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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW RE QUEST FORM <br />Date 06/07/2018 <br />Name Patrick Sherman Department Venues Parks & Arts <br />BPW Date 06/12/2018 Phone Extension 5601 <br />.... . .......... ....... . ... <br />I-egal M Attorney Name Clara McDaniels - <br />Controller El 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 ❑ Michael Schmidt <br />H Agreement <br />El Professional Services <br />El Bid Opening <br />F-1 Quote Opening <br />F-1 Change Order No. <br />F] Ease/Encroach. <br />F-1 Other: <br />H Contract <br />F1 Resolution <br />El Bid Award <br />M Quote Award <br />El C/O & PCA No. <br />n Traffic Control <br />Proposal <br />REIM- T1671111, <br />RI Req. to Advertise El Title Sheet <br />n PCA <br />Company or Vendor Name Burkhart Sign Systems <br />New Vendor F] Yes 0 No n If Yes, Approved by Purchasing <br />-1 MBE F] vVB&11',,.'. <br />MBEANBE Contractor F <br />MBEANBE Contractor Requested [] No ElYes -Narne of Company <br />Project Name Morris LED Panel Trims <br />Project Number 1057-2018 <br />Funding Source —Fund 416 <br />Account No. 4,16-0404-453-36,01 <br />Amount $3,390,00 <br />Terms of Contract 30 Days_ <br />Purpose/Description Addition of trim around LED Panels to match Marque <br />Vd Required Contractor's Certification Form Attached (Non - <br />Collusion, Non -Discrimination, No,n-Debarment, IE-Verify, Iran, etc., <br />Amount of F-1 increase $ <br />F-1 Decrease $ <br />Previous Amount <br />Current Percent of Change <br />New Amount <br />Total Percent of Change: <br />Copy <br />Original <br />F-1 <br />F-1 <br />F <br />Ell <br />El <br />1:1 <br />01 <br />Dispersal After Approval <br />