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COTC PROCESSING FORM <br />�. Agreements / Amendments / Deeds <br />Project Manager is responsible to ensure agreement has beee)),AA7� MAY ?I PM 2. <br />58 <br />reviewed and approved by City Attorney, all exhibits attacheU;` <br />Certificate of Insurance meets mandatory coverage, complies <br />with CMO contract authority as defined in NS-2963, aGdTy Or= W',N A ANA <br />ultimately, agreement is ready for City Manager executiom,LL ;'j Or <br />��� <br />COTC will only be responsible for attestation of CMO signature. <br />TO: CLERK OF THE COUNCIL OFFICE <br />FROM: DEPT.: FMSA <br />PROJECT MANAGER: Sarah Ro <br />MAIL STOP: M-17 <br />EXT.: 5437 <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 />An amendment/extension requires a copy of a RFCA / initial agreement (N Agreement) to be included. <br />NAME OF CONSULTANT / PARTY: Bartel Associates, LLc <br />AMOUNT: ❑ * OVER �❑*UP TO *Note: Council approval is required if an agreement with a <br />$50,000 — (A) $50,000 - (A/N) vendor exceeds $50,000 within a Fiscal Year for non- <br />public works agreements. <br />Bid for contracts exceeding $25 000, will continue to <br />require a formal Invitation for Bid. <br />❑ 1) Approved by council. 0 2) NOT approved by council. <br />COUNCIL APPROVAL DATE: N/A <br />ITEM #: <br />TERM OF AGREEMENT EFFECTIVE DATE: 5/13/2020 TERMINATION DATE: 5/12/2024 <br />SIGNATURES REQUIRED: ❑ VENDOR ❑ DIRECTOR N CITY MANAGER W COTC <br />❑ CITY ATTORNEY ❑ STATE/ GOV. AGENCY ❑ OTHER <br />(6WSURANCE APPROVAL REVIEWED IBY RIISiK MG'MT. PRIOR TO SUBMITTING TO COTC) <br />INSURANCE REQUIRED: <br />❑ YES <br />ALL INSURANCE INCLUDED: <br />X YES <br />NOTARIZATION REQUIRED: <br />❑ YES <br />COMMENTS: <br />Please provide one original <br />copy of the <br />❑ NO (Provide City Attorney Office approval) <br />❑ NO <br />❑11 NO <br />to Sarah Ro. <br />FOR CLERK OFFICE USE ONLY: ❑ PROCESS ❑ DO NOT PROCESS <br />❑ Missing Signatures ❑Needs Council Approval ❑ Other <br />ADDITIONAL REMARKS: <br />* Effective April 18, 2019, City Manager's contract authority increased via Ordinance NS-2963. <br />I. VAgreementslForm -AGREEMENT PROCESSING FORM_canary_REVISED.doc Revised: 5/15/2020 <br />