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�,ocaflon Js <br />CHECKLIST FOR PROCESSING AGREEMENTS AND AMENDMENTS <br />TO: CLERK OF THE COUNCIL OFFICE <br />FROM: DEPT.: Planning & Building Agency MAIL STOP: 20 <br />CONTACT PERSON: Rosa Barela EXT.: x2705 <br />THE FOLLOWING ITEMS SHOULD BE PROVIDED IN REQUESTING PROCESSING OF AGREEMENTS FOR THE CITY: <br />AGREEMENT NUMBER (if amendment): A / N <br />AMENDMENT NUMBER (if applicable): ❑ 1ST ❑ 2ND ❑ 3RD ❑ <br />COUNCIL APPROVAL DATE: September 7 2004 <br />AMOUNT: <br />❑ OVER $10,000 <br />NAME OF GQNSUL- A -. OWNER: Naomi Estrine <br />❑ UNDER $10,000 <br />TERM OF AGREEMENT: EFFECTIVE DATE: 9/6/04 TERMINATION DA <br />INSURANCE REQUIRED: ❑ NO <br />❑ YES If yes, ❑ ATTACHED ❑ IN PROGRESS <br />❑ AUTO ❑ CGL (Commercial General Liability) <br />❑ PROFESSIONAL LIABILITY ❑ WORKERS COMPENSATION <br />(INS. APPROVAL REQUIRED BY CAO PRIOR TO SUBMITTING TO COTC) <br />SIGNATURES REQUIRED: <br />❑ VENDOR ❑ AGENCY (UNDER $10,000) <br />❑ CITY ATTORNEY ❑ OTHER <br />COMMENTS: Requires Dave Ream's notarized signature <br />FOR CLERK OFFICE USE ONLY: <br />❑ PROCESS <br />ADDITIONAL REMARKS: <br />❑ DO NOT PROCESS <br />❑ MISSING SIGNATURES <br />❑ NEEDS COUNCIL APPROVAL <br />❑ OTHER <br />