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<br />4t ~0i00 ).-0157 -0/ <br /> <br />TO: <br /> <br />'",,'~:I,'~,r''' Jrp.-( r"f"t) r <br />, , -<1 PH /: <br />CHECKLIST FOR PROCESSING AGREEMENTS AND AMENDME~tS <br />" "A <br />:,f <br /> <br />MAIL STOP: J9 <br /> <br /> <br />FROM: DEPT.: <br /> <br /> <br />CONTACT PERSON: <br /> <br />EXL 1J1a.Y-:JHj!5 <br /> <br />THE FOLLOWING ITEMS SHOULD BE PROVIDED IN REQUESTING PROCESSING OF AGREEMENTS FOR THE CITY: <br />AGREEMENT NUMBER (if amendment): A IcE) c:2CJ:):}-()39 <br />AMENDMENT NUMBER (if applicable): ~ST 0 2ND 0 3RD 0 <br />COUNCIL APPROVAL DATE: <br />AMOUNT: 0 oVE~o,o/J)l A )(GNDER $10,000 <br />NAME OF CONSULTANT~I!. ' ~o /~~ <br />TERM OF AGREEMENT: EFFECTIVE DATE: TERMINATION DATE: <br /> <br />INSURANCE REQUIRED: 0 NO <br /> <br />~S If yes, 0 ATTACHED ~PROGRESS <br /> <br />o AUTO ~GL (Commercial General Liability) <br />o PROFESSIONAL LIABILITY 0 WORKERS COMPENSATION <br /> <br />(INS, APPROVAL REQUIRED BY CAO PRIOR TO SUBMITTING TO COTC) <br />SIGNATURES REQUIRED: ~ <br />o VENDOR AGENCY (UNDER $10,000) <br />o CITY ATT~R'Y r;l OTHER <br />COMMENTs;d/tia,i(} & /< ~ d - c7~"~ <br />.,;d-ef, t8. f'L~~/ #5 <br /> <br />FOR CLERK OFFICE USE ONLY: <br />o PROCESS 0 DO NOT PROCESS <br />o MISSING SIGNATURES <br />o NEEDS COUNCIL APPROVAL <br />o OTHER <br />ADDITIONAL REMARKS (//}au~/ Cr/;;;;/lJ 'r ~j/ DAJ/ /i6,;.Ji,;{ <br />ii-,,^.fA. tJ~ ~ <br />, <br />