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<br /> <br />CHECKLIST FOR PROCESSING AGREEMENTS AND AMENDMENTS <br /> <br />TO: CLERK OF THE COUNCIL OFFICE <br /> <br />FROM: DEPT.: <br /> <br />? ~ 1...1. c.1o! <br /> <br />C. It- ,J. ,J I:J LLJoi ~ 1"'" <br />M k ,L.'f '1 S ~ 4..;'; '-( <br /> <br />MAil STOP: M ~ 4 ~ <br /> <br />CONTACT PERSON: <br /> <br />EXT.: ~7t:j I <br /> <br />THE FOllOWING ITEMS SHOULD BE PROVIDED IN REQUESTING PROCESSING OF AGREEMENTS FOR THE CITY: <br />AGREEMENT NUMBER (if amendment)@/ N ~o S"' -)./ .3 <br />AMENDMENT NUMBER (if applicable): D 1ST D 2ND <br /> <br />IKI 3RD <br /> <br />D <br /> <br />COUNCil APPROVAL DATE: <br /> <br />NAME OF CONSULTANT: <br /> <br />IR OVER $10,000 D UNDER $10,000 <br />D""I.I40 R.cfNc~ - AI,)('ICa.k1l,(.~r 'I.N~(\,..N~n~""~ :ewe... <br />I <br /> <br />AMOUNT: <br /> <br />TERM OF AGREEMENT: EFFECTIVE DATE: {O - / - Ob TERMINATION DATE: '1-.Ju - 07 <br /> <br />INSURANCE REQUIRED: D NO <br />Ig1 YES <br /> <br />~v (, <br />If yes, iii ATTACHED "',,,JI'~ <br /> <br />1<-_~~vI~ <br />~ IN PROGRESS f'rI+- <br /> <br />iii AUTO <br />~ PROFESSIONAL LIABILITY <br /> <br />IE' CGl (Commercial General Liability) <br />~ WORKERS COMPENSATION <br /> <br />(INS. APPROVAL REQUIRED BY CAO PRIOR TO SUBMITTING TO COTC) <br /> <br />SIGNATURES REQUIRED: <br />B'" VENDOR <br />Er CITY ATTORNEY <br /> <br />D <br />D <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 />D MISSING SIGNATURES <br />D NEEDS COUNCIL APPROVAL <br />D OTHER <br /> <br />ADDITIONAL REMARKS: <br />