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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 7/9/2019 mm _....._......._.. <br />Name Mark Dollin er Department SBPD <br />BPW Date 7/23/2019 Phone Extension 7677 <br />.......... ..... <br />I�rcl Prior toSubmittal to Board �....__._ <br />BPW Attorney ® Attorney Name Clara McDalriels <br />Dept. Attorney ® Attorney Name Geovanny Martinez <br />. <br />Purchasing. ......... <br />.. <br />Check the Appro ri c Item 'Iyp -/iequ <br />❑ Professional Services Agreement Contract <br />Open Market Contract Amendment/Addendum <br />Bid Opening ❑ Bid Award <br />E] Quote Opening ❑ Quote Award <br />❑ Proposal Opening ❑ C/O & PCA No. <br />❑ Chg. Order, No. ❑ Traffic Control <br />Other: <br />Required Information <br />Company or Vendor Name <br />New Vendor <br />MBE/WBE Contractor <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Submissions <br />LJ Proposal <br />❑ Special Purchase, QPA <br />❑ Req. to Advertise <br />Reject Bids/Quotes <br />❑ PCA <br />Resolution <br />Ease./Encroach <br />❑ Title Sheet <br />....Application Data,§ystenL5, Inc. _..._..._._...._.._._ <br />Yes If Yes, Approved by Purchasing <br />No <br />MBE Completed E-Verify Form Attached El Yes <br />❑ WBE No <br />Software Maintenance Agreement <br />IT Software Agreements <br />......_..................... <br />279-0672-415.36-04 <br />4 emu's ..,....._ .._._.......................... <br />.. ......... .... ............................... ........ ..... — <br />Contract agreement to provide w <br />g p e software maintenance to our records <br />management system for one year with three (3) one year renewals. The 2019 <br />fee has been paid due to past overpayments. The future renewal payments <br />will be $43,754 annuall . <br />Amount of Increase _$ <br />jE] Decrease ($ <br />Previous Amount $ <br />Increase <br />Current Percent of Change: Decrease <br />New Amount $ <br />Increase <br />Total Percent of Change: Decrease <br />Time Extension Amount: <br />New Completion Date: <br />