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<br />1m <br />~ <br /> <br />CHECKLIST FOR PROCESSING AGREEMENTS AND AMENDMENTS <br /> <br />TO: CLERK OF THE COUNCIL OFFICE <br /> <br />FROM: DEPT.: Community Development <br /> <br />CONTACT PERSON: Terry Gilbreth <br /> <br />MAIL STOP: M-37 <br />EXT.: 2221 <br /> <br />THE FOLLOWING ITEMS SHOULD BE PROVIDED IN REQUESTING PROCESSING OF AGREEMENTS FOR THE CITY: <br /> <br />AGREEMENT NUMBER (if amendment): A / N Not Applicable <br /> <br />AMENDMENT NUMBER (if applicable): <br /> <br />o 1ST <br /> <br />o 2ND <br /> <br />o 3RD <br /> <br />o <br /> <br />COUNCIL APPROVAL DATE: <br /> <br />Not Applicable <br /> <br />AMOUNT: <br /> <br />DOVER $10,000 <br /> <br />XI UNDER $10,000 <br /> <br />NAME OF CONSULTANT: <br /> <br />Pettifer and Associates <br /> <br />TERM OF AGREEMENT: EFFECTIVE DATE: Nov. 15, 2005 TERMINATION DATE: June 30, 2006 <br /> <br />INSURANCE REQUIRED: 0 NO <br /> <br />n YES <br /> <br />If yes, n ATTACHED <br /> <br />o IN PROGRESS <br /> <br />o AUTO <br />f3l: PROFESSIONAL LIABILITY <br /> <br />o CGL (Commercial General Liability) <br />f3l: 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 />Please call me at ext. 2221 when this contract is ready to pick up. <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 />