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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 5-20-19 <br />Name Kim Thompson Department Utilities <br />BPW Date 5/28/19 Phone Extension 5969 <br />o ,�,n, m,. , u w�a� vnmiwuwuuimuuwuwuwuwwimiui ,wmv wnHw�mmcse✓wvar�emuumu�mmm Jffiiwwwiucman iarnmaermnisrr �v! .. . <br />..... .�,.�.................... . _......... <br />lec� cd Prior to Submittal to Board <br />BPW Attorney Attorney Name Clara McDaniels <br />Dept. Attorney ❑ Attorney Name <br />Purchasing Michael Schmidt <br />Check the Appropriate Item Type -- <br />Professional Services Agreement n Contract <br />Open Market Contract E] <br />Amendment/Addendum <br />Bid Opening F <br />Bid Award <br />Quote Opening ❑ <br />Quote Award <br />Proposal Opening <br />C/O & PCA No. <br />® Chg. Order, No. 1 [ <br />Traffic Control <br />❑ 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 />Information <br />All Submissions <br />Proposal <br />E Special Purchase, QPA <br />Req. to Advertise <br />IE] Reject Bids/Quotes <br />[:] PCA <br />E Resolution <br />❑ Ease./Encroach <br />❑ Title Sheel <br />Systems and Software <br />❑ Yes If Yes, Approved by Purchasing <br />❑ No <br />❑ MBE Completed E-Verify Form Attached ❑ Yes <br />❑ WBE F-1 No <br />Water Works O&M <br />620-0640-587-3910 <br />$151,725.00 <br />CO for S&S to complete data conversion for Utility CIS <br />project <br />For Change Orders Only <br />Amount of increase 1 0 <br />Decrease �15172 � 0.. <br />A,.. _.......... <br />Previous Amount $ <br />Increase�....................................__ _.....���� �...........................................................��....e............... �.�............................................... <br />Current Percent of Change: Decrease (10%) <br />New Amount $_ _ <br />Increase__�.,,.........�..�.�.�....................................................m.m__...�. ............................................................_.�.0 ,,,,..... �.... <br />% <br />Total Percent of Change: Decrease ( %) <br />Time Extension Amount: <br />New Completion Date: <br />