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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Patrick Sherman <br />Department Venues Parks & Arts <br />C. Date 06/12/2018 Phone Extension 5601 <br />Legal Attorney Name Clara McDaniels <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 Z Michael Schmidt <br />H Agreement <br />H Contract ❑I Proposal L] Addendum <br />R Professional: Services <br />F-1 Resolution <br />F-1 Bid Opening <br />F-1 Bid Award IReq. to Advertise El Title Sheet <br />E] Quote Opening <br />Z Quote Award <br />[:] Change Order No. <br />El C/O & PCA No. ❑ PCA <br />F-1 Ease/Encroach, <br />❑ Traffic Control <br />R Other: <br />Company or Vendor Name <br />Direct Fitness Solutions <br />New Vendor <br />El Yes Z No El If Yes, Approved by Purchasing <br />MBE/WBE Contractor <br />[:] MBE [J WBE <br />MBE/WBE Contractor Requested [:] INo E] Yes Name of Company <br />Project Name <br />Charles Black. Exercise Equipment <br />Project Number <br />1056-2018 <br />Funding Source <br />2015 Park Bond <br />Account No. <br />751-1101-452-39.89 <br />Amount <br />$53,067.30 <br />Terms of Contract <br />60 Days <br />Purpose/Description <br />Exercise .,Eq,uipment for renovated Charles Black Center <br />M Required Contractor's Certification Form Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verifv, Iran, etc,) <br />Amount of F1 increase $ <br />R Decrease $ <br />Previous Amount $ <br />Current Percent of Change: % <br />New Amount $ <br />Total Percent of Change: % <br />Dispersal After Approval <br />Copy <br />Original <br />El <br />El <br />F-1 <br />F-1 <br />El <br />El <br />