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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 8/6/2019 <br />Department City <br />Name Jennifer Coffman Clerk's Office <br />BPW Date Au ust 13 2019 Phone Extension 9267 <br />�1�dG0.0.f�OWllnWll�.'WWWWOMVP'�',W'�dGCUekWM4WI�IMIIWIVIVWIIVJPIVIPIVIIPIIPMMMIiIrtMNMVM!A��MRNNNNI✓�V.WMVN��'.Nl. ryry:„�p:/:4iPD➢N/�kN9//p//pgyW',W,ryq�W�y,M�W',Mq�V�V�V�V�V�V�V�V�V�V�'W'W�V�V�VWN'M ���',ryMl6�W�,��WWWWI'�tAM'YARNN&Id <br />Required Prior to Submittal to Board <br />BPW Attorney Attorney Name _.,,,,......... _...� <br />Dept. Attorney Attorney Name Tom Stipp <br />.. — --- <br />Purchasing E] <br />Check the Aimromiate Item lit ww w° h ired <br />❑ Professional Services Agreement EJ Contract <br />❑ Open Market Contract Amendment/Addendum <br />Bid Opening ❑ Bid Award <br />Quote Opening F-1 Quote Award <br />Proposal Opening F-1 C/O & PCA No. <br />Chg. Order, No. F-1 Traffic Control <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 />Purpose/Description <br />Information <br />All Submissions <br />❑ Proposal <br />❑ Special Purchase, QPA <br />Req. to Advertise <br />❑I Reject Bids/Quotes <br />PCA <br />Resolution <br />nc ach <br />Ease./E.........TO......................................�w <br />❑ Title Sheel <br />Electronic Data Collection i c)rporation <br />��� �eYe .. .__._..-. <br />s `"' I If Yes, Approved by Purchasing <br />F] No <br />MBE ® WBE Completed E-Verify Form Attached Nos <br />AIMS Parkin�Ticket System <br />279-0672-415.36-04 <br />-.—__--._..... <br />23,320.00 _ <br />......3...Year Parkin Ticket Software, _.......____�..�............................................................ ....... ......____.......... ................ ........,.. <br />g New system for enforcing and patrolling <br />downtown parking laces. <br />- ..__... . .. <br />For Change Orders Only <br />Amount of El Increase $ ................��r_ — <br />Decrease $:.. <br />Previous Amount $ <br />Current Percent of Change <br />New Amount <br />Total Percent of Change: <br />Time Extension Amount: <br />New Combletion Date: <br />E15 <br />Increase % <br />Decrease ( % <br />Increase % <br />.................................................. <br />Decrease ( % <br />