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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date <br />Name <br />8-5-2019 <br />Dan O'Connor <br />Department Innovation <br />BPW Date 8-13-2019 Phone Extension 6201 <br />IwH � ���' ""' d � Rd1�YD111W��3filNkkkHkl WIWW�RI�MIVIVWWWVIVIVIVIIIfRfY� 9��mWA�Y®y YIYIt✓L5: WMWINF9 MIN9fWP�. / <br />Rued Prior to Submittal to Board <br />Legal ® Attorney Name Sandra. Kenned <br />Controller ® Controller review is required for all Contracts $5,000.00 or more anc <br />greater than one year in length per the City Purchasing Policy <br />Purchasing <br />Check the A <br />L Agreement <br />Z Professional Services <br />Bid Opening <br />Quote Opening <br />❑ Change Order No. _ <br />Ease/Encroach. <br />Other: <br />rrM Item TypITe Re u�for All Submissions <br />❑ Contract Proposal El Addendum <br />�] Resolution <br />El Bid Award ❑ Req. to Advertise ❑ Title Sheet <br />F Quote Award <br />❑ C/O & PCA No. ❑ PCA <br />❑ Traffic Control <br />ired Information <br />Company or Vendor Name Krcnos Inc. <br />New Vendor Yes No [:]If Yes, Approved by Purchasing <br />MBE/WBE Contractor ❑ MBE [:] WBE <br />MBE/WBE Contractor Requested ❑ No ❑ Yes Name of Company <br />m JTimelinem....i <br />Project Name Change order for Kronos HR Payroll Pro'ect Extens'on <br />Project Number <br />_....... .w _... m......... �. _ ..._... _........ w._.. <br />Funding Source IT Professional Services <br />Account No. 279-0672-4.......... <br />15.3131-06 <br />Amount �.............32.......w. .m�....,,,._ <br />,850 <br />Terms of Contract 462 Hours (219 "hours at a rate of $150 .... m........... <br />_..�. .� ...per.....,...... _ <br />hour and 243 hours a "" t <br />Purpose/Description <br />r hour). <br />Change order to acc <br />ommodate a timeline extension for the <br />implementation of the Kronos HR Payroll system, <br />]Required Contractor's Certification Form Attached (Non -Collusion, <br />Non -Discrimination„ Non -Debarment, E-Verify, r Iran, etch <br />__..... Rg a r+ d For ghan e Orders Only <br />Amount of <br />❑ Increase $ <br />[] Decrease $ <br />Previous Amount $ <br />Current Percent of Change: <br />New Amount $ <br />Total Percent of Change: <br />Dispersal After Approval p pp val <br />Copy <br />Original <br />®El <br />Dan O'Connor <br />® <br />........_ <br />❑l Shawn Delaha <br />® <br />el Collins <br />El Daniel <br />