722 S. flamingo Road, Suite 416
Phone Number: 305 -224 4842
- City: Cooper City State: FL Zip:
33330

Dept. Fax: 305 -224 4789

- Phone: 954-699 0588
-
Primary Email: jbrea @cityofhomestead.com Fax:

Secondary Email: Em
- ail: nealdj @comcast.net

1. Type of Agreement (Ex: Haintenance, Consuitlng, etc.):Professional Services

2. Does this agreement replace an existing contract: Yes F1111No * Ifyes, prior Contract #:

3. Briefly explain the purpose or description of the scope of service of this Contract:

Fire consulting services as needed for the New Citv Hall

4. Is Insurance required?Wji Yes U No * Ifyes, who is required to have it?vendor

Please note it is the Departments responsibility to acquire Risk Approval)

5. Term of Contract: Start Date: upon Xecution End Date: upon completion

6. Total Value of Contract: $ 24 999 00 Paid to : U City IN Vendor

7. Monies are due: Circle

( One) Monthly Q Quarterly Qi Annually Other: upon invoice

S. How much money is due or owed per circled item above: $ per invoice
TBD
9. ACCOUnt Number(s):

10. If monies are paid to City, does Vendor pay Sales Tax (7 %): i Yes No

11. Do Late Fees Apply? Qi Yes No Percentage of Late Fees/ How much:

12. All agreements involving payment to vendor must be accompanied by a requisition. Req. #

City of Homestead * 650 N.E.22 Terrace, Homestead, FL 33033

 David Wolpin
13. Was this agreement drafted/reviewed by a City Attorney? [a No [ MYes: If yes, whom?
Right to Audit"clause included: U No *1 Yes: If not, please obtain City Manager's
authorization. The "Right to Audit"clause is included in the RFQ201307 agreement.
City Manager's Authorization: Finance Authorization:

Please note it is the Departments responsibility to acquire Legal approval)

14. Other than the expiration of this agreement; are there any other dates that you want to be notified by e m
- ail
oil? :0 Yes No; if yes, please list dates and reason on lines below:

15. Was this item approved by Council? Yes No

If yes, please provide complete package.

16. Would you like the agreement sent mail or byFedEx. Regular Mall
If by FedEx please provide account

Form Prepared By: sherry Ader Date:

Dept. Head Approval: Date:

HR Dept. Approval (Employee related c( ): N /y Date:

Risk Management: & Z QPQ G Date:

I.
ST.Approval (for Technology Contracts) Date:

Procurement & Contracts Date:

For Official Use Only

Completed & Appropriate Packet Submitted to Procurement on: a

a / 3 / /s

Prepared & Reviewed By: C (6 16 C Contract No. ' ' o(,

2nd
Review:(DU4 l,'. 11 , Date:

Final Review' Date: 4lb

City of Homestead * 650 N.E.22 Terrace, Homestead, FL 33033