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N -2MA 59 <br />� * COTC PROCESSING FORM 7013 NOV ._, Ali 9: 39 <br />Agreements / Amendments / Deeds <br />)Ta. r,. M ANIA <br />TO: CLERK OF THE COUNCIL OFFICE <br />FROM: DEPT.: DEVELOPMENT ENGINEERING MAIL STOP: M -93 <br />PROJECT MANAGER: ANDERSON CHRYSOSTOMO EXT.: 5838 <br />AGREEMENT NUMBER (if amendment): A / N NA <br />AMENDMENT NUMBER (if applicable): ❑ 1ST ❑ 2ND ❑ 3RD ❑ <br />NAME OF CONSULTANT/ PARTY: LINC- BRISTOL ASSOCIATES I, A CALIFORNIA LIMITED PARTNERSHIP <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 />❑ 1) NOT approved by council. <br />❑ 2) Approved by council. <br />COUNCIL APPROVAL DATE: NA ITEM #: <br />TERM OF AGREEMENT <br />SIGNATURES REQUIRED: <br />EFFECTIVE DATE: <br />09 <br />TERMINATION DATE: <br />❑ VENDOR ❑ AGENCY <br />❑ CITYATTORNEY [Z] OTHER <br />(INSURANCE APPROVAL REQUIRED BY CAD 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 <br />ACCEPTANCE FOR UTILITY EASEMENT. <br />DO NOT PROCESS <br />• Needs Council Approval <br />• Missing Signatures <br />❑ Other <br />ADDITIONAL REMARKS: <br />* Charter amendment effective December 21, 2006 for City Manager contract authority increase; NS -2717 <br />I:IAgreemenlslForm -AGREEMENT PROCESSING FORM_canary.doc <br />Revised: 1/1712012 <br />