Laserfiche WebLink
<br />~ <br />~ <br /> <br />CHECKLIST FOR PROCESSING AGREEMENTS AND AMENDMENTS <br /> <br />TO: CLERK OF THE COUNCIL OFFICE <br /> <br />FROM: DEPT.?oL.lC-~ <br />,--;7 <br />CONTACT PERSON:~U~ (*STt:IL <br /> <br />MAIL STOP: <br /> <br />/V\- q l <br />BoY. L <br /> <br />EXT.: <br /> <br />THE FOllOWING ITEMS SHOULD BE PROVIDED IN REQUESTING PROCESSING OF AGREEMENTS FOR THE CITY: <br /> <br />AGREEMENT NUMBER (if amendment): A I N <br /> <br />f\- -"200 Co " -Z l \ <br /> <br />AMENDMENT NUMBER (if applicable): <br /> <br />o 1ST <br /> <br />o 2ND <br /> <br />~3RD <br /> <br />o <br /> <br />COUNCIL APPROVAL DATE: 8 - 2-l -0<0 <br /> <br />AMOUNT: ~ OVER $10,000 <br /> <br />NAME OF CONSULTANT: NOQ..:{lJ/UJP &Lv^^^^^ iJ <br /> <br />TERM OF AGREEMENT: EFFECTIVE DATE~-Ll-d"-') <br />-'"L-6~ <br />INSURANCE REQUIRED: 0 NO <br /> <br />~ YES If yes, g-ATIACHED 0 IN PROGRESS <br /> <br />o AUTO 0 CGL (Commercial General Liability) <br />o PROFESSIONAL LIABILITY 0 WORKERS COMPENSATION <br /> <br />o UNDER $10,000 <br />? v~ Ll-C- Sf\. ~'i '-:!:N(.. <br />TERMINATION DATE: 8, Sl- 0"7 <br /> <br />(INS. APPROVAL REQUIRED BY CAO PRIOR TO SUBMITTING TO COTC) <br /> <br />SIGNATURES REQUIRED: <br />o VENDOR <br />o CITY A TIORNEY <br /> <br />o AGENCY (UNDER $10,000) <br />OL OTHER c... - p.A - 0 <br /> <br />COMMENTS: <br /> <br />"'rll'L~ COPl~ A..TT7i~. <br /> <br />7 L'C:A Sd ~"'l \ <br /> <br />v.J t+-c;;tJ CUMPL~ <br /> <br />... <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 />