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`.,.. <br />:: <br />-~w-- . <br />~~ 1~?~ `'=r 2`J PP1 I~ 15 <br />CHECKLIST FOR PROCESSING AGREEMENTS ANQI~IMENDMENTl~;,~ <br />CL~ ~'riL <br />TO: CLERK OF THE COUNCgqIL OFFICE <br />FROM: DEPT.: ~ VJ !~ MAIL STOP: 22- <br />CONTACT PERSON:~\ ~~e\ C~--~~~`~`i~ S L <br />EXT.: Sa q-~ <br />THE FOLLOWIN6ITEMS SHOULD BE PROVIDED IN REQUESTING PROCESSING OF AGREEMENTS FOR THE CITY: <br />AGREEMENT NUMBER (if amendment): A / N <br />AMENDMENT NUMBER (if appllcabl8): ^ t8T ^ yN~ ^ 3RO ^ <br />COUNCIL APPROVAL DATE: <br />AMOUNT: l^~OVER $10,000 ( ~NDER $10,000 <br />NAME OF CONSULTANT: I l Bo'~f ~ 1 2c~r ~C ~y^~~ O,~ ~ °--S f r ~`'C <br />TERM OF AGREEMENT: EFFECTIVE DATE:_ ~Du • ¢I2oo~TERMINATION DATE: <br />INSURANCE REQUIRED: ~^ ENO ~ <br />Ud'~YES If yes, l9'ATTACHED ~ ^ INPROGRESS <br />PI AUTO L9' CGL (Commercial General Liability) <br />^ PROFESSIONAL LIABILITY O~WORKERS COMPENSATION <br />(INS. APPROVAL REQUIRED BY CAO PRIOR TO SUBMITTING TO COTC) <br />SIGNATURES REQUIRED <br />L9' VENDOR AGENCY (UNDER $10,000) <br />CITY ATTORRNEY `- ^ OTHER p <br />COMMENTS: ~1~- ~'cl `^--- c~~.~\\~ EKeC~a~1 t¢,¢.~.z.~~' <br />FOR CLERK ICE USE ONLY: <br />PROCESS ^ DO NOT PROCESS <br />^ MISSING SIGNATURES <br />^ NEEDS COUNCIL APPROVAL <br />~, 9-d ry ^ OTHER ~7y <br />ADDITIONALREMA/RKS: {~ ~ ~,~/ifj~~ <br />