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BOARD OF PUBLIC WORKS 3� <br />AGENDA ITEM REVIEW REQUEST FORT <br />Date 11/19/2018 Department Fire <br />.. ............................ <br />BPW Date 11/27/2018 Phone 9255 <br />Name Todd Skwarcan„ A/C Services <br />rumrvvrvram.tntr�rr�r4•=cur..._ .�, .zw..,,a�a�ra�aa.raw^w^r�;rr,u�anmiw��¢v�:m�nr��urri�+�mmm"�.a�w ,: ..,-.__ _ _.�,V„¢dwe <br />o Legal <br />(D°CU-0 <br />o m Controller ❑ <br />Purchasing <br />Check the A <br />Agreement <br />Claim <br />Bid Opening <br />Quote Opening <br />Chg Order No _ <br />Ease./Encroach. <br />Other: Special <br />Attorney Name Elliot Anderson, Clara McDaniels <br />Controller review is required for all Contracts $5,000.00 or more <br />and greater than one year in length per the City Purchasing <br />Policy <br />Michael Schmidt <br />)r9prate Item Type required for All Submissions <br />Contract ( Proposal Addendum <br />Bid Award <br />_._..�. ............... <br />Quote Award <br />C/O & PCA No <br />Traffic Control <br />Rewired Information <br />to Advertise <br />PCA <br />Resolution <br />Title Sheet <br />Corn n or Vendor Name <br />Sentinel <br />..... <br />New Vendor <br />..�... <br />� <br />Yes _ <br />� <br />.. .......... <br />No If Yes Approved by Purchasing <br />�... . �. . , <br />MBE/WBE Contractor <br />M B E W B E <br />Project Name <br />Proiect Number <br />w..--aa-............_ <br />unding Source <br />F . ,.. <br />Equipment Purchases/Motor Ecui�nt <br />Account No, <br />287.0902.422.43-02 <br />....... <br />Amount <br />..............._.. _ _ ........ .�...... ..» <br />$ 68,000 <br />Terms..... �. <br />of Contract <br />_ 1 1...... _._ ..., ..m <br />Cash <br />.... <br />Purpose/Description <br />Purchase o ff use......... .._w ��... _�,.,...� .... <br />d fire apparatus -Pierce 1998 Saber Rescue <br />Pumper <br />_........r _.. _ . <br />.......... g .::. ___._. - <br />For Chan e Orders Only M m _ .. <br />Amount of <br />❑ ase <br />Decrease <br />$ <br />$ <br />Previous Amount <br />........... _ ....���-.. <br />Curren t Percent of Change <br />m .......-,._........ m.. <br />% <br />New A.. <br />...... mount <br />�.._. __�.. �....... �...� .............................. <br />$ <br />_______ . <br />Total Perc <br />myy_. Percent of Change: <br />% <br />PO No. <br />..m . ............ ....... .......... ............ --------- <br />Dispersal After Approval <br />Copy Original <br />