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14408-1Q9 <br />GOTG PROCESSING FORM_ clear Farrn <br />Agreements 1 Amendments 1 Deeds <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 musk be provided <br />in requesting processing of agreements /amendments l deeds for the City: <br />AGREEMENT NUMBER (if amendment): A 1 N N-201R.109 <br />AMENDMENT NUMBER (if applicable): ❑ 1 ST ❑ 2ND ❑ 3RD ❑ <br />NAME OF CONSULTANT 1 PARTY: Douglas Law <br />AMOUNT; ❑ * OVER $25,000 —(A) m *UP TO $25,000 - (N) Note: It your agreement with a vendor exceeds $25,000 <br />within a Fiscal Year, then you will need to obtain Council <br />Approval. <br />F7 1) NOT approved by council. <br />❑ 2) Approved by council. <br />COUNCIL APPROVAL DATE: NIA ITEM #: N/A <br />TERM OF AGREEMENT- EFFECTIVE DATE: 611118 TERMINATION DATE: 6130/19 <br />SIGNATURES REQUIRED: ® VENDOR F,71 AGENCY <br />© CITY ATTORNEY (7 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: <br />FOR CLERK OFFICE USE ONLY: (,f l PROCESS 11 DO NOT PROCESS <br />\ ❑ Needs Council Approval <br />.Ji 2 1 2018 ❑ Missing Signatures <br />� ` <br />ADDITIONAL REMARKS; --- V <br />* Charter amendment effective December 21, 2006 for City Manager contract authority increase-, NS-2717 <br />1:4AgreementsTorm - AGREEMENT PROCESSING FORM_carary.doc <br />Revised: 1117/2012 <br />