Laserfiche WebLink
Date <br />Name <br />BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />December 5. 2017 <br />Michael Schmidt <br />Department Admin/Rnance <br />BPW Date December 12, 2018 Phone Extension 9977 <br />. . . . ...... <br />Required Prior to Submittal to Board <br />Legal Attorney Name Clara McDaniels <br />Controller review is required for all Contracts $5,000.00 or more <br />Controller and greater than one year in length per the City Purchasing <br />Policy <br />Purchasing Z <br />M Agreement <br />R Professional Services <br />F-1 Bid Opening <br />F-1 Quote Opening <br />Chg Order No. <br />❑ Ease./Encroach. <br />F-1 Other: <br />Company or Vendor Name <br />New Vendor <br />MBENVBE Contractor <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose,/Description <br />" Contract <br />F-1 Amendment <br />E] Bid Award <br />F] Quote Award <br />❑ C/O & IPCA No. <br />❑ Traffic Control <br />JP Mor <br />F] Yes <br />F] No <br />Proposal <br />0 RCA <br />EJ Resolution <br />F-1 claim <br />If Yes, Approved by Purchasing <br />0 Title Sheet <br />0 MBE El MBE Completed' E-Verify Form Attached F] YeNos <br />E] <br />Establishment of P Card Program for City <br />No upfront fees <br />Establish purchasing Card Program for City <br />I For Change Orders Only <br />Amount of Fj increase $ <br />E] Decrease $ <br />Previous Amount <br />Current Percent.of Change: <br />New Amount <br />Total Percent of Change: <br />Time Extension: <br />Copy <br />Original <br />❑ <br />El <br />El <br />0 <br />Dispersal After Approval <br />