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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 4/2/19 <br />........ . . ............. . . . . ............................. . <br />Name Cara Grabowski Department Public Works <br />BPW Date 4/9/19 Phone Extension 5819 <br />Required Prior to Submittal to Board <br />BPW Attorney Attorney Name Sandi Kenned <br />..................... . . .................... <br />Dept. Attorney Attorney Name <br />Purchasing 0 <br />Check the Amromiate, Item Twee — <br />X Professional Services Agreement Ll Contract <br />F-1 Open Market Contract [-� Amendment/Addendum <br />[:] <br />Bid Opening <br />E] <br />Bid Award <br />E] <br />Quote Opening <br />Quote Award <br />F-1 <br />Proposal Opening <br />❑ C/O & PCA No. <br />n <br />Chg. Order, No. <br />El Traffic Control <br />F-1 Other: <br />Infonnation <br />Company or Vendor Name Force 5 Media, Inc. <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 />Purpose/Description <br />All Submissions <br />11 Proposal <br />E] Special Purchase, QPA <br />[] Req. to Advertise <br />E] Reject Bids/Quotes <br />[] PCA <br />E] Resolution <br />Ease./Encroach <br />El Title Sheet <br />LJ Yes L] If Yes, Approved by Purchasing <br />No <br />❑ MBE Completed E-Verify Form Attached Yes <br />E] WBE E] No <br />Solid Waste Fleet Branding <br />.......... . . ............................ ......... . . . . . . . <br />General Fund — '.ngineerj :.-- Professional Services <br />101.0602.431.31.06 <br />$5,720.00 <br />Design of graphics and branding for Solid Waste fleet. <br />Amount of El increase . ..... . <br />1:1 Decrease <br />Previous Amount <br />$ <br />Increase <br />% <br />Current Percent of Change: <br />Decrease <br />% <br />New Amount <br />$ <br />Increase <br />% <br />Total Percent of Change: <br />Decrease <br />Time Extension Amount: <br />New Completion Date: <br />... . . .......................... ........................ . .............. <br />