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COVER SHEET <br />Professional Services Agreement/Amendment <br />TO: City Manager DATE: 1/2/2020 <br />FROM: Tramane Soberanes EXT. 7429 <br />NAME OF CONTRACTOR: Dr. Kimberly Miller <br />AGREEMENT / AMENDMENT TITLE: Agreement for Professional Services Dr. Kimberly Miller <br />ACCOUNT NUMBER: 150-62240-50 <br />DEPARTMENT HEAD AUTHORIZATION: Dave Pucci. Acting Fire Chief <br />ROUTED TO <br />INITIALS <br />DATE RECEIVED <br />DATE FORWARDED <br />®City Manager ($10,000 or more) or <br />Department Head (less than $10,000) <br />( <br />Proper Signature(s) <br />L,ffCity Clerk <br />Certificate of Insurance <br />F] Other <br />v <br />ODepartment Contact <br />Endorsements to <br />Other <br />Agreement Type (check one) <br />®Original Agreement FlAmenciment No. <br />7 Other <br />Agreement <br />Requirements (check all items received) - BOLD items are required <br />by City Attorney <br />Proper Signature(s) <br />Certificate of Insurance <br />F] Other <br />Exhibits (if applicable) <br />Endorsements to <br />Other <br />Insurance Policy <br />® <br />Business License <br />F� <br />Corporate Resolution <br />Other <br />Comments <br />Routing/Cover Sheet <br />City Attorney Approved Version 090103 <br />