Laserfiche WebLink
BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Department <br />Date .�5./.1../.19 Fire ........................_..�................................................... ....�..................a..................�� ............_�����_......�. <br />BPW Date 5/14/19 Phone 9255 <br />Name Andrew Myer, A/C EMS <br />o Legal <br />2o-�U--0 <br />'5 _o � Controller <br />N ` Q CO <br />co Purchasing <br />Check the A <br />Agreement <br />Claim <br />i __.........O e�ning_ <br />Quote.... :pepin. <br />Chg Order. No. <br />Ease./Encroach. <br />Other: Bid Extei <br />New Vendor e <br />any or Vendor Nam <br />MBE/WBE Contractor <br />Project Name <br />Project Number <br />Funding Source <br />nt AccouNo. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Amount of <br />Previous Amount <br />Current Percent e rc_ m.m................ <br />of Chan <br />New Amount <br />Total Percent . ercent of Change <br />PO No. <br />Copy <br />Original <br />D <br />0 <br />El <br />Attorney Name Elliot Anderson, Clara McDaniels <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 />o m m.. — q Submissions <br />rro pate Item Type mm Required for All Submis � m <br />` 1 Contract f PropAdden osal du �..� <br />Bid Award <br />Quote Awa <br />rd <br />rd <br />C/0....& P.C.A...No. <br />Traffic Control <br />I eqq fired Information <br />Ph siy o Control <br />: .Yes No (_j If Ye <br />MBE WBE <br />to Advertise <br />PC.A...................... <br />Resolution <br />roved by Purchasi <br />.. Equipment Purchases/Materials & Equipment <br />287-0902-422-43.10 <br />Title Sheet <br />Bid award extension. Purchase of thirteen 13 cardiac monitors <br />For Change Orders Onl r <br />... y �. <br />Increase $ <br />Decr <br />ease $ <br />Dispersal After Approval <br />