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<br />~ <br />~ <br /> <br />-1 /7/ J~ <br /> <br />CHECKLIST FOR PROCESSING AGREEMENTS AND AMENDMENTS <br /> <br />TO: <br /> <br />CLERK OF THE COUNCIL/OFFICE <br /> <br />DEPT /ky ~ ;ffLf <br /> <br />CONTACT PERSON: ~Id W~ <br /> <br />MAIL STOP: ZLJ <br />EXT.: ~ 7d '-1' <br /> <br />FROM: <br /> <br />THE FOllOWING ITEMS SHOULD BE PROVIDED IN REQUESTING PROCESSING OF AGREEMENTS FOR THE CITY: <br /> <br />AGREEMENT NUMBER (if amendment): A / N <br /> <br /> <br />AMENDMENT NUMBER (if applicable): , ) 0 1ST <br /> <br /> <br />COUNCIL APPROVAL DATE: r b/o 4t <br />r <br /> <br />AMOUNT: XOVER $10,000 <br />NAME OF CONSULTANT: <br /> <br />o 2ND 0 3RD 0 <br /> <br />TERM OF AGREEMENT: EFFECTIVE DATE: <br /> <br /> <br />o UNDER $10,000 <br /> <br />TERMINATION DATE: <br /> <br /> <br />~ <br />t',~~A <br /> <br />INSURANCE REQUIRED: <br /> <br />o NO <br /> <br />;.u; /{)A,~",,? <br />If yes, 0 ATTACH~t'!J 0 IN PROGRESS <br /> <br />~ES <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 />p <br /> <br />AGENCY (UNDER $10,000) <br />OTHER ~ TC "-C/I;~ <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 />