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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 05/21/19 <br />Name Christine Villaire Department HR <br />BPW Date 6/11/19 Phone Extension 9957 <br />VWJUAOVA"l�".I��iiiiY��iiiI1111111111111111111111111111111111111111111111111111111YRh'Ik�Mi'�!�'fY�N � �� � �.._:t�.�_�+�++ � '?9i. �V�V�W�W�W�W�W�W��IY�Y�I��Y�ffl ���iI�iIRpPd04Vi/:Z�iiY: ���� � :..A IMVW.M <br />-- m..............W................................ w...,,.,., ,,,,,m,,,.,.,...,. ..W. ................. <br />Required Prior to Submittal to Board <br />BPW Attorney Attorney Name Clara McDaniels <br />Dept. Attorney <br />Purchasing <br />E Attorney Name <br />® Michael Schmidt <br />Danielle Weiss <br />_............�.................... Check the l a pz < Item iyy,� l c� c uir crci'r161- All Submissions <br />Professional Services Agreement [:] Contract <br />Open Market Contract <br />® Amendment/Addendum <br />Bid Opening <br />❑ Bid Award <br />❑ <br />Quote Opening <br />❑ Quote Award <br />Proposal Opening <br />C/O & PCA No. <br />Chg. Order, No. <br />Traffic Control <br />Other: <br />Reel u i mwed. Information <br />LJ Proposal <br />❑ Special Purchase, QPA <br />E] Req. to Advertise <br />FReject Bids/Quotes <br />El PCA <br />F] Resolution <br />Ease./Encroach <br />❑ Title Sheei <br />Company or Vendor Name <br />mySt�afli Pta . <br />E Yes If Yes, Approved by Purchasing <br />New Vendor <br />No <br />MBE <br />MBE/WBE Contractor <br />� <br />Completed E-Verify Form Attached <br />El Nos <br />Project Name <br />None <br />Project Number <br />None <br />Funding Source <br />Misc. CharRes Services <br />......,............................ <br />Account No. <br />101-0401-415.39-89 <br />Amount <br />$825.00 ($375 set up fee + $75/mo.). <br />Terms of Contract <br />12-month minimum <br />Purpose/Description <br />_ _ <br />Addedjtexting feature to the applicant tracking system which allows outgoi <br />text messaging and notifications to candidates. <br />For Change Orders Only <br />Amount of <br />El <br />Increase $ <br />Ej <br />Decrease ($ ) <br />Previous Amount <br />���� _._..............,,. .......� ....................................................... _.......m,,......� <br />$ <br />Increase % <br />Current Percent of Change: <br />Decrease................................%).....................................................__ <br />New Amount <br />_..................................................................................................................................................... . .......... <br />$ <br />Increase % <br />Total Percent of Change: <br />Decrease ( %) <br />............ ._...... _...................... <br />Time Extension Amount: <br />................. .......................... �._...................... <br />New Comnletion Date: <br />.................................................................................m.......................... ............... .ww N <br />