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CHECKLIST FOR PROCESSING AGREEMENTS AND AMENDMENTS ~ -' <br />TO: CLERK OF TnnHE'CJOU/NCILrrOFFICE JJ <br />FROM: DEPT.: l'V h1 1(, bt,c~ f`JcS MAIL STOP: ~ l7 ~ <br />CONTACT PERSON: uJ A`I/ 1 O ~~ T-I_~`~I.I EXT.: S~ U <br />THE FOLLOWING ITEMS SHOULD 8E PROVIDED IN REQUESTING PROCESSING OF AGREEMENTS FOR THE CITY: <br />AGREEMENT NUMBER (if amendment): A /(N <br />AMENDMENT NUMBER (if applicable):/ ^ SST ^ 2ND ^ 3rzo ^ <br />COUNCIL APPROVAL DATE: N• ~ . <br />AMOUNT' ^ OVER $10,000 ~ UNDER $10,000 <br />NAME OF CONSULTANT:~V~ ,/ (~~(%~ ~' ~~L l ~'~~ _ Zt7 ~~ <br />TERM OF AGREEMENT: EFFECTIVE DATE: ~ I--t-Z~}b TERMINATION DATE: ~'~ 3 y'-~~~ <br />INSURANCE REQUIRED: ^ NO <br />~ YES If yes, ~? ATTACHED ^ IN PROGRESS <br />AUTO CGL (Commercial General Liability) <br />PROFESSIONAL LIABILITY WORKERS COMPENSATION <br />(INS. APPROVAL REQUIRED BY CAO PRIOR TO SUBMITTING TO COTC) <br />SIGNATURES REQUIRED: <br />^ VENDOR <br />J$I CITY ATTORNEY <br />^ AGENCY (UNDER $10,000) <br />^ OTHER <br />FOR CLERK OFFICE USE ONLY: <br />^ PROCESS <br />ADDITIONAL <br />^ DO NOT PROCESS <br />^ MISSING SIGNATURES <br />^ NEEDS COUNCIL APPROVAL <br />^ OTHER <br />~. ,-~ ... ,. .~~ _. ~, -~[a .. .~ r,.. _.. ., ,_ <br />