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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date MaI 2142019 <br />Name Kara BoI Department Engineer <br />BPW Date M,a t 282019 Phone Extension 5933 <br />�mnaramrnvn�mrmmrarr�w�w�ruwuw�w�w�w�w�u�u�u�u�u�u�u�w�w� unuva,�,w�uuuumuuuuuumimmu�mu�m�mu�mmimimuuu�iw�w��wrt�u���mrtre�w,vx:����^�^�-�..�. <br />Rccluired Prior to Submittal to Board <br />BPW Attorney Z Attorney Name Clara McDaniels <br />Dept. Attorney E] Attorney Name <br />.... ...... .... ....w_ <br />Purchasing] <br />Check the A <br />Professional Services Agreement <br />Open Market Contract <br />Bid Opening <br />�] Quote Opening <br />�] Proposal Opening <br />❑ Chg. Order, No. <br />Other: <br />ite Item Type. <br />Contract <br />r—I Amendment/Addendum <br />❑ Bid Award <br />[] Quote Award <br />[-1 C/O & PCA No. <br />Traffic Control <br />uired Information <br />Company or Vendor Name CTC Technology & <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 />All Submissions <br />L' Proposal <br />❑ Special Purchase, QPA <br />El Req. to Advertise <br />Reject Bids/Quotes <br />[1 PCA <br />0 Resolution <br />E Ease./Encroach <br />Yes[ J If Yes, Approved by Purchasing <br />No <br />❑ Title Sheei <br />®El MBE Completed E-Verify Form Attached No <br />WBE <br />Interactive Broadband Workshop and Sri t 1 rc go.band PILL mm <br />119-054 <br />IT Professional Services <br />................................................................................................ <br />279-0672-415.31-06 <br />(Total): $7000; Task 2 $43,000 Hourly, NTE <br />SO,000(T): Task 1 <br />..e... �..... . <br />12 months, with additional on -call services as needed <br />_ .......... <br />For Change Orders Only <br />Amount of <br />Increase $ <br />❑ <br />Decrease ($ ) <br />Previous Amount <br />$ <br />___._......, <br />Increase <br />....................o�����������.................................................... ........��r�r���........... .................. .mm.... .. <br />/o <br />Current Percent of Change: <br />Decrease <br />( %). <br />.........�._.._......................... .,.__.mm.............................. <br />New Amount <br />$ <br />_ <br />Increase <br />% <br />Total Percent of Change: <br />Decrease <br />_...............................%)........................................__�.... <br />Time Extension Amount: <br />New Completion Date: <br />