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HomeMy WebLinkAboutCSP SEXUAL ASSAULT VICTIM SERVICES 2-2015COTC PROCESSING FORM D Agreements / Amendments / Deeds TO: CLERK OF THE COUNCIL OFFICE FROM: DEPT.: Santa Ana Police Department PROJECT MANAGER: Commander Colon N-2016-034 MAIL STOP: M-97 EXT.: x8410 AGREEMENT NUMBER (if amendment): A / N AMENDMENT NUMBER (if applicable): ❑ 1 ST ❑ 2ND F� 3RD ❑ NAME OF CONSULTANT / PARTY: Community Service Programs (CSP) Sexual Assault Victim Services (SAVS) AMOUNT: ❑ *OVER $25,000 —(A) m *UP TO $25,000 - (N) Note: If your agreement with a vendor exceeds $25,000 within a Fiscal Year, then you will need to obtain Council Approval. ® 1) NOT approved by council. ❑ 2) Approved by council. COUNCIL APPROVAL DATE: TERM OF AGREEMENT- EFFECTIVE DATE: 9-1-15 ITEM #: TERMINATION DATE: 8-31-18 SIGNATURES REQUIRED: IT VENDOR © AGENCY © CITY ATTORNEY ❑ OTHER (INSURANCE APPROVAL REQUIRED BY CAO PRIOR TO SUBMITTING TO COTC) INSURANCE REQUIRED: ❑ YES NO (Provide City Attorney Office approval) ❑ AUTO ❑ CGL (Commercial General Liability) ❑ PROFESSIONAL LIABILITY ❑ WORKERS COMPENSATION COMMENTS: MOU DO NOT PROCESS ❑ Needs Council Approval ❑ Missing Signatures ❑ Other R Charter amendment effective December 21, 2006 for City Manager contract authority increase; NS -2717 OAgreements\Form - AGREEMENT PROCESSING FORM_canary.doc Revised: 1/17/2012