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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 F <br /> NAME OF CONTRACTOR: C & H Holding Company I <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 /> in ORIGINATOR/SR. CIVIL ENGINEER <br /> C ENGINEERING MANAGER/CITY ENGINEER 5 <br /> DEPARTMENT HEAD Lc) / � � E } T <br /> (May sign agreement to execute if less than $10,000) ) , . ( ( <br /> C°4WI IWOR_NEY <br /> (Approve as to-form) °. <br /> _ CITY MANAGER 1, Milk" <br /> (Must sign agreement to execute if $10,000 or more) Y> /f t lc'/2 & 7, 6 <br /> ( 6/ 21 / C <br /> rftYcLERK <br /> MENT REQUIREMENTS (Check items attached) <br /> ,Proper Signature(s) Certificate of Insurance Corporate Resolution <br /> (if applicable) <br /> Exhibits Endorsements to ❑ Bonds <br /> Insurance Policy <br /> ❑ Business License ® Motion or Resolution Other <br /> 1 t c,76 <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 />