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/v- z ???- o a y <br />' CHECKLIST FOR PROCESSING /V- 2 O //- O 0.S <br />1f °i?' AGREEMENTS AND AMENDMENTS ??°2 © ?/ - O O <br />?, <br />2011 JAN 1 1 i?4 ?= ?$ <br />TO: CLERK OF THE COUNCIL OFFICE _ <br />FROM DEPT: ? ? {} CITY 0 r ? •`' t A AN'A <br />G?ERi?L?NI'A?1???: 1'? - ?I ? <br />CONTACT PERSON:?J ? ?-?-??-?3 `? ??J EXT. STS I Z- <br />THE FOLLOWING TTEMS SI30ULD BE PROVIDED IN REQUESTING PROCESSING OF AGREEI??NTS FOR THE CTi'1': <br />AGREEMENT NUMBER (if amendment): A / N_ ? ? ? ? W ?-?? n? i ?S r ?? ,q ?}? C - 9 - og Z S <br />?Z«? i ? L_ Z ? c - ?- ° 8 Z ? <br />AMENDMENT NUMBER (if applicable): D 7 sr p 2"1D p gRO p <br />COUNCIL APPROVAL DATE: <br />AMOUNT: O OVER $25,000*(A) <br />D UNDER $25,000*<N) ?/? ? o C ? '? <br />NAME OF CONSULTANT: ?? Tr A ? ?? co ? O?r7 ? 'f'1Z AvJ S'?o?? ?Ti C? ? ?Jr=(-(c?1Z,T ?5?? r? \ <br />TERM OF AGREEMENT: EFFECTIVE DATE: ? 6-t ? 7 I L- ?7? TERMINATION DATE:_ b? I ? c7 ? 7 e`? I ZJ <br />INSURANCE REQUIRED: ?NO (Provide City Attorney Office approval) <br />D YES <br />O AUTO ? CGL (Commercial General Liability) <br />D PROFESSIONAL LIABILITY D WORKERS COMPENSATION <br />(INSURANCE APPROVAL REQUIRED BY CAO PRIOR TO SUBMITTING TO COTC) <br />SIGNATURES REQUII2ED: <br />D VENDOR ? AGENCY (UNDER $25,000) <br />O CITY ATTORNEY `? OTHER - Lt T -{ r-. ,? ?v .aG-c 1Z_ <br />COMMENTS: ?e,? c_ ?? ? ? -?(?/? ,?_..? ? ?`,.?,' ,? r -? ? ? ,? l?l a7 c(y? .-,o`? !' Zvi /?? <br />FOR CLERK OFFICE USE ONLY: <br />v?//? PROCESS ? <br />/-?'y /? <br />ADDITIONAL REMARKS: <br />*Charter <br />December 21, <br />DO NOT PROCESS <br />? MISSING SIGNATURE <br />O NEEDS COUNCIL APPROVAL <br />? OTHER <br />contract