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<br />~ <br />~ <br /> <br />CHECKLIST FOR PROCESSING AGREEMENTS AND AMENDMENTS <br />ir:P,""-1! Pil!2:IO <br />CLERK OFTHE COUNCIL OFFICE <br />f":: . "r, <br />'-", -".-, <br /> <br />TO: <br /> <br />FROM: DEPT.:Sa~a-PD.Ilomela~di~~rity Division <br /> <br />MAIL STOP:M-18 <br /> <br />CONTACT PERSON: <br /> <br />01'1"'0 LA<.<FEI'. <br /> <br />EXT,: <br /> <br />fl7~7 <br /> <br />THE FOllOWING ITEMS SHOULD BE PROVIDED IN REQUESTING PROCESSING OF AGREEMENTS FOR THE CITY: <br /> <br />AGREEMENT NUMBER (if amendment): A f N <br /> <br />AMENDMENT NUMBER (if applicable): <br />COUNCIL APPROVAL DATE: <br /> <br />o 1ST <br /> <br />o 2ND <br /> <br />o 3RD <br /> <br />o <br /> <br />AMOUNT: <br /> <br />o OVER$10,000 <br /> <br />o UNDER $10,000 <br /> <br />NAME OF CONSULTANT: <br /> <br />TERM OF AGREEMENT: EFFECTIVE DATE: <br /> <br />TERMINATION DATE: <br /> <br />INSURANCE REQUIRED: 0 NO <br /> <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 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~FICE USE ONLY: <br />~ PROCESS <br /> <br />o DO NOT PROCESS <br />o MISSING SIGNATURES <br />D NEEDS COUNCIL APPROVAL <br />o OTHER <br /> <br />- rffMtlJ?7/1dcd A ~J. ~~ <br />O. <br /> <br /> <br /> <br /> <br />ADDITIONAL REMARKS: /-/1- 0 7 <br /> <br />. <br />