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COTC PROCESSING FORM <br />AGREEMENTS AND AMENDMENTS <br />2 Jt'? 12 PM 2: d9 <br />TO: CLERK OF THEOFFICE �. -.,- s� /� <br />FROM: DEPT.: <br />/ Q7113 i (�lfLt/L I�P{1LtiSTOP. I c�` <br />PROJECT MANAGER: 11.1 C{. 66) tvKK4 EXT.: SZV Z <br />AGREEMENT NUMBER (if amendment): A / N <br />AMENDMENT NUMBER (if appli -- "'`' <br />NAME OF CONSULTANT: <br />AMOUNT: <br />M 15T M .AND rl .,RD F1 <br />❑ OVER $25,000* (A) Ag UNDER $25,000' (N) <br />COUNCIL APPROVAL DATE: / ITEM #: <br />TERM OF AGREEMENT- EFFECTIVE DATE: �( ` I ocl TERMINATION DATE: ! N L <br />SIGNATURES REQUIRED: <br />❑ VENDOR El AGENCY <br />❑ CITY ATTORNEY ;OTHER <br />INSURANCE REQUIRED: ❑ YES xNO (Provide City Attorney Office approval) <br />❑ AUTO ❑ CGL (Commercial General Liability) <br />❑ PROFESSIONAL LIABILITY ❑ WORKERS COMPENSATION <br />COMMENTS:­VwS tS �( \U\Iu�u I-vkLLV:tGf� io&.e ���r fi�rna ""' <br />{amc\ e 4 <br />clfi twe <br />FOR UERK OFFICE USE ONLY: <br />tl <br />❑ PROCESS <br />❑ DO NOT PROCESS <br />MISSING CONTACTIPROJECT MANAGER <br />INFORMATION <br />❑ MISSING SIGNATURES <br />• NEEDS COUNCIL APPROVAL <br />• OTHER <br />ADDITIONAL REMARKS: <br />*Charter amendment ettective uecemoer c1, cvvo 1v1 a ]Ly 1.,o.Ioy�• -- -- •••_.. -, ..._. ___ _- <br />