Laserfiche WebLink
BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 4/23/2018 Department Fire <br />BPW Date 5/8/2018 Phone 9255 <br />Name Stephen Cox, Fire Chief <br />o Legal ❑ Attorney Name <br />m o �s -E Controller review is required for all Contracts $5,000.00 or more <br />a m Controller ❑ and greater than one year in length per the City Purchasing <br />m Policy <br />Purchasing ❑ <br />Check:the Appropriate Item Type — Required for All Submissions <br />❑ <br />Agreement <br />❑ Contract <br />❑ Proposal I <br />El Addendum <br />El <br />Claim <br />❑ <br />Bid Opening <br />❑ <br />Bid Award <br />❑ Req. to) ❑ Title Sheet <br />Quote Opening <br />❑ <br />Quote Award <br />❑ <br />Chg Order No. <br />❑ <br />C/O & PCA No. <br />❑ <br />PCA <br />❑ <br />Ease./Encroach. <br />❑ <br />Traffic Control <br />® <br />Resolution <br />I] <br />Other: <br />Company or Vendor Name <br />New Vendor ❑ Yes ❑ No F1 If Yes, Approved by Purchasing <br />MBEMJBE Contractor ❑ MBE ❑ WBE <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount $ <br />Terms of Contract <br />Purpose/Description Disposal of Unfit/Obsolete property; retirees J. Luccki D. <br />Maenhout, K. Noell <br />Amount of ❑ Increase 1 $ <br />❑ Decrease $ <br />Previous Amount $ <br />Current Percent of Change: % <br />New Amount $ <br />Total Percent of Change: % <br />PO No. <br />Dispersal After Arwroval <br />Copy <br />Original <br />❑ <br />❑ <br />❑ <br />❑ <br />