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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date.4/16/19.......................................................................................................................................... <br />Name Sue Gerlach Department IT <br />BPW Date 4//I9 Phone Extension 6209 <br />R�d Prior to Submittal to Board <br />BPW Attorney Attorney Name Clara McDaniels <br />Dept. Attorney Attorney Name <br />Purchasing ® Michael Schmidt <br />Check the Atwouriate Item T vDe <br />L Professional Services Agreement HContract <br />Sandra penned <br />[❑ Open Market Contract <br />Amendment/Addendum <br />Bid Opening <br />Bid Award <br />Quote Opening <br />Quote Award <br />❑ Proposal Opening E] <br />C/O & PCA No. <br />❑ Chg. Order, No. E] <br />Traffic Control <br />E Other: HP Lease <br />Company or Vendor Name Hewlett Packard <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 />Information <br />All Submissions <br />LJ Proposal <br />El Special Purchase, QPA <br />Req. to Advertise <br />❑ Reject Bids/Quotes <br />❑ PCA <br />Resolution <br />Ease./Encroach <br />YesLJ If Yes, Approved by Purchasing <br />No <br />❑ Title Sheet <br />❑ MBE Completed E-Verify Form Attached ❑ Yes <br />❑ WBE ❑ No <br />2019 Computer Refresh <br />....... .............. ...... <br />N/A <br />IT Debt Service Principal and Interest <br />Prin 279-0672-415.38-01 Int 279-0672-415.38-02 <br />........................................................... <br />Not to exceed $241,851.96 <br />$5 044.31 Monthly,for 48 months <br />Replace computer equipment that have reached end of life and lease schedu <br />For Chan e Orders Only <br />Amount of <br />I❑ Increase $ <br />Q Decrease ($ <br />Previous Amount <br />$ <br />Increase �....%. <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 />