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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW RE, QUEST FORM <br />gium.] <br />Shawn Delahantv <br />Department Innovation & Tech <br />BPW Date 4/24/2018 Phone Extension 6205 <br />Required Prior to Submittal to Board <br />Legal Attorney Name McDaniels <br />Controller review is required for all Contracts $5,0100,00 or more <br />Controller ❑ and greater than one year in length per the City Purchasing <br />Policy <br />Purchasing Z <br />L_J Agreement <br />H Contract <br />H1 Proposal Ll Addendum <br />F-1 Professional Services <br />F Amendment <br />F Bid Opening <br />F-1 Bid Award <br />El Req. to Advertise El Title Sheet <br />F Quote Opening <br />❑ Quote Award <br />El Chg Order No. <br />C/O& PCA No. <br />E] PCA <br />Ease./Encroach. <br />F] Traffic Control <br />F Resolution <br />Other: QPA Purchase <br />F-1 Claim <br />Required Information <br />Company or Vendor Name Dell <br />New Vendor El Yes R If Yes, Approved by Purchasing <br />R No, <br />MBE/WBE Contractor El ,BE MBE Completed E-Verify El , No <br />rify Form Attached Yes <br />[:] <br />Project Name Purchase of SBPD Laptops <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />2018 Q1 City Lease <br />750-0801-421-43-06 <br />$51,467,85 <br />Purchase of 15 laptops, to be financed through City Large <br />Equipment Lease <br />I For Change Orders Onily <br />Amount of El increase $ <br />F-1 Decrease $ <br />Previous Amount <br />Current Percent of Change: % <br />New Amount <br />Total Percent of Change <br />Time Extension: <br />Dispersal After Approval <br />Copy <br />Original <br />H <br />E] Chad'Goben <br />Dan O'Connor <br />❑ Shawn Delaha <br />