Marketplace Resultstest

Other Results

Interlocal Contract Form

End User Agency Information

Required
Required

End User Agency Contact Information

Required

Mailing Address

Required
Required
Required
Required

Physical Address - (No P.O Box)

Required
Required
Required
Required

Contract Authorization and Fiscal Year Dates

Required
Required
Required

Official Contact (Point of contact for the HGACBuy Interlocal Contract)

Required
Required
Required

Mailing Address - (No P.O Box)

Authorized Contact Chief Elected or Appointed Official who will provide authorized signature

Mailing Address - (No P.O Box)

Additional Official Contact 1 (optional)

Mailing Address - (No P.O Box)

Additional Official Contact 2 (optional)

Mailing Address - (No P.O Box)

Additional Official Contact 3 (optional)

Mailing Address - (No P.O Box)

Additional Information for Non-Profit Entities

Functions/Services (all or part of a function or service)
Administrative Functions (functions normally associated with the routine operation of government)