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Date <br />Name <br />BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />5/14/2018 <br />Adam Parsons <br />Department Central Services <br />BPW Date May 22, 2018 Phone Extension 9302 <br />Legal Attorney Name Clara McDaniels <br />Controller review is required for all Contracts $5,000.00 or more <br />Controller ® and greater than one year in length per the City Purchasing <br />Policy <br />Purchasing ❑ <br />( _,j Agreement a Contract U Proposal L_J Addendum <br />❑ Professional Services ❑ Amendment <br />❑ Bid Opening 0 Bid Award WO'POYt4 ❑ Req. to Advertise ❑ Title Sheet <br />❑ Quote Opening ❑ Quote Award <br />❑ Chg Order No. ❑ CIO & PCA No. ❑ PCA <br />❑ Ease./Encroach. ❑ Traffic Control ❑ Resolution <br />I-1 Other: n Claim <br />Company or Vendor Name <br />New Vendor <br />MBENVBE Contractor <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />L-1 Yes U If Yes, Approved by Purchasing <br />❑ No <br />WBECompleted E-Verify Form Attached ❑Nos <br />Natural Gas Supply <br />17-019 <br />Various departmental funds <br />TBD; total estimate of $137,000, with a 5% allowance <br />Contract details to be negotiated after RFP selection process <br />Update various CCB offices to better suit current employee profile <br />. Fir khan e Orders Onl <br />Amount of ❑ increase $ <br />❑ Decrease $ <br />Previous Amount $ <br />Current Percent of Change: % <br />New Amount $ <br />Total Percent of Change: % <br />Time Extension: <br />Copy Origina <br />® <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />Dispersal After Approval <br />Therese Dorau, Director of Sustainabili <br />