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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date August 20, 2019 <br />Name Michael Schmidt Department Citywide <br />BPW Date Au ust 27, 2019 Phone Extension 9977 <br />m�mmmm�ii ���mmuuuuuuum�mmmmuummmmimim�m�mm�imimuuuuuuuuuuuu�iuim uwimmw��mor.m �mm�wram�am�us� wmmrMnuomw <br />Required Prior to Submittal ;to Boardm <br />Legal Attorney Name Clara McDaniels <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 />Professional Services <br />Bid Opening <br />❑ Quote Opening <br />E] Chg Order No. <br />Ease./Encroach. <br />ZOther: <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 />Michael Schmidt <br />�ropriate Item Type - Re <br />Contract <br />Amendment <br />F1 Bid Award <br />0 Quote Award <br />0 C/O & PCA No.. <br />❑ Traffic Control <br />for All Submis <br />Proposal <br />❑ Req. to Advertise <br />r-1 PCA <br />Resolution <br />Claim <br />Addendum <br />❑ Title Sheet <br />Required w Information <br />Carothers Printing Company <br />❑ Yes ❑ If Yes, Approved by Purchasing <br />F-1 No <br />WBECompleted E-Verify Form Attached El <br />RFQ - Print Shop Services <br />Request permission to negotiate and finalize a contract with <br />highest scoring proposal from RFQ <br />For Chanoe Orders OnlWo ,: " <br />Amount of ❑ Increase $mwmw�mw w - _....... <br />❑ Decrease $ . - mm. _�_..-. ......... <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 />I❑ <br />❑ <br />El <br />El <br />El <br />