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ROUTING COVER SHEET <br /> CITY OR OTHER AGENCY/PARTY <br /> AGREEMENT OR AMENDMENT OR OTHER <br /> PROFESSIONAL SERVICES LESS THAN $60,000 -- NO COUNCIL/AGENCY ACTION REQUIRED <br /> OR SUPPLIES/EQUIPMENT: GREATER THAN $60,000 COUNCIL/AGENCY ACTION REQUIRED <br /> CONSTRUCTION: LESS THAN $100,000 --> NO COUNCIL/AGENCY ACTION REQUIRED <br /> GREATER THAN $100,000 - › COUNCIL/ AGENCY ACTION REQUIRED <br /> OTHER: Sidewalk Easement Deed, Stormwater Treatment Measures Maintenance, <br /> Landsacpe Maintenance Agreement for 575 El Camino Real <br /> DATE: 10/18/16 ORIGINATOR: Kristen for Kevin Fehr DIVISION: ENG EXT:7359 <br /> NAME OF CONTRACTOR: C & H Holding Company <br /> PURPOSE: Maintenance and Sidewalk Easement for 575 El Camino Real (Burger King) <br /> AGREEMENT AMOUNT: N/A <br /> ACCOUNT NUMBER: N/A <br /> AVAILABLE BALANCE: $ <br /> DATE OF REVIEW BY CITY ATTORNEY (If applicable): NA <br /> DATE OF REVIEW BY RISK MANAGER (If applicable): NA <br /> ROUTE TO INITIALS DATE DATE <br /> RECEIVED FORWARDED <br /> ORIGINATOR/SR. CIVIL ENGINEER 1 4 /f i p I ,4 d cl is <br /> 1/ ENGINEERING MANAGER/CITY ENGINEER <br /> ® DEPARTMENT HEAD <br /> (May sign agreement to execute if less than $10,000) l �) r , c.( Gcf ( ° ( L5 f )k' <br /> 1- -jGATTq�NEY <br /> (Approve as to forth) <br /> in CITY MANAGER --° 1 � <br /> (Must sign agreement to execute if $10,000 or more) )1/00 I V/2J J( /f 1O/2 & l ) C <br /> 711Y.CITY CLERK V VIP/ i 16, ( 6/201 1 C <br /> CLERK <br /> MENT REQUIREMENTS (Check items attached) <br /> ,® Proper Signature(s) <br /> • Certificate of Insurance Corporate Resolution <br /> (if applicable) <br /> /- <br /> ® Exhibits . Endorsements to III Bonds <br /> Insurance Policy <br /> II Business License ® Motion or Resolution . Other <br /> I\4r ` fi �, ( K 7 ..,. <br /> SPECIAL INSTRUCTIONS: Please notarize all signatures and return both copies to Engineering. Engineering <br /> will record and ensure Clerk receives the recorded original. <br />