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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date <br />Name <br />BPW Date <br />5-30-2019 <br />Anna Kenned <br />6-11-2019 <br />Department <br />Phone Extension <br />Innovation & <br />Technology <br />6203 <br />............................._.......... -...... <br />Required Prior to Submittal to Board <br />Legal ® Attorney Name Kennedy <br />Controller ® Controller review is required for all Contracts $5,000.00 or more anc <br />greater than one year in length per the City Purchasing Policy <br />Purchasing <br />Check the <br />Agreement <br />Professional Services <br />Bid Opening <br />Quote Opening <br />Change Order No. <br />F1 Ease/Encroach. <br />❑ Other: <br />iropriate Item Type <br />[ Contract <br />Resolution <br />Bid Award <br />El Quote Award <br />❑C/O &PCANo. <br />_ <br />❑ Traffic Control <br />for All Submissions <br />l Proposal El Addendum <br />❑ Req. to Advertise ❑ Title Sheet <br />d Information <br />Company or Vendor Name Alpha Dog Agency <br />❑ PCA <br />New Vendor ® Yes ❑ No ElIf Yes, Approved by Purchasing <br />MBE/WBE Contractor ❑ MBE ❑ WBE <br />MBEANBE Contractor Requested ❑ No ❑ Yes Name of Company <br />Project Name 311 Rebranding <br />............................. _.......... <br />Project Number <br />Funding Source IT Fund Professional Services ............................... .... <br />......................... <br />Account No. 279-0672-415.31-06............._._ <br />Amount $7,500 <br />Terms of Contract 6/6/19 - 8/1/19 <br />Purpose/Description Create logo and brand standards for 311 Center, marketing Ian <br />and recommendations <br />®Required Contractor's Certification Form Attached (Non -Collusion, <br />Non -Discrimination, Non -Debarment, E-Verif , Iran, etc. <br />Required For Change Orders Only <br />Amount of ❑ Increase$ <br />❑ Decrease $ <br />Previous Amount $ <br />Current Percent of Change: <br />New Amount $ <br />Total Percent of Change: _...................... <br />Copy Original <br />® ❑ Denise Riedl <br />® ❑ Dan O'Connor <br />® ❑ Dan Parker <br />Dispersal After Approval <br />