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N-2013-135 <br />COTC PROCESSING FORM <br />Agreements/ Amendments AD- dq PM 4:21 <br />Ut, WT <br />)p <br />•t s' A ANA <br />6LE < , . OUNCIL <br />TO: CLERK OF THE COUNCIL OFFICE <br />FROM: DEPT.: DEVELOPMENT ENGINEERING <br />MAIL STOP: M-93 <br />PROJECTMANAGER: ANDERSON CHRYSOSTOMO EXT.: 5838 <br />AMENDMENT NUMBER (if applicable): ? 1 ST ? 2ND R 3RD ? <br />NAME OF CONSULTANT/ PARTY: RANCHO SANTIAGO COMMUNITY COLLEGE DISTRICT <br />AMOUNT: ? * OVER $25,000 -(A) ® *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 />m 1) NOT approved by council. <br />? 2) Approved by council. <br />COUNCIL APPROVAL DATE: NA ITEM #: <br />TERM OF AGREEMENT- EFFECTIVE DATE: <br />NA <br />TERMINATION DATE: <br />SIGNATURES REQUIRED: ? VENDOR ? AGENCY <br />? CITYATTORNEY 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: signature by City Manager and City Clerk on certificate of acceptance for recording <br />for offer of dedication <br />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 />IAAgreennentMForm -AGREEMENT PROCESSING FORM_canary.doc <br />Revised: 111712012 <br />Cd` <br />.54/? o ? <br />AGREEMENT NUMBER (if amendment): A / N NA