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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 06/20/2019 <br />Name Patrick Sherman <br />Department VPA <br />BPW Date 06/25/2019 Phone Extension 5601 <br />0000000000mmmmmmmmmmmmumuum iminwrw wmm w M ri!WaRl mmreMnmMa PMNNWtltlMNMNM <br />..... <br />uared Prior to Submittal to Board <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 <br />mmmmmmmmmmm mmCheck Wthe <br />j Agreement <br />E, Professional Services <br />E Bid Opening <br />❑ Quote Opening <br />❑ Change Order No. _ <br />F Ease/Encroach, <br />F] Other: <br />Michael Schmidt <br />rropriate Item Type <br />Contract <br />r_1 Resolution <br />for All Submissions <br />Proposal <br />Bid Award ❑ Req. to Advertise <br />❑ Quote Award <br />® C/O & PCA No. 1 ❑ PCA <br />❑ Traffic Control <br />Required Information <br />Company or Vendor Name Gametime Inc. <br />New Vendor [ Yes Z No 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 Park Upgrades Program: Phase 3 <br />_.._...._....._. ...�..................... <br />Project Number 1076-2018B <br />Addendum <br />❑ Title Sheet <br />Funding Source Park Bond Series I <br />Account No....471-............................................................_._..............�.�.....w_.............. <br />1137-452.42-01 <br />..............—.------- <br />__ _............. <br />Amount $ 7,350.00 <br />Terms of Contract QPA Purchase: US Communities Contract #2017001134 <br />Purpose/Description Ar�er�.. .._...��...�..w ......... ..... ........�� <br />dme(tc QPA purchase for design change. <br />® Required Contractor's Certification Form Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc. <br />Rewired For Change Orders Onl <br />Amount of crease <br />❑ Decrease $ <br />Previous Amount $ <br />Current Percent of Change: % <br />New Amount <br />___... ......................... <br />.w <br />Total Percent of Change: % <br />.............. ��mITITmDispersal After Approval_�.._..._....�................._����......�........ <br />Copy Original <br />❑ ❑ <br />E] ❑ ..._ <br />