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2022-23 Blake, Linda Volunteer Coordinator - Quilting for Good TimesMEMORANDUM DATE: TO: FROM: RE: Please list the Contracting Party / Vendor Name, type of agreement to be executed, including any change orders or amendments, and the type of services to be provided. Make sure to list any related Project No. and Project Name. Authority to execute this agreement is based upon: ___ Approved by City Council on ___________________________________________ ___ City Manager’s signing authority provided under the City’s Purchasing Police [Resolution No. 2019-021] for budget expenditures of $50,000 or less. ___ Department Director’s or Manager’s signing authority provided under the City’s Purchasing Policy [Resolution No. 2019-021] for budget expenditures of $15,000 and $5,000, respectively, or less. Procurement Method (one must apply): ___ Bid ___ RFP ___ RFQ ___ 3 written informal bids ___ Sole Source ___ Select Source ___ Cooperative Procurement Requesting department shall check and attach the items below as appropriate: ___ Agreement payment will be charged to Account No.: _____________________ ___ Agreement term: Start Date ________________ End Date ________________ ___ Amount of Agreement, Amendment, Change Order, etc.: $____________________ REMINDER: Signing authorities listed above are applicable on the aggregate Agreement amount, not individual Amendments or Change Orders! ___ Insurance certificates as required by the Agreement for Risk Manager approval Approved by: ______________________________ Date: _______________ ___ Bonds (originals)as required by the Agreement (Performance, Payment, etc.) ___ Conflict of Interest Form 700 Statement of Economic Interests from Consultant(s) NOTE: Review the “Form 700 Disclosure for Consultants” guidance to determine if a Form 700 is required pursuant FPPC regulation 18701(2) ___ Business License No. __________________; Expires: __________________ ___ Requisition for a Purchase Order has been prepared (Agreements over $5,000) March 22,2022 Monika Radeva, City Clerk Monica Castaneda, Administrative Assistant Linda Blake, Volunteer Coordinator(FY 22-23) for Quilting for Good Times open group. ✔ ✔ ✔April 7, 2022 April 7,2023 -0- ✔ N/A 3/22/2022 Attachment Work Proposal 2022 – 2023 Day/s Time Location Thursday 2:00pm - 4:00pm Multipurpose Room Start date April 7, 2022 Activity Information: Coordinator and Quilting for Good Times Quilters for Good Times is an open no fee group that create quilts for children at Camp Ronald McDonald Good Times®. The Quilting for Good Times Group will use the Art Room for their class year- round. Liability Waiver review and signature of participants Wellness Center/City of La Quinta Staff will set up tables for the quilting group Staff will disinfect the tables and chairs after the group leaves Wellness Center Visitor Requirements COVID-19 Screening: temperature check under 100.4. Self-administered for each Participant. Linda Blake 03/19/2022