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~~. <br />~'•~ <br />~~ <br />r>,~ <br />~. <br />' //, a <br />J <br />CHECKLIST FOR PROCESSING AGREEMENTS AND AMENDMENTS <br />TO: CLERK OF THE COUNCIL OFFICE <br />FROM: DEPT.: C.1 ~ ~ ~ (Yl l ~ MAIL STOP: 1 <br />CONTACT PERSON: LJU (1~ 1, ( ` e - ~'fi~. 1 EXT.: ~I ,~ <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: <br />AMOUNT: ^ OVER $10,000 ~ UNDER $10,000 <br />NAME OF CONSULTANT: ~ ~ G;~ r1 ~~1 ~ ~ ~ ~` ~ (1 C- . _ _ <br />TERM OF AGREEMENT: EFFECTIVE DATE: ~ - ~~~ ~ 'll TERMINATION DATE: ~'~ ~~ c <br />INSURANCE REQUIRED: ^ NO <br /> <br />^ ATTACHED <br />YES If yes, 'IN PROGRESS <br />`` \\ <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 ^ OTHER <br />COMMENTS: <br />FOR CLERK OFFICE USE ONLY: <br />^ PROCESS <br />^ DO NOT PROCESS <br />^ MISSING SIGNATURES <br />^ NEEDS COUNC-L APPROVAL <br />^ OTHER <br />ADDITIONAL REMARKS: <br />