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<br />, , ',\ <br />CHECKLIST FOR PROCESSING AGREEMENTs AND AMENDMENTS <br /> <br /> <br />7-' <br /> <br />.." '-"1 <br />.' HI 8: q:. <br /> <br />( , <br /> <br />TO: CLERK OF THE COUNCIL OFFICE <br /> <br />FROM: DEPT.: ?u1?L\<- wa>\iZ-\"--'i AG;rsivG'( <br /> <br />MAIL STOP: 1-'\- '-t? <br />EXT: %\'2. <br /> <br />CONTACT PERSON: \11"-'+\ ...,G;-v'-{E:W <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): <br />COUNCIL APPROVAL DATE: wI"" <br /> <br />o 1ST <br /> <br />o 2ND <br /> <br />o 3RD <br /> <br />o <br /> <br />AMOUNT: <br /> <br />DOVER $tOOOo <br /> <br />)(UNDER $10,000 <br /> <br />l'JIWE or. CONSULT A~JT:_.t<!?V,,~J;Eb .~~"'S.E'i'?~I.~JPI,L_"""IJCl5 fL'2__S~EL,;r '" y__ <br />iERM OF AGREEMENT: EFFECTIVE DATE: \'Z.rIS Iz.o-ob__TERMINATION DATE'______ <br />INSURANCE REQUIRED: 0 NO <br />DYES If yes, ~ ATTACHED 0 IN PROGRESS <br />o AUTO 0 CGL (Commercial General Liability) <br />o PROFESSIONAL LIABILITY 0 WORKERS COMPENSATION <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 AGENCY (UNDER $10,000) <br />P: OTHER - C-ll'{ MI"-AJ'" '4-5~ <br /> <br />COMMENTS: <br /> <br />FOR CLERK OFFICE USE ONLY: <br />~PROCESS <br /> <br />o DO NOT PROCESS <br />D MISSING SIGNATURES <br />o NEEDS COUNCIL APPROVAL <br />o OTHER <br /> <br />- ~r &/f~ ~ ?h:J <br /> <br />ADDITIONAL REMARKS: riP- "/-0 7 <br />