HomeMy WebLinkAboutLW08-252 - Original - AT&T Corp. - Limited Street License - 07/25/2008 LIMITED STREET LICENSE BETWEEN
THE CITY OF KENT AND
AT&T CORP.
THIS LIMITED STREET LICENSE ("License") is entered into between the CITY OF KENT,
a Washington Municipal Corporation ("City"), and AT&T CORP., a New York corporation
("Licensee").
RECITALS
WHEREAS, Licensee seeks to operate its telecommunications system in the City of Kent;
and
WHEREAS, Licensee has requested that the City grant a permit to use City right-of-way
to operate its telecommunications system within the City; and
WHEREAS, the City has agreed to issue this license, which constitutes a use permit
under Chapter 35.99 Revised Code of Washington, for a telecommunications system; and
WHEREAS, the City is willing to enter into this License under the terms and conditions
set forth in this License so that Licensee can continue to operate and maintain its existing
facilities;
NOW, THEREFORE, THE CITY AND LICENSEE AGREE AS FOLLOWS:
LICENSE
1. License Granted. The City grants Licensee this Limited Street License for a
period of five (5) years from the effective date of this License to install, construct, operate,
maintain, remove, repair, reconstruct, replace, use and inspect a telecommunications system
and all related equipment ("Telecommunications System") across, along, in, upon, and under
the City's right-of-ways described in Exhibit A, which is attached and incorporated by this
reference. A general description of the plans and specifications for this Telecommunications
System is attached as Exhibit B. This License is subject to all the terms and conditions
established below.
2. Consideration. In consideration of the City's issuance of this License, Licensee
shall, at the time of execution of this License, pay to the City a one-time amount in the sum of
FIVE THOUSAND AND N0/100 DOLLARS ($5,000.00) prior to the commencement of this
License.
3. Revocation and Termination. The intent of this License is to authorize
Licensee to operate its Telecommunications System on the designated City right-of-ways, which
right-of-ways constitute a valuable property interest owned by the City. This License does not
grant an estate in the land described in Exhibit A; it is not an easement; it is not a franchise; it
is not exclusive; and, it does not exclude the City from full possession of the property described
in Exhibit A. As a license upon real property, it is revocable at the will of the City. However,
prior to termination or revocation by the City, the City shall provide Licensee with at least sixty
(60) calendar days written notice of that termination or revocation. Upon the effective date of
LIMITED STREET LICENSE--Page 1 of 6 April 8, 2008
(between City of Kent and AT&T Corp.)
the City's termination or revocation, the City may require Licensee to commence to remove the
Telecommunications System within thirty (30) calendar days; if Licensee fails to remove the
Telecommunications System within a reasonable time thereafter, the City may remove all or
part of the Telecommunications System and Licensee waives any right it may have to any claim
for damages of any kind incurred as a result of the City's removal of all or part of the
Telecommunications System.
4. Permits Required. The City's grant of this License does not release Licensee
from any of its obligations to obtain applicable local, state, and federal permits necessary to
install, construct, operate, maintain, remove, repair, reconstruct, replace, use and inspect the
Telecommunications System. Licensee's failure to comply with this Section 4 shall constitute
grounds for immediate revocation by the City, following notice to Licensee and a reasonable
opportunity to cure. The consideration in Section 2 is in addition to any fees required for
applicable local, state, and federal permits.
5. Relocation. The term "relocate" shall refer to protecting, supporting,
temporarily disconnecting, moving to a new location, removing, or converting from aerial
facilities to underground facilities. Licensee shall, at its sole cost and expense, relocate all or a
part of its Telecommunications System when required by the City for reasons of traffic
conditions or public safety, widening or improvement of existing right-of-ways, change or
establishment of street grade, or the construction of any public improvement or structure by
any governmental agency acting in a governmental capacity, provided that Licensee shall, upon
receiving approval and obtaining the necessary permits from the City, have the right to bypass
in the authorized portion of the same right-of-way, any section of cable required to be
temporarily disconnected or removed.
5.1. For the purposes of this Section 5, any condition or requirement imposed
by the City upon itself or any person or entity acting on the City's behalf, (including without
limitation, any condition or requirement imposed pursuant to any contract or in conjunction
with approvals for permits for zoning, land use, construction, or development) that reasonably
necessitates the relocation of Licensee's facilities within the right-of-ways described in Exhibit A
shall be a required relocation for purposes of this section.
5.2. If the City, under its authority, causes a required relocation of all or part of
the Telecommunications System, the City, at least sixty (60) calendar days prior to the
commencement of the project requiring relocation, shall provide written notice to Licensee of
the required relocation and shall provide Licensee with copies of pertinent portions of the plans
and specifications for the project. After receipt of the City's notice, Licensee must complete the
required relocation of its affected facilities at least ten (10) calendar days prior to the
commencement of the project requiring relocation. Licensee will complete this required
relocation at no charge or expense to the City. Further, Licensee's relocation shall be
accomplished in a manner that reasonably accommodates and does not unreasonably interfere
with the project requiring relocation. When other utilities are present and involved in
relocation, the City will attempt to coordinate the relocation of the utilities.
5.3. Licensee may, after receipt of the City's written notice requesting
relocation, submit written alternatives to the City. The City will evaluate those alternatives to
determine if any of the alternatives can accommodate the work that would otherwise
necessitate the relocation of the Telecommunications System. If requested by the City,
Licensee will submit additional information to assist the City in making its determination. The
City will give each alternative proposed by Licensee full and fair consideration. In the event the
City ultimately determines that no reasonable or feasible alternative exists, Licensee shall
relocate its facilities as otherwise provided in this Section 5.
LIMITED STREET LICENSE--Page 2 of 6 April 8, 2008
(between City of Kent and AT&T Corp.)
5.4. Notwithstanding the above provisions in this Section 5, the Licensee may
seek reimbursement from the City for its actual relocation expenses under any one of the
following conditions:
5.4.1. If the City has required the Licensee to relocate these facilities at
Licensee's cost within five (5) years of the date of a request for relocation; or
5.4.2. If the Licensee holds an ownership share in the aerial supporting
structures (defined as poles or pole-like structures) for its facilities, and if the City requires an
aerial to underground relocation of Licensee's facilities, the City will pay the additional
incremental costs of undergrounding these facilities compared to an aerial relocation of the
facilities, or will pay those costs required in any approved tariff, if less than the additional
incremental costs; or
5.4.3. If the City requests relocation solely for aesthetic purposes.
5.5. Facilities should be relocated within right of way whenever physically
possible. City shall not be responsible for the cost of easement rights for relocation of facilities
unless the facilities to be relocated are upon private property and responsibility for new
easement rights is assigned to the City by an approved tariff. In such event, the cost of
replacement easement rights shall be an offset in City's favor against just compensation for
easement rights taken.
5.6. In the event that a relocation of any of the Telecommunications System is
required by any person or entity other than the City, so long as that person or entity is not
acting on the City's behalf in conducting any of the activities described in this Section 5,
Licensee shall make those arrangements, including compensation for Licensee's relocation cost,
that it deems appropriate with that person or entity.
5.7. Notwithstanding all of the above, the City may require the relocation of
the telecommunications system at Licensee's expense in the event of an unforeseen emergency
that creates an immediate threat to the public safety, health or welfare, but still subject to
reimbursement under 5.4.
5.8. The provisions of this Section 5 shall survive the expiration or termination
of this License.
5.9. Licensee shall not be responsible for any costs associated with relocation
of the City's four inch (4") conduit facilities.
5.10. Licensee shall not erect poles, run or suspend wires, cables, or other
facilities, in any area without prior written approval from the City.
6. Emergency. In the event of any emergency in which any portion of the
Telecommunications System breaks, becomes damaged, or in any other way becomes an
immediate danger to the property, life, health, or safety of any individual, Licensee shall
immediately take the proper emergency measures to remedy the dangerous condition without
first applying for and obtaining a permit as required by this License. However, this emergency
work shall not relieve Licensee from its obligation to obtain all permits necessary for this
purpose, and Licensee shall apply for those permits within the next two succeeding business
days.
LIMITED STREET LICENSE--Page 3 of 6 April 8, 2008
(between City of Kent and AT&T Corp.)
7. Indemnification. Licensee shall comply with the following indemnification
requirements:
7.1. Licensee shall defend, indemnify and hold the City, its officers, officials,
employees, agents, assigns and volunteers harmless from any and all claims, actions, injuries,
damages, losses or suits, including all legal costs, witness fees and reasonable attorney fees,
arising out of or in connection with the performance of any of Licensee's rights or obligations
granted by this License, but only to the extent of the negligence or comparative fault of
Licensee, its employees, agents, contractors, subcontractors, consultants, subconsultants or
assigns. In the event that a third party claim arises in whole or in part due to delays in
relocation of Licensee's facilities and such claim is subject to binding arbitration, Licensee shall
submit to the jurisdiction of the arbitrator and the provisions of this section 7.1 shall otherwise
apply.
7.2. The City's inspection or acceptance of any of Licensee's work when
completed shall not be grounds to avoid any of these covenants of indemnification.
7.3. These indemnification obligations shall extend to any claim, action or suit
that may be settled by compromise, provided that Licensee shall not be liable to indemnify the
City for any settlement agreed upon without the consent of Licensee; however, if Licensee
consents to the agreed upon settlement, then Licensee shall indemnify and hold the City
harmless as provided for in this Section 7 by reason of that settlement. Moreover, if Licensee
refuses to defend the City against claims by third parties, Licensee shall indemnify the City
regardless of whether the settlement of such claims is made with or without Licensee's consent.
7.4. In the event that Licensee refuses to accept tender of defense in any
claim, action or suit by a third party pursuant to this Section 7 and if Licensee's refusal is
subsequently determined by a court having jurisdiction (or such other tribunal that the parties
shall agree to decide the matter) to have been a wrongful refusal, then Licensee shall pay all
the City's costs for defense of the action, including all legal costs, witness fees and reasonable
attorneys' fees and also including the City's costs, including all legal costs, witness fees and
reasonable attorneys' fees, for recovery under this indemnification clause (Section 7).
7.5. The provisions of this Section 7 shall survive the expiration or termination
of this Agreement.
S. Insurance. Licensee shall procure and maintain for the duration of this License,
insurance of the types and in the amounts described below against claims for injuries to persons
or damage to property which may arise from or in connection with the performance of the work
by Licensee. Licensee also agrees to require the same coverage of its agents, representatives,
employees, contractors, subcontractors,consultants,subconsultants or assigns performing work
under the scope of this License and to assure that such coverage is maintained.
8.1. Before beginning work on the project described in this License, Licensee
shall provide a Certificate of Insurance evidencing:
8.1.1. Automobile Liability insurance with limits no less than $1,000,000
combined single limit per accident for bodily injury and property damage; and
8.1.2. Commercial General Liability insurance written on an occurrence
basis with limits no less than $2,000,000 combined single limit per occurrence and general
aggregate for personal injury, bodily injury and property damage. Coverage shall include but
not be limited to: blanket contractual; products/completed operations/broad form property
LIMITED STREET LICENSE--Page 4 of 6 April 8, 2008
(between City of Kent and AT&T Corp.)
damage; explosion, collapse and underground (XCU); and employer's liability.
8.1.3. Excess Liability insurance with limits not less than $2,000,000 per
occurrence and aggregate.
8.2. Any payment of deductible or self-insured retention shall be the sole
responsibility of Licensee.
8.3. The City, its officers, officials, employees, agents, assigns and volunteers
shall be named as an additional insured on the insurance policy, as respects work performed by
or on behalf of the Licensee and shall make its endorsement available for inspection by the
Licensor. Licensor waives no rights and Licensee is not excused from performance if Licensee
fails to provide Licensor with a paper copy of the endorsement naming the City as an additional
insured.
8.4. Licensee's insurance shall contain a clause stating that coverage shall
apply separately to each insured against whom claim is made or suit is brought, except with
respects to the limits of the insurer's liability.
8.5. Licensee's insurance shall be primary insurance as respects the City, and
the City shall be given thirty (30) calendar days prior written notice electronically and by United
States mail of any cancellation, suspension or material change in coverage.
9. Modification. This License may not be modified, altered, or amended unless
first approved in writing by the City.
10. Assignment. Licensee may assign all or any portion of its rights, benefits, and
privileges, in and under this License subject to and conditioned upon approval of the City,which
approval will not be unreasonably withheld or delayed. Licensee shall, no later than thirty (30)
days of the date of any proposed assignment, file written notice of intent to assign the License
with the City together with the assignee's written acceptance of all terms and conditions of the
License and promise of compliance. Notwithstanding the foregoing, Licensee shall have the
right, without such notice or such written acceptance, to mortgage its rights, benefits, and
privileges in and under this License to the Trustee for its bondholders and assign to any
subsidiary, parent, affiliate or company having common control with Licensee so long as notice
of same is provided to the City and provided Licensee remains fully liable to the City for
compliance with all terms and conditions hereof until such time as the City shall consent to such
assignment as provided above.
11. Dispute Resolution; Venue; jurisdiction. In the event of any alleged breach
or threatened breach of this License by either party and if the City and Licensee are unable to
cure the breach or otherwise resolve their dispute, then final resolution of this dispute or claim
shall occur exclusively under the venue,jurisdiction and rules of the King County Superior Court
located in Kent, Washington. Each party shall also be responsible for its own legal costs and
attorney fees incurred in defending or bringing that claim or lawsuit.
LIMITED STREET LICENSE--Page S of 6 April 8, 2008
(between City of Kent and AT&T Corp.)
12. Notice. All notices, requests, demands, or other communications provided for in
this License shall be in writing and shall be deemed to have been given when sent by registered
or certified mail, return receipt requested, addressed as the case may be, to the addresses
listed below for each party, or to such other person or address as either party shall designate to
the other from time to time in writing forwarded in like manner.
CITY OF KENT LICENSEE:
Attn: City Clerk Attn: Right-of-Way Department
220 Fourth Avenue South AT&T Corp
Kent, WA 98403 3001 Cobb Parkway NW, Room 162
Atlanta, GA 30339
(770) 953-5500
Please Copy to:
AT&T Services, Inc.
Attn: Law Department General Attorney
&Assistant General Attorney
175 E Houston, Room 250
San Antonio, TX 78205
(770) 953-5513
13. Nothing in this License shall constitute a waiver of either parry's right to
challenge any portion of this License which is not in accordance with applicable federal, state
and local laws.
14. Notwithstanding any other provision of this License, in no event shall either party
be liable for any consequential, special, incidental, punitive, indirect or similar damages except
insofar as such damages are the result of Licensee's unreasonable failure to relocate its facilities
from or within the right of way after proper notice as herein provided.
15. This License contains the entire agreement between the parties and, in executing
it, the City and Licensee do not rely upon any statement, promise, or representation, whether
oral or written, not expressed herein.
IN WITNESS, this Limited Street License is executed and shall become effective as of the
last date signed below.
CITY: LICENSEE:
City of Ken AT&T Corp.
01 < nn <
By: By: �b'S
Print N COOKE Print Name:Its VZETTE
yor Its:
Date: O Date
APPROVED AS FORM:
By:
Kent partment
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LIMITED STREET LICENSE--Page 6 of 6 April 8, 2008
(between City of Kent and AT&T Corp.)
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Exhibit B
General description of the plans and specifications for the Telecommunications
System.
Installation of a telecommunications system consisting of. four(4) 2" diameter High Density
Polyethylene conduits, fiber optic cable(s), manholes or handholes, splice boxes, surface
location markers and other facilities or equipment. All four (4) conduits are owned by AT&T.
At installation, three (3) of the conduits were owned by AT&T, identified as the following
colors: solid white, solid orange and the orange conduit with a yellow stripe. And Touch
America, Inc. owned the fourth conduit, black in color. Since installation, Touch America
filed for bank ruptcy and AT&T purchased their assets pursuant to a "Comprehensive
Sale, Interpleader and Settlement Agreement" dated 7/12/04 which closed on
10/19/04.
Construction standards:
Material:
High Density Polyethylene(HDPE),Polyvinyl chloride(PVC)or schedule-40 black iron
steel pipe.
Conduit placement:
• Minimum depth of cover required is forty-two inches (42") unless otherwise
required by the granting authority.
• Minimum depth of cover in ditches adjacent to roads, highways, railroads, and
interstates is forty-eight inches (48") below the clean out line or existing grade,
whichever is greater.
• The minimum depth of cover in streams, river washes and other waterways is six
feet(6) below the flow line of the channel bottom or existing grade,whichever is
greater.
• Underground Obstructions: Conduit may go over, under or around various existing
facilities encountered underground as long as there is a minimum separation of
twelve (12) inches and the minimum trench depth requirements are met, unless
greater separation is required by the permit agency. If the minimum depth of cover
cannot be met,mechanical protection of the conduit in the form of concrete, steel
pipe or both is required.
Buried Warning Tape placement:
Cable warning tape shall be placed twelve(12)to eighteen(18)inches directly above the
conduit.
Manholes/Handholes installation:
The maximum spacing between manholes/handholes shall be 4,000 feet.
Surface location markers:
Markers should be visible each way from an adjoining maker but at no time shall any marker be
spaced more than five hundred feet apart.
Construction methods:
Trenching:
Where practical the conduit installation will be accomplished by trenching. The
trenching will be performed with equipment such as a backhoe, track hoe, and chain
trencher
Directional Boring:
Where required the conduit installation will be accomplished with use of a directional
bore machine.
.; .,
s(kf ;y�r CERTIFICATENUMBER
CHI-001764548-05
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
Marsh USA Inc. NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
701 Market Street,Suite 1100 POLICY.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE
St Louis,MO 63101 AFFORDED BY THE POLICIES DESCRIBED HEREIN.
Attn ATT CertRequest@marsh.com COMPANIES AFFORDING COVERAGE
COMPANY
18566-W/UMB-CRT-08-09 02 01 02 A National Union Fire Ins Co Pittsburgh PA
INSURED COMPANY
AT&T Inc.and Subsidiaries B American Home Assurance Co
AT&T Corp COMPANY
175 E Houston,Room 7-P-60
San Antonio,TX 78205 C Illinois National Ins Co
COMPANY
D
c. i
THIS IS TO CERTIFY THAT*POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED
NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY
PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,CONDITIONS AND EXCLUSIONS OF SUCH POLICIES AGGREGATE
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR DATE(MMIDDIYY) DATE(MMIDDIYY)
A GENERALLIABILITY GL9723024 (AOS) 06/01/08 06/01/09 GENERAL AGGREGATE $ 10,000,000
X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ 2,000,000
`?- 7 CLAIMS MADE FTIOCCUR PERSONAL&ADV INJURY $ 2,000,000
OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 2,000,000
FIRE DAMAGE one fire) $ 1,000,000
MED EXP(Any one on $ 10,000
A AUTOMOBILE UABILRY CA1607582 (AOS) 06/01/08 06/01/09
COMBINED SINGLE LIMIT $ 1,000,000
A X ANY AUTO CA1607583 (VA) 06/01/08 06/01/09
A ALL OWNED AUTOS CA1607584 (MA) 06/01/08 06/01/09 BODILY INJURY $
SCHEDULED AUTOS (Per Person)
HIRED AUTOS BODILYINJURY $
NON-OWNED AUTOS (Per accident)
PROPERTY DAMAGE $
GARAGE LIABILITY
AUTO ONLY-EA ACCIDENT $
ANY AUTO OTHER THAN AUTO ONLY
FACHACCIDENT $
AGGREGATE $
A EXCESS LIABILITY BE5443220 06/01/08 06/01/09 EACH OCCURRENCE $ 2,000,000
X UMBRELLA FORM AGGREGATE $ 2,000,000
OTHER THAN UMBRELLA FORM $
B WORKERS COMPENSATION D WC3621165 (AOS) 06/01/08 06101/09 X I
EMPLOYERS'UABSlrY TORYLIMITS ER
B WC3621166 (CA) 06/01/08 06/01/09 EL EACH ACCIDENT $ 1,000,000
C THE PROPRIETOR/ X INCL WC3621167 (FL) 08/01/08 06/01/09 ELDISFxsE-PDLICYLIMIT $ 1,000,000
PFFICERSIEXECUTLVE WC3621168 (IL,MI) 06/01/08 06/01/09
C OFFICERS ARE FJ(CL EL DISEASE-EACH EMPLOYEE $ 1,000,000
C OTHERWC3621169 (MA,NY) 06/01/08 06/01/09 Workers Compensation SiAiUiQKY
B Workers Compensation WC3621170 (WI) 06/01/08 06/01/09 Each Accident 1,000,000
B WC3621171 (OR) 06/01/08 06/01/09 Disease-Policy Limit 1,000,000
B WC3621172 (TX) 06/01/08 06/01/09 Disease-Each Employee 1,000,000
DESCRIPTION OF OPERATIONSILOCATIONSIVSHICLESISPECKL ITEMS
Re,Limited Street License for facilities in City owned Rights of Way
The City,its officers,officials,employees,agents,assigns and volunteers are Included as Additional Insured under the General Liability policy but only with
respect to the requirements of the contract between the Certificate Holder and AT&T Corp.
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,
THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE
City of Kent,WA CERTIFICATE HOLDER NAMED HEREIN,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
Attn•Susan Jensen
220 Fourth Avenue,South LIABILITY OF ANY KIND UPON THE INSURER AFFOlENNO COVERAGE,ITSAGENTS OR REPRESENTATIVES,OR THE
Kent,WA 98403 ISSUER OF THIS CERTIFICATE
AUTHORQED REPRESENTATIVE
of USAIn
BY:: a
Alfred A Peterfeso ~�'+�• • �J!!
,� • '"dA
R,
19
Ow,
- -- - - - - ------ --- - - - ---
--------------- ----- --------------- --
Jul-24-08 07:18aa From-CMERCIAL ACCOUNTS 812 688 1418 T-178 P.001/001 F-114
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ENDORSEMENT
This andorsament,effective 12:01 A.M. 06/01 J2008 forms a part of
policy No.GL 972-30-24 Issued to AT&T I-NC,
by NATI ORAL UNION FIRE INOURANCE COMPANY OF PITTSBURGH; PA
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL. INSURED -WHERE REQUIRED UNDER CONTRACT OR AGREEMENT
This Endorsement modifies Insurance provided under the foHowing.
i
COMMERCIAL GENERAL LIABILITY COVERAGE FORM 1
i-
SECTION If -WHO IS AN INSURED,is amended to inolude as an additional insured:
Any person or organization to whom you become obligated to Include as an additional
i
insured under this policy, as a result of any contract or agreement you enter into which
requires you to furnish insurance to that person or organization of the type provided by
this policy, but only with respect to liability arising out of your operations or premises
ovmed by or rented to you. !
However,the Insurance provided will not exceed the lesser of:
The coverage and/or limits of this policy,or
r ;
The coverage and/or limits required by said aontraot or agreement. ,
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Afilworiaqd Re emanative or
Courders�ggnarture(in States Where
Applimblol
61712 1121081 Page 1 of 1
/ CAA a70(v)?
REQUEST FOR MAYOR'S SIGNATURE
KENT Please Fill in All Applicable Boxes
W A 5 H I N G T O N
Routing Information (ALL REQUESTS MUST FIRST BE ROUTED THROUGH THE LAW DEPARTMENT)
Originator: Phone (Originator):
Date Sent: Date Required: —(DP
G
Return Signed Document to: CONTRACT TERMINATION DATE:
VENDOR NAME: DATE OF COUNCIL APPROVAL.
Brief Explanation of Document:
All Contracts Must Be Routed Through the Law Department
(This Ar o e ompleted 6y the Law Deparanent)
Received: <
Approval of Law Dept.:
�X.
Law Dept. Comments:
Date Forwarded to Mayor:
Shaded Areas to Be Completed by Administration Staff
Received: ,
Recommendations & Comments:
Disposition: 4e_ L
Date Returned:
Iage5870 • 3/05