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<br />I" ^'! <br />I, !2'lf, <br />CHECKLIST FOR PROCESSING AGREEMENTS AND AMENDMENTS <br /> <br />., <br /> <br /> <br />,.,,.,.,.. ~ <br /> <br />TO: CLERK OF THE COUNCIL OFFICE <br /> <br />FROM: DEPT.: <br /> <br />CDA. <br /> <br />CONTACT PERSON:---.l~9OE' <br /> <br />A l-VIJLf2E'7- <br /> <br />MAIL STOP: 8'(., <br />EXT. 1 ()() 7 <br /> <br />THE FOLLOWING ITEMS SHOULD BE PROVIDED IN REQUESTING PROCESSING OF AGREEM~HE CITY: <br />AGREEMENT NUMBER (if amendment): A I NJ"'~000- 007-0f <br /> <br />AMENDMENT NUMBER (if applicable): <br /> <br />~1ST <br /> <br />o 2ND <br /> <br />o 3RD <br /> <br />o <br /> <br />COUNCIL APPROVAL DATE: <br /> <br />AMOUNT <br />NAME OF CONSULTANT: 'j)( n <br /> <br /> <br />UNDER $10,000 <br />d S~ ~/lC. <br />TERMINATION DATE ".~tI- {j7 <br /> <br /> <br />TERM OF AGREEMENT: EFFECTIVE DATE: <br />INSURANCE REQUIRED: 0 NO <br /> <br />YYES <br /> <br />o AUTO <br />o PROFESSIONAL LIABILITY <br /> <br />IfyeS~ ATTACHED 0 IN PROGRESS <br /> <br />J!! CGL (Commercial General Liability) <br />o 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 />/' <br /> <br />AGENCY (UNDER $10,000) <br />OTHER tht, (;/ut- <br /> <br />COMMENTS: <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 />