I•� 11►.,L• SANTA ROSA
�-41 CITY SCHOOLS
EMBt<A, E •ENGAGE• Fl\i POWFR SANT A ROSA CITY SCHOOLS
SERVICE CONTRACT
This CONTRACT is hereby entered into between the Governing Board of the Santa Rosa City Schools, hereinafter referred to as "DISTRICT", OR "BOARD" and _Santa Rosa City Recreation & Parks Department_, hereinafter referred to as "CONTRACTOR".
SCHOOL SITE/DEPARTMENT USE ONLY
Check one of the following:
0 Independent Contractor/Business/Organization* 0 Professional Services** Partnership*** * Any person, business, or organization that will be providing non-professional services to the District ** Any person, business, or organization that will be providing professional services to the District (Usually as a result of an RFP, i.e., services that require extensive technical knowledge or training in their particular
area of expertise.) Engineers, Financial Advisors, Architects, Auditors, Surveyors, Inspectors, etc. *** Two or more persons, businesses, corporations, or organizations that will be partnering with the District to perform certain services with the District
SCHOOL SITE/DEPART'.\IENT USE ONLY
Funding Source: -- ---- - ---- ---- ---- --- ----
Funding Category: D Base D Supplemental D Concentration D Restricted: __________ _ X Other: _ELOG/ELOP _funds __ _ For Billing (jf applicable): □ Bill to: _______ __ _ Billing frequency: _____ __ _ Contract is: X New D Renewal D Addendum D Amendment
Number of Individuals Served: 400 students ______________ _ Approved at Site by*:
* Signature - FOR CO:\TRACTS ORIGII\.\TED B, SCHOOL SITE Departmental Approval**:
** Signature - DISTRICT OFFICE DEPT. IG:\ \TLRE
Date: ----------
Date: _________ _
Contract Created by: _Michael J. Reimer, Ed.D., Ed. Services __ _ Phone #: _(707) 899-6112. __ _ Name of SRCS employee A .. '\'D dept. or school site
Proposed Contract Start Date: 06/01/2024 __ _ Proposed Contract End Date: 7/31/2024. ___ _ Requisition #:
B[SL�ESS SER\'ICES USE O'.'iLY
Verified Receipt of: D Insurance(s) D W-9 Form D HR Clearance, if applicable Funding Source /Funding Category verified: D YES D NO Board Approval Date: _______ _ Verified by: _______________________ _
Fiscal Services Authorizer
Date: ----------
LAST REVISED ON 4-17-23
1 X
Exhibit A