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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date <br />Name <br />NIF-Ma1w., <br />NNEWITISTS MW <br />Department Innovation <br />BPW Date 9-22-18 Phone Extension 7652 <br />...... . .... . <br />Legal Attorney Name Kennedv <br />Controller 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 <br />H Agreement <br />H Contract L_J Proposal U Addendum <br />Professional Services <br />n Resolution <br />Bid Opening <br />El Bid Award E:11 Req. to Advertise ❑ Title Sheet <br />Quote Opening <br />F-1 Quote Award <br />Change Order No. <br />n C/O & PCA No. ❑ PCA <br />F-1 Ease/Encroach. <br />Traffic Control <br />n Other: <br />Company or Vendor Name <br />EnFocus <br />New Vendor <br />El Yes M No El If Yes, Approved by Purchasing <br />MBEANBE Contractor <br />F-1 MBE F WBE <br />MBEANBE Contractor Requested F No F-1 Yes flame ofCompany _ <br />Project Name <br />Project Number <br />Funding Source <br />COIT Fund Professional Services <br />Account No. <br />404-0672-415-31-06 <br />Amount <br />$20,000 <br />Terms of Contract <br />9/11/2018 — 7/31/2019 <br />Purposeffiescription <br />2018-2019 Fellowship program, <br />0 Required Contractor's Certification Form Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verifv. Iran. etc.) <br />Amount of F-1 increase $ <br />[:] Decrease $ <br />Previous Amount $ <br />Current Percent of Change: % <br />New Amount $ <br />Total Percent of Change: % <br />Dispersal After Approval <br />Copy <br />Original <br />I H <br />❑ Brian Donoghue <br />M <br />F-1 Shawn Delahanty <br />M <br />E] Jen Hockehull <br />