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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 7/15/19 Department Fire <br />BPW Date 7/23/19 Phone 9255 <br />Name Andrew Myer�:A/CEMS EMMOMMINN�EWn��,m�M� �� m <br />:.. uawwruw,�vwa;^�wawrtawru�u�nra�raa <br />o Legal <br />o m Controller <br />U) Purchasing <br />Check the A <br />Agreement <br />Claim <br />Bid Opening <br />Q..uote.....O.p.en.�.n....... <br />Chi Order No, <br />Ease./Encroach, <br />Other: <br />Company or Vendor Name <br />New Vendor <br />MBE/WBE Contractor <br />Project Name <br />Proiect Number <br />Funding Source <br />Account No. <br />.----.................---- <br />Amount <br />..................................... <br />Terms of Contract <br />....�.�---......n_._... <br />Purpose/Description <br />Attorney Name Elliot Anderson, Clara McDaniels <br />Controller review is required for all Contracts $5,000.00 or more <br />and greater than one year in length per the City Purchasing <br />Policy <br />Michael Schmidt <br />)ropriate Item ape Required for All Submissions <br />Contract Proposal F—I Addendum <br />Bid Award <br />Quote Award <br />C/O & PCA No <br />Traffic Control <br />to Advertise <br />PCA _ <br />Resolution <br />Required Information <br />National Association of State Procurement Officers <br />El Yes No If Yes, App»� <br />rovedby Purchasi <br />�m_�_� ....... <br />MBE Ej WBE <br />_...._es_eeeee_.......... ...-__..... <br />NASPO ValuePoint Master Aareement <br />Agreement to join purchasing consortium <br />_ For Change Orders <br />Amount�of������ <br />.Increase L-$$ <br />_. . .......... . .... <br />DecreasePreviousAmo.u.nt................................................................................................................� <br />Title Sheet <br />