Board Report Type: (PR, OP, ED, EX, IG, AR OR MS)
Board Report Type: (PR, OP, ED, EX, IG, AR OR MS) ___________ Date of Board Meeting: ________________________
BOARD REPORT ROUTING REVIEW CHECKLIST
Title of Board Report: _____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
Term of Agreement: ____________________ Contract Amount: _______________ Vendor Name: ______________________________________
Submitted by: ________________________ __________________________ ________________________ ______________ _____________
Department/School Signature Title Phone Date
______________________________
YES NO N/A AIO Approval (Where applicable)
____ ____ ____ Accountability Certification Completed and Attached
____ ____ ____ Ratification Endorsement Completed and Attached
____ ____ ____ Reviewed By Local School Council (Signature ________________________________Date_____________)
____ ____ ____ Programmatic Approvals Included (CAO; CEO; CIO; COO Signature ____________________________)
____ ____ ____ Vendor Scope, Deliverables, Schedule, Cost Details and Disclosure Form Included
____ ____ ____ Consistent with School Improvement Plan Goals
Budget Review: (Applicable for PR, OP, ED, EX and IG Board Reports)
Yes NO N/A
___ ___ ___ Funding is Available in the referenced Budget Classification
__________________________________________________________________ ______________________
Director of Budget (Signature) Date
M/WBE Proposal Approved by OBD: YES _____ / DATE: ____________; NO _____ / Status of Negotiation: _____________________.
________________________________________________________________ ______________________
Office of Business Diversity (Signature) Date
Request is the result of a: _____ Level 1 Procurement Process _____ Level 2 Procurement Process _____ Level 3 Procurement Process
_________________________________________________________________ ______________________
Purchasing (Signature) Date
Law Department:
YES NO
___ ___ Report is in correct legal form
________________________________________________ _________________________________________ ________________
Signature Title Date
Version - November 2004 Board Report No.: ________________________________________
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