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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 2/22/2.0..1...9....................._ _...._��.._____- Department Fire <br />BPW Date 3/12/19 Phone 9255 <br />m�seemw� ur�u�umuuuuuuuuuuuuuuuuuuumrn�rrrm��ar�,w;i imr�r�r�rmrvr�xnxw,�wwew,wuuum <br />Name <br />wwSte hen Cox, Fire Chief <br />� ✓�r�ar��r�mrmr�- �.cr. — nu�on�mrvrm unaia�mrm i�c..��,ca�rw <br />o Legal Attorney Name <br />o P Controller review is required for all Contracts $5,000.00 or more <br />o o Controller F1 and greater than one year in length per the City Purchasing <br />0 m Policy <br />U) Purchasing <br />Check the P <br />Agreement <br />Claim <br />�BidO e _. <br />o nMnc � �....�.. <br />-Quote ...Qniag <br />Chg <br />rder No. <br />Ea eOE croa <br />Other: <br />...m <br />Company „_anny or or Vendor ....N..ae.W _ <br />ropriate Item Tyoe�- <br />7 Contract <br />Bid Award <br />Quote Award <br />C/O & PCA No <br />Traffic Control <br />New Vendor <br />El <br />Yes <br />MBE/WBE Contractor <br />_ <br />Project Name <br />Project Number <br />_�... <br />Funding Source <br />.............count No. <br />_.. <br />......... . ..... .......................... <br />Amount _ <br />$ <br />Terms of Contract <br />..... <br />Purpose/Description ...._ <br />A.� ......_..� <br />As <br />For <br />PO No. <br />s <br />i( Propo'salubmission.111-117 <br />Add.��._.. ,........-_ <br />endum <br />red Information <br />e Orders Onl <br />Dispersal After Approval <br />Copy Original <br />to Advertise V n l Title Sheet <br />P_CA <br />Resolution <br />to Advertise V n l Title Sheet <br />P_CA <br />Resolution <br />