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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date <br />Name <br />8/20/2019 <br />4 <br />Department Innovation <br />BPW Date 8/27/2019 Phone Extension 7652 <br />�iPoNNgkhNkiiti.QUA.W�Xi18W.YUL1YYWluYp.4�IPXNNHNNNNHH��vWs!�4fHAH�an"` rrr�i�iii�TA'uF�A��F�%% , p�,yp�q�,IIPIIPIVIPIININIdINIMIIWIIVWIVIWIIWIIWIIIW4WIW'I�llV�IVWWIWAWIW "'PI [� �----A—'--�+� ��p�/p// iY&95Y''� yfi i IIWIII!WIV�I�IIIIIIIIYRmll.4AWMVWfXMM I <br />.....�.....�.�������._........... Prior to ... _..... . <br />Reu <br />-:iT_._d 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 />F-1 Professional Services <br />R Bid Opening <br />El Quote Opening <br />El Change Order No. <br />�] Ease/Encroach. <br />iropriate Item Tyj <br />Contract mmITmm <br />❑! Resolution <br />Bid Award <br />Quote Award <br />[❑ C/O & PCA No. <br />E1 Traffic Control <br />or Al! Submissions <br />. <br />-w_ <br />] Proposal ] Addendum <br />❑ Req. to Advertise ❑ Title Sheet <br />Required Information <br />❑ PCA <br />Company or Vendor Name Metronet Zing <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 />Project Name <br />Project Number _ <br />Funding Source IT Professional Services ___...__.. <br />�...��...... ................ _.......................... <br />...... ........ <br />Account No. 279-0672-415-31-06 <br />Amount $ 1...................................................w�... �.�..............................................................�.�.......................... <br />1,814 <br />Terms of Contract 8/27/2019 — 12/31 /2019�- <br />Purpose/Description Manag <br />ement of fiber pulling andsplicing for buildina ou <br />t free <br />wireless network <br />® Required Contractor's Certification Form Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E V r�i r, Iran,- <br />..�R �r d For Change Or°der� Qnly. _.:.... . <br />__...�..:.....__... <br />Amount of Increase $ <br />El Decrease $ <br />Previous Amount $ <br />Current Percent of Change: %. <br />New Amount $ <br />Total Percent of Change: % <br />Dispersal After Approval <br />Copy Original <br />® ❑ Dan O'Connor <br />..........................w�__w�w� <br />® ❑ Michael Sniadecki <br />® ❑ Bran. <br />ria.... ��Dono ...- <br />....................................................... <br />ghue <br />