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BOARD OF PUBLIC WOI;UCS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 02/06/2018 <br />Name Patrick Sherman <br />Department Venues Parks & Arts <br />BPW Date 02/13/2018 <br />Phone Extension 5601 <br />... .... . .. <br />Required, Prior to Submittal, <br />to Board <br />Legal <br />Attorney Name Clara McDaniels <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 />Michael Schmidt <br />Check theAppropriate <br />Item Type — Required fibrAll Sub M-issims <br />F-1 Agreement <br />0 Contract El Proposal El Addendum <br />E Professional Services <br />El Resolution <br />F1 Bid Opening <br />E] Bid Award El Req. to, Advertise ❑ Title Sheet <br />F-1 Quote Opening <br />R Quote Award <br />F-1 Change Order No. <br />R C/O & PCA No. F1 PCA <br />F-1 Ease/Encroach. <br />F-1 Traffic Control <br />F-1 Other: <br />Company or Vendor Name <br />Brite Electric, LLC <br />New Vendor <br />El Yes M No El If Yes, Approved by Purchasing <br />MBE/WBE Contractor <br />R MBE R WBE <br />MIBEANBE Contractor Requested No R Yes Name of Company <br />Project Name <br />Electrical Panel Mapping <br />Project Number <br />1042-2018 <br />Funding Source <br />K61 RMT: Maintenance <br />Account No. <br />2011101452 36.01 <br />Amount <br />Not To Exceed $11,375.00 <br />Terms of Contract <br />Lump Sum <br />Purpose/Description <br />Map out electrical panelsto—ensure operational efficiency and <br />com!plianice with safety inspections. <br />El Required Contractor's Certification Form Attached (Non- <br />Coflusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) <br />N quiredi For Change Orders Only <br />Amount of F-1 increase $ <br />El Decrease $ <br />Previous Amount <br />$ <br />Current Percent of Change: <br />% <br />New Amount <br />$ <br />Total Percent of Change: <br />% <br />Dispersal After Approval <br />Copy Original <br />R R <br />F-1 F <br />0 E] <br />