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Date 8/13118 <br />Name Shawn Delahanty Department <br />Innovation & Tech <br />BPW Date 8/28118 Phone Extension 6202 <br />Re sired Priar o Submittal to Board <br />Legal Attorney Name Kennedy <br />Controller review is required for all Contracts $5,000.00 or more <br />Controller Z and greater than one year in length per the City Purchasing <br />Policy <br />Purchasing Z <br />F-1 Agreement <br />U Contract U Proposal <br />H Addendum <br />F] Professional Services <br />Amendment <br />F-1 Bid Opening <br />❑ <br />Bid Award ❑ Req. to Advertise <br />Title Sheet <br />Quote Opening <br />El <br />Quote Award <br />E:1 <br />Chg Order No. <br />Fi C/O & PCA No. <br />❑ <br />PCA <br />F-1 Ease./Encroach. <br />EJ Traffic Control <br />El <br />Resolution <br />Z Other: Addition to QPA <br />E] <br />Claim <br />Lease <br />Required Information <br />Company or Vendor Name <br />Canon <br />New Vendor <br />EJ <br />Yes F] If Yes, Approved by Purchasing <br />No <br />MBE/\/\/BE Contractor <br />Completed E-Verfy Form Attached <br />MBE WBE <br />❑Nos <br />Project Name <br />Addition to Canon Unified Lease Agreement <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />IT Leasi <br />279-0672-415.38-01 (principal) and .38-02 (intere�As <br />$334 per month for 60 months ($20,040 total) <br />60 months <br />Addition of 6,printers to ULA <br />Amount of H Increase <br />[:] Decrease <br />Previous Amount <br />Current Percent of Change <br />New Amount <br />Total Percent of Change: <br />Time Extension: <br />Copy <br />Original <br />F-1 <br />El <br />1-1 <br />F-1 <br />El <br />R <br />9.3 <br />Dispersal After Approval <br />