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<br /> <br />9--, <br /> <br />~, <br /> <br />t <br /> <br />!I~: '6 l!1 8: 51 <br /> <br />CHECKLIST FOR PROCESSING AG~EtEMENTS AND~MENDMENTS <br />, <br /> <br />TO: CLERK OF THE COUNCIL OFFICE <br />FROM: DEPT.:LD A J Art (''''\1 '1 <br />CONTACT PERSON:/}6:( rf'/ I rfY'~( /:/ r/.r) <br /> <br />MAIL STOP: <br /> <br />as <br /> <br />EXT.: <br /> <br />THE FOllOWING ITEMS SHOULD BE PROVIDED IN REQUESTING PROCESSING OF AGREEMENTS FOR THE CITY: <br /> <br />AGREEMENT NUMBER (if amendment): A I N <br /> <br />AMENDMENT NUMBER (if applicable): 0 1ST <br /> <br />COUNCIL APPROVAL DATE N! A <br /> <br />o 2ND <br /> <br />o 3"D <br /> <br />o <br /> <br />AMOUNT: <br />NAME OF CONSULTANT: <br />TERM OF AGREEMENT: EFFECTIVE DATE: <br /> <br />DOVER $10,000 <br />C <br /> <br /> <br />1\UN~~~,OOO , <br /> <br />TERMINATION DATE:JcJ .-3 l- Q(c) <br /> <br /> <br />INSURANCE REQUIRED: 0 NO <br /> <br />DYES Ifyes,)( ATTACHED 0 IN PROGRESS <br /> <br />o AUTO 0 CGL (Commercial General Liability) <br />o PROFESSIONAL LIABILITY 0 WORKERS COMPENSATION <br /> <br />(INS. APPROVAL REQUIRED BY CAO PRIOR TO SUBMITTING TO COTC) <br /> <br />SIGNATURES REQUIRED: <br />o VENDOR <br />D CITY ATTORNEY <br /> <br />o <br />D <br /> <br />AGENCY (UNDER $10,000) <br />OTHER <br /> <br />COMMENTS: <br /> <br />FOR CLERK OFFICE USE ONLY: <br />rlY// 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 />