Service Agreement - Responder Biomedical Services LLC - SBPD AED Units

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BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date Name 3/14/2019 Mark Doi Department SBPD BPW Date 3/26/2019 Phone Extension 7677 Required Prior to Submittal to Board ....... ...�..�.......�..._. _ ........_. Legal X Attorney Name Geovanny Martinez/Clara McDaniels Controller review is required for all Contracts $5,000.00 or more Controller ® and greater than one year in length per the City Purchasing Policy Purchasing Check the A Agreement Professional Services Bid Opening Quote Opening Chg Order No. Ease./Encroach. Other: pro riate Item _— Contract I —I Amendment for All Submissions ................. _ .._ Proposal n Bid Award ❑ Req. to Advertise Q Quote Award El C/O & PCA No. ❑ PCA ❑ Traffic Control E-] Resolution El Claim Reouired Information Company or Vendor Name N eVonder Biomedical Addendum ❑ Title Sheet ❑ Yes ❑ If Yes, Approved by Purchasing New Vendor 0 No MBENVBE Contractor ❑ WBE Completed E-Verify Form Attached ❑Nos Project Name AED Service Agreement Project Number __... Funding Source Other Operating Supplies Account No. 101-0801-421.22-24 Amount $4,860 Terms of Contract 1 Year Purpose/Description South Bead Police Department reguest approval of service a reement to inspect and service all SBPD AED units For Change Orders Only Amount of ❑ Increase $ __..._...._. ........ Decrease $ Previous Amount Current Percent of Change: % New Amount $ Total Percent of Change:_...__....._.....%..-.................................................. _.._..- ............ .._...... _ ... Time Extension: �...__... _ _ _ ..._ .._ _............... Dispersal After Approval Copy Original ® ❑ Division Chief Tim Lancaster ® ❑ Mark Dollimnger -m___.__......................... ............. _... .................... __