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BOAI?,D OF PUIOLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 1-11-2018 <br />Name Anna Kenn <br />Department Innovation & <br />Technology <br />BPW Date 1-23-2018 Phone Extension 6203 <br />Legal <br />Attorney Name, Dougherty <br />Controller <br />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 />Purchasing <br />Check, <br />the Appropriate <br />Item Type — Required WAY Submissions <br />F-1 Agreement <br />El Contract ❑ Proposal El Addendum <br />Z Professional Services <br />F-1 Resolution <br />R Bid Opening <br />El Bid Award E] Req. to Advertise E] Title Sheet <br />R Quote Opening <br />R Quote Award <br />[:1 Change Order No. <br />El C/O & PCA No. F-1 PCA <br />F-1 Ease/Encroach. <br />El Traffic Control <br />F] Other. - <br />Company or Vendor Name Pathfinders Advertising <br />New Vendor Z Yes El No FlIf Yes, Approved by Purchasing <br />MBEIWBE Contractor EJ MBE [:] WBE <br />MBEANBE Contractor Requested E] No[:] Yes Name ofCompany <br />_ <br />Project Name Website Redesign <br />Project Number <br />Funding Source IT Fund Professional Services <br />Account No. 279-0672-415.31-06 <br />Amount, $40,000 <br />Terms of Contract 1/23/2018-7/l/2018 <br />Purpose/Description Design and build of a redesigned southbenclin.gov <br />®Required Contractor's Certification Form Attached (Non -Collusion, <br />Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) <br />Amount of I El I <br />Increase $ <br />Decrease $ <br />Previous Amount <br />Current Percent of Change <br />New Amount <br />Total Percent of Change: <br />Copy <br />Original <br />z <br />F-1 <br />z <br />M <br />M <br />El <br />aka <br />aura <br />Dispersal After Approval <br />Santiago Garces <br />Dan O'Connor <br />Jeri Hockehull <br />L4BL 5209 <br />