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COTC PROCESSING FORM <br />Agreements / Amendments / Deeds 2,,7 jUL 31 PM * 46 <br />TO: CLERK OF THE COUNCIL OFFICE CL.E��'�4F ��Ata��/a <br />FROM: DEPT.: Parks, Recreation and Community Services Agency <br />PROJECT MANAGER: Silvia Cuevas <br />AGREEMENT NUMBER (if amendment): A / N <br />MAIL STOP: <br />AMENDMENT NUMBER (if applicable): <br />❑ 1ST <br />❑ 2ND <br />3RD <br />❑ <br />NAME OF CONSULTANT / PARTY: <br />Marisca N. Secundo <br />M-23 <br />EXT.: 5254 <br />AMOUNT: ❑ * OVER $25,000 — (A) ® *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 />911) NOT approved by council. <br />❑ 2) Approved by council. <br />COUNCIL APPROVAL DATE: N/A ITEM #: <br />TERM OF AGREEMENT- EFFECTIVE DATE: <br />8/1 /17 <br />TERMINATION DATE. <br />N/A <br />7/31/18 <br />SIGNATURES REQUIRED: ® VENDOR ® AGENCY <br />FO CITY ATTORNEY q]OTHER <br />(INSURANCE APPROVAL REQUIRED BY CAD PRIOR TO SUBMITTING TO COTC) <br />INSURANCE REQUIRED: ® YES ❑ NO (Provide City Attorney Office approval) <br />❑ AUTO CGL (Commercial General Liability) <br />❑ PROFESSIONAL LIABILITY ❑ WORKERS COMPENSATION <br />COMMENTS: <br />FOR CLERK OFFICE USE ONLY: ❑ PROCESS <br />P ym 3 1 <br />ADDITIONAL REMARKS: <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 />hAgreementfform -AGREEMENT PROCESSING FORM_canary.doc <br />Revised: 1/17/2012 <br />