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!0Z <br />BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW RE, QUEST FORM <br />PAIN <br />Mike Bronstetter <br />Department Solid Waste <br />BPW Date 2-13-18 Phone Extension 5795 <br />RequiredPrior to Submittal to Board <br />Legal Attorney Name <br />Controller review is required for all Contracts $5,000,,00 or more <br />Controller El and greater than one year in length per the City Purchasing <br />Policy <br />LJ Agreement <br />El Professional Services <br />F-1 Bid Opening <br />n Quote Opening <br />F-1 Chg Order No. <br />F-1 Ease./Encroach. <br />Z Other: City <br />Deoartmental Trash <br />Ift"4115-741 Me, a7mT, �qIIIIIIIIII <br />Company or Vendor Name <br />New Vendor <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Amount of II <br />I <br />LJ Contract <br />R Amendment <br />El Bid Award <br />Quote Award <br />C/O & RCA No <br />❑ Traffic Control <br />� GWV-�* a <br />F-1 PCA <br />F] Resolution <br />F-1 Claim <br />Yes L] If Yes, Approved by Purchasing <br />No <br />Uri 154 M ITO P 17"11 <br />F Title Sheet <br />E] MBE Completed E-Vedfy Form Attached El Yes <br />F� WBE 0 No <br />City Departmental Trash Collection <br />Per Department <br />See attached memo <br />For city departments wishing to have duimpsters emptied by Solid <br />Waste, Solid Waste is seeking payment for services. <br />Increase $ <br />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 />F-1 <br />F-1 <br />0 <br />El <br />6/0 <br />