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<br />~ <br />~ <br />CHECKLIST FOR PROCESSING AGREEMENTS AND AMENDMENTS <br /> <br />TO: <br /> <br />CLERK OF THE COUNCIL OFFICE l <br />DEPT.: l/\NA - ~\6t ~ <br /> <br />CONTACT PERSON: ~A~ ~IEL <br /> <br />MAIL STOP: <br /> <br />3~ <br />S~lt4 <br /> <br />FROM: <br /> <br />EXT.: <br /> <br />THE FOLLOWING ITEMS SHOULD BE PROVIDED IN REQUESTING PROCESSING OF AGREEMENTS FOR THE CITY: <br /> <br />AGREEMENT NUMBER (if amendment): A I N <br /> <br />AMENDMENT NUMBER (if applicable): <br />COUNCIL APPROVAL DATE: <br />AMOUNT: 0 OVER $10,000 0 UNDER $10,000 <br />NAME OF CONSULTANT: W~~6Sr BTh.)1'-.1 SLE - ("()0't-l\'( -Gn-y <br />. <br /> <br />o 1ST <br /> <br />o 2ND <br /> <br />o 3RD <br /> <br />o <br /> <br />TERM OF AGREEMENT: EFFECTIVE DATE: <br /> <br />TERMINATION DATE: <br /> <br />INSURANCE REQUIRED: 0 NO <br />DYES <br /> <br />If yes, 0 ATTACHED <br /> <br />o IN PROGRESS <br /> <br />o AUTO <br />o PROFESSIONAL LIABILITY <br /> <br />o CGL (Commercial General Liability) <br />o WORKERS COMPENSATION <br /> <br />(INS. APPROVAL REQUIRED BY CAO PRIOR TO SUBMITTING TO COTC) <br /> <br />SIGNATURES REQUIRED: <br />o VENDOR <br />o CITY ATTORNEY <br /> <br />o <br />o <br /> <br />AGENCY (UNDER $10,000) <br />OTHER <br /> <br />COMMENTS: <br /> <br />FOR CLERK OFFICE USE ONLY: <br /> <br />o <br /> <br />PROCESS <br /> <br />o <br /> <br />DO NOT PROCESS <br />o MISSING SIGNATURES <br />o NEEDS COUNCIL APPROVAL <br />o OTHER <br /> <br />ADDITIONAL REMARKS: <br /> <br />f<:\r)esiqn\C>''i'';'I:tHn~-''. ':'JJ;'':~dner%\(;()NTRf.\J:T 1\("JHEErJl:.NTS\8oiior Plate. FORi\hF"OF\M i\qrcernl:n! PlOcessinq f~Q(iUpst, C;,:;;;rj,d'Y; <br />