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x.. CITY CLERK PROCESSING FORM <br />A.1J <br />Agreements / Amendments / Extensions / Deeds <br />REVIVE FUNDED? COVID FUNDED? CONFIDENTIAL? <br />❑ YES I NO ❑ YES 9 NO ❑ YES *NO <br />TO: CITY CLERK'S OFFICE <br />FROM: DEPT.: PRCSA-Zoo <br />PROJECT MANAGER Maly Long <br />MAIL STOP: M-90 <br />EXT.: 6512 <br />The following information must be provided <br />in requesting processing of agreements / amendments / extensions / deeds for the C ity: <br />(See page 2 for instructions on how to fill out the this form) <br />NAME OF CONSULTANT I PARTY: Barbara's Force Free Animal Training, dba Good Bird, Inc. <br />AGREEMENT NUMBER (if applicable), A / N N-2024-391 <br />AMENDMENT NUMBER ❑ 1 ST ❑ 2ND ❑ 3RD ❑ 4TH <br />(if applicable) : <br />EXTENSION NUMBER ❑ 1ST ❑ 2ND ❑ 3RD ❑ 4TH <br />(if applicable): <br />An amend ment/extension requires a copy of a Staff Report and/or initial agreement to be included. <br />AMOUNT: ❑ * OVER W * $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 $50,000, will continue to require <br />a formal Invitation for Bid. <br />❑ 1) Approved by council. ❑ 2) NOT approved by council. <br />COUNCIL APPROVAL DATE: <br />TERM OF AGREEMENT EFFECTIVE DATE: 1 1 /14/2024 <br />SIGNATURES REQUIRED: ❑ VENDOR <br />NOTARIZATION REQUIRED ❑ YES <br />APPROVED INSURANCE: X YES <br />ITEM #: <br />TERMINATION DATE: <br />6/30/2025 <br />❑ AGENCY ❑ CITY ATTORNEY ❑ OTHER <br />❑ NO <br />❑ NO <br />(INSURANCE APPROVAL REQUIRED BY RISK MGMT. PRIOR TO SUBMITTING TO CITY CLERK) <br />COMMENTS: <br />I: IAgreementslFormsTorm -AGREEMENT PROCESSING FORM-06-19-2023-FINAL.doc Revised. 06/19/2023 <br />Page 1 of 2 <br />