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: •. CITE' CLERK PROCESSING FORM <br /> Agreements 1 Amendments 1 Extensions 1 Deeds <br /> cdfi <br /> REVIVE FUNDED? COVID FUNDED? CONFIDENTIAL? <br /> El YES ❑ NO ❑YES ❑ NO ❑YES ❑ NO <br /> TO: CITY CLERK'S OFFICE <br /> FROM: DEPT.: PRCSA MAIL STOP: M-23 <br /> PROJECT MANAGER: D� EXT : 4228 <br /> The follovWng i fonnalion must be provided <br /> in requesting passing of agreements 1 amendments l wdensions l dew fbr the C y: <br /> - (See pagq ._fgr 1pstructiop!� on h9var to #ill.out the this #orM} <br /> NAME OF CONSULTANT 1 PARTY: N I �t1PX <br /> AGREEMENT NUMBER (if applicable): A f N N-2025-134 <br /> AMENDMENT NUMBER ❑ 1ST ❑ 2ND ❑ 3RD ❑4TH <br /> (if applicable) : <br /> EXTENSION NUMBER ❑ 1ST ❑ 2ND ❑ 3RD ❑4TH <br /> (if applicable): <br /> An amendment/extension requires a copy of a Staff Report and/or initial agreement to be included. <br /> AMOUNT: ❑ * OVER * $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: ITEM #: <br /> TERM OF AGREEMENT EFFECTIVE DATE: TERMINATION DATE: 31, ?/0I tP <br /> SIGNATURES REQUIRED: r. VENDOR AGENCY � CITY ATTORNEY ❑ OTHER <br /> NOTARIZATION REQUIRED ❑ YES &I NO <br /> APPROVEDINSURANCE: 1� YES ❑ NO <br /> (INSURANCE APPROVAL REQUIRED BY RISK MGMT. PRIOR TO SI,JBMITTING TO CITY CLERK) <br /> COMMENTS: <br /> FOR CLERK OFFICE USE ONLY: ❑ PROCESS ❑ DO NOT PROCESS <br /> ❑ Missing Signatures ❑ Needs Council Approval ❑ Other <br /> ADDITIONAL REMARKS: <br /> *Effective July 6, 2023, City Manager contract authority increased via Ordinance NS-3041. <br /> I:IAgreementslFormsTorm-AGREEMENT PROCESSING FORM-06-D-2023-FINALAcc Revised:06119/2023 <br /> Page 1 of 2 <br />