PSA - Creative Financial Staffing, LLC - Permanent Placement of the Director of Financial Services for the SBFD

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Date Name BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM 3/21 /17 Jen Hockenhull Department A/F BPW Date 3/28/17 Phone Extension 9822 Required Prior to Submittal to Board Legal—_® Attorney Name Michael Schmidt Controller ® Controller review is required for all Contracts $5,000.00 or more and greater than one year in length per the City Purchasing Policy Purchasing Check the Appropriate Item Type — Required for All Submissions El Agreement Ll Contract ❑ Proposal ❑ Addendum ® Professional Services ❑ Resolution ❑ Bid Opening ❑ Bid Award ❑ Req. to Advertise ❑ Title Sheet ❑ Quote Opening ❑ Quote Award ❑ Change Order No. ❑ C/O & PCA No. ❑ PCA ❑ Ease/Encroach. ❑ Traffic Control ❑ Other: Required Information Company or Vendor Name Creative Financial Staffing (CFS) New Vendor ❑ Yes ® No ❑ If Yes, Approved by Purchasing MBE/WBE Contractor ❑ MBE ❑ WBE MBEM/BE Contractor Requested ❑ No ❑ Yes Name of Company Permanent Placement — Director of Financial Services — Project Name Project Number Funding Source Account No. Amount Terms of Contract Purpose/Description General Fund 101-0401-415-3106 7,500.00 Public of 1/1/17). Attached original temporary services agreement as well as the standard CFS agreement. Placement fee was decreased to 12.5% due to original arrangement with Fire's agreements upon temporary placement. This is less than the standard 15-30% placement fee per the contract. ❑ Required Contractor's Certification Form Attached (Non - Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) For Change Orders On Amount of Increase Decrease Previous Amount Current Percent of Change: New Amount Total Percent of Change: Dispersal After Approval Copy Original ® ❑ John H Murphy