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COTC PROCESSING FORM <br />Agreements 1 Amendments 1 Deeds ,,�Cy� y, £ I raj <br />CITY C[: S!'J -IT A s s <br />C L EN..ti;, }.. <br />TO: CLERK OF THE COUNCIL OFFICE <br />FROM: DEPT.: Santa Ana Police Department MAIL STOP: <br />PROJECT MANAGER: Commander Ruben Ibarra <br />Clear For7tn I <br />M -97 <br />EXT.: 6210 <br />AGREEMENT NUMBER (if amendment): A I N A- 2010 -106 <br />AMENDMENT NUMBER (if applicable): <br />NAME OF CONSULTANT I PARTY: <br />AMOUNT: * OVER $25,000 — (A) <br />COUNCIL APPROVAL DATE: <br />❑ 1ST ❑2ND F] 3RD ❑ <br />Redflex Traffic Systems, Inc. <br />❑ *UP TO $25,000 - (N) Note: If your agreement with a vendor exceeds $25,000 <br />within a Fiscal Year, then you will need to obtain Council <br />Approval. <br />❑ 1) NOT approved by council. <br />❑ 2) Approved by council. <br />ITEM #: <br />TERM OF AGREEMENT- EFFECTIVE DATE: TERMINATION DATE.• <br />SIGNATURES REQUIRED: ❑ 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: Insurance Renewal ONLY. <br />FOR CLERK OFFICE USE ONLY <br />I ADDITIONAL REMARKS: <br />❑ PROCESS ❑ DO NOT PROCESS <br />❑ Needs Council Approval <br />❑ Missing Signatures <br />❑ Other <br />* Charter amendment effective December 21, 2006 for City Manager contract authority increase; NS -2717 <br />1:1Agreements7orm - AGREEMENT PROCESSING FORM_canary.doc <br />Revised: 1117/2012 <br />