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<br />2m, <br />-:', ". <br />. ...... . -.j' rd /: 37 <br />ro,. <br />CHECKLIST FOR PROCESSING AGREEMENTS AI')ID AMENDMENTS <br /> <br /> <br />'J <br /> <br />'1-, <br />. ,.'j <br />. . <br /> <br />TO: CLERK OF THE COUNCIL OFFICE <br />FROM: DEPT:Jt<CfY\n~ 9'Y'""t~~(l. MAILSTOP:~ <br />CONTACT PERSON: ;~(f\ rttr\" EXT.:~6"..i <br /> <br />THE FOLLOWING ITEMS SHOULD BE PROVIDED IN REQUESTING PROCESSING OF AGREEMENTS FOR THE CITY: <br />AGREEMENT NUMBER (if amendment) A I~~'r- . 0..3. <br />AMENDMENT NUMBER (if applicable): 0 18T 0 2NU 0 3"D <br />COUNCIL APPROVAL DATE: ~ ~ ~ ).00,* . <br />AMOUNT: 0 OVER $10,000 ~NDER $10.000 <br />NAME OF CONSULTANT Li b rY ~' UJ~~ mete.. <br />IJERMINATION DATE:~ :; \ 2 Cft1? <br /> <br />rf~k~ <br /> <br />TERM OF AGREEMENT: EFFECTIVE DATE: <br /> <br /> <br />INSURANCE REQUIRED: 0 NO <br />DYES <br /> <br />If yes, 0 ATTACHED <br /> <br />o IN PROGRESS <br /> <br />o AUTO <br />o PROFESSIONAL LIABILITY <br /> <br />o CGL (Commercial General Liability) <br />o WORKERS COMPENSATION <br /> <br />(INS. APPROVAL REQUIRED BY CAD 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 CLERI5J>FFICE USE ONLY: <br />~ PROCESS <br /> <br />DO NOT PROCESS <br />o MISSING SIGNATURES <br />o NEEDS COUNCIL APPROVAL <br />/_ 9-0 'I "0 OTHER <br />ADDITIONAL REMARKS: ~,II, ;P1.t;J,od.f)p j #~tJO{)1/--DJS-04-- <br /> <br />o <br />