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DCOTC PROCESSING FORM <br />AGREEMENTS AND AMENDMENTS nirl JUL 15 AM II: 21 <br />TO: CLERK OF THE COUNCIL OFFICE CITY O -rA ANA <br />CLERK �WJNCIL <br />FROM: DEPT.: Fire MAIL STOP: M -80 <br />PROJECT MANAGER: Lon Smith EXT.: 5743 <br />THE FOLLOWING ITEMS NEED TO BE PROVIDED IN REQUESTING PROCESSING OF AGREEMENTS FOR THE CITY: <br />AGREEMENT NUMBER (if amendment): A / N A- 2009 -111 <br />AMENDMENT NUMBER (if applicable): ❑ 1sl ❑ 2 "U ❑ 3"" (] 5th <br />NAME OF CONSULTANT: Sapphire Technologies LLC <br />AMOUNT: <br />0 OVER $25,000` (A) <br />COUNCIL APPROVAL DATE: 6/21/10 <br />❑ UNDER $25,000' (N) <br />ITEM #: <br />TERM OF AGREEMENT- EFFECTIVE DATE: 711110 <br />SIGNATURES REQUIRED: <br />TERMINATION DATE: 6/30/11 <br />[Z] VENDOR ❑ AGENCY <br />❑r CITY ATTORNEY ❑ OTHER <br />(INSURANCE APPROVAL REQUIRED BY CAO PRIOR TO SUBMITTING TO COTC) <br />INSURANCE REQUIRED: Q YES ❑ NO (Provide City Attomey Office approval) <br />❑ AUTO ❑ CGL (Commercial General Liability) <br />❑ PROFESSIONAL LIABILITY ❑ WORKERS COMPENSATION <br />COMMENTS: <br />ONLY: <br />❑ PROCESS ❑ DO NOT PROCESS <br />❑ MISSING CONTACT /PROJECT MANAGER <br />INFORMATION <br />• MISSING SIGNATURES <br />— <br />• NEEDS COUNCIL APPROVAL <br />ti _i ❑ OTHER <br />ADDITIONAL REMARKS: <br />' Charter amendment effective December 21. 2006 for Citv Manaaer contract authority increase <br />