CONTRACT INFORMATION

Please complete this Contract Information Form with as much detailed information as possible. The form and a copy of the business meeting minutes approving the contract should be faxed to Legal Services at 816/521-3099. All vendors must provide the church with a current IRS form W-9 before any contract may be signed. Legal Services will then prepare the Contract document.

1. NAME OF CONGREGATION, CAMPGROUND, OR MISSION CENTER

2. ADDRESS OF CHURCH BUILDING

Address:
State:                                Zip:

3. CHURCH'S/CONTACT PERSON'S NAME AND TITLE: PASTOR/FINANCIAL OFFICER

Name:
Office:

4. CONTACT INFORMATION FOR CHURCH/CONTACT PERSON

Address:
City:                               State:                    Zip code:
Telephone number:
Fax number:
E-mail:

5. TYPE OF CONTRACT BEING REQUESTED:

Purchase
Services
Construction
Consulting
Logging
Other

6. VENDOR'S NAME (COMPANY)

7. CONTACT INFORMATION FOR VENDOR

Address:
City:                               State:                    Zip Code:
Telephone number:
Fax number:
E-mail:

8. WHAT IS THE SCOPE OF THE WORK? (Provide a description of the services to be provided, equipment purchased, etc.)

9. ATTACH A DETAILED DESCRIPTION OF THE WORK TO BE PERFORMED.

10. WHAT IS THE TOTAL DOLLAR VALUE OF THE CONTRACT?

11. WHAT IS THE CHURCH'S INVOICING CONTACT AND ADDRESS? (This can be the same as #4.)

Name:
Address:                        State:                    Zip Code:
Telephone number:
Fax number:
E-mail:

12. WHAT IS THE REQUESTED START DATE OF THE CONTRACT? (effective date)

13. WHAT IS THE DURATION OF THE CONTRACT?

14. DOES THE VENDOR MEET THE CHURCH'S INSURANCE REQUIREMENTS?

Yes:
No:

15. IF THIS IS A CONSTRUCTION CONTRACT, DOES THE CONTRACTOR MEET THE CHURCH'S BONDING REQUIREMENTS?

Yes:
No: