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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 04/15/2019 <br />Department <br />Innovation & <br />Name Daniel R O'Connor Technolog <br />BPW Date 04/23/2019 Phone Extension 6201 <br />nUMH MMIM <br />..__..- ................. _ _....... _ _ _u <br />Required Prior to Submittal to Board <br />BPW Attorney ® Attorney Name Clara McDaniels <br />Dept. Attorney Z Attorney Name Sandra Kennedy <br />Purchasing ® ➢ "lichael Schmidt <br />Check the <br />Professional Services Agreement <br />U Open Market Contract <br />F-1 Bid Opening <br />Quote Opening <br />Proposal Opening <br />❑] Chg. Order, No. <br />F Other: <br />[te Item Type — <br />Contract <br />❑ Amendment/Addendum <br />❑ Bid Award <br />Quote Award <br />❑ C/O & PCA No. <br />❑ Traffic Control <br />Reauired Informatio <br />n <br />All Submissions <br />" Proposal <br />0 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 John Lankowicz <br />...........................n......_ .._. ...._... <br />New Vendor ® Yes® If Yes, Approved by Purchasing <br />❑ No <br />MBE/WBE Contractor MBE Completed E-Verify Form Attached Nos <br />Project Name John Lankowicz NTE Professional Services Contract <br />Project Number <br />..._......... �.................. <br />Funding Source IT Professional..�._._:..._�..__....._.............w_wwww _..mm...��... <br />Services 279-0672-415.31-06 <br />_...._.......w ... ._................... <br />Account No. 279-0672-415.31 06 <br />..................................... <br />Amount NTE 120 hours (6 O�IIour ($7,200) cis $ <br />Terms of Contract NTE $7,200 Apnl 2019 through Dec 2019 <br />..�...-...... ___ _.._ <br />Purpose/Description Assist as needed with GIS and Drone initiatives while we get new staff <br />oriented and up to a stronger knowledge base <br />For Change Orders Oil <br />Amount of <br />Increase $ <br />. ... ....................... <br />.................. <br />El <br />Decrease ($ ) <br />Previous Amount <br />$ <br />.......... <br />Increase ............. <br />............ <br />% <br />.............. <br />Current Percent of Change: <br />Decrease ( <br />%) <br />New Amount <br />$ <br />_............ .... . <br />Increase <br />% ... ........... <br />Total Percent of Change: <br />Decrease <br />Time Extension Amount: <br />New Comoletion Date: <br />