CON0000334 - 8/13/2001 - Interlocal Government. County Prosecuting Attorney
Routing Signatures/Initials:
City Attorney
City Administrator
Department Manager/Director
Finance Director
City Engineer(s)
Other
CONTRACTS & AGREEMENTS
Required Information
Cover Sheet
(Clerk’s Office Use Only)
Record No.
Date 12/11/19
☐ NEW
☐ REPLACEMENT
☒ EXISTING
The original paper copy of ALL Camas contracts/agreements/amendments are to be retained in the City’s centralized filing system, managed
by the City Clerk’s Office. NOT NEEDED FOR RECORDS READY FOR DISPOSITION.
*** FILL OUT ALL APPLICABLE FIELDS AND ENSURE REFERENCED EXHIBITS ARE ATTACHED ***
City Staff Contact (Responsible)
MITCH LACKEY
Staff Contact Phone #
4302
Staff Contact Title
POLICE CHIEF
Contracting Agency\Party
CLARK COUNTY PROSECUTING
ATTORNEY’S OFFICE
Contracting Agency Contact
TONY GOLIK
Contact Phone or Email
564.397.2261
City Department/Division
POLICE DEPARTMENT
Dept. Admin Assistant
SHARI JENSEN
Additional Contact Information
shari.jensen@clark.wa.gov
Type of
Contract ☐Construction/Small Works
☐Consultant/Professional Services
☐Contract for Services
☐Grant
☒Interlocal Agreement (ILA)
☐Franchise Agreement
☐Development Agreement
☐Amendment/Supplement to
Contract No.
☐Other (explain)_____________
Project No
Additional Contract Information (key words, other agency-related,
ordinance, amendment no. to original contract dated)
Recording Number &
Date
If Council Approval Required (see limits above), provide date of
Council approval: RES No.
Budget Funded Account #
OR
Other Funding Source:
Contract Start Date
8/13/2001
Expiration Date
NONE
Contract/Project
Completion Date
Terms of Renewal or Termination & Extensions
(REQUIRED) AUTO RENEWAL
Original or Copy
☒ Original ☐ Copy
☐ Eng. Copy
If copy, where is original?
Media Type
☒ Paper ☒ Electronic ☐ CD-DVD
☐ Video/Audio Tape ☐ Flash Drive
☐ Other
Specific Location of Record
☐ Network Location
☐ Building Cabinet Number
☐ Additional Copy Locations
FOR ADMINISTRATIVE ASSISTANT USE ONLY
DAN# (REQUIRED)
GS50-01-11
Records Series Title
CONTRACTS/AGREEMETNS -
GENERAL
Retention/Dispo-
sition Action
Retain 6
years -
Destroy
Cut-off Event
Choose an item.
Designation/Remarks
☒ Essential ☐ Archival-Appraisal Req’d ☐ Archival-Permanent
☐ Non-Archival, Destroy After Retention Met ☐ Confidential
☐ Other
Comments
OPR
EXEMPT INFORMATION (statute and page Nos):
Click or tap here to enter text.
HARD COPY FILE COLOR CODE RED: Permanent YELLOW: Essential BLUE: Event Based GREEN: Expiration Date