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,:. CITY CLERK PROCESSING FORM A SA TP, €SNP CITY Cl_ RPv Agreements / Amendments / Extensions / Deeds a,pt c uSa REVIVE FUNDED? COVID FUNDED? CONFIDENTIAL? El YES N NO ❑YES 0 NO ❑YES (] NO TO: CITY CLERK'S OFFICE FROM: DEPT.: Public Works A PROJECT MANAGER: Jorge Acevedo / Attn: Hortencia Martinez MAIL STOP: M_1 1 EXT.: 3554 The following information must be provided in requesting processing of agreements / amendments / extensions / deeds for the City: (See page 2 for instructions on how to fill out the this form) NAME OF CONSULTANT / PARTY: MUSCO Sports Lighting, LLC. AGREEMENT NUMBER (if applicable): A / N AMENDMENT NUMBER ❑ 1ST ❑ 2ND ❑ 3RD ❑ 4TH (if applicable) : EXTENSION NUMBER ❑ 1ST ❑ 2ND ❑ 3RD ❑4TH (if applicable): An amendment/extension requires a copy of a Staff Report and/or initial agreement to be included. AMOUNT: 0 * OVER ❑ * $50,000 *Note: Council approval is required if an agreement with a $50,000 AND UNDER vendor exceeds $50,000 within a Fiscal Year for non- public works agreements. Bid for contracts exceedina $50,000, will continue to reauire a formal Invitation for Bid. ❑ 1) Approved by council. N 2) NOT approved by council. COUNCIL APPROVAL DATE: n/a TERM OF AGREEMENT EFFECTIVE DATE: SIGNATURES REQUIRED: ❑ VENDOR NOTARIZATION REQUIRED ❑ YES APPROVEDINSURANCE: YES ITEM #: n/a 08/2024 TERMINATION DATE: 07/31 /2024 ❑ AGENCY ❑ CITYATTORNEY N OTHER ❑E NO ❑ NO (INSURANCE APPROVAL REQUIRED BY RISK MGMT. PRIOR TO SUBMITTING TO CITY CLERK) COMMENTS: Please address physical copies to Hortencia Martinez FOR CLERK OFFICE USE ONLY: ❑ PROCESS ❑ DO NOT PROCESS ❑ Missing Signatures ❑ Needs Council Approval ❑ Other ADDITIONAL REMARKS: tp u ' ............... --- -- — 14 N�a�nac�er oe �- *Effective July 6, 2023, City Manager contract authority increased via Ordinance NS-3041. hAgreementfforms\Form -AGREEMENT PROCESSING FORM-06-19-2023-FINAL.doc Revised: 06/19/2023 Page 1 of 2