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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 05/15/2018 <br />Department <br />Name Patrick Sherman <br />VPA: Facilities & <br />Grounds <br />BPW Date 05/22/2018 Phone Extension 5601 <br />. ...... . . ... <br />F_ Required Prior to Submittalto Board <br />Legal Attorney Name Clara McDanieIs <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 />E Michael Schmidt <br />H Agreement <br />H Contract LJ Proposal Ll Addendum <br />F-1 Professional Services <br />0 Resolution <br />E] <br />Bid Opening <br />n Bid Award Z Req. to Advertise E] Title Sheet <br />El <br />Quote Opening <br />F-11 Quote Award <br />F-1 Change Order No. <br />F-1 C/O & PCA No. PCA <br />F] Ease/Encroach. <br />F-1 Traffic Control <br />F] <br />Other: <br />Company or Vendor Name TBD <br />New Vendor El Yes 0 No 0 If Yes, Approved by Purchasing <br />MBENVBE Contractor F-1 MBE F WBE <br />MBE/WBE Contractor Requested F1 INo F-1 Yes Name of Company <br />Project Name - Venues Parks & Arts Security Solution <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />HE <br />Purpose/Description Finding partner for right security solution for new facilities, and <br />features. <br />M Required Contractor's Certification Form Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verifv, Iran, etc.) <br />Amount of El <br />1:1 <br />Increase <br />Decree <br />Previous Amount <br />Current Percent of Change: <br />New Amount <br />Total Percent of Change: <br />uispersai ATier /-xpprovai <br />Copy <br />Original <br />F1 <br />F1 <br />F-1 <br />n <br />11 <br />El <br />