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Qducation Isr <br />CHECKLIST FOR PROCESSING AGREEMENTS AND AMENDMENTS <br />TO: CLERK OF THE COUNCIL OFFICE <br />FROM: DEPT.�o �--� L r-- MAIL STOP: <br />CONTACT PERSON:'r�-->J(�!--, (-PrS r �/L EXT.: <br />ice- C(-1 <br />6044 L <br />THE FOLLOWING ITEMS SHOULD BE PROVIDED IN REQUESTING PROCESSING OF AGREEMENTS FOR THE CITY: <br />AGREEMENT NUMBER (if amendment): A / N k - ZOO (0 2 Lq\ <br />AMENDMENT NUMBER (if applicable): ❑ 1ST ❑ 2ND g�'3RD ❑ <br />COUNCIL APPROVAL DATE: e- Z( -c9C--., <br />AMOUNT: XOVER $10,000 <br />NAME OF CONSULTANT: NOV-TW" G-•GJA&AAA;\J <br />TERM OF AGREEMENT: EFFECTIVE DATE. e--z- <br />INSURANCE REQUIRED: ❑ NO <br />❑ UNDER $10,000 <br />� <br />TERMINATION DATE: <br />YES If yes, IJ'ATTACHED ❑ IN PROGRESS <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 &L- OTHER <br />COMMENTS: ! c4.2tEa!�:- C.c)Ptp,TTJ'tGtF-z-iJ �L�tiS- tl <br />W t � cvAAPL-= r7- <br />FOR CLERK OFFICE USE ONLY: <br />❑ PROCESS <br />ADDITIONAL REMARKS: <br />❑ DO NOT PROCESS <br />❑ MISSING SIGNATURES <br />❑ NEEDS COUNCIL APPROVAL <br />❑ OTHER <br />10 <br />