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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date July 31st 2018 <br />Department Innovation and <br />Name Brian DonoghueTeqhn2!9��� <br />BPW Date August 14th 2018 Phone Extension <br />F Required Prior to Submittal to'Board <br />Legal Attorney Name Sandra Kennedy <br />Controller review is required for all Contracts $5,000.00 or more <br />Controller E:1 and greater than one year in length per the City Purchasing <br />Policy <br />Purchasing E] <br />Check the Appropriate <br />Item Type — Required for All Submissions <br />R Agreement <br />Z <br />Contract R Proposal <br />El Addendum <br />Z Professional Services <br />F] <br />Amendment <br />❑ <br />Bid Opening <br />R Bid Award Req. to Advertise <br />El Title Sheet <br />Quote Opening <br />Ell Quote Award <br />❑ <br />Chig Order No. <br />0 <br />C/O & IPCA No. PCA <br />El Ease./Encroach. <br />El <br />Traffic Control Resolution <br />El Other: <br />El <br />Claim <br />F <br />Required Information <br />Company or Vendor Name <br />MetroNet Zing <br />El <br />Yes EJ If Yes, Approved by Purchasing <br />New Vendor <br />M <br />No <br />MBE/WBE Contractor <br />MBE Completed E-Verify Form Attached <br />❑ WBE <br />El Yes <br />R No <br />Project Name <br />Proof of Concept Southeastern Park Public Wi-Fi:, <br />Project Number <br />Funding Source <br />Innovation and Technology Professional Services Account <br />Account INo. <br />279-0672-415-31-06 <br />Amount <br />$0.00 <br />Terms of Contract <br />Purpose/Description <br />Providinq and installing new conduit and fiber at Boys and Girls <br />Club <br />Amount of L Increase $ <br />0 Decrease $ <br />Previous Amount $ <br />Current Percent of Change: <br />New Amount <br />Total Percent of Change <br />Time Extension: <br />Dispersal After Approval <br />Copy <br />Original <br />F-1 <br />El <br />El <br />n <br />El <br />0 <br />