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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 07-15-201.9 ,111,111 <br />Name Brent Flussunc <br />Department Utilities <br />BPW Date 07-23-2019 <br />Phone Extension 5512 <br />BPW Attorney ❑ <br />Attorney Name <br />Dept. Attorney ❑ Attorney Name _ <br />Purchasing ❑ <br />Check the Appropriate Item Type _fteguirgt for All Submissions <br />❑ <br />Professional Services Agreement ❑Contract <br />.........---.......—.._ <br />❑Proposal <br />❑ <br />Open Market Contract ❑ Amendment/Addendum <br />❑ Special Purchase, QPA <br />❑ <br />Bid Opening ❑ Sid Award <br />❑ Req. to Advertise ❑ Title Slice <br />❑ <br />Quote Opening ❑ Quote Award <br />❑ Reject Bids/Quotes <br />❑ <br />Proposal Opening ❑ C/O & PCA No. <br />❑ PCA <br />❑ <br />_ <br />Chg. Order, No. _ ❑ Traffic Control <br />❑ Resolution <br />_❑ <br />Other: <br />Ease./Encroach <br />Regaired Information <br />Company or Vendor Name <br />Kirb-Risk <br />New Vendor <br />❑ Yes❑ If Yes, Approved by Purchasing <br />® No <br />Contractor <br />MBect <br />El MBE Completed E-Verify Form Attached O No <br />Project Name <br />Na <br />Project Number---- <br />...._ <br />Funding Source <br />.._......_...__. - - - - — .... .----........... __--------......_._ <br />O&M <br />Account No. <br />274.0672.415,36.0 <br />Amount <br />bi <br />3,a lled annual at $38,631 <br />Terms of Contract <br />_ _ _ <br />-- <br />Purpose/Description <br />. Utilities SCADA Environment Software Support & Renewal, 3 Year Pa, <br />Per Year Terms <br />........ __ ......; - For Change Otdarai-/nly__ <br />$ _.. <br />Amount of ❑ Increase . ----- ............. ...--- --- <br />❑ Decrease <br />Previous Amount $ <br />Increase _ _ % <br />Current Percent of Change: Decrease <br />New Amount $ <br />----...---_—_.--------------.---- ...--- —.......... <br />Increase °lo <br />---......------._..__ ._............. ..............—...__...-- <br />Total Percent of Change: Decrease <br />Time Extension Amount:-- <br />_.— __....—.._.......------ -�--......... .._ --....-----... <br />New Completion Date: <br />