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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 5601we <br />IT ITIT ITITmm _IT ww_ _ Required Prior to Submittal to Board <br />Legal Attorney Clara McDaniels ITITITITITITmITIT <br />Name <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 />EI Bid Opening <br />❑ Quote Opening <br />Change Order No.. <br />❑Ease/Encroach. <br />91 Other: <br />Michael Schmidt <br />late ItemwT � — Required for All Submissions <br />Contract E Proposal <br />Resolution <br />❑ Bid Award ❑ Req. to Advertise <br />❑ Quote Award <br />❑ C/O & PCA No. ❑ PCA <br />❑ Traffic Control <br />tired Information <br />Company or Vendor Name Presidio 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 ❑ Yes Name of Company <br />Project Name Martin Luther King Jr. Rec Center Enterprise CameraSystem <br />...... <br />Project Number 1091-2019 <br />FundingSource Rec Ca jtal �� � .................. ���� __...a..... <br />P_ �.._ <br />Account No. 201-1103-452.22-24 <br />.................................. ........ ..__. <br />Amount $ 16,776.44 <br />�n..... <br />Terms of Contract Goods and service �........._..e...� a�re�ement <br />Purpose/Description IT Managed nter rise cameras stem at MLK Rec Center <br />Amount of El Increase <br />E] Decrease <br />Previous Amount <br />Current Percent of Change, - <br />New Amount <br />Total Percent of Change: <br />Copy <br />Original <br />❑ <br />❑ <br />0 <br />El <br />X Required Contractor's Certification Form Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E Vdrify,, Iran, etc. <br />luired For Change Orders Onlrmm <br />E15 <br />Dispersal After Approval <br />