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I <br />COTC PROCESSING FORM <br />Agreements / Amendments / Extensions/ Deeds <br />REVIVE FUNDED? COVID FUNDED? CONFIDENTIAL? <br />F]YES AN NO E]YES RENO El YES W NO <br />TO: CLERK OF THE COUNCIL OFFICE <br />FROM: DEPT,: City Manager's Offfice <br />PROJECT MANAGER: Daniel Soto <br />NAME OF CONSULTANT / PARTY: Immigration Defenders <br />AGREEMENT NUMBER (if applicable): A / N <br />A-2021-037 <br />MAIL STOP: M-31 <br />EXT.: 5234 <br />AMENDMENT NUMBER INN 1ST E12ND El 3RD 0 4TH <br />(if applicable) : <br />EXTENSION NUMBER 0 1ST El 2ND 171 3RD 171 4TH <br />(if applicable): <br />An arnendment/extension requires a copy of a Staff Report and/or initial agreement to be included. <br />AMOUNT: FS-1 * OVER El * $50,000 *Note: Council approval is required if an agreement with a <br />$50,000 AND UNDER vendor exceeds $50,000 within a Fiscal Year for non- <br />public works agreements. <br />Bid for contracts exceedin . 52 111 contLiLiutI2 re uaire <br />a,Torrnal fn'Vitatlori for Bid. <br />F0 1) Approved by council. n 2) NOT approved by council, <br />COUNCIL APPROVAL DATE: 1/17/23 ITEM #: 24 <br />TERM OF AGREEMENT EFFECTIVE DATE: 1/17/23 TERMINATION DATE: 1 /31 /25 <br />SIGNATURES REQUIRED: <br />F-1 <br />VENDOR <br />El AGENCY El CITY ATTORNEY no OTHER <br />NOTARIZATION REQUIRED <br />❑ <br />YES <br />50-1 NO <br />APPROVED INSURANCE: <br />MN <br />YES <br />R NO <br />(INSURANCE APPROVAL REQUIRED BY RISK MGMT. PRIOR TO SUBMITTING T10 COTC,) <br />COMMENTS: <br />FOR CLERK OFFICE USE ONLY <br />E1 Missing Signatures <br />ADDITIONAL REMARKS: <br />13 PROCESS 13 DO NOT PROCESS <br />0 Needs Council Approval E3 Other <br />10, 4U iU, UILY IVIdlidger uuntract aumorny increases via Urclinance Nb-2yb.J, <br />lAgreementsTormsTorm -AGREEMENT' PROCESSING FORM-08-13-2021-FINAL.doc Revised: 08/1312021 <br />Page 1 of 2 <br />