#MT-CDBG-PL-20-07 Contact Information SheetDocuSign Envelope ID: 736E2FED-29C9-4F4F-8A21-7D6684462BA1
Contract Information Sheet
Division staff are required to complete the items in blue print.
Date of Gov. Award Letter
9/13/2021
Contract Number:
MT-CDBG-PL-20-07
Contractor's Name:
City of Kalispell
Contractor Liaision:
Krista Lammers
Contractor's Liaison Email:
klammers@kalispell.com
Approved to Form Name:
Charles A. Harball
Approved to Form Email:
charbalL@iarispell.com
Contractor (Signee) Name:
Doug Russell, City Manager
Contractor's Email:
drussell2kalispell.com
Contractor's Address:
Kalispell City Hall — 201 1st Avenue East
Contractor's Address 2:
Kalispell, MT 59901
Attest Name:
Aimee Brunckhorst
Attest Email:
abrunckhorst(a)kalispell.com
(Federal Funds Required)
Current Term Amount:
Total Contract Value:
30,000.00
Organization Number:
606802
RFP Number (if applicable):
Program Number:
60
Contract Type:
(Standard, Sole Source, Exigency, Term Contract, Lease, MOU, PO, Grant)
Contract Usage:
Date Met Start up:
9/13/2021
Division:
CDD
Vendor Number:
23473
Begin Date:
Upon Execution
End Date:
12/31/2022
Absolute End Date:
Original Contract FY:
Funding Source:
Federal
(State, Federal, Both, Other)
As Needed Fixed No Cost
Purpose of this contract: PAR for Samaritan House Inc.
Scope & duties of this contract: Project scope includes the rehabilitation of the existing administrative facility (the Armory) and the new
construction of 14-16 units of multifamily housing for families at risk of homelessness or emerging from
homeless status.
Liaison:
Rebecca Shaw Quinones
Program Manager:
cody.ferauson@mt.aov
Liaison Email:
rebecca.shaw@mt.aov
Operations Manager:
banseth@mt.aov
Liaison Phone:
406-841-2752
Additional Email:
Signatures:
D—Signed by:
Carbon Copies:
Division Adminstrator
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10/18/2021 Liaison:
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Fiscal Review
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10/19/2021 Director (> $200K):
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Legal Counsel
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10/19/2021
Deputy Director (<$25K):
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Deputy Director
Perceptive:
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