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rJ-2Q1?- ?i s <br />COTC PROCESSING FORM <br />?..? Agreements /Amendments /Deeds <br />TO: CLERK OF THE COUNCIL OFFICE <br />FROM: DEPT.: DEVELOPMENT ENGINEERING <br />PROJECT MANAGER: ANDERSON CHRYSOS <br />MAIL STOP: <br />EXT.: <br />M-93 <br />5838 <br />AGREEMENT NUMBER (if amendment): A / N NA <br />AMENDMENT NUMBER (if applicable): ? 1ST Q 2ND ? 3RD Q <br />NAME-°? ^^"?"' Tom" CITY VENTURES HOMEBUILDING <br />AMOUNT: 0 't OVER $25,000 - (A) ? SUP 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 />Q 1) NOT approved by council. <br />Q 2) Approved by council. <br />COUNCIL APPROVAL DATE: (? NA > ITEM #: N'°` <br />TERM OF AGREEMENT- EFFECT/VE OATE: NA TERM/NAT/ON GATE: NA <br />SIGNATURES REQUIRED: 0 VENDOR Q AGENCY <br />0 CITY ATTORNEY m OTHER <br />(INSURANCE APPROVAL REQUIRED BY CAO PRIOR TO SUBMITTING TO COTC) <br />INSURANCE REQUIRED: Q YES Q NO (Provide City Attorney Office approval) <br />? AUTO 0 CGL (Commercial General Liability) <br />0 PROFESSIONAL LIABILITY ? WORKERS COMPENSATION <br />COMMENTS: SIGNATURE BY CITY MANAGER AND CITY CLERK ON CERTIFICATE OF <br />ACCEPTANCE. THIS IS NOT AN AGREEMENT <br />FOR CLERK OFFICE USE ONLY: PROCESS O DO NOT PROCESS <br />O Needs Council Approval <br />q v?Y lid O Missing Signatures <br />/ D O ?r ? <br />ADDITIONAL REMARKS: ( ???R'-----????-X??.?L-_.._?? <br />- .. - _ _.... __ .__...-?.. --_. - ........_i t --..-...,?.? ...._.._? . _....?....._ _ t-_... _ -. <br />'k Charter amendment effective December 21 , 2006 for City Manager contract authority increase; NS-2717 <br />1:?.4greements\Form -AGREEMENT PROCESSING FORM_canary.doc <br />Revised: 1/17/2012