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<br />DEC-21-2005 11:35 <br /> <br />t"""'.IG¿ <br />/J~ fo FI; S () <br />¡OlE? <br /> <br />AGREEMENT/CONTRACT COVER SHEET <br /> <br />Date Sent Out for Signature; 10 II Pj D5 IFAS Req. # R b ~ b 5 8\ <br /> <br />From: -:;«.5i D(l. ffio).\ rrJJ\.rui'\l "D Ext. <br /> <br />Have you attached at least two copies with original signatures? G'Ýes DNa <br />To: (Check if applicable) Date S~ed <br />[Y'(l) 1&',)"",- lY'uw,-r""b;",:~ ~~.. ~ <br />ŒJ12) S.?~ ~ 0 ~c;,~\ () :!._--- <br />0 (3) Finance and Admin. Services <br />~14) City Attorney ¡ 0 i l f n c::: <br />0 (5) Citjt M~J~er I <br />0 (6) Cit¥-Gler,.k- <br />0 (7) Fi:c.ance and Adm.i,Q Spt:Uices <br />0 (8) <br /> <br />Contractor: ~. *'i ù t eo cl LÛðÐd. L l ~ <br /> <br />For: (DescrJbe work or project): ~ S ~ 1'\ °1 ~ 0 1:"4 ~ 1""\-4- <br />.pM:. \>P ~ ~;~ cjJ~ '\r -V Clln "lh-e <br />~ tV\V\. LA k'1i IQ;;.~ 0,(\ 9!J~/O.T <br />Amount ~¡{DO lI\I...JC'~UL Q~~ <br /> <br />Insurance Required: G'Ýes 0 No Waived: 0/ <br /> <br />(By whom) <br /> <br />Is This a Standard Contract which has not been altered in any way? <br />0 Yes G"No liNot, Specify Changes Made to Paragraphs: <br /> <br />~ ~ rJ.f' r...L ~~1Á.. ~ \ I ~ Ú\ XCAAj ~ 'I <br /> <br />Date Approved by Council: <br />Are Funds Budgeted: ~s 0 No <br /> <br />Term of Agreement: <br /> <br />Account Number: I L¡'O ?. S'1 .... 5 S L¡ '1 ú <br /> <br />Prior Review by CA: ~ 0 No <br />(required for all changes to standard contracts <br />and all other contracts) <br /> <br />Date of Prior Review: <br />By: D MDM D CSE 1B1LQ 0 KDC <br /> <br />Additional Comments: <br /> <br />MVF 00-01 (Rev. 2/05) <br />