Laserfiche WebLink
COTC PROCESSING FORM <br />Agreements / Amendments / Deeds <br />^I7 <br />TO: CLERK OF THE COUNCIL OFFICE <br />FROM: DEPT.: Personnel Servies Dept <br />PROJECT MANAGER: Maribel Carmona <br />N-2016-005 <br />Clear Form' <br />N -2016-005A <br />!r <br />MAIL STOP: 24 <br />EXT,; 5353 <br />AGREEMENT NUMBER (if amendment): A / N <br />AMENDMENT NUMBER (if applicable): ❑ 1ST ❑ 2ND ® 3RD <br />NAME OF CONSULTANT/ PARTY: CODESP <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: <br />ITEM #: <br />TERM OF AGREEMENT- EFFECTIVE DATE: January 2016 TERMINATION DATE: June 30, 2016 <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: Both the "Security Agreement" and "Service Agreement" need to be signed. <br />Per Laura Rossini, liability insurance not needed. See attached email cooy. - <br />FOR CLERK <br />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 -2717 <br />I:Agreementsftnn -AGREEMENT PROCESSING FORM_canary.doc <br />Revised: 1/1712012 <br />0 <br />