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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date <br />Name <br />6-27-19 <br />Kim Thom <br />5969 <br />BPW Date 7/23/19 Phone Extension 5969 <br />"..GAYN6"A'ti�-,-�---�----�YlY1NNWYlY�q^,P,V,CIF,%MAW,P,PIWIkAPo!M!W11dlft'IIIWMNIW.... �" „9%MIT,p1AY(dMIIMppMVMVMVMNNNVItlIWMOVtti� <br />..,.,.,.. ...... ...... .... .......�,�,�,.. .......... .........,......,.N. <br />Re or to Submittal to Board <br />BPW Attorney ® Attorney Name Clara McDaniels <br />Dept. Attorney ❑ Attorney Name <br />Purchasing ❑ <br />Check the appropriate Item Type -- <br />Professional Services Agreement E] Contract <br />Open Market Contract <br />❑ Amendment/Addendum <br />❑ Bid Opening <br />F-] Bid Award <br />E] <br />Quote Opening <br />❑ Quote Award <br />E] <br />Proposal Opening <br />❑ C/O & PCA No. <br />0 <br />Chg. Order, No. <br />❑ Traffic Control <br />0 Other: <br />Re <br />gairec Information <br />All Submissions <br />LJ Proposal <br />0 Special Purchase, QPA <br />Ej Req. to Advertise <br />E Reject Bids/Quotes <br />❑ PCA <br />E] Resolution <br />Ease./Encroach <br />❑ Title Sheei <br />Company or Vendor Name Selectron <br />.Yes <br />m..., .,, ww_ m._� ................__ ......._ mm... .. ... ... � ............�. <br />New Vendor ❑ If Yes, Approved by Purchasing <br />® No <br />MBE/WBE Contractor ❑❑ WBE Completed E-Verify Form Attached ❑ No <br />Project Name <br />Project Number <br />Funding Source Water and Wastewater O&M, IT maintenance and support <br />Account No. <br />... ........_.. ...............____..._. <br />Amount $50,750 and <br />...$ <br />00 <br />Terms of Contract _ <br />Purpose/Description LUpgrade to new platform in coordination with Enquesta implementatiol <br />and routine maintenance and support <br />renewal <br />For Charge Orders Only . . <br />Amount of Increase $ <br />Decrease ($ ) <br />Previous Amount <br />Current Percent of Change: <br />New Amount <br />Increase % <br />Decrease ( % <br />Increase % <br />Total Percent of Change: Decrease A. <br />Time Extension Amount: <br />New Comnletion Date: <br />