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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date <br />Name <br />11 /26/18 <br />Michael Sniadecki <br />Department Innovation & Tech <br />BPW Date 12/11 /18 Phone Extension 6004 <br />Required Prior to Submittal to Board <br />Legal Attorney Name Kennedy <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 <br />Check the A <br />LJ Agreement <br />❑ Professional Services <br />Bid Opening <br />El Quote Opening <br />El Chg Order No. <br />El Ease./Encroach. <br />Other: QPA Purchase <br />Company or Vendor Name <br />New Vendor <br />MBE/WBE Contractor <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />)rolpriate Item Type <br />El Contract <br />F-1 Amendment <br />for All Submissions <br />Proposal <br />F-1 Bid Award ❑ Req. to Advertise <br />❑ Quote Award <br />C/O & PCA No. PCA <br />❑ Traffic Control ❑ Resolution <br />[l Claim <br />Required Information <br />Addendum <br />❑ Title Sheet <br />Network Solutions, Inc <br />Yes F] If Yes, Approved by Purchasing <br />No <br />❑ MBE Completed E-Verify Form Attached El Yes <br />WBE ❑ No <br />Wireless Access Point refresh <br />IT Supplies and Professional Services <br />279-0672-415.21-05 and 31-06 <br />_...................... .................. <br />$53,154.50 purchase, $1,710 ProfSvs ($54,864.50 total) <br />Refresh 70 legaa wireless access points used across Cit <br />Buildings for wireless connectivity. <br />Amount of H Increase <br />n Decrease <br />Previous Amount $ <br />Current Percent of Change„ <br />New Amount $ <br />Total Percent of Change: <br />Time Extension: <br />Dispersal After Approval <br />Copy <br />Original <br />® <br />❑ Michael Sniadecki <br />® <br />....................................................................._ <br />❑ Daniel O'Connor <br />