HomeMy WebLinkAboutOut of State Travel Request - Central ServicesGRANT COUNTY
COMMISSIONERS AGENDA MEETING REQUEST FORM
(Must be submitted to the Clerk of the Board by 12:00pm on Thursday)
REQUESTING DEPARTMENT: Central Services
REQUEST SUBMITTED BY: Tom Gaines
CONTACT PERSON ATTENDING ROUNDTABLE. Tom Gaines
CONFIDENTIAL INFORMATION: ❑YES 50NO
DATE: 3/20/25
PHONE: 3276
Wtiklum
❑Agreement / Contract
❑AP Vouchers
❑Appointment / Reappointment
❑ARPA Related
❑ Bids / RFPs / Quotes Award
❑ Bid Opening Scheduled
❑ Boards / Committees
❑ Budget
❑ Computer Related
❑ County Code
❑ Emergency Purchase
❑ Employee Rel.
❑ Facilities Related
❑ Financial
❑ Funds
❑ Hearing
❑ Invoices / Purchase Orders
❑ Grants — Fed/State/County
❑ Leases
❑ MOA / MOU
El Minutes
❑Ordinances
MOut of State Travel
❑Petty Cash
❑ Policies
❑ Proclamations
❑ Request for Purchase
❑ Resolution
❑ Recommendation
❑ Professional Serv/Consultant
❑ Support Letter
❑Surplus Req.
[]Tax Levies
❑Thank You's
❑Tax Title Property
❑WSLCB
Request permission for Keith Conley, Evan Little, and myself to travel to the NACo
Annual Conference and Technology Innovation forum in Philadelphia PA July 09-15-2025
Cost per member is $3,447 each paid from the respective Dept. travel budget.
If necessary, was this document reviewed by accounting? ❑ YES 0 NO
If necessary, was this document reviewed by legal? ❑ YES ® NO
DATE OF ACTION: ,f DEFERRED OR CONTINUED TO:
APPROVE: DENIED ABSTAIN
D 1. Kj?
D2:
f�e-
D3:
RECEIVED
APR - 3 2025
4/8/24 GR
ANT COUNTY COMMISSIONERS
Out of State Travel Request Application
DEADLINE: Due by Thursday at 12:00 p.m. to the Commissioner's Office with BOCC Consent Agenda Request Form, to be on the
following week's Consent Agenda.
Traveler's Name(s): Evan Little Department/Office: Central Services/GCTS
Purpose of Travel: Destination:
NACo Annual Conference
Philadelphia
Dates of Travel: ITotal Trip Cost Estimate: I $ 3,222.00
(This line will auto -sum the costs listed below)
Travel Type (Select One) :
Q
Out of State Travel
❑
Out CONUS Travel (AK, HI or US Territory)
E]
Foreign Travel
Q
Extradition
Fund Number/Department:
GCTS/Travel
Grant Funded?
If Yes, List Grant Amount: Cost Application (Select One):
❑ Yes
0
Government Rate
Q No
Q
Conference Rate
Q
Regular Rate
Hotel -GSA Rate:
Hotel -Nightly Rate:
Hotel Total:
$ 229.00
Explanation for Rate: Required if hotel cost is greater than per diem orgovernment rate
This is the conference rate, if they have a lower government rate I will book that.
Total above (total trip cost) includes hotel tax
Rental Car Required? If Yes, Rental Car Cost:
Yes
No
Air Carrier:
Preparer's Name/Title:
Tom Gaines
Cost of Flight:
average is 600.00
3,447.00
Conference Fee:
$ 650.00
Total Estimate of MI&E During Travel:
$ 598.00
Preapproved by EO/DH?
Q Yes
0 No
Additional Expenses:
(Addt'l costs for extended stays, flight
upgrades, etc. at the expense of the traveler)
If Yes, EO/DH Name:
Tom Gaines
Out of State Travel Request Application
DEADLINE: Due by Thursday at 12:00 p.m. to the Commissioner's Office with BOCC Consent Agenda Request Form, to be on the
following week's Consent Agenda.
Traveler's Name(s): Keith Conley
Department/Office: Central Services/ GCTS
Purpose of Travel:
Destination:
NACo Annual Conference
Philadelphia
Dates of Travel:
Total Trip Cost Estimate: I $ 3,447.00
(This line will auto -sum the costs listed below)
Travel Type (Select One) :
Fund Number/Department:
Q Out of State Travel
❑ Out CONUS Travel (AK, HI or US Territory)
G CTS/Trave l
❑ Foreign Travel
❑ Extradition
Grant Funded? If Yes, List Grant Amount:
Cost Application (Select One):
❑ Yes
❑ Government Rate
Q No
Q Conference Rate
E❑ Regu la r Rate
Hotel - GSA Rate: Hotel - Nightly Rate:
Hotel Total:
$
229.00 $ 1,374.00
Explanation for Rate: Required if hotel cost is greater than per diem orgovernment rate Conference Fee:
This is the conference rate, if they have a lower government rate I will book that. $ 650.00
Total above (total trip cost) includes hotel tax
Rental Car Required? If Yes, Rental Car Cost:
Total Estimate of MI&E During Travel:
❑ Yes
Is 598.00
® No
Air Carrier: Cost of Flight:
Additional Expenses:
average is 600.00
TBD
(Addt'l costs for extended stays, flight
upgrades, etc. at the expense of the traveler)
Preparer's Name/Title: Preapproved by EO/DH? If Yes, EO/DH Name:
Tom Gaines Q
Yes Tom Gaines
❑
No
Out of State Travel Request Application
DEADLINE: Due by Thursday at 12:00 p.m. to the Commissioner's Office with BOCC Consent Agenda Request Form, to be on the
following week's Consent
Agenda.
Traveler's Name(s): Tom Gaines
Department/Office: Central Services/ GCTS
Purpose of Travel:
Destination:
NACo Annual Conference
Philadelphia
Dates of Travel:
Total Trip Cost Estimate: I $ 3,447.00
(This line will auto -sum the costs listed below)
Travel Type (Select One) :
Fund Number/Department:
Q Out of State Travel
❑ Out CONUS Travel (AK, HI or US Territory)
GCTS/Travel
❑ Foreign Travel
❑ Extradition
Grant Funded? If Yes, List Grant Amount:
Cost Application (Select One):
❑ Yes
❑ Government Rate
Q No
Q Conference Rate
❑ Regu la r Rate
Hotel - GSA Rate: Hotel - Nightly Rate:
Hotel Total:
Is
229.00 Is 1,374.00
Explanation for Rate: Required if hotel cost is greater than per diem orgovernment rate Conference Fee:
This is the conference rate, if they have a lower government rate I will book that. I $ 650.00
Total above (total trip cost) includes hotel tax
Rental Car Required? If Yes, Rental Car Cost:
Total Estimate of MI&E During Travel:
❑ Yes
$ 598.00
a No
Air Carrier: Cost of Flight:
Additional Expenses:
average is 600.00
TBD
(Addt'l costs for extended stays, flight
upgrades, etc. at the expense of the traveler)
Preparer's Name/Title: Preapproved by EO/DH? If Yes, EO/DH Name:
T Gaines Q
Tom Ga
Yes
BOCC
0
No
GRANT COUNTY
COMMISSIONERS AGENDA MEETING REQUEST FORM
(Must be submitted to the Clerk of the Board by 12.-OOpm on Thursday)
REQUESTING DEPARTMENT: Central Services
REQUEST SUBMITTED BY: Torn Gaines
CONTACT PERSON ATTENDING ROUNDTABLE, Tom Gaines
CONFIDENTIAL INFORMATION: EIYES *NO
DATE: 3/20/25
PHONE: 3276
WA
OAgreement I Contract
MAP Vouchers
DAppointment i Reappointment
11ARPA Related
F] Bids / RFPs I Quotes Award
E]Bid Opening Scheduled
❑Boards / Commi 'tees
E Budget
E]Computer Related
OCounty Code
ElErnergency Purchase
0 Employee Rel.
7 Facilities Related
❑Financial
17Funds
ElHearing
F-1❑Invoices / Purchase Orders
DGrants — Fed/State./County
Ell -eases
E:1MOA I MOU
1:1 Minutes
ElOrdinances
Out of State Travel
IlPetty Cash
El Policies
❑ Proclamations
17 Request for Purchase
17 Resolution
F-1 Recommendation
ElProfessional Serv/Consultant
E]Support Letter
ElSurplus Req.
F]Tax Levies
E]Thank You's
=ax Title:, Property
F—i WSLCB
t*11j=*1d %ZLINUU1,129i Ws i=W!� im- Mul MMUTITARIA
Request permission for Keith Conley, Evan Little, and myself to travel to the NACo
Annual Conference and Technology Innovation forum in Philadelphia PA July '10-15-2025
Cost per member is $2,406 each paid from the respective Dept. travel budget.
If necessary, was this document reviewed by accounting? El YES W NO
If necessary, was this document reviewed by legal? F-1 YES * NO
DATE OF ACTION:
_ � `.�,5-���
APPROVE: DENIED ABSTAIN
D1:
D2:
D3:
DEFERRED OR CONTINUED TO:
4/8/124
Out of State Travel Request Application
DEADLINE',: Due by Thursday at 12:00 p.m. to the Commissioner's Office with BOCC Consent Agenda Request Form to be on the
following week's Consent Agenda.
Traveler's Name(s): Keith Conley Department/Off ice: Central Services/ GCTS
-- - ------- ---- ---- --
Purpose of Travel: NACo Annual Conference Destination:
Philadelphia
Dates of Travel: IITotal Trip Cost Estimate: — U 0 2�_ 1 �7_ Es
(This line will auto -sum the costs listed below)
Travel Twe (Select One) :
Q
Out of State Travel
Q
Out CONUS Travel (AK, Hi or US Territory)
0
Foreign Travel
(D
Extradition
Fund Number/Department:
GCTS/Travel
Grant Funded? If Yes, List Grant Amount: Cost Application (Select One):
0 Yes O Government Rate
No Conference Rate
0 Regu [a r Rate
Hotel - GSA Rate: Hotel - Nightly Rate: Hotel Total:
$ 250.00 $
Explanation for Rate: Required if hotel cost is greater than per them orgovemment rate Conference Fee:
This is the conference rate, if they have a tower government rate I will book that. $
21600.00
11000.00
Rental Car Required? If Yes, Rental Car Cost: Total Estimate of M I&E During Travel:
0 Yes $ 414.00
Q No
Air Carrier: Cost of Flight: Additional Expenses:
average is 600.00
I
Preparer's Name/Title:
Tom Gaines
Preapproved by E01DH?
0 Yes
No
(Addt'l costs for extended stays, flight
upgrades, etc. at the expense of the traveler)
If Yes, EOIDH Name:
Tom Gaines
Out of State Travel Request Application
DEADLINE*. Due by Thursday at 12:00 p.m. to the Commissioner's Office with BOCC Consent Agenda Request Form, to be on the
otlowinc, week's Consent Agenda.
Traveler's Name(s): Evan Little Department/Off ice: Central Services/ GCTS
Purpose of Travel: Destination:
NACo Annual Conference
Phit-adetphia
Dates of Travel: c&,fJ4ITotal Trip Cost Estimate: 1 $ 22600.00
a a (This line will auto -sum the costs listed below)
Travel Type (Select One):
Out of State Travel
�]
Out CONUS Travel (AK, HI or US Territory)
[j
Foreign Travel
Extradition
Fund Number/Department:
GCTS/Travet
Grant Funded.? If Yes, List Grant Amount: Cost Application (Select One):
[] Yes -0 Government Rate
Q No Conference Rate
ERegular Rate
Hotel - GSA Rate: Hotel - Nightly Rate: Hotel Total:
250.0
.9.
Explanation for Rate: Required if hotel cost is greater than per them orgovernment rate Conference Fee:
i$
This is the conference rate, if they have a tower government rate I will book that.
11000.00
650400
Rental Car Required? If Yes, Rental Car Cost: Total Estimate of MI&E During Travel:
—0 Yes 1$ 414.00
No
Air Carrier. Cast of Flight: Additional Expenses-,
average is 600.00
WWI nil
Preparer's Name/Title:
Tom Gaines
Preapproved by EOIDH?
Q Yes
Q No
(Addt'l costs for extended stays, flight
upgrades, etc. at the expense of the traveler)
If Yes, EO/DH Name:
Tom Gaines
Out of State Travel Request Application
on'-�ent Agenda Requesth
mmissi Rh B CCCRTl
DEADLINE,,,Due byThu'rsday'a-t 12:00 p.M. to, the Co oner's�,ffice,W 0
'we f0ttow,t6g6<'s,Consent Agenda.
Traveler's Name(s): Tom Gaines S Department/Off ice: Central ervices
Purpose of Travel: Destination:
NACo Annual Conference
1 3 1 Philadelphia
Dates of Travel: Total Trip Cost Estimate: :$ 2)600.00
kJ IJ (This tine will auto -sum the costs listed belovy)
Travel Tvoe (Select One) :
Q
Out of State Travel
Lj
Out CONUS Travet (AK, HI or US Territory)
0
Foreign Travel
0
Extradition
Fund Number/Department:
Centrat Services/Travet
Grant Funded If Yes, List Grant Amount: Cost Application (Select One):
Yes Government Rate
No is Conference Rate
0 Regular Rate
Hotel -GSA Rate: Hotel - Nightly Rate: Hotel Total:
I$ 250-00 1$ 12000.00 -
Explanation for Rate: Required if hotel cost is greater than per them orgovernment rate Conference Fee:
$ 650.00
This is the conference rate, if they w have a loer government rate I will book that.
Rental Car Required? If Yes, Rental Car Cost: Total Estimate of MME During Travel:
0 Yes s 414.00
No
Air Carrier: Cost of Flight: Additional Expenses:
F
2-verage is 600.00
a
"10
Preparer's Name/Title:
Tom Gaines
Preapproved by EO1DH?
Q Yes
Q No
(Addt'l costs for extended stays, flight
upgrades, etc. at the expense of the traveler)
If Yes, EOIDH Name:
BOCC