Laserfiche WebLink
N-2016-035 <br />D <br />COTC PROCESSING FORM Clear'Form Agreements / Amendments / Deeds 1�'' I„ 16 <br />0 1 T Y <br />TO: CLERK OF THE COUNCIL OFFICE <br />FROM: DEPT.: Santa Ana Police Department MAIL STOP: M-97 <br />PROJECT MANAGER: Commander Colon EXT.: xsalo <br />AGREEMENT NUMBER (if amendment): A / N <br />AMENDMENT NUMBER (if applicable): ❑ 1ST 0 2ND F-] 3RD ❑ <br />NAME OF CONSULTANT I PARTY: CHAT Grant Service Providers <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 />TERM OF AGREEMENT- EFFECTIVE DATE: <br />ITEM #: <br />TERMINATION DATE: <br />SIGNATURES REQUIRED: VENDOR © AGENCY <br />�/ CITY ATTORNEY ❑ OTHER <br />10-30-19 <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: MOU <br />ONLY: ❑ 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: IAgreementsftrm -AGREEMENT PROCESSING FORM_canary.doc <br />Revised: 1/17/2012 <br />