Laserfiche WebLink
s. COTC PROCESSING FORMZ�o <br />C <br />Agreements /Amendments/ Deeds <br />TO: CLERK OF THE COUNCIL OFFICE <br />FROM: DEPT.: Public Works <br />PROJECT MANAGER: Ehab Elias <br />MAIL STOP: M-93 <br />EXT.: 5627 <br />AGREEMENT NUMBER (if amendment): A / N <br />AMENDMENT NUMBER (if applicable): ❑ IST ❑ 2ND F—] 3RD ❑ <br />NAME OF CONSULTANT / PARTY: City Place Maintenance Corporation N- <br />D <br />AMOUNT: ❑ * OVER $25,000 — (A) ❑ *UP TO $25,000 - (N) Note: If your agreement with , ­a ' "p� clor eliteeds $25,000 <br />within a Fiscal Year, then you will need ta,DItta�'p Council d,t_ <br />Approval. �L !P \ <br />❑ 1) NOT approved by council. _ <br />❑ 2) Approved by council. ] 1 <br />COUNCIL APPROVAL DATE: ITEM #: <br />TERM OF AGREEMENT- EFFECTIVE DATE: 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: Utility Easement Deed at City Place (APN: 041-215-10) <br />FOR CLERK OFFICE USE ONLY/: <br />ADDITIONAL REMA S <br />QV <br />* Charter amendment effective DAmber 21, 2006 for City <br />1:1AgreementsVorm-AGREEMENT PROCESSING FORM_canary.doc <br />Revised: 1/17/2012 <br />Needs Council Approval <br />Missing Signatures <br />Other <br />contract authority increase; NS -2717 <br />