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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 1/19/2018 Department -Fire <br />BPW Date 2/13/2018 Phone 9255 <br />Name Stephen Cox, Fire Chief <br />... . .... .. <br />0 Legal ❑ Attorney Name <br />_0 -4.- <br />(D 0 M— Controller review is required for all Contracts $5,000.00 or more <br />Controller and greater than one year in length per the City Purchasing <br />E 0 <br />cis M Policy <br />En Purchasing <br />Check the Appropriate Item Twe — Rectuired for All Submissions <br />-0 <br />Agreement <br />El Contract <br />El Proposal <br />❑ Addendum <br />El <br />Claim <br />E:1 <br />Bid Opening <br />[:1 Bid Award <br />[:1 Req. to Advertise <br />❑ Title Sheet <br />El <br />Quote Opening <br />F-1 <br />Quote Award <br />0 <br />Chg Order No. <br />_1 <br />C/O & PCA No. El PICA <br />El <br />Ease./Encroach. <br />El <br />Traffic Control <br />Resolution <br />Other: <br />Company or Vendor Name <br />I <br />New Vendor <br />El Yes El No El If Yes, Approved by Purchasing <br />MBE/WBE Contractor <br />❑ MBE, WBE <br />Project Name <br />Project Number <br />Fund'ing Source <br />Account No. <br />Amount <br />$ <br />'Terms of Contract <br />Purpose/Description <br />Disposal of Unfit Property-- Helmet & Boots <br />Amount of <br />E] <br />increase <br />Decrease <br />$ <br />Previous Amount <br />$ <br />Current Percent of Change: <br />% <br />New Amount <br />$ <br />Total Percent of Change. <br />PO No. <br />Dispersal After Approval <br />Copy Original <br />R El <br />R El <br />