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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />03120/2018 <br />Patrick Sherman <br />Department VPA <br />BP\N Date 03/27/2018 Phone Extension 5601 <br />Legal Attorney Name Clara McDaniels <br />Controller Controller review is required for all Contracts $5,000.00 or more and <br />greater than one year in length per the City Purchasing Policy <br />Purchasing Michael Schmidt <br />M Agreement <br />LJ Contract L_J Proposal LJ Addendum <br />❑ <br />Professional Services <br />❑ Resolution <br />ICI <br />Bid Opening <br />❑ Bid Award ❑ Req. to Advertise ❑ Titlle Sheet <br />Quote Opening <br />F1 Quote Award <br />❑ Change Order No. <br />❑I C/O & PCA No. F] PCA <br />❑ Ease,/Encroach. <br />F-1 Traffic Control <br />F-1 Other: <br />Company or Vendor Name Professional Golfcar Corporation <br />New Vendor [I Yes M No El If Yes, Approved by Purchasing <br />MBEANBE Contractor F-1 MBE F-1 WBE <br />MBEANBE Contractor Requested F-1 No F1 Yes Name of Company <br />Project Name VPA Golf Carts Lease <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />K62ELP (30 carts) & 1<62ERP (gq carts <br />201.1102.452,37-07 <br />$ 33,788.71/year 5 year lease with option to opt out after year 4 <br />Lease <br />New golf carts for, Elbel, Erskine, and Studebaker per QPA <br />F-1 Required Contractor's Certification IForm Attached (Non - <br />Collusion, INon-Discrimination, Non -Debarment, E-Verifv, Iran, etc <br />Amount of F-1 increase <br />El Decrease <br />Previous Amount $ <br />Current Percent of Change: <br />New Amount <br />Total Percent of Change: <br />Copy <br />Original <br />F] <br />F-1 <br />1:1 <br />El <br />F <br />El <br />Dispersal After Approval <br />