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Date <br />BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW RE, QUEST FORM <br />O1/02/2018 <br />Patrick Sherman <br />01/09/2018 <br />Department VPA: Facilities & <br />Grounds <br />Phone Extension 5601 <br />Legal <br />Attorney Name: <br />Dani Campbell <br />Controller <br />Controller review is required for all Contracts $5,000.00 or more and <br />greater than one year in <br />length per the City Purchasing Policy <br />Purchasing <br />Michael Schmidt <br />Check the 4pfopri@telteMJ ye— equired <br />for All Subs mIsions <br />F-1 Agreement <br />0 Contract <br />Z Proposal Award EJ Addendum <br />❑ Professional Services <br />n Resolution <br />❑ <br />Bid Opening <br />n Bid Award <br />E] Req. to Advertise El Title Sheet <br />El <br />Quote Opening <br />n Quote Award <br />El <br />Change Order No. <br />n <br />C/O & PCA No, <br />F1 PCA <br />F-1 Ease/Encroach. <br />El <br />Traffic Control <br />n Other: <br />Company or Vendor Name Spevco Special Vehicles Company <br />New Vendor El Yes F No F1 If Yes, Approved by Purchasing <br />MBEANBE Contractor Fj MBE F-1 WBE <br />MBEANBE Contractor Requested E] No 0 Yes Name ofCompany <br />_ <br />Project Name Venues Parks & Arts Experiential Recreational Vehicle <br />Project Number 1028-2017 <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Amount of F-1 <br />El <br />Fund 201 <br />201 -110 1 -452.37-11/12 <br />$ TBD <br />TBD after neaotiation with firm selected <br />Request for Proposals to design and build an Experiential Vehicle <br />for VPA. <br />Z Required Contractor's Certification Form Attached (Non- <br />Colliusion. Non -Discrimination, Non -Debarment. E-Verifv, Iran. etc.) <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 />F] <br />F1 <br />1:1 <br />1-1 <br />El <br />0 <br />