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Date <br />Name <br />BOARD OF PUBLIC WORKS <br />AGENDA ITEM RE, VIEW REQUEST FORM <br />11/3012017 <br />Department Innovation & Tecftinolo y <br />BPW Date Phone Extension 5897 <br />Required Prior to Submittal to Board <br />Legal Z Attorney Name Clara McDaniels <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 />Ren6 Casiano <br />12/21/2017 <br />"' Agreement <br />H Contract L] Proposal F] Addendum <br />Z <br />Professional Services <br />F-1 Resolution <br />El <br />Bid Opening <br />n <br />Bid Award E] Req. to Advertise El Title Sheet <br />F-1 <br />Quote Opening <br />0 <br />Quote Award <br />[_1 Change Order No. <br />[:] <br />C/O & PGA No. E] PGA <br />n <br />Ease/Encroach. <br />F-1 Traffic Control <br />F-1 <br />Other: <br />Company or Vendor Name Woolpert, Inc <br />New Vendor Z Yes E] No [:1 If Yes, Approved by Purchasing <br />MBE/WBE Contractor EJ MBE F-1 WBE <br />�MBEANBE Contractor Requested n No n Yes Name of Company <br />Project Name CityWorks Works Order Management Pilot Implementation <br />Project Number, <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Amount of F-1 <br />1:1 <br />Innovation Professional Services <br />279-0672-415-31-,06 <br />$40,437.57 <br />Time and materials <br />Assistance with CityWorks implantation,business processes, and <br />business and technical documentation <br />Z Required Contractor's Certification Form Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verifv, Iran, etc.) <br />increase $ <br />Decrease $ <br />Previous Amount <br />Current Percent of Change: <br />New Amount <br />IN <br />Total Percent of Change: % <br />Dispersal After Approval <br />Copy Original <br />M E] Rene Casiano, Dan O'Connor, Jeff Weaver, John Lankowicz <br />F-1 M Steve Schwabe Steve. Schwa be@woolpe rt - com <br />El F <br />