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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 11/26/18 <br />Name Shawn Delahanty Department Innovation & Tech <br />BPW Date 12/11/18 Phone Extension 6205 <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 Z and greater than one year in length per the City Purchasing <br />Policy <br />Purchasing Z <br />Check the A <br />Agreement <br />Professional Services <br />Bid Opening <br />El Quote Opening <br />❑ Chg Order No. <br />❑ Ease./Encroach. <br />Other: <br />Company or Vendor Name <br />New Vendor <br />MBENVBE Contractor <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />iropriate Item Typt�Rewired for All Submissions <br />EJ Contract 0 Proposal El Addendum <br />[-I Amendment <br />F-1 Bid Award E] Req. to Advertise E] Title Sheet <br />El Quote Award <br />El C/O & PCA No, PCA <br />Traffic Control FJ Resolution <br />EJ Claim <br />Required Information <br />CarahSoft <br />.. ..................................................... <br />F] Yes [:1 If Yes, Approved by Purchasing <br />❑ No <br />MBE Completed E-Verify Form Attached ❑ Yes <br />WBE E] No <br />ServiceNow IT Service Management Licensing <br />IT Operating <br />279-0672-415.36-04 <br />$48,202 per year for 3 years, _$7200 training ($151,808.04 total).,,.,,,,. <br />... . ................ <br />3 years licensing .... ... . ........ . ...... <br />Licensing for ServiceNow IT Service Management Platform <br />.......... . <br />....... ......... For Chaise Orders Only <br />Amount of El increase $ ....... . .... ........ <br />El 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 />E <br />E] Shawn Delahanty <br />El <br />r-1 <br />El <br />n <br />