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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />12/7/17 <br />12/21/17 <br />Department Innovation & Tech <br />Phone Extension 6201 <br />Legal Attorney Name 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 <br />H Agreement <br />R Professional Services <br />El Bid Opening <br />R Quote Opening <br />R Chg Order No. <br />F-1 Ease./Encroach. <br />F-1 Other: <br />Company or Vendor Name <br />7 M "AkTf- 1=0 0 9 <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />X Contract <br />F-1 Amendment <br />El Bid Award <br />F-1 Quote Award <br />F-1 C/O & PA No <br />n Traffic Control <br />Req. to Advertise Ej Title Sheet <br />[:] PCA <br />F-1 Resolution <br />E] Claim <br />n <br />H Yes H If Yes, Approved by Purchasing <br />F-1 No <br />1:1 MBE F-1 WBE FCompleted E-Verify Form Attached Nos <br />Support Contract QPA Renewal for Kronos Time Clocks <br />IT Operating <br />279-0672-415-36-04 <br />$12,117.91 <br />1 Year <br />For Change Orders Only <br />Amount of F1 increase $ <br />F-1 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 />M <br />F1 <br />1-1 <br />❑ <br />El <br />E =$M NO =4 <br />Dan OCOnnor <br />