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BOARD OF PUBLIC WORKS <br />AGENDA ITEM RE, VIEW REQUEST' FORM <br />Date 9/19/2018 <br />Name Lauren Trapp Department Utilities <br />BPW Date 9/25/2018 Phone, Extension 5852 <br />eqaired nor to submittal to Board <br />Legal', Attorney Name <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 F-1 <br />L Agreement <br />F-1 Professional Services <br />F-1 Bid Opening <br />F-1 Quote Opening <br />F� Chg Order No. <br />F-1 Ease./Encroach. <br />M Other, Transfer of <br />Industrial Wastewater <br />Discharge Permit from <br />Monarch to Wildman <br />Company or Vendor Name <br />New Vendor <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />H Contract <br />F1 Amendment <br />F] Bid Award <br />0 Quote Award <br />El C/O & PCA No <br />El Traffic Control <br />Proposal <br />E] Req. to Advertise <br />El Yes H If Yes, Approved by Purchasing <br />F-1 No <br />1:1 MBE Completed E-Verify Form Attached <br />F-1 WBE <br />Previous Amount $ <br />Current Percent of Change: % <br />New Amount $ <br />Total Percent of Change: % <br />El Title Sheet <br />0 Yes <br />El No <br />Time Extension: <br />Dispersal After Approval <br />Copy <br />Original <br />1-1 <br />F <br />1-1 <br />El <br />El <br />El <br />