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Clerk of the Council PROCESSING FORM <br />` AGREEMENTS AND AMENDMENTS <br />TO: CLERK OF THE COUNCIL OFFICE � - �y <br />FROM: DEPT: Police Department r °t p.. MAIL STOP: • M18 <br />CONTACT PERSON: Enrique Esparza EXT.: 8729 <br />THE FOLLOWING ITEMS SHOULD BE PROVIDED IN REQUESTING PROCESSING OF AGREEMENTS FOR THE CITY: <br />AGREEMENT NUMBER (if amendment): A / N <br />AMENDMENT NUMBER (if applicable): ❑ 1ST ❑ 2ND ❑ 3RD ❑ <br />COUNCIL APPROVAL DATE: 05/05/08 <br />AMOUNT: <br />® OVER $25,000 <br />❑ UNDER $25,000 <br />NAME OF CONSULTANT: County of Riverside <br />TERM OF AGREEMENT: EFFECTIVE DATE: 01/01/08 TERMINATION DATE: 09/30/10 <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 11 AGENCY (UNDER $10,000) <br />❑ CITY ATTORNEY ❑ OTHER <br />COMMENTS: PSIC Agreement — Resolution No. 2008 -026 <br />FOR CLERK OFFICE USE ONLY: <br />❑ PROCESS <br />ADDITIONAL REMARKS: <br />❑ DO NOT PROCESS <br />❑ MISSING SIGNATURES <br />❑ NEEDS COUNCIL APPROVAL <br />❑ OTHER <br />