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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Department <br />Date 2/16/16 <br />BPW Date 2/23/16 Phone <br />Name Todd Skwarcan, A/C -Services <br />Fire <br />9255 <br />o Legal ® Attorney Name Michael Schmidt <br />o Controller review is required for all Contracts $5,000.00 or more <br />6 0 o Controller Eland greater than one year in length per the City Purchasing <br />(D o m Policy <br />Purchasing ❑ George King <br />Check the ADoronriate Item Tvoe — Reauired for All Submissions <br />® <br />Agreement <br />❑ Contract <br />❑ Proposal <br />I ❑ Addendum <br />❑ <br />Claim <br />Bid OpeningEl <br />Bid Award <br />ElReg. to Advertise <br />❑ Title Sheet <br />❑ <br />Quote Opening <br />❑ Quote Award <br />❑ <br />6❑ <br />Ch Order No. <br />C/O & PCA No. <br />❑PCA <br />Ease./Encroach. <br />❑ Traffic Control <br />Resolution <br />❑ <br />Other: <br />Reauired Information <br />Company or Vendor Name <br />Creative Financial Staffing <br />New Vendor <br />❑ Yes ® <br />No <br />El If Yes, Approved by Purchasing <br />MBE/WBE Contractor <br />❑ MBE ❑ WBE <br />Project Name <br />Project Number <br />Funding Source <br />Professional Services <br />Account No. <br />101.0901.422.31-06 <br />Amount <br />$ 51/hourly rate; shall not exceed the sum of $30,000, <br />Terms of Contract <br />Expiration date May 15, 2016 <br />Purpose/Description <br />Assist fiscal agent with projects as assigned. <br />For Chanoe_Orders Only <br />Amount of <br />❑ <br />❑ <br />Increase <br />Decrease <br />$ <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 />Copy <br />Original <br />® <br />❑ <br />Dispersal After Approval <br />Todd Skwarcan <br />