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N-2013-136 <br />Y COTC PROCESSING FORM ? a I: CI P <br />Agreements / Amendments / Deed <br />TO: CLERK OF THE COUNCIL OFFICE <br />FROM: DEPT.: DEVELOPMENT ENGINEERING <br /> <br />MAIL STOP: M-93 <br />PROJECT MANAGER: ANDERSON CHRYSOSTOMO EXT.: 5838 <br />AMENDMENT NUMBER (if applicable): ? 1ST ? 2ND n 3RD ? <br />NAME OF CONSULTANT/ PARTY: RANCHO SANTIAGO COMMUNITY COLLEGE DISTRICT <br />AMOUNT: ? * OVER $25,000 -(A) m *UP TO $25,000 - (N) Note: If your agreement with a vendor exceeds $25,000 <br />within a Fiscal Year, then you will need to obtain Council <br />Approval, <br />m 1) NOT approved by council. <br />? 2) Approved by council <br />COUNCIL APPROVAL DATE: <br />NA ITEM #: <br />TERM OF AGREEMENT- EFFECTIVE DATE: <br />TERMINATION DATE: <br />NA <br />SIGNATURES REQUIRED: ? VENDOR ?AGENCY <br />? CITY ATTORNEY ® OTHER <br />(INSURANCE APPROVAL REQUIRED BY CAD PRIOR TO SUBMITTING TO COTC) <br />INSURANCE REQUIRED: ? YES ? NO (Provide City Attorney Office approval) <br />? AUTO [I CGL (Commercial General Liability) <br />? PROFESSIONAL LIABILITY ? WORKERS COMPENSATION <br />COMMENTS: signature by City Manager and City Clerk on certificate of acceptance for easement deed <br />DO NOT PROCESS <br />? Needs Council Approval <br />? Missing Signatures <br />? Other <br />* Charter amendment effective December 21, 2006 for City Manager contract authority increase; NS-2717 <br />I: IAgreementfform - AGREEMENT PROCESSING FORM_canary.doc <br />Revised: 111712012 <br />cape <br />AGREEMENT NUMBER (if amendment): A / N NA