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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date <br />Name <br />11/26/18 <br />Daniel O'Connor <br />Department Innovation & Tech <br />BPW Date 12/11/18 Phone Extension 6201 <br />mmmmmimimmmmmmmmmmmmmmmmmmm m <br />Re wired 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 />IN Agreement <br />Professional Services <br />❑ Bid Opening <br />[� Quote Opening <br />❑ Chg Order No. <br />❑ Ease./Encroach. <br />R Other: <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 />rropriate Item Type <br />El Contract <br />El Amendment <br />❑ Bid Award <br />El Quote Award <br />C/O & PCA No <br />Traffic Control <br />— Re IuLred( for All Submissions <br />❑ Proposal <br />❑ Req. to Advertise <br />❑ PCA <br />Resolution <br />Claim <br />Addendum <br />❑ Title Sheet <br />Required Information <br />aigital_gfense Incorporated <br />❑ Yes ❑ If Yes, Approved Wby µPurchasing <br />❑ No <br />MBE Completed E-Verify Form Attached Yes <br />�] WBE ❑ No <br />Diqital Defense Frontline Advanced Self Directed Scannina <br />IT Operating _ <br />279-0672-415.36-04 �_......._........._.......................... <br />$33,504 for 3 years with annual payments (year 1= $12,900, <br />mm....years 2 and 3 $10,302 <br />3 years licensing <br />Licensinq for Digital Defense Frontline Advanced self directed <br />scannt.q_q:. <br />For Change Orders Only <br />Amount of LJ Increase $ <br />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 />Daniel O'Connor <br />® <br />Mike Sniadecki <br />® <br />El Shawn Delahant, <br />