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<br />,~"!_" \ CHECKLIST FOR PROCESSING <br /> <br /> <br />CHECKLIST FOR PROCESSING <br />AGREEMENTS AND AMENDMENTS <br /> <br />A -- d-tO 7- I{& <br /> <br />TO: CLERK OF THE COUNCIL OFFICE <br /> <br />FROM: DEPT.: Planning & Building Agency <br /> <br />MAIL STOP: M20 <br /> <br />CONTACT PERSON: Rosa Barela <br /> <br />EXT.: <br /> <br />2705 <br /> <br />.....TMiJOtlOWING:I7_.~,..p~~i <br /> <br />AGREEMENT NUMBER (if amendment): A 1 N <br /> <br />NIA <br /> <br />AMENDMENT NUMBER (if applicable): <br /> <br />D 1ST <br /> <br />D 2ND <br /> <br />D 3RO <br /> <br />D <br /> <br />COUNCIL APPROVAL DATE: May 21,2007 <br /> <br />AMOUNT: <br /> <br />DOVER $25,000* (A) <br /> <br />D UNDER $25,000* (N) <br /> <br />NAME OF CONSULTANT: Owner: Sara Chesters <br /> <br />TERM OF AGREEMENT: EFFECTIVE DATE: 5/21/07 <br /> <br />TERMINATION DATE: <br /> <br />INSURANCE REQUIRED: D NO (Provide City Attorney Office approval) <br /> <br />DYES <br />D AUTO <br />D PROFESSIONAL LIABILITY <br /> <br />D CGL (Commercial General Liability) <br />D WORKERS COMPENSATION <br /> <br />(INSURANCE APPROVAL REQUIRED BY CAO PRIOR TO SUBMITTING TO COTC) <br /> <br />SIGNATURES REQUIRED: <br />D VENDOR <br />D CITY ATTORNEY <br /> <br />o <br />o <br /> <br />AGENCY (UNDER $25,000*) <br />OTHER <br /> <br />COMMENTS: Requires Dave Ream's notarized signature. <br /> <br />FOR CLERK OF~ USE ONLY: <br />r..... PROCESS <br /> <br />ADDITIONAL REM RKS: <br />~ <br /> <br /> <br />o DO NOT PROCESS <br />o MISSING CONTACT/PROJECT MANAGER INFORMATION <br />o MISSING SIGNATURES <br />o NEEDS COUNCIL APPROVAL <br />o OTHER <br />e71 <:"-0"-07 <br /> <br /> <br />* Charter amendment effective December 21, 2006 for City Manager contract authority increase. <br />