HomeMy WebLinkAboutCAG2019-429 - Change Order - #1 - Kronos - HCMA Workforce Telestaff Software - 05/11/2020Agreement Routing Form
For Approvals, Signatures and Records Management
Approval Originator: Department:
Date Sent: Date Required:
Authorized
to Sign:
Director or Designee
Mayor
Date of
Council
Approval:
Budget
Account
Number:
Grant?
Type:
Yes No Agreement Information Vendor
Name: Category:
Vendor
Number: Sub-Category
Project
Name:
Project
Details:
Agreement
Amount:
Basis for
Selection of
Contractor:
Start Date:Termination Date:
Notice required prior to
disclosure? Yes No Review/Signatures/Routing Date Received by City Attorney: Comments:
Date Routed to the Mayor’s Office:
Date Routed to the City Clerk’s Office:
Date Sent to Originator:
Visit Documents.KentWA.gov to obtain copies of all agreements
This form combines & replaces the Request for Mayor’s Signature and Contract Cover Sheet forms.
(Print on pink or cherry colored paper)
Contract Number:
adccW22373_6_19
PROJECT CHANGE ORDER FORM
Customer Name CITY OF KENT Solution ID 6164416
Bill-to
6164416
CITY OF KENT
220 4TH AVE S
KENT WA
98032-5838
US
Ship-to
6164416
CITY OF KENT
220 4TH AVE S
KENT WA
98032-5838
US
Payment Terms Net 30 Days Customer
Purchase Order Daniel Crabtree
Kronos Practice Public Sector 20127 Sales Person Customer to provide
Project # 47948 Operating Unit /
Currency KRONOS US OU / USD
New Task Required Yes New Order
Required No
Project Budget Impact
Billing Role Item UOM Contract
Type
Previous
Order #
Qty Minus
Decreases Rate Ext Amount
Solution
Consultant
9990057-PRO HR Estimate 40 180.00 7,200.00
Solution
Developer
9990057-PRO HR Estimate 40 180.00 7,200.00
Totals 80.00 14,400.00
Amounts exclude tax
Authorization Signatures
(I authorize the change to the Kronos Project Budget, as described above, and I authorize Kronos to invoice for the amount ap plicable.)
Customer Project Manager * Signature Date 5/11/2020
Comments
Additional hours to participate in 3rd party vendor (Workday) discovery discussion and testing activities .
Order Management Internal Use Only
If Change Order processed please check box Date
City of Kent Purchase Order
Order number must appear on all invoices, packages, etc.
Order #
Order Date:
158690 OP
5/11/2020
This document is hereby deemed a valid purchase order and authorizes the procurement of
the materials and/or services indicated. Please let us know immediately if you are unable to
ship the complete order.
Ordered by:Lynnette R Smith
Info Tech-Administration
Ship to: City of Kent
Information Technology
400 West Gowe Street
Suite 122
Kent, WA 98032
Bill to: City of Kent
Accounts Payable
220 4th Avenue South
Kent, WA 98032
Phone: (253) 856-5230
Vendor: 2136461
Kronos Incorporated
900 Chelmsford St
Lowell, MA 01851
Payment Terms: Net 30
Line Item #Description Quantity Unit Cost Ext. Cost Sales Tax Total Cost
1 Project Change Order #47948 | Addt'l Svc-Integration Support 14,400.00 14,400.00
Approved by: Carrington, Michael Charles
Mayor's Signature: ________________________________________
(Required for contracts over $20,000)
Subtotal:14,400.00
Sales Tax:0.00
Total:14,400.00