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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date <br />Name <br />December 7. 2017 <br />ra Clark <br />Department Human Resources <br />" Agreement <br />❑ Professional Services <br />❑ Bid Opening <br />❑ Quote Opening <br />❑ Change Order No. <br />❑ Ease/Encroach. <br />❑ Other: <br />N Contract U Proposal U Addendum <br />❑ Resolution <br />❑ Bid Award ❑ Req. to Advertise ❑ Title Sheet <br />❑ Quote Award <br />❑ C/O & PCA No. ❑ PCA <br />❑ Traffic Control <br />Re aired Information <br />Company or Vendor Name <br />Cintas <br />New Vendor <br />❑ Yes ® No ❑ If Yes, Approved_ by Purchasing <br />MBE/WBE Contractor <br />❑ MBE ❑ WBE <br />MBE/WBE Contractor Requested ❑ No ❑ Yes Name of Company <br />Project Name <br />Two Year Extension of Cintas. Contract for Uniform/Mat Cleaning <br />Project Number <br />NIA <br />Funding Source <br />NIA <br />Account No. <br />NIA <br />Amount <br />$ See Bid/Proposal Schedule <br />Terms of Contract <br />Extension of existing contract --no change in prices or other terms. <br />Purpose/Description <br />The original Cintas contract contemplates a two-year extension to <br />the original three-year contract, at the same rates. This agenda <br />item is to implement the two-year extension. The contract is for <br />uniform cleaning and floor mat service and rentals <br />❑ Required Contractor's Certification Form Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verifv, Iran. etc.) <br />Amount of <br />❑ Increase $ <br />❑ Decrease $ <br />Previous Amount <br />Current Percent of Change <br />New Amount <br />Total Percent of Change: % <br />Dispersal After Approval <br />Copy <br />Original <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />