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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date <br />Name <br />8-6-2019 <br />Dan O'Connor <br />Department Innovation <br />BPW Date 8-13-2019 Phone Extension 6201 <br />DIW/vvl�rMluuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuwuw�elP�ifl u y��rv,&'d'.�+9ati�'; rK�2' ppy➢liYWp , ....• W//�rIDP91W1�1P',91N6%pFORMl� <br />ITmmmmm_� .... Nuired Prior to Submittal to Board <br />Legal ® Attorney Name Sandra Kennedy <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 <br />Agreement <br />® Professional Services <br />❑ Bid Opening <br />❑ Quote Opening <br />Change Order No. <br />Ease/Encroach. <br />F1 Other: <br />'r at Item Type -- <br />El Contract <br />❑ Resolution <br />❑ Bid Award <br />�I Quote Award <br />❑ C/O & PCA No. _ <br />❑ Traffic Control <br />Company or Vendor Name Vision33 <br />for All Submissions <br />j Proposal ❑ Addendum <br />[] Req. to Advertise ❑ Title Sheet <br />red Information <br />❑ PCA <br />New Vendor Yes Z No ❑If Yes, Approved by Purchasing <br />MBE/WBE Contractor ❑ MBE [:] WBE <br />MBE/WBE Contractor Requested ❑ No ❑ Yes Name of Company <br />Professional Services Agreement for Vision33 to perform <br />assistance and work with Accela to Sync the Cities Production, Test <br />Project Name and Support Accela environments <br />Project Number <br />Funding Source IT Professional Services <br />-........ ...._ .... .....................�w <br />Account No. 279-0672-415.31-06 <br />Amount $8,750 <br />.... ..._......... <br />...- <br />Terms of Contract 170 hours at an hour) rate ate of $125/hour <br />�..__ mm.e_u ,,....... ... ...._ <br />Purpose/Description Vision33 will be workin in tandem with Accela support to identif <br />extract ,and, then reapply revious work product, created bv Vision33 <br />when we sync our Production Test and -Support Accela <br />environments. <br />Required Contractor's Certification Form Attached (Non -Collusion, <br />Non -Discrimination, Non -Debarment, E-V"erifv„ Iran, etc.) <br />Amount of ❑ Increase $ <br />E] Decrease $ <br />Previous Amount $ <br />Current Percent of Change: <br />New Amount <br />E-3 <br />Total Percent of Change: <br />Copy <br />Original <br />® <br />❑ Dan O'Connor <br />® <br />_._ ..an.... Jo������._... <br />El Khe................. <br />sepi <br />® <br />Daniel Collins <br />Dispersal After Approval <br />