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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 1-15-2019 <br />Name Dan O'Connor <br />Purchasing <br />Check the , <br />LJ Agreement <br />® Professional Services <br />❑ Bid Opening <br />❑ Quote Opening <br />❑ Change Order No. _ <br />Ease/Encroach. <br />Other: <br />Department Innovation <br />iro riate Item Type — Required for All Submissions <br />El Contract LJ Proposal <br />[:]'Resolution <br />0 Bid Award ❑ Req. to Advertise <br />El Quote Award <br />C/O & PCA No. ❑ PCA <br />El Traffic Control <br />Required Information <br />Company or Vendor Name Kronos Inc, <br />Addendum <br />❑ Title Sheet <br />New Vendor ❑Yes ® No ❑If Yes, Approved by Purchasing <br />MBE/WBE Contractor ❑ MBE ❑ WBE <br />MBENVBE Contractor Requested ❑ No ❑ Yes Name of Company <br />Project Name Development of Kronos HR Pay Status Chanqe Interface <br />__�....._.�......... ......_ .. <br />Project Number <br />Funding Source <br />IT Professional Services <br />Account No. <br />279-0672-415 31-06 <br />Amount <br />$6,400 <br />Terms of Contract <br />.__...................... <br />....................... _..__ww .�....__............ _._.. <br />40 hours at a rate of $160 per hour <br />Purpose/Description <br />Change order to include the develo ment of an interface that allows <br />HR to make bulk changes to the Day.status of employees in Kronos. <br />Required Contractor's Certification Form Attached (Non -Collusion, <br />Non -Discrimination, Non -Debarment, E-Verif , Iran, etc. <br />.... <br />Re wired For Chi e Orders Onl <br />Amount of El <br />Increase $ <br />n <br />Decrease $ <br />Previous Amount <br />$ <br />Current Percent of Change: <br />New Amount <br />............................. ....... <br />$ <br />Total Percent of Change: <br />Dispersal After Approval <br />Copy Original <br />® 0 <br />Dan O'Connor <br />® <br />Shawn Delahany ........................... <br />FI.........�....... <br />��........ <br />