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BOARD OF PUBLIC WORKS <br />AGENDA. ITEM RE' VIE' W REQUEST FORM <br />Date 7/17/17 <br />Name <br />Michael Sniadecki <br />Department <br />Innovation & Tech <br />BPW D ate , <br />7125117 <br />Phone Extension <br />6004 <br />Legal Attorney Name Michael Schmidt <br />Controller 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 />Professional Services <br />Bid Opening <br />Quote Opening <br />Change Order No.. <br />Ease/Encroach: <br />Other., <br />Company or Vendor Name <br />NeW Vendor <br />MBEMIBE Contractor <br />MBE/WBE Contractor Request <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Amount of <br />Contract <br />Resolution <br />Bid Award <br />Quote Award <br />CID & PGA No,. <br />Traffic Control <br />Addendum <br />❑ Req, to'Advertise ❑ Title Sheet <br />AT&T <br />❑ Yes ❑ No ❑ if Yes, Approved by Purchasing <br />❑ MBE ❑ WBE <br />ed ❑ No.❑ Yes Name of Company <br />Renewal of T1, and DS3 lines <br />COIT` <br />27M617-4431-21-04 <br />$14901mo. for 36mos. = I <br />Increase. <br />DecreasE <br />Previous Amount <br />Current Percent of Change: <br />New Amount <br />Total Percent of Change; <br />months <br />3;640 total <br />Required Contractor's Certification Form. Attached (Non <br />luslon, Non'Discriiimination, Non -Debarment; &Verify, Iran, etc. <br />Copy <br />Original <br />❑ Michael Sniadecki <br />