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COTC PROCESSING FORM i« <br />AGREEMENTS AND AMENDMENTS <br />TO: CLERK OF THE COUNCIL OFFICE MAIL STOP: <br />FROM: DEPT.: - b 11, <br />—� ` EXT.: <br />., ^ iorr RAAnlAr;FR' i t,Yi1�, <br />AGREEMENT NUMBER (if amendment)o -- AN <br />,ST ❑ 2ND ❑ 3RD ❑ <br />AMENDMENT NUMBER (if applicable): —� - -- <br />NAME OF CONSULTANT! <br />AMOUNT: ❑ OVER $25,000" (A) <br />COUNCIL APPROVAL DATE: <br />TERM OF AGREEMENT- EFFECTIVE DATE: <br />SIGNATURES REQUIRED: <br />INSURANCE REQUIRED: <br />COMMENTS: <br />ADDITIONAL REMARKS: <br />VENDOR <br />CITY ATTORNEY <br />❑ YES <br />❑ UNDER $25,000' (N) <br />ITEM #: <br />❑ AUTO <br />❑ PROFESSIONAL LIABILITY <br />❑ PROCESS ❑ <br />for <br />TERMINATION DATE: <br />AGENCY <br />❑ OTHER <br />❑ NO (Provide City Attorney Office approval) <br />❑ CGL (Commercial General Liability) <br />❑ WORKERS COMPENSATION <br />DO NOT F <br />MISS <br />❑ <br />INF01 <br />❑ MISS <br />❑ NEE[ <br />❑ OTHE <br />p ✓� >�ywl�2� <br />