Professional Services Agreement - American Structurepoint Inc - Traffic Signal System Inventory

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BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date December 13, 2018 Name Becca Plantz Department Division/Bureau Public Works Engineering BPW Date December 20, 2018 Phone Extension 5998 �Mi .......... .... .. ...... .._---- ..... ......M ....u_.. ..._u Required Prior to Submittal to Board Legal El Attorney Name: Clara McDaniels Controller ❑ Controller review is required for all Contracts $5,000.00 or more and greater than one year in length per the City Purchasing Policy Purchasing El_..... .................... ................ . —. Check the LJ Agreement Amendment Professional Services ICI Bid Opening El Quote Opening ❑ Change Order No. Ease/Encroach. i- Other: Company or Vendor Name New Vendor MBE/WBE Contractor iropriate Item Type — Required for All Submissions _.. Contract EJ Proposal ❑ Resolution Ej Bid Award Req. to Advertise Quote Award El C/O & PCA No. ❑ PCA Traffic Control: Required Information American Structureooint, Inc. Yes " No vvv If Yes„ MBE II WBE Addendum ❑ Title Sheet Purchasin MBE/WBE Contractor Requested No Yes Name of Company Project Name Traffic Signa! gystem Inventor Project Number 119-001 Funding ounce LRSA Traffic Signal Maintenance Account No. 251-0608-431.36.67 Amount $93,560 ......................................_.�_.. _.._ Terms of Contract Hourly Not to Exceed _ Purpose/Description To conduct field inventory, system timing review, and model _ p y_ d' traffic signal yter.wLL El de Required red Contractor's Certification tra q Forms Attached (Non - Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) ..................... IT...RtWir d. For Charge Orders Only _ q� Amount of ❑ Increase $ ❑ Decrease $ Previous Amount $ Current Percent of Change:_ New Amount $ Total Percent of Chance: Dispersal After Approval Copy Original ® Becca Plantz