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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 10/04/2018 <br />Name Amy Shirk Department Admin & Finance <br />BPW Date 10/23/2018 Phone Extension 9133 <br />L- Required Prior to Submittal to Board <br />Legal Attorney Name <br />Controller review is required for all Contracts $5,000.00 or more <br />Controller M and greater than one year in length per the City Purchasing <br />Policy <br />LEI Agreement H Contract Ll Proposal LJ Addendum <br />F-1 Professional Services El Amendment <br />El Bid Opening 0 Bid Award E] Req. to Advertise El Title Sheet <br />❑ Quote Opening F] Quote Award <br />❑ Chg Order No. C/O & PCA No. E:1 PQA <br />❑ Ease./Encroach. El Traffic Control Resolutior", <br />Other: Disposal RClaim _9 <br />Reauired Information <br />Company or Vendor Name <br />I M RNME-0 I Me <br />L71TO-TWI A", ROOM* IN= on <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />F1 Yes E] If Yes, Approved by Purchasing <br />F-1 No <br />0 MBE <br />0YNoCompleted E-Verify Form Attached sF-1BE <br />L- For Chan cie Order-, Only <br />Amount of 01 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 />El <br />EJ <br />F] <br />F-1 <br />El <br />El <br />ili <br />