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<br />"", <br />'., h <br />'.-c: If. <br />CHECKLIST FOR PROCESSING AGREEMENTS AND AMENDMENTS <br /> <br /> <br />,~ <br />"--- <br /> <br />, , <br /> <br />TO: <br /> <br />CLERK OF THE COUNCIL OFFICE <br />DEPT.: C C:f1 <br />CONTACT PERSON: ~ nf' L( <br /> <br />MAIL STOP: <br /> <br />(Y)-gs <br />S40s. <br /> <br />FROM: <br /> <br />Nle~ ( Ado <br /> <br />EXT.: <br /> <br />THE FOLLOWING ITEMS SHOULD BE PROVIDED IN REQUESTING PROCESSING OF AGREEMENTS FOR ~ITY: <br />AGREEMENT NUMBER (if amendment): A I N IV--- dOD?:, - 037 -01 ~ <br /> <br />AMENDMENT NUMBER (if applicable): <br />COUNCIL APPROVAL DATE: <br /> <br />1< 1ST <br /> <br />o 2ND <br /> <br />o 3RD <br /> <br />o <br /> <br />AMOUNT: <br />NAME OF CONSULTANT: <br />TERM OF AGREEMENT: EFFECTIVE DATE: <br /> <br />DOVER $10,000 <br />, <br /> <br /> <br />~UNDER $10,000 <br /> <br />TERMINATION DATE '" -5 l)-O 7 <br /> <br />INSURANCE REQUIRED: 0 NO <br /> <br />f.YES If yes, 0 ATTACHED 0 IN PROGRESS <br /> <br />o AUTO 0 CGL (Commercial General Liability) <br />o PROFESSIONAL LIABILITY 0 WORKERS COMPENSATION <br /> <br />(INS. APPROVAL REQUIRED BY CAO PRIOR TO SUBMITTING TO COTC) <br /> <br />SIGNATURES REQUIRED: <br />o VENDOR <br />o CITY ATTORNEY <br /> <br />o <br />o <br /> <br />AGENCY (UNDER $10,000) <br />OTHER <br /> <br />COMMENTS: <br /> <br />FOR CLER~FFICE USE ONLY: <br />[j(" 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: (Jhr ffJ7)p, 9- /02 -or::, <br />