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Date <br />Name <br />BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />02/16/1 S <br />Mike Sniadecki <br />Purchasing <br />Department IT Infrastructure <br />ICJ <br />Agreement LJ Contract ❑ Proposal ❑ Addendum <br />❑ <br />Professional Services ❑ Resolution <br />❑ <br />Bid Opening ❑ Bid Award Req. to Advertise ❑ Title Sheet <br />❑ <br />Quote Opening ❑ Quote Award <br />❑ <br />Change Order No. ❑ CIO & PCA No. ❑ PCA <br />❑ <br />Ease/Encroach. ❑ Traffic Control <br />n <br />Other: <br />Company or Vendor Name <br />Cogent Communications, Inc. <br />New Vendor <br />❑ Yes ® No ❑ If Yes, Approved by Purchasing <br />MBEIWBE Contractor <br />❑ MBE ❑ WBE <br />MBEMIBE Contractor Requested <br />❑ No ❑ Yes Name of Company <br />Project Name <br />Project Number <br />Funding Source <br />IT Operating <br />Account No. <br />279-0672-415-36-04 (IT Operating) <br />Amount <br />$500 one-time setup fee & $125 per monthly fee <br />Terms of Contract <br />36 months <br />Purpose/Description <br />ISP provider- For SBPD Body Camera In -Car Video solution <br />❑ Required Contractor's Certification Form Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc. <br />Amount of ❑ Increase <br />$ <br />❑ 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 />® ❑ MSniadecki <br />❑ ❑ <br />❑ ❑ <br />