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<br />A/~r;2fJo6-//..3 <br /> <br /> <br />" <br /> <br />" <br /> <br />CHECKLIST FOR PROCESSING AGREEMENTS AND AMENDM{NTS <br /> <br />FROM: DEPT.: <br /> <br />, <br /> <br />MAIL STOP: gc; <br /> <br />EXL 1Jb-C:::j-JbCJ 0 <br />I <br />THE FOLLOWING ITEMS SHOULD BE PROVIDED IN REQUESTING PROCESSING OF AGREEMENTS FOR THE CITY: <br /> <br /> <br />TO: <br /> <br />CONTACT PERSON: <br /> <br />AGREEMENT NUMBER (if amendment): A I N <br /> <br />AMENDMENT NUMBER (if applicable): <br />COUNCIL APPROVAL DATE: <br />AMOUNT: VER $10,000 ~NDER/ 10,000 e. 9-. <br />NAME OF CONSULTANT: 1 j <br />TERM OF AGREEMENT: EFFECTIVE DATE:~': TERMINATION DATE: <br />INSURANCE REQUIRED: 0 NO ~/jtJ0 <br />~ES If yeS~TTAcHED 0 IN PROGRESS <br />o AUTO ~L (Commercial General Liability) <br />o PROFESSIONAL LIABILITY ~ORKERS COMPENSATION <br />(INS, APPROVAL REQUIRED BY CAO PRIOR TO SUBMITTING TO COTC) <br /> <br />o 1ST <br /> <br />o 2ND <br /> <br />o 3RD <br /> <br />o <br /> <br /> <br />SIGNATURES REQUIRED: <br />~' VENDOR <br />~ CITY ATTORNEY <br /> <br />COMMENTS: <br /> <br />FOR CLERK OFFICE U <br /> <br /> <br />AGENCY (UNDER $10,000) <br />OTHE~ <br />j\ (/ Nli/ <br /> <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 />