Laserfiche WebLink
Date <br />Name <br />BOARD OF PUBLIC WOR1*7-S <br />AGENDA ITEM REVIEW REQUEST FOIM <br />2/20/18 <br />Christine ViHaire <br />Department Adm & Fin <br />BPVV Date 2/27/18 Phone Extension 9957 <br />Re sired I�'rior t Bubrnittal to Board <br />Legal Attorney Name Clara McDaniels <br />Controller review is required for all Contracts $5,000,00 or more <br />Controller Z and greater than one year in length per the City Purchasing <br />Policy <br />W W me ON <br />Michael Schmidt <br />H Agreement <br />Ll <br />Contract <br />El Proposal ❑ Addendum <br />M <br />Professional Services <br />Z <br />Amendment <br />El <br />Bid Opening <br />El <br />Bid Award <br />El Req. to Advertise ❑ Title Sheet <br />❑ Quote Opening <br />❑ Quote Award <br />❑ Chg Order No. <br />❑ C/O & PCA No, <br />F-1 PCA <br />❑ Ease./Encroach, <br />El Traffic Control <br />0 <br />Resolution <br />Other: <br />F] <br />Claim <br />Company or Vendor Name <br />New Vendor <br />ITHQUINTIM-1 <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Amount of El <br />1-1 <br />Quest Diagnostics <br />Yes El If Yes, Approved by Purchasing <br />❑ No <br />MBE Completed E-Verify Form Attached F1 Yes <br />F-1 WBE El No <br />Amendment to Substance Abuse Testing Services Agreement <br />None <br />Liability Insurance Fund <br />226-0418-671-39-80 <br />$.78/per test <br />Fee schedule attached. <br />Amendment is needed to add saliva alcohol test supplies <br />required for DOT drug testing. <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 />M <br />F-1 K <br />El <br />11 <br />El <br />- <br />El <br />Clark, Christine Villaire, ,den Hockenhull <br />