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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date <br />Name <br />02/21 /2019 <br />Patrick Sherman <br />Department Venues Parks & Arts <br />BPW Date 02/26/2019 Phone Extension 5601 <br />Required Prior to Submittal to Board ✓ <br />Legal ® Attorney Name Clara McDaniels <br />Controller ® Controller review is required for all Contracts $5,000.00 or more and <br />greater than one year in length per the City Purchasing Policy <br />Purchasing Z Michael Schmidt <br />Check the <br />LJ Agreement <br />❑ Professional Services <br />❑ Bid Opening <br />Quote Opening <br />❑ Change Order No. <br />❑ Ease/Encroach. <br />Z Other: Goods & Services <br />Agreement <br />pro ria�te Item Tr � �e <br />Contract <br />n Resolution <br />El Bid Award <br />❑ Quote Award <br />EI C/O & PCA No. <br />❑ Traffic Control <br />for All Submissions <br />I Proposal Award <br />❑ Req. to Advertise <br />red Information <br />Company or Vendor Name The Dugout Sporting Goods <br />❑ PCA <br />Addendum <br />❑ Title Sheet <br />New Vendor ❑ Yes ® No ❑ If Yes, Approved by Purchasing <br />MBE/WBE Contractor ❑ MBE ® WBE <br />MBE/WBE Contractor Requested ❑ No ❑ Yes Name of Company <br />Project Name Branded Apparel & Accessories <br />Project Number 1074-2018 mm..._................... mm <br />Funding Source Various <br />. r.m.............................._ �_.............. ��....... w <br />Account No. Various <br />Amount $Per item cost p�..____�..�..�.._.��.���.�....�............�.........................�. �._..__.... er enclosed contract Terms <br />Terms of Contract 2 Year non-excl. .............� __..........._.._._�. <br />Purpose/Description Partner for the purchase of branded clothing and accessories <br />® Required Contractor's Certification Form Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Vey, Iran, etch <br />. Re quired For Ch nae Orders Ool <br />Amount of ❑ Increase $ <br />[� Decrease $ <br />.... . $........... <br />Previous Amount. <br />Current Percent of Change: <br />New Amount $ <br />Total Percent of Change: <br />. . <br />............... <br />Dispersal After Approval <br />Copy <br />Original <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />