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CHECKLIST FOR PROCESSING AGREEM�NT AMENDMENTS <br />'111" 15 <br />TO: CLERK OF THE COUNCIL OFFICE <br />IL <br />OP: <br />FROM: DEPT.: i-AMd"(0- G, ('4F <br />... ..... . .... <br />"LST <br />AU CONTACT PERSON I" <br />...... . ....... <br />THE FOLLOWING ITEMS SHOULD BE PROVIDED IN REQUESTING PROCESSING OF AGREEMENTS FOR THE CITY: <br />AGREEMENT NUMBER (if amendment <br />(=6) N <br />AMENDMENT NUMBER (if applicable): Ei 1ST El 2 ND 3 RD ❑ <br />AMOUNT: R OVER $ 10, 000 Ei UNDER $10,000 <br />NAME OF CONSULTANT: <br />2) TERMINATION DATE: <br />TERM OF AGREEMENT: EFFECTIVE DATE: (' <br />INSURANCE REQUIRED: NO <br />IROES If yes, )911" ATTACHED 0 IN PROGRESS <br />o AUTO n CGIL (Commercial General Liability) <br />Ej PROFESSIONAL LIABILITY 0 WORKERS COMPENSATION <br />(INS. APPROVAL REQUIRED BY CAO PRIOR TO SUBMITTING TO COTC) <br />SIGNATURES REQUIRED: <br />El VENDOR AGENCY (UNDER $10,000) <br />CITY ATTORNEY OTHER WK) I t,3, <br />w. <br />COMMENTS: <br />I A 11, J"% I A <br />El DO NOT PROCESS <br />• MISSING SIGNATURES <br />• NEEDS COUNCIL APPROVAL <br />0 OTHER <br />Y <br />