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Date <br />Name <br />BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />7/10/2018 <br />Shawn Delaha <br />Department Innovation & Tech <br />BPW Date 7/24118 Phone Extension 6205 <br />Legal Attorney Name Kennedy/McDaniels <br />Controller review is required for all Contracts $5,000.00 or more <br />Controller and greater than one year in length per the City Purchasing <br />Policy <br />Purchasing Z <br />M Agreement LJ Contract L_J Proposal U Addendum <br />El Professional Services F] Amendment <br />El Bid Opening El Bid Award El Req. to Advertise E Title Sheet <br />Quote Opening F-1' Quote Award <br />Chg Order No. 0 C/O & PCA No. E] PCA <br />F-1 Ease./Encroach. F-1 Traffic Control F1 Resolution <br />F-1 Other: F-1 Claim <br />New Vendor <br />MBENVBE Contractor <br />Project Name , <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Amount of 1:1 <br />El <br />Canon Solutions America <br />D Yes El If Yes, Approved by Purchasing <br />F-1 No <br />F MBE Completed E-Verify Form Attached ❑ Yes <br />F-1 WBE El No <br />Manned Print Services and Unified Lease Aareement <br />IT Opemtinq and Lease <br />279-0672-415-36-04 (Operating) and 279-0672-415.38-01 and <br />02 (principal and interest) <br />$41,225 (Operating) and $317,340 (Lease) <br />MPS = 12 months, Lease = 60 months <br />Managed Print Service, Eguipmeat Lease,, RightFax, and <br />UniFlow <br />Increase <br />Decrease <br />Previous Amount <br />Current Percent of Change <br />New Amount <br />Total Percent of Change: <br />Time Extension: <br />❑ <br />Original <br />Dispersal After Approval <br />Shawn Delaha <br />Dan O'Connor <br />