CM-04-11-0730144- II -03
Request for City Council/City Manager Action
Please submit this form when placing items on the council agenda or when submitting an item to the City Manager for approval.
Department: Administration
Contact Person: Christine Martinez
Project Name: Leadership Seminar
ContractorNendor Name: Round Top Consulting Associates
Project Manager/Resource: Jim Nuse
Council Meeting Date:
Funding Source:
Assigned Attorney:
CM Signature 11-18-04
5439-100-19000 ,
Steve Sheets
Amount: $1,300.00 (contract, agreement,amendment,change order, purchase order,etc.
Is Funding Required?
Council Agenda Item Yes
Submission to City Manager - Yes
Yes X No
X
No
No
X
(see required signatures below before submission to the City Manager)
Initial Construction Contract
❑ Construction Contract Amendment #
❑ Change Order
n Change in Quantity
Fl Unforeseen Circumstances
X❑ Initial Professional Services Agreement
❑ Supplemental Professional Svcs. Agr. #
❑ Purchasing/Service Agreement
❑ Purchase Order
Item(s) to be purchased:
Other (Please clearly identify action on lines below)
Amount
1,300.00
Agenda Wording: Letter of Agreement with Round Top Consulting Associates to provide leadership workshop
facilitation for city manager and directors.
For Submission to City Manager Only
Project Mgr. Signature: Date:
Dept. Director Signature: Date:
City Attorney Signature: * Date:
City Manager Signature: Date:
*gpl Approval is required for all items requesting City Manager's approval.
Il -aa -€4
Finance Approval EI Finance -Date and Signature: 11-17-04 J. Galloway
❑ Purchasing -Date and Signature:
® Budget -Date and Signature: Cheryl Delaney 11/17/2004
g/administration/cmgr-council action.xls