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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 5/10/2019 <br />Department <br />Innovation & <br />Name Shawn Meiiuha nt Technolo <br />BPW Date 5/28/19 Phone Extension 6205 <br />.. <br />Rqquired Prior to Submittal to Board <br />BPW Attorney ® Attorney Name °lcDaniels <br />Dept. Attorney M Attorney Name Kennedy <br />Purchasing Schmidt -ITITm mmmm <br />Check the Appropriate ltem Type :— Re c� <br />❑ Professional Services Agreement F-1 Contract <br />❑ Open Market Contract Amendment/Addendum <br />❑ Bid Opening [:] Bid Award <br />❑ Quote Opening E Quote Award <br />❑ Proposal Opening ❑ C/O & PCA No. <br />E] Chg. Order, No. Traffic Control <br />Other: Hardware Lease <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 />Previous Amount <br />Information <br />All Submissions <br />Proposal <br />Special Purchase, QPA <br />Req. to Advertise <br />Reject Bids/Quotes <br />❑ PCA <br />Resolution <br />Ease./Encroach <br />❑ Title Sheel <br />AT&T Mobility <br />❑ Yes ❑ If Yes Approved ................... <br />by Purchasing <br />No <br />R MBE Completed E-Verify Form Attached ❑ Nos <br />Mobile Tablet Lease <br />IT Lease accounts <br />279-0672-415.3801 principal) and 38-02 (interest) <br />$5826.60 <br />_........................................................ _ ....................... <br />__w <br />36 months <br />Mobile tablet lease for Safety & Risk Eng <br />ineering, ginee ring, Water Works, and <br />Wastewater. <br />U Increase <br />Decrease <br />Current Percent of Change: <br />New Amount <br />Total Percent of Change: <br />Time Extension Amount: <br />New Completion Date: <br />Increase % <br />Decrease ( % <br />Increase % <br />Decrease (IT-mITIT% <br />