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N-2014-060 <br /> Clear Form <br /> �r� �•� COTC PROCESSING FORM <br /> mot.: ,.y ; <br /> . <br /> Agreements / Amendments / Deeds t : <br /> hk11 K'• ?' f i <br /> S <br /> TO: CLERK OF THE COUNCIL OFFICE <br /> FROM: DEPT.: Parks, Recreation and Community Services Agency MAIL STOP: M-23 <br /> PROJECT MANAGER: Silvia Cuevas EXT.: 5254 <br /> The following information must be provided <br /> in requesting processing of agreements /amendments / deeds for the City: <br /> AGREEMENT NUMBER (if amendment): A / N <br /> AMENDMENT NUMBER (if applicable): ❑ 1ST ❑2ND ❑3RD ❑ <br /> NAME OF CONSULTANT I PARTY: T-Mobile MPCS CA, LLC <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 /> ✓I 1) NOT approved by council, <br /> 2) Approved by council. <br /> COUNCIL APPROVAL DATE: N/A ITEM #: N/A <br /> TERM OF AGREEMENT- EFFECTIVE DATE: 5/1/14 TERMINATION DATE: 5/31/14 <br /> SIGNATURES REQUIRED: I! VENDOR ['AGENCY <br /> ,/ CITY ATTORNEY rf OTHER <br /> (INSURANCE APPROVAL REQUIRED BY CAO PRIOR TO SUBMITTING TO COTC) <br /> INSURANCE REQUIRED: n YES Q NO (Provide City Attorney Office approval) <br /> AUTO 12] CGL (Commercial General Liability) <br /> n PROFESSIONAL LIABILITY 17 WORKERS COMPENSATION <br /> COMMENTS: <br /> FOR CLERK OFFICE USE ONLY: /. PROCESS ❑ DO NOT PROCESS <br /> ❑ Needs Council Approval <br /> ❑ Missing Signatures <br /> ❑ Other <br /> ADDITIONAL REMARKS: 2‹: <br /> * Charter amendment effective December 21, 2006 for City Manager contract authority increase; NS-2717 <br /> I:\AgreementslForm-AGREEMENT PROCESSING FORM_canary.doc <br /> Revised:1/17/2012 <br />