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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date <br />Name <br />7/29/19 <br />Michael Sniadecki <br />Department Innovation & Tech <br />BPW Date 8/13/19 Phone Extension 6004 <br />�k , Jl®WWWYI➢OIIMWWIiNWiIII �IUYYNi/AANANNfllYHAHANNf11I11AHi'di/1iHtr ar&�A.%///i�db14��GWVMMVGWNIIMIN�II�IIIWIIPII�I�Vk I='gVI➢JM NI➢^ <br />Required. Prior to ..Submittal to Board <br />Legal 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 P <br />'', Agreement <br />El Professional Services <br />❑ Bid Opening <br />❑ Quote Opening <br />Chg Order No. <br />Ease./Encroach. <br />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 />Amount <br />Terms of Contract <br />pro riate Item Type -. <br />❑] Contract <br />F] Amendment <br />El Bid Award <br />❑l Quote Award <br />El C/O & PICA No. <br />Traffic Control <br />for All Submissions <br />Proposal <br />❑ Req. to Advertise <br />uired Information <br />❑ PICA <br />❑ Resolution <br />F-1 Claim <br />Addendum <br />❑ Title Sheet <br />Network Solutions, Inc <br />_9.......Yes If Yes, A roved b yPurcha �] � pp y sing <br />® No <br />❑ MBE Completed E-Verify Form Attached El Yes <br />❑ WBE ❑ No <br />Cisco Network Equipment for the new COSB Technical Resource <br />Center (TRC) <br />IT Supplies/Purchase ($33,846.01) and IT Professional Services <br />($3,868.75) <br />279-0672-415.22-60 and 279-0672-415.31-06 <br />$37,714.76 total <br />One-time <br />Purpose/Description Cisco Network Equipment for the new COSB Technical Resource <br />Center (TRC) to build a wired and wireless network infrastructure. <br />w� For �hen� Ordersw_On�y� �.__........... ..�, <br />_.. _.._ <br />Amount of Increase $ m <br />Decrease $ <br />Previous Amount <br />Current Percent of Change <br />New Amount <br />Total Percent of Change: <br />Time Extension: <br />Copy <br />Original <br />El <br />Dispersal After Approval <br />Michael Sniadecki <br />