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ication 1st <br />CHECKLIST FOR PROCESSING AGREEMENTS AND AMENDMENTS <br />TO: CLERK OF THE COUNCIL OFFICE <br />n - <br />FROM: DEPT.: MAIL STOP: '24 <br />CONTACT PERSON: EXT.: 2747/, <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: �7bs <br />AMOUNT: �Q OVER $10,0000 ❑ UNDER $10,000 <br />NAME OF CONSULTANT: 7S 6i I <br />TERM OF AGREEMENT: EFFECTIVE DATE: 7 d TERMINATION DATE: -1AAk <br />INSURANCE REQUIRED: ❑ NO <br />4 600 <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 �Fer OTHER 61�',g Cl� <br />COMM <br />FOR CLERK OFFICE USE ONLY: <br />❑ PROCESS <br />ADDITIONAL <br />❑ DO NOT PROCESS <br />❑ MISSING SIGNATURES <br />❑ NEEDS COUNCIL APPROVAL <br />❑ OTHER <br />