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Date <br />Name <br />BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Jennifer Hockenhull <br />R r • Phone <br />Extension <br />Legal Attorney Name Clara McDaniel <br />Controller Controller review is required for all Contracts $5,000.00 or more and <br />greater than one year in length per the City Purchasing Policy <br />Purchasing <br />Agreement. <br />Contract LJ Proposal Ll Addendum <br />M Professional Services <br />El Resolution <br />F1 Bid Opening <br />❑ Bid Award 0 Req. to Advertise ❑ Title Sheet <br />Quote Opening <br />❑ Quote Award <br />❑ Change Order No. <br />❑ C/O & PCA No, 0 PCA <br />DI Ease/Encroach. <br />❑ Traffic Control <br />n Other: <br />Company or Vendor Name <br />Cavanaugh Macdonald Consulting <br />New Vendor <br />M Yes n No E If Yes, Approved by Purchasing <br />MBEANBE Contractor <br />❑ MBE ❑ WBE <br />MBE' NBE Contractor Requested E No E] Yes Name of Company (Consultant chosen by INPRS) <br />Project Name <br />GASB Reports for the Police and Fire Department <br />Project Number <br />Funding Source <br />General Fund-Admin Fin Budget <br />Account No. <br />702-0803-645-31016 & 701-0903-645-3106 <br />Amount <br />$ 6400 ($3,200 for Police & $3,200 for Fire) <br />Terms of Contract <br />Due upon completion of contract <br />Purpose/Description <br />GASB 6 /68 Valuation Report for the 1937 Firefighters' Pension <br />Fund and valuation report for the 1925 Police Pension Fund <br />Z Required Contractor's Certification Form Attached (Non - <br />Collusion, Non-Discrimli nation, Non -Debarment, E-Verify, Iran, etc.) <br />Required For 'Change Orders Only <br />❑ $ <br />Amount of <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 />M ❑ Jennifer Hockenhull <br />❑ ❑ <br />❑ ❑ <br />