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COTC PROCESSING FORM <br />Agreements / Amendments / t", q,�n _9 p4; ;: 7 <br />CITY OF S,HTA <br />CLERK OF <br />TO: CLERK OF THE COUNCIL OFFICE <br />FROM: DEPT.: Parks, Recreation and Community Services Agency <br />PROJECT MANAGER: Silvia Cuevas <br />AGREEMENT NUMBER (if amendmen A / N \, ' )CV],M0111 tb)-Al — <br />AMENDMENT NUMBER (if applicable): LJ 1ST ❑ 2ND I 1 3RD <br />CL� �j%4/ <br />MAIL STOP: <br />EXT.: <br />M-23 <br />5254 <br />NAME OF CONSULTANT / PARTY: Omnipoint Communications Inc. (T-Mobile USA, Crown Castle) 1 <br />AMOUNT: ❑ *OVER $25,000—(A) m *UP TO $25,000 - (N) Note: If your agreement with a vendor exce ds $25,000 <br />within a Fiscal Year, then you will need to ob in Council <br />Approval. <br />1) NOT approved by council. <br />❑ 2) Approved by council. <br />COUNCIL APPROVAL DATE: N/A ITEM #: <br />TERM OF AGREEMENT- EFFECTIVE DATE: <br />TERMINATION DATE: <br />N/A <br />SIGNATURES REQUIRED: 0 VENDOR © AGENCY <br />71 CITYATTORNEY ©OTHER <br />(INSURANCE APPROVAL REQUIRED BY. CAD 'PRIOR TO SUBMITTING TO COT <br />INSURANCE REQUIRED: El YES NO (Provide City Attorney Office appr val) <br />❑ AUTO ❑ CGL (Commercial General Liability) <br />❑ PROFESSIONAL LIABILITY ❑ WORKERS COMPENSATION <br />COMMENTS: T-Mobile_Crown Castle is proposing to change the antennas and replace the equ pment. <br />Nothino else is chanaina. Thev are asking that the owner of the Drooerty sion and notarize attached docu ant. <br />�yv eXv lP .t.v �c>X� <br />CLERK OFFICE USE ONLY: ❑ 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-271 <br />1:1AgreemenWf`orm -AGREEMENT PROCESSING FORM_canary,doc <br />Revised: 1/1712012 <br />