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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 1 /9/19 ............._.........m._ <br />Name Shawn Delaha <br />Department Innovation & Tech <br />BPW Date 1/22/19 Phone Extension 6205 <br />raarawmuior rcwmmmmmmmmmmmuiui^romair m�mvnu rtmio <br />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 />L Agreement <br />❑ Professional Services <br />Bid Opening <br />Quote Opening <br />E] Chg Order No. <br />Ease./Encroach. <br />[7�1 Other: OPA Renewal <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 />'plm Typeg�i _.- Re <br />(�Contract <br />❑ Amendment <br />E] Bid Award <br />n Quote Award <br />C/O & PCA No. <br />Traffic Control <br />for All Submissions <br />Proposal <br />EI Req. to Advertise <br />PCA <br />Resolution <br />F� Claim <br />Addendum <br />❑ Title Sheet <br />___�t �t aired Information m mmmmmm <br />CDW Government <br />❑ Yes ❑ If Yes, Approved by Purchasing <br />0 No <br />❑ MBE Completed E-Verify Form Attached El Yes <br />❑ WBE ❑ No <br />of Adobe licensing <br />IT Aerating <br />279-0672-415.36-04 <br />$32„565.64.____. ww_ <br />1 year (through 2/5/2020 mm <br />Annual subscri tion renewal for Adobe licensing <br />..v—m..... --lncrease�mm Fo $r C11M Orders ON.... ..... _vvw <br />Amountof ...........................__ ��....m..... .._ — �............................ �.�.....__ma <br />Decrease $ <br />Previous Amount $ <br />Current Percent of Change: <br />New Amount $ <br />Total Percent of Change: <br />Time Extension: <br />Copy Original <br />® ❑ Shawn Dela <br />El El <br />Dispersal After Approval <br />