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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date <br />Name <br />10/25/2018 <br />Department Public Works <br />....... <br />g.8.................- <br />BPW Date Phone Extension <br />WYMD1WM9fuCMMfiM W GYIIYN�PoNNNI/Hlllb'u'PM�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIWV�NIOINNN4ARHlIIV'VWIWWW'Vfl@TAMINV'MW�IH09 � � ,. , NlrylNryy,Mg/�plRlRpry NM1tllflNGV��++'+��. <br />Required Prior to Submittal to Board <br />Legal ® Attorney Name Clara McDaniels <br />Controller ® Controller review is required for all Contracts $5,000.00 or more anc <br />greater than one year in length per the City Purchasing Policy <br />Jeff Weaver <br />10/13/2018 <br />Purchasing ® Ben Dougherty <br />Check the <br />® Agreement <br />[:] Professional Services <br />Bid Opening <br />[:1 Quote Opening <br />F-1 Change Order No. _ <br />Ease/Encroach. <br />Other: <br />)ropriate Item Type, — <br />❑ Contract <br />❑ Resolution <br />❑ Bid Award <br />❑ Quote Award <br />[:1C/O &PCANo. <br />_ <br />❑ Traffic Control <br />for All Submissions <br />F Proposal D Addendum <br />❑ Req. to Advertise ❑ Title Sheet <br />ired Information <br />❑ PCA <br />Company or Vendor Name Azteca Systems, LLC <br />New Vendor [l Yes E No ❑ If Yes, Approved by Purchasing <br />MBE/WBE Contractor [] MBE F1 WBE <br />MBE/WBE Contractor Requested ❑ No ❑ Yes Name of Company <br />Project Name Cityworks Enterprise License Agreement Upgrade <br />�.. m,,,,m_ ,,, ......_. <br />Project Number _........................ <br />Funding Source IT OpeTa nq__ <br />Account No. 279-0672-415.36-04 <br />Amount$ 60...0.00..............................................w.........�_� ._ �.....�..............................................................__.-w <br />Terms of Contract $60,000 per year for 3 years <br />Purpose/Description Change from single pay licensing to unlimited licensing <br />_E] Required Contractor's Certification Form Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc. <br />_...... eglyd For Changes Orders Only <br />._ <br />Amount of l Increase $ <br />❑' Decrease $ <br />Previous Amount...................................._ww— <br />Current Percent of Change: % <br />New Amount.__. ............. .... <br />...w___.............................._.._..............ww __....____..m .............................. <br />��$._........................_�_..................................................._w_w__...__........m..........................................................�a.�.___ ..��....................._..�. <br />