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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 4/4/2019 ............................... ........ ... <br />Department <br />Innovation & <br />Name Shawn Delaha Technolo <br />BPW Date 4/23/19 Phone Extension 6205 <br />NEWMN <br />Re ulred Prior to Submittal to Board <br />BPW Attorney ® Attorney Name McDaniels <br />Dept. Attorney 0 Attorney Name Kennedy <br />.... _................____� <br />Purchasing 0 Schmidt <br />Check the A <br />Professional Services Agreement <br />❑ Open Market Contract <br />❑ Bid Opening <br />F1 Quote Opening <br />EJ Proposal Opening <br />Chg. Order, No. <br />Other: Flardwa.re Lease <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 />Purpose/Description <br />;te Item i..:y_p.�L_ <br />Contract <br />n Amendment/Addendum <br />El Bid Award <br />(l Quote Award <br />n C/O & PCA No. <br />❑ Traffic Control <br />tired. Information <br />All Submissions <br />Lf Proposal <br />Special Purchase, QPA <br />Req. to Advertise <br />FJ Reject Bids/Quotes <br />PCA <br />Resolution <br />Ease./Encroach <br />❑ Title Sheei <br />AT&T Mobility <br />.. ._._.................... <br />❑ Yes❑ If Yes, Approved by Purchasing <br />Z No <br />EJ MBE Completed E-Verify Form Attached El Yes <br />❑ WBE] No <br />Mobile Tablet Lease <br />IT Lease accounts <br />279-0672-415.38-01 (principal) and 38-02 (interest) <br />$9445.32 <br />............................._ <br />36 months <br />.—Mobile tablet lease for Fire Department, VPA, and Mayor's <br />Office. <br />For Chan a Orders Onl <br />❑ Amount of Increase $ ... <br />_ .................. ._. <br />❑ Decrease ($ ) <br />Previous Amount <br />$ <br />Increase <br />% <br />Current Percent of Change: <br />Decrease��% <br />New Amount <br />$ <br />Increase <br />% <br />Total Percent of Change: <br />Decrease <br />% <br />Time Extension Amount: <br />New Completion Date: <br />