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~,.~~ <br />~~ COTC PROCESSING FORM <br />~,~ AGREEMENTS AND AMENDMENTS <br />c • ~# 1 <br />TO: CLERK OF THE COUNCIL OFFICE <br />FROM: DEPT.: Parks, Recreation and Community Services A enc MAIL STOP <br />PROJECT MANAGER: Carla Thompkins EXT. <br />...r <br />.' , <br />M-23 _ <br />4222 <br />THE FOLLOWING ITEMS NEED TO BE PROVIDED IN REQUESTING PROCESSING OF AGREEMENTS FOR THE CITY: <br />AGREEMENT NUMBER (if amendment): A / N <br />AMENDMENT NUMBER (if applicable): ^ 1~' ^ 2NO ^ 3RO ^ <br />NAME OF CONSULTANT: County of Orange <br />AMOUNT: ^ OVER $25,000* (A) ^ UNDER $25,000* (N) <br />COUNCIL APPROVAL DATE: ITEM #: <br />TERM OF AGREEMENT- EFFECTIVE DATE: 10/17/2007 <br />SIGNATURES REQUIRED: <br />TERMINATION DATE: 12/31/2009 <br />® VENDOR ®AGENCY <br />® CITY ATTORNEY ^ OTHER <br />(INSURANCE APPROVAL REQUIRED BY CAO PRIOR TO SUBMITTING TO COTC) <br />INSURANCE REQUIRED: ^ YES ^ NO (Provide City Attorney Office approval) <br />^ AUTO ^ CGL (Commercial General Liability) <br />^ PROFESSIONAL LIABILITY ^ WORKERS COMPENSATION <br />COMMENTS: Attached is the fully executed agreement from the County of Orange extending the Jerome Center <br />grant agreement through December 31, 2009. FYI -- as of 12/29/08 City has received full funding from the County, <br />therefore, the terms of the contract have been fulfilled and agreement can now be terminated. <br />FOR CLERK OFFICE USE ONLY: <br />^ PROCESS <br />I ADDITIONAL REMARKS: <br />^ DO NOT PROCESS <br />^ MISSING CONTACT/PROJECT MANAGER <br />INFORMATION <br />^ MISSING SIGNATURES <br />^ NEEDS COUNCIL APPROVAL <br />^ OTHER <br />* [~har4o~ amnnrlme + ff i n L n~ <br />_••---•--- -------•••....• ~ •, wvv ,v, way ~nanay~r GvnifaCi aULr10PILy IIICI'@1S@. <br />