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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date <br />Name <br />8/20/2019 <br />Brian Donoghue <br />Department Innovation <br />BPW Date 8/27/2019 Phone Extension 7652 <br />' F�;w��w�red Prior to Submittal to'Board.. <br />Legal ® Attorney Name 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 />El Quote Opening <br />El Change Order No. <br />Fj Ease/Encroach. <br />R Other: <br />IJ Contract <br />❑ Resolution <br />❑ Bid Award <br />F1 Quote Award <br />F-1 C/O & PCA No. <br />❑ Traffic Control <br />Required for All Submissions <br />Proposal._ <br />❑ Req. to Advertise <br />❑ PCA <br />1 Addendum <br />❑ Title Sheet <br />eggired Information <br />.. ...... <br />Company or Vendor Name Network Solutions Incorporated <br />New Vendor ❑ Yes Z No 0 If Yes, Approved by Purchasing <br />MBE/WBE Contractor ❑ MBE ❑ WBE <br />MBE/WBE Contractor Requested ❑ No ❑ Yes Name of Company <br />Project Name <br />Project Number <br />FundinAccoungt Nource �e5ratmc <br />..— . . . . .. .. ......... a.... ____ — ..._�.._..�� _w� <br />95772-415-21-05 <br />Amount $17,�..............�—...............���..........m__............................_.......... �......�.�...__ m <br />.70 <br />........... .._ ................ m <br />Terms of Contract 8/27/2019 — 8/27/2023 <br />Purpose/Description <br />'Equipment and installation ......-- ........ ..... .. _.........� <br />on for extension of wireless network on <br />Lincolnway West <br />Required Contractor's Certification Form Attached (Non - <br />Collusion, Non -Discrimination„ Non -Debarment, E-Verity, Iran, etc. <br />increase <br />Amount of E] Decrease.........................�.m...........�_� .��—w. <br />... <br />Previous Amount $ <br />Current Percent of Change: % <br />................... � � �................. . .................... <br />New Amount $ <br />Total Percent of Change: % <br />Dispersal .. After Approval <br />Copy Original <br />® ❑ Dan O'Connor <br />® ❑ Michael Sniadecki..�.�...����.....mm ���� ..........................�_._� <br />® ❑ Brian Donoghue....................Y........�............�..—.._ <br />