Common use of Department of Administration Public Works Division Clause in Contracts

Department of Administration Public Works Division. By: Printed Name: Title: By: Xxxxxx Xxxxxxxx, Director For IDOA Commissioner if less than $1,000,000 Date: Date: Approved by: Approved by: Department of Administration State Budget Agency PURSUANT TO IC 4-13-2-14.1 For Contract in excess of $2,500 (a)(2)(B) APPROVAL OF THE BUDGET AGENCY IS NOT REQUIRED FOR CONTRACTS UNDER $100,000.00 By: (for) By: (for) Xxxxxxx Xxxxxxxx, Commissioner Xxxxxxx X. Xxxxxxx, Director Date: Date: Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(e) on August 31, 2021. FA 21-42 This Instrument was prepared by: [INSERT NAME] on XX/XX/XXXX Exhibit A CONSULTANT’S DUTIES

Department of Administration Public Works Division. By: Printed Name: Title: By: Xxxxxx Xxxxxxxx, Director For IDOA Commissioner if less than $1,000,000 2,500 Date: Date: Approved by: Approved by: Department of Administration State Budget Agency PURSUANT TO IC 4-13-2-14.1 For Contract in excess of $2,500 (a)(2)(B) APPROVAL OF THE BUDGET AGENCY IS NOT REQUIRED FOR CONTRACTS UNDER $100,000.00 By: (for) By: (for) Xxxxxxx Xxxxxxxx, Commissioner Xxxxxxx X. Xxxxxxx, Director Date: Date: Approved as to Form and Legality: Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(e) on August 31, 20212021 . FA 21-42 This Instrument was prepared by: [INSERT NAME] on XX/XX/XXXX Exhibit A CONSULTANT’S DUTIES40

Department of Administration Public Works Division. By: Printed Name: Title: By: Xxxxxx Xxxxxxxx, Director For IDOA Commissioner if less than $1,000,000 2,500 Date: Date: Approved by: Approved by: Department of Administration State Budget Agency PURSUANT TO IC 4-13-2-14.1 For Contract in excess of $2,500 (a)(2)(B) APPROVAL OF THE BUDGET AGENCY IS NOT REQUIRED FOR CONTRACTS UNDER $100,000.00 By: (for) By: (for) Xxxxxxx XxxxxxxxXxxxxx X. Xxxxx, Commissioner Xxxxxxx X. Xxxxxxx, Director Date: Date: Approved as to Form and Legality: Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(e) on August 31September 9, 20212019. FA 2119-42 This Instrument was prepared by: [INSERT NAME] on XX/XX/XXXX Exhibit A CONSULTANT’S DUTIES38

Department of Administration Public Works Division. By: Printed Name: Title: By: Xxxxxx Xxxxxxxx, Director For IDOA Commissioner if less than $1,000,000 2,500 Date: Date: Approved by: Approved by: Department of Administration State Budget Agency PURSUANT TO IC 4-13-2-14.1 For Contract in excess of $2,500 (a)(2)(B) APPROVAL OF THE BUDGET AGENCY IS NOT REQUIRED FOR CONTRACTS UNDER $100,000.00 By: (for) By: (for) Xxxxxxx XxxxxxxxXxxxxx X. Xxxxx, Commissioner Xxxxxxx Xxxxx X. XxxxxxxXxxxxx, Director Date: Date: Approved as to Form and Legality: Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(e) on August 31September 12, 20212018. FA 2118-42 This Instrument was prepared by: [INSERT NAME] on XX/XX/XXXX Exhibit A CONSULTANT’S DUTIES35