Laserfiche WebLink
BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 4/17/2019 <br />Department Innovation and <br />Name Danielle Fulmer Technology <br />BPW Date MqV 14th 2019 Phone Extension 6018 <br />WH=fflf <br />Required Prior to Submittal to Board <br />Legal Attorney Name Sandra Kennedy <br />Controller review is required for all Contracts $5,000.00 or more <br />Controller Z and greater than one year in length per the City Purchasing <br />Policy <br />Purchasing <br />Check the A <br />D Agreement <br />Z Professional Services <br />El Bid Opening <br />[� Quote Opening <br />❑ Chg Order No. <br />❑ Ease./Encroach. <br />F-1 Other: <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 />Amount of <br />ir_ opriate Item Type— Required for All Submissions <br />El Contract <br />Proposal Addendum <br />❑ Amendment <br />j Bid Award <br />❑ Req. to Advertise ❑ Title Sheet <br />❑ Quote Award <br />❑ C/O & PCA No.. <br />I❑ PCA <br />F-1 Traffic Control <br />Resolution <br />Regyired Information <br />The Research Foundation of the CityUniversityof New York <br />. ..�._..... .................__ <br />❑ Yes ❑ If Yes, Approved by Purchasing <br />® No <br />❑ MBE Completed E-Verify Form Attached El Yes <br />❑ WBE ❑ No <br />Group Violence Intervention GVI <br />N/A <br />.__................................. <br />De rtm mmra of Innovation and Technology <br />279-0672-415.31-06 <br />_._.. _ .............._._. <br />5t�,gQ V7,000 in year 1, $23,000 in year 2)................................ <br />Net 30 <br />. ....._ <br />The National .._._____ ........ ...�..... <br />nal Network for Safe Communities at John Jay College <br />of Criminal Justice provides strategic guidance, technical <br />assistance and other support for the Cit "s efforts to reduce_gun <br />violence. This strengthens local capacity for the Group Violence <br />Intervention and ensures awareness of evolvina best practices. <br />For Change Orders Only <br />I ncrease <br />Decrease $ <br />Previous Amount $ <br />Current Percent of Change: <br />New Amount $ <br />Total Percent of Change: .... <br />Time Extension: <br />Copy Original <br />❑ ❑ <br />I <br />Dispersal After Approval <br />