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Date <br />Name <br />BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />05/10/18 <br />Michael Sniadecki <br />Department Innovation & Tech <br />BPW Date 05/22/18 Phone Extension 6004 <br />Legal ® Attorney Name Sandra Kennedy <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 />N <br />Agreement LJ Contract U Proposal LI Addendum <br />❑ <br />Professional Services ❑ Resolution <br />❑ <br />Bid Opening ❑ Bid Award ❑ Req. to Advertise ❑ Title Sheet <br />❑ <br />Quote Opening ❑ Quote Award <br />❑ <br />Change Order No. ❑ CIO & PCA No. ❑ PCA <br />❑ <br />Ease/Encroach. ❑ Traffic Control <br />n <br />Other: <br />Company or Vendor Name <br />enTech <br />New Vendor <br />® Yes ❑ No ❑ If Yes, Approved by Purchasing <br />MBEMBE Contractor <br />❑ MBE ❑ WBE <br />MBEMIBE Contractor Requested ❑ No ❑ Yes Name of Company <br />Project Name <br />COSB's DTSB Free WIFI Internet Service Provider (ISP)enTech <br />Project Number <br />nla <br />Funding Source <br />IT Operating <br />Account No. <br />279-0672-415-36-04 IT Operating) <br />Amount <br />$0 one-time set fee & $800 per month, which is $9,600 annually. <br />Terms of Contract <br />Statement of Work <br />Purpose/Description <br />COSB needs to provide the ISP (internet) for this DTSB Free,WIFI <br />solution. <br />❑ Required Contractor's Certification Form Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, (ran, etc. <br />✓' — .Regla <br />red,For <br />G�tange �Jrders only <br />Increase $ <br />Amount of <br />❑ Decrease <br />$ <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 />® ❑ Michael <br />Sniadecki <br />❑ ❑ <br />❑ ❑ <br />