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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 3/21/19 Department Fire <br />BPW Date 4/9/19 Phone 9255 <br />Name Todd Skwarcan, A/C Services <br />gNMVNINOINVMVM1PfWi�u�90d%IH/.4�FtttNn�m+ +�+�p�RgWyy A9TitlAIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIW9WIWiiM1MMnhflfiJlUUVfA��Alo1)lG �u b'FpMI�MMMII�WIVIVIVIVIVIVIVIVWWIVIDYIN W,W,y,W,yyq,W,y,'�W�W�W��I�i�!AMMMSX#Nc'� <br />o Legal <br />o "= Controller <br />a)cr �L m <br />a <br />U) Purchasing <br />Check the A <br />Agreement <br />Claim <br />Bid O,�.en.!.n.............. <br />Quote Opening <br />Chg_ Order No <br />Ease./Encroach. <br />Other: <br />Attorney Name Elliot Anderson <br />Controller review is required for all Contracts $5,000.00 or more <br />and greater than one year in length per the City Purchasing <br />Policy <br />Michael Schmidt <br />Submissions <br />ro <br />�� Prop /sal _.......... Addendm._"��.._u_.... <br />`m f 1 Contract I- m <br />Bid Award .......................... <br />Quote Award <br />C/ <br />O & PCA No <br />Traffic Control <br />Required Information <br />Public afety Medical <br />Ej Yes No If Ye: <br />M.BE..f.�1... .B.E......... . .... . <br />to Advertise <br />PCA <br />Resolution <br />roved by Purchasin <br />Fire Personnel Services-Benefits/Medical <br />101.0901.422.31-06 <br />$-Perv2019 Service Agreement; <br />ree ...�....................��_ �..�..... <br />g ent; invoiced weekly <br />Title Sheet <br />2019 Service Ag reement--Firefi hters' Annual Physicals <br />For Chance Orders <br />Amount of H Increase <br />Decrease <br />Previous Amount $ <br />Current Percent of Change_ <br />New Amount $ <br />Total Percent of Change <br />PO No. <br />Dispersal After Approval <br />Copy <br />Original <br />❑ <br />❑ <br />❑ <br />❑ <br />