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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date <br />Name <br />[•'1MMiS11007 <br />Brian Donoghue <br />Department Innovation <br />BPW Date 6-11-2019 Phone Extension 6203 <br />R+e aired Prior to Submittal to Board <br />Legal ® Attorney Name Sandra 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 />L J Agreement <br />® Professional Services <br />❑ Bid Opening <br />Quote Opening <br />Change Order No. _ <br />FJ Ease/Encroach. <br />❑ Other: <br />rro riate Item Type <br />Contract <br />[J Resolution <br />El Bid Award <br />❑ Quote Award <br />❑C/O &PCANo. <br />_ <br />Traffic Control <br />for All Submissions <br />➢' Proposal Addendum <br />❑ Req. to Advertise ❑ Title Sheet <br />u llred Information <br />Company or Vendor Name EnFocus Inc. <br />❑ PCA <br />New Vendor ❑Yes ® No ❑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 />Project Number <br />Funding Source IT Professional Services_......_ <br />......... <br />Account No. 279-0672-415 31-06 <br />.... ............... ....... <br />Amount $25,000 <br />Terms of Contract 5/28/2019 — 8/ 88/2019 <br />Purpose/Description Internship Pro ram. <br />❑Required Contractor's Certification Form Attached (Non -Collusion, <br />Non -Discrimination, Non -Debarment, E-Veriflran�etc. <br />Re r 1red For Change OrdersOnly <br />Increase -$ <br />Decrease <br />Amount of $ .�._�.......... ...... ._ ......__ <br />❑ <br />Previous Amount $ <br />Current Percent of Change: <br />New Amount $ <br />_... _ ................. .......... <br />Total Percent of Change: % <br />Dispersal After Approval <br />Copy Original <br />® ❑ Brian Donoghue <br />® ❑ Shawn Delahanty <br />® ❑ Denise Riedl <br />