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CONTRACT/AGREEMENT TRANSMITTAL FORM <br />New Amendment ❑ Contract # <br />Approved by Council <br />Subject/Summary: <br />Yes No ❑ <br />Routing order. <br />Finance <br />City Attorney 1 all <br />City Manager n <br />City Clerk <br />Sole Source: Yes ❑ No ❑ <br />(If yes, explain below) <br />77-"t- P-�'y(o <br />Meeting Date: L,-, h (Ifno, explain below) <br />Initiating Department: Staff Member: �i SSCk ext.: 56 a 3 <br />Funding Source: _ Yt_ A Budgeted: Yes ❑{Ifno, explain below) <br />Surety/Performance Bond(s) Yes ❑ No ❑ fid, attach to the contract) <br />Certificates of Insurance: G Auto ❑ Excess ❑ W/C ❑ Prof. ❑ Other ❑ <br />=License <br />UuaExpiration Date: (do not attach) <br />Consultant requires filing a Statement of Economic Interest: Yes ❑ No 0 (If no, explain below) <br />Executed agreement will be mailed to name & address on contract unless otherwise indicated: <br />Attorney consulted: Jonathan ❑ Julie ❑ <br />Document to be recorded by: City ❑ Other ❑ <br />Explanation(s): <br />Larissa tj Renee ❑ None ❑ <br />