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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 8/5/19 <br />Name Denise Riedl <br />Department Innovation & Tech <br />BPW Date 8/13/19 Phone Extension 6004 <br />�WWWWWWN'��W'IMIVPWBYNY�'�SW��,y�,�y�IMYdh%l�l➢l�m @IIN ryry�,�yµppgq�d � pp�i�iry�;ayrygp p�,ypµ�p,��ypIM1f91I10//nlE�lllllllllllllllllllllllllllllllll!iW'dXA/�&�MWW'IMMMBIMIIWIIWWIWI�ll4WIVIVYlID4Aw' <br />IT__www_ _ ...._w Re oared Prior- to Submittal to Board <br />g ® Attorney Name Kennedy <br />Controller review is required for all Contracts $5,000.00 or more <br />Controller , and greater than one year in length per the City Purchasing <br />Policy <br />Purchasing <br />Check the <br />N Agreement <br />El Professional Services <br />[ Bid Opening <br />❑ Quote Opening <br />❑ Chg Order No. <br />El Ease./Encroach. <br />R Other: <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 />T9 r#ate Itee <br />El Contract <br />El Amendment <br />El Bid Award <br />Quote Award <br />❑ C/O & PCA No. <br />❑ Traffic Control <br />for All Submissions <br />Proposal <br />❑ Req. to Advertise <br />red Information <br />Enfocus _ <br />❑ Yes <br />.............................. <br />® No <br />F MBE <br />PCA <br />❑ Resolution <br />F1 Claim <br />If Yes, Approved by Purchasing <br />WBE Completed E-Verify Form Attached <br />Free public wi-fi <br />Addendum <br />❑ Title Sheet <br />El Yes <br />No <br />