Laserfiche WebLink
BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date <br />Name <br />04/04/2019 <br />Patrick Sherman <br />Department VPA <br />BPW Date 04/09/2019 Phone Extension 5601 <br />uired Prior to Submittal to Board <br />Legal _ --. g ® Attorney Name rani Campbell/Weiss <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 [/�q', Michael Schmidt <br />Check the A <br />Agreement <br />❑ Professional Services <br />Bid Opening <br />El Quote Opening <br />n Change Order No. <br />El Ease/Encroach. <br />7 Other: <br />tirrlte Item Tie <br />❑ Contract _ <br />Resolution <br />El Bid Award <br />Quote Award <br />❑ C/O &PCANo. <br />_ <br />❑ Traffic Control <br />for All Submissions <br />Q Proposal Award <br />❑ Req. to Advertise <br />uired Information <br />❑ PCA <br />Addendum <br />❑ Title Sheet <br />Company or Vendor Name Greater Impact Lawn Care <br />New Vendor ❑ Yes No 0 If Yes, Approved by Purchasing <br />MBEM/BE Contractor ❑ MBE ❑ WBE <br />MBE/WBE Contractor Requested ❑ No ❑ Yes Name of Company <br />Project Name 2019 LAWN MAINTENANCE & MENTORSHIP PROGRAM <br />Project Number 1082-2018 <br />Funding Source <br />Account No, 201-1101-452-39.89 <br />Amount ............... <br />.... .�..._.......__6� _........................... <br />of to Exceed $20,000.00 <br />Terms of Contract _Juneww1stw2019 throu Au h gust 31wst 2019 <br />Purpose/Description Providin mentorshi through lawn maintenance employment. to ment. <br />Required Contractor's Certification Form Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verifv, Iran. etc.) <br />Amount of ❑ Increase $ <br />❑ Decrease <br />Previous Amount $ <br />Current Percent of Change: <br />New Amount $ <br />.......... <br />Total Percent of Change: <br />Dispersal After Approval <br />Copy <br />Original <br />El <br />F-1 <br />❑ <br />❑ <br />