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CLERK OF THE COUNCIL <br />COTC PROCESSING FORM SEFt's2Am10:47 <br />Agreements / Amendments / Extensions/ Deeds A-2021-175-02 <br />REVIVE FUNDED? COVID FUNDED? CONFIDENTIAL? <br />❑ YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO <br />TO: CLERK OF THE COUNCIL OFFICE <br />FROM: DEPT.: CDA5Mj;STOP: 23 <br />PROJECT MANAGER: <br />EXT.: 5378 <br />' The following information must be provided 9 <br />in requesting processing of agreements I amendments I extensions / deeds for the City: <br />_ (See page 2 for instructions on how to fill out the COTC form) <br />NAME OF CONSULTANT / PARTY: Illumination Foundation <br />Terri Eggers <br />AGREEMENT NUMBER (if applicable): A / N <br />AMENDMENT NUMBER ❑ 1ST ❑ 2ND ❑ 3RD ❑ 4TH <br />(if applicable) : <br />EXTENSION NUMBER ❑ 1ST ❑ 2ND ❑ 3RD ❑ 4TH <br />(if applicable): <br />An amendmentlextension requires a copy of a Staff Report and/or initial agreement to be included. <br />AMOUNT: 0 * OVER ❑ * $50,000 'Note: Council approval is required if an agreement with a <br />$50,000 AND UNDER vendor exceeds $50,000 within a Fiscal Year for non- <br />public works agreements. <br />Bid for contracts exceeding $25 000 will continue to require <br />a formal Invitation for Bid. <br />❑� 1) Approved by council. ❑ 2) NOT approved by council. <br />COUNCIL APPROVAL DATE: September 7, 2021 ITEM #: <br />TERM OF AGREEMENT EFFECTIVEDATE: September7,2022 TERMINATION DATE: July23,2023 <br />SIGNATURES REQUIRED: ❑ VENDOR ❑ AGENCY ❑ CITYATTORNEY ❑p OTHER <br />NOTARIZATION REQUIRED ❑ YES NO <br />APPROVED INSURANCE: ❑Q YES ❑ NO <br />(INSURANCE APPROVAL REQUIRED BY RISK MGMT. PRIOR TO SUBMITTING TO COTC) <br />COMMENTS: <br />FOR CLERK OFFICE USE ONLY: O PROCESS O DO NOT PROCESS <br />❑ Missing Signatures ❑ Needs Council Approval ❑ Other <br />ADDITIONAL REMARKS: <br />o iecuve �pni 10, /u i a, uny mianager coniracc aumon[y increases via urainance N5-2y63. <br />tv,greemenislFormsftrm -AGREEMENT PROCESSING FORM-08-13-2021-FINAL.doc Revised: 08/13/2021 <br />Page 1 of 2 <br />