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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date <br />Name <br />05/23/2019 <br />Patrick Sherman <br />Department VPA: F&G <br />BPW Date 05/28/2019 Phone Extension 5601 <br />S��'m��W�W�W�W�W�VNNNNNW.WN'W9WVWWWWWWWWEWWM�Y/ daPJb9,@�flNVIWNJ"Xf�A�rt'1�IIIIII�IM�ttttlJN4MMa.WNW�'IAI�NOWVV.WPo IIVWPbM/H/HS.NIdI tl NOIO�Iw!WIVF� .. <br />Required Prior to Submittal to Board mmm� mmmmm w <br />Legal ® Attorney Name Clara McDaniels <br />Controller ® Controller review is required for all Contracts $5,000.00 or more and <br />greater than one year in length per the City Purchasing Policy <br />Purchasing Z Michael Schmidt <br />Check the Appropriate Item Type — Required for All Submissions <br />Agreement <br />.......... . <br />Contract Proposal El Addendum <br />El <br />Professional Services <br />❑ Resolution <br />❑ Bid Opening <br />❑ Bid Award ❑ Req. to Advertise ❑ Title Sheet <br />❑ Quote Opening <br />El Quote Award <br />❑! Change Order No. <br />❑ C/O & PCA No. ❑ PCA <br />❑ Ease/Encroach. <br />❑ Traffic Control <br />® Other: Sole Source <br />Purchase <br />................... _ _......w .................... <br />. Required Information <br />Company or Vendor Name Frank. J Zamboni & Co. Inc. <br />New Vendor El Yes FNo El If Yes, Approved by Purchasing <br />MBE/WBE Contractor ❑ MBE ❑ WBE <br />MBE/WBE Contractor Requested ❑ No ❑ Yes Name of Company <br />Project Name <br />Howard Park Zamboni <br />Project Number <br />1086-2019 <br />Funding Source <br />Cum Ca <br />Account No.. <br />226-0419-672.22-23 <br />Amount <br />106,944.54 <br />Terms of Contract <br />Shipment in October 2019 <br />