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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 4/3/19 <br />Name Sue Gerlach Department IT <br />BPW Date 4/23/19 Phone Extension 6209 <br />=Wwwm <br />Reg uired Prior to Submittal to Board <br />BPW Attorney ❑ Attorney Name Clara McDaniels <br />Dept. Attorney Z Attorney Name <br />Purchasing [A Michael Schmidt <br />Check the Anoronriate Item Tvpe - <br />" Professional Services Agreement " Contract <br />Sandra Kennet <br />EJ <br />Open Market Contract <br />❑ Amendment/Addendum <br />F <br />Bid Opening <br />Bid Award <br />Quote Opening <br />E] <br />Quote Award <br />Proposal Opening <br />❑ <br />C/O & PCA No. <br />EJ <br />Chg. Order, No. <br />❑ Traffic Control <br />F1 Other: Dell Lease <br />lReouired Information <br />All Submissions <br />Proposal <br />Special Purchase, QPA <br />Req. to Advertise <br />[� Reject Bids/Quotes <br />PCA <br />❑ Resolution <br />Ease./Encroach <br />❑ Title Sheet <br />Company or Vendor Name Dell <br />....... ......W <br />New Vendor EJYes❑ If Yes, Approved by Purchasing <br />® No <br />MBE/WBE Contractor MBE Completed E-Verify Form Attached ❑❑ Nos <br />F-IProject Name Laptops for Police Department <br />Project Number N/A _... _.... _. <br />Funding Source IT Lease <br />Account No. Principal 279-0672-415-38.01 Interest 279-0672-415-38.02 <br />Amount <br />$51,467.85 <br />Terms of Contract <br />$11,442.33 annualhy for.5 <br />years <br />Purpose/Description <br />Deli Tou � bpok Laptops for patrol cars <br />For an e Orders Onl <br />Amount of Fj <br />Increase $ <br />....... <br />n <br />Decrease ($ )_ <br />Previous Amount <br />.............. <br />$ ....... <br />Increase <br />% <br />Current Percent of Change: <br />Decrease <br />0 <br />New Amount <br />$ <br />.- ........................... <br />Increase <br />_...... .... ..�����. <br />% <br />Total Percent of Change: <br />Decrease <br />.... <br />/o <br />Time Extension Amount: <br />New Completion Date: <br />.._ ....._. _........ <br />.......................... <br />