Laserfiche WebLink
. COTC PROCESSING FORM <br />Agreements / Amendments / Deeds <br />TO: CLERK OF THE COUNCIL OFFICE <br />FROM: DEPT.: Planning & Building Agency <br />PROJECT MANAGER: Rosa Barela c/o Hallv Soboleske <br />MAIL STOP: M20 <br />EXT.: 2705 <br />AGREEMENT NUMBER (if amendment): A / N •" A^" l_I 3&) <br />AMENDMENT NUMBER (if applicable): <br />NAME OF CONSULTANT / PARTY: <br />❑ 1ST []2ND ® 3RD <br />Owner: Gary E. Humphreys & Julie H <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 />❑ 1) NOT approved by council. <br />❑ 2) Approved by council. <br />COUNCIL APPROVAL DATE: Dec. 2, 2014 <br />ITEM #: <br />25A - 3 <br />TERM OF AGREEMENT- EFFECTIVE DATE: Dec. 2, 2014 TERMINATION DATE: <br />SIGNATURES REQUIRED: ❑ VENDOR [-]AGENCY <br />❑ CITY ATTORNEY ❑ OTHER <br />(INSURANCE APPROVAL REQUIRED BY CAO 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: Requires David Cavazos' notarized signature. <br />- Charter amendment effective December 21, 2006 for City Manager contract authority increase; NS -2717 <br />JAAgreementslForm - AGREEMENT PROCESSING FORM_Canary.doc <br />Revised: 1/17/2012 <br />