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<br />~ <br />~ <br /> <br /> <br />CHECKLIST FOR PROCESSING AGREEMENTS AND AMENDMENTS <br /> <br />TO: <br /> <br />CLERK OF THE COUNCIL OFFICE <br /> <br />FROM: DEPT.: <br /> <br />Planninq & Buildinq Aqency <br /> <br />MAIL STOP: 20 <br /> <br />CONTACT PERSON: Rosa Barela <br /> <br />EXT.: x2705 <br /> <br />THE FOLLOWING ITEMS SHOULD BE PROVIDED IN REQUESTING PROCESSING OF AGREEMENTS FOR THE CITY: <br />AGREEMENT NUMBER (if amendment){.i) N ;}D()~¡'.-';...{ ¡ rí <br />AMENDMENT NUMBER (if applicable): D 1ST D 2ND <br />COUNCIL APPROVAL DATE: October 4. 2004 <br /> <br />D 3RD <br /> <br />D <br /> <br />AMOUNT: <br /> <br />DOVER $10,000 <br /> <br />D UNDER $10,000 <br /> <br />NAME OF CO~ SUL T.'\~ T: OWNER: James A. Johnson and Corrie E. Johnson. Trustees for the Johnson <br />Familv Trust dated September 28. 2000 <br /> <br />TERM OF AGREEMENT: EFFECTIVE DATE: <br /> <br />10/4/04 <br /> <br />TERMINATION DATE: <br /> <br />INSURANCE REQUIRED: <br /> <br />D NO <br /> <br />DYES <br /> <br />If yes, D ATTACHED <br /> <br />D IN PROGRESS <br /> <br />D AUTO <br />D PROFESSIONAL LIABILITY <br /> <br />D CGL (Commercial General Liability) <br />D WORKERS COMPENSATION <br /> <br />(INS. APPROVAL REQUIRED BY CAO PRIOR TO SUBMITTING TO COTC) <br /> <br />SIGNATURES REQUIRED: <br />D VENDOR <br />D CITY ATTORNEY <br /> <br />D <br />D <br /> <br />AGENCY (UNDER $10,000) <br />OTHER <br /> <br />COMMENTS: <br /> <br />Reauires Dave Ream's notarized sianature. <br /> <br />FOR CLERK OFFICE USE ONLY: <br /> <br />D <br /> <br />PROCESS <br /> <br />D <br /> <br />DO NOT PROCESS <br />0 MISSING SIGNATURES <br />0 NEEDS COUNCIL APPROVAL <br />0 OTHER <br /> <br />ADDITIONAL REMARKS: <br />