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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 8/24/16 <br />BPW Date 9113/16 <br />Name Steve Cox, Fire Chief <br />Department <br />Fire <br />Phone 9255 <br />o Legal ❑ Attorney Name Michael Schmidt <br />(1> ° Co v Controller review is required for all Contracts $5,000.00 or more <br />o o Controller Eland greater than one year in length per the City Purchasing <br />a o 0 m Policy <br />Purchasing ❑ <br />Chenk thP. Annrnnri;;fp Item Tvny — Ppniiimrl fnr All Ciihm;oeinno <br />❑ <br />Agreement <br />I ❑ Contract <br />❑ Proposal <br />❑ <br />Addendum <br />❑ <br />Claim <br />❑ <br />Bid Openin <br />❑ Bid Award I ❑ Req. to Advertise <br />I ❑ <br />Title Sheet <br />❑ <br />Quote Opening <br />❑ Quote Award <br />❑ <br />Chq Order No. <br />❑ C/O & PCA No. <br />❑ PCA <br />Ease./Encroach. <br />❑ Traffic Control <br />❑ Resolution - ZO IL <br />® <br />Unfit <br />Other: Disposable of <br />Property <br />Keauirea inrnrmannn <br />Company or Vendor Name <br />New Vendor <br />❑ Yes ❑ <br />No ❑ If Yes, Approved by Purchasing <br />MBEANBE Contractor <br />❑ MBE ❑ WBE <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />$ <br />Terms of Contract <br />Purpose/Description <br />Helmet and boots for retiree Philip Smith <br />rnr [;nanny l irriyrs r mnr <br />Amount of <br />❑ <br />❑ <br />Increase <br />Decrease <br />$ <br />$ <br />Previous Amount <br />$ <br />Current Percent of Change: <br />% <br />New Amount <br />$ <br />Total Percent of Change: <br />% <br />PO No. <br />ulspersal Arter Approval <br />Copy <br />Original <br />❑ <br />0 Stephen Cox <br />❑ <br />❑ <br />