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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date <br />Name <br />3/21 /2019 <br />Adam Parsons <br />Department Central Services <br />BPW Date 4/9/2019 Phone Extension 9302 <br />�umdmmoti®mmmA�... to Submittal to Board <br />Re oar Prior �� _.a .— ... <br />Legal Attorney Name Clara McDaniels <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 />m.....__. <br />Check the A <br />L Agreement <br />[l Professional Services <br />Bid Opening <br />F-1 Quote Opening <br />n Chg Order No. <br />El Ease./Encroach. <br />n Other: <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 />Michael Schmidt <br />ropriate Item <br />LJ Contract <br />'7� 4mendment <br />LJ Bid Award <br />] Quote Award <br />El C/O & PCA No. <br />F] Traffic Control <br />-- u fired for All Submissions <br />Proposal <br />❑ Req. to Advertise <br />❑ PCA <br />El Resolution <br />F] Claim <br />Addendum <br />❑ Title Sheet <br />n <br />.......... <br />Required Informstio_..._. <br />Herrman & Goetz <br />Yes ❑ If Yes, Approved by Purchasing <br />® No <br />WBECompleted E-Verify Form Attached Nos <br />Spec AE — Preventative Maintenance on Generators <br />Century_Center Operating Budgets <br />$630 annually throuqh the end of the contract (2020 <br />Purpose/Description Add the Centu Center generator to the cit -wide aenerator <br />maintenance contract. <br />.—....: _.� <br />Amount of Increase $ <br />ElDecrease_.$...............�. �............_...._ �..._.... __ .��� m,,,,,,. <br />Previous Amount $ <br />Current Percent of Change: — <br />New Amount $ <br />Total Percent of Change: %° <br />...................... <br />Time Extension: <br />Dispersal After Approval <br />Copy <br />Original <br />❑ <br />Adam Parsons <br />FA <br />El .�...........� Scott Herczeg.�.� <br />