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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 9/20/16 <br />Name Michael Sniadecki Department Innovation & Tech <br />BPW Date 9/27/16 Phone Extension 6004 <br />Legal <br />Attorney Name Michael Schmidt <br />Controller ® <br />Controller review is required for all Contracts $5,000.00 or more and <br />greater than one year in length per the City Purchasing Policy <br />Purchasing <br />Check the Appropriate Item Type — Required for All Submissions <br />❑ <br />Agreement <br />❑ Contract ❑ Proposal ❑ Addendum <br />❑ <br />Professional Services <br />❑ Resolution <br />❑ <br />Bid Opening <br />❑ Bid Award ❑ Req. to Advertise ❑ Title Sheet <br />❑ <br />Quote Opening <br />❑ Quote Award <br />❑ <br />Change Order No. <br />❑ C/O & PCA No. ❑ PCA <br />❑ <br />Ease/Encroach. <br />❑ Traffic Control <br />® <br />Other: Lease/Purchase <br />ired <br />Company or Vendor Name ENS <br />New Vendor ❑ Yes ® No ❑ If Yes, Approved by Purchasing <br />MBE/WBE Contractor ❑ MBE ❑ WBE <br />MBE/WBE Contractor Requested ❑ No ❑ Yes Name of Company <br />Project Name AMP — Advanced Malware Protection <br />Project Number n/a <br />Funding Source IT Lease <br />Account No. 404-0672-415-37-11 (principal), 404-0672-415-37-12 (interest) <br />Amount $ 84,480.00 <br />Terms of Contract Subject to Capital Lease Financing (5 year) <br />Purpose/Description Appliance and Software Licensinq_Subscription for Malware <br />Amount of <br />Protection —Advanced Malware Protection <br />❑ Required Contractor's Certification Form Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc. <br />Required For Change Orders Only <br />Increase <br />Decrease <br />Previous Amount <br />Current Percent of Change: <br />New Amount <br />Total Percent of Change: <br />Dispersal After Approval <br />Copy <br />Original <br />® <br />❑ Michael Sniadecki <br />❑ <br />❑ <br />❑ <br />❑ <br />