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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 06/20/2019 <br />Department VPA: Facilities & <br />Name Patrick Sherman Grounds <br />BPW Date 06/25/2019 Phone Extension 5601 <br />/&�Illllllm�mmmllllllllllllllll�Il W�ID➢IDIDIDID1Y➢i Me�YHAI�EYfAA�!lAXfnPXfnPXfnP � �p IWtlMMiINIWIW!�iIWIVY�//NW ®� <br />� ...���.. ...� ..mm.........w. ..� .. .......... �. w.�.�� ........—........W.. <br />Required Prior to Submittal to Board <br />_.. ... <br />Legal Attorney ��.......�....._w�w_ ..��� _.......- <br />g ® Name Clara McDaniels <br />Controller review is required for all Contracts $5,000.00 or more <br />Controller ® and greater than one year in length per the City Purchasing <br />Policy <br />Purchasing <br />Check the <br />Agreement <br />E Professional Services <br />Bid Opening <br />El Quote Opening <br />F-1 Change Order No. <br />El Ease/Encroach. <br />F I Other: <br />Michael Schmidt <br />ro_priate Item Type — FF <br />❑ Contract <br />❑] Resolution <br />❑ Bid Award <br />❑ Quote Award <br />El C/O &PCANo <br />F Traffic Control <br />d for All Submissions <br />Proposal <br />❑ Req. to Advertise <br />auired Information <br />❑ PCA <br />Company or Vendor Name Presidlo Networked Solutions Group, LLC <br />Addendum <br />❑ Title Sheet <br />New Vendor ❑ Yes ® No ❑ If Yes, Approved by Purchasing <br />MBE/WBE Contractor ❑ MBE [:] WBE <br />MBE/WBE Contractor Requested ® No 0 Yes Name of Company <br />Project Name Howard Park Enterprise Camera Srstemmmm <br />Project Number 1089-2019 <br />........... ._......... .. _ _. <br />Funding Source Cum Cap Fund 406 <br />w <br />Account No. 406-1101-452.42-01 <br />......................................................... . . . . ................ ............m <br />Amount $ 29,916.11 <br />Terms of Contract Goods and service agreement <br />Purpose/Description IT Managed nterrise cameras stem at Howard Park <br />X Required Contractor's Certification Form Attached (Non - <br />Collusion, Non -Discrimination, Non Debarment, E-Veo!y, Iran, etc, <br />:wired For Change Orders OnN <br />Amount of LJ Increase <br />Decrease <br />Previous Amount <br />Current Percent of Change: <br />New Amount <br />Total Percent of Change: <br />Dispersal After Approval <br />Copy <br />Original <br />El <br />F-1 <br />El <br />F-1 <br />EJ <br />El <br />