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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date <br />Name <br />8/20/19 <br />Michael E. Sniadecki <br />Department Innovation & Tech <br />BPW Date 8/27/19 Phone Extension 6004 <br />.r��a�wim�orammrvm �i�ouoi m aw��so�,���um�mwwmww�ewm���iw��im�imm�iwm�uu�uwww�uuu�ummmmmmmmmmmmmmmmmmmmmuiuiuiuiuiuw�rc�mimaiuwwvmiwwwwiuwuw.�wwvan�wrartamremmro��m,m�mmimimuumHmmuuuuuuuumimuuuuuuuiuuwiNNNNNuiuiuimuiur�a <br />Ro uired Prior to Submittal to Board <br />....... ......� _._.� <br />Legal ® Attorney Name Sandra Kennedy & Clara McDaniels <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 />Z Agreement <br />® Professional Services <br />❑ Bid Opening <br />❑ Quote Opening <br />F] Change Order No. <br />Ease/Encroach. <br />Other: <br />)ropriate Item T � <br />..m .. <br />F] Contract <br />Resolution <br />Bid Award <br />El Quote Award <br />C/O & PCA No, <br />El Traffic Control <br />Company or Vendor Name Metronet Zin <br />or Su <br />bmissions <br />� Prop <br />osal p 17 Addendum <br />❑ Req. to Advertise ❑ Title Sheet <br />ired Information <br />❑ PCA <br />New Vendor ❑ Yes ® No ❑ If Yes, Approved by Purchasing <br />MBE/WBE Contractor ❑ MBE [-] WBE <br />MBE/WBE Contractor Requested ❑ No n Yes Name of Company <br />................................�_�e_____d�_ .. i <br />Project Name B Technical Resource Center (TRCMetronet Bu�ldout. <br />Project Number n/a <br />Funding Source IT Professional Svc <br />..� <br />Account No. _ . 2 415 31 _06 IT Professional Svcs 79067 w_ <br />Amount A one-time cost of $9,200.00, <br />.................�W .....�� <br />............................... ........................................�.�.�.�........... <br />Terms of Contract Stateme.....w� <br />.............W.�.W.�_...............nt..of ....Work ............ <br />Purpose/Description Technical Resource Center (TRC) Metronet Buildout <br />_❑ Required Contractor's Certification Form Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment„ E-Verify, Iran, etc. <br />Required For Chan 0 Orders Only.......... <br />Amount of El Increase $ <br />Decrease $ <br />Previous Amount $ <br />Current Percent of Change: % <br />New Amount $ <br />Total Percent of Change: %._....._....._W........ w <br />Dispersal After Approval <br />Copy Original <br />® ❑ Michael Sniadecki <br />....................................................... w.ww _........ <br />