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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW ftEQUEST FORM <br />Date 5/23/2018 Department Fire <br />BPW Date 6/12/201:8 Phone 9255 <br />Name Stephen Cox, Fire Chief <br />0 Legal F-1 Attorney Name Elliott Anderson <br />22 76 Controller review is required for all Contracts $5,000.00 or more <br />*5 .8 y5 Controller ❑ and greater than one year in length per the City Purchasing <br />zx E' 0 <br />d? -0 co Policy <br />U) Purchasing ❑ Michael Schmidt <br />Check the Annronriate Item Tvne — Reauired for All Submissions <br />F-1 <br />Agreement <br />El Contract <br />[j Proposal LEIAddendurn <br />El <br />Claim <br />El <br />Bid Opening <br />El <br />Bid Award <br />E] Req. to Advertise <br />El Title Sheet <br />❑ <br />Quote, Opening <br />-�Quote <br />Award <br />❑ <br />Chg Order No. <br />El <br />C/o & PCA No.❑ <br />PCA 4' <br />El <br />Ease./Encroach. <br />El <br />Traffic Control <br />Resolution <br />F1 <br />Other: <br />Required Information <br />Company or Vendor Name <br />New Vendor <br />MBENVBE Contractor <br />E]Yes EI'No El If Yes, Approved by Purchasing <br />E] MBE E] WBE <br />Pro ect Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Puirpose/Description <br />Disposal of Unfit Property/Helmets & Boots-, retirees: D. Blake, <br />M. Humes, J, Riba <br />Amount of El Increase <br />E] Decrease <br />For. Change'Orders Only <br />$ <br />Previous Amount <br />$ <br />Current Percent of Change: <br />% <br />New Amount <br />$ <br />Total Percent of Change: <br />PO No. <br />% <br />I im�=Zaz= <br />Copy <br />Original <br />F-1 <br />D <br />El <br />El <br />