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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Tropriate Item Type- <br />Contract <br />El Resolution <br />El Bid Award <br />Quote Award <br />[:] C/O & PCA No, <br />El Traffic Control <br />Date <br />Name <br />08/22/2019 <br />Patrick Sherman <br />Department VPA: F&G <br />BPW Date 08/27/2019 Phone Extension 5601 <br />IViVII�eWd'XMIYdY � i5'�'OHA/1V,'�'JYW�WWM'NI�mI�Immlm�m�fdl�Im�mI�I�IA�I���IfdlmlllmmlmlllllllllllllllmlmllllllllmlmllllllllllMIIMIIMIIMIIIIIIIIIIWIWWWIWWH��WN/d//ifi�mr'"""`"'*"—^^'^'^^�^^^=^""'^�°lyy�yJWWWWWWW W1i�6'Ai'�':�O.mmnn1�9pMUNN.'iNiOltlMOdOld�fNi1liRTii <br />Re aired Prior to Submittal to Board <br />Legal ® Attorney Name Clara McDaniels <br />Controller ® Controller review is required for all Contracts $5,000.00 or more and <br />greater than one year in length per the City Purchasing Policy <br />Purchasing El Michael Schmidt <br />Check the <br />L Agreement <br />® Professional Services <br />❑ Bid Opening <br />E Quote Opening <br />El Change Order No. _ <br />❑ Ease/Encroach. <br />Other: <br />Required Information <br />Company or Vendor Name Simply Organized, LLC <br />d for All Submissions <br />❑ Proposal <br />❑ Req. to Advertise <br />❑ PCA <br />Addendum <br />❑ Title Sheet <br />New Vendor <br />® Yes El No El If Yes, Approved by Purchasing <br />MBE/WBE Contractor <br />❑ MBE ® WBE <br />MBE/WBE Contractor Requested ❑ No ❑ Yes Name of Company <br />Project Name <br />Facilities and Grounds Comma nication Training <br />Project Number <br />1095-2019 <br />Funding Source <br />Parks Maintenance <br />Account No. <br />201-1101-452.39-89 <br />Amount <br />$ 9,647.10 <br />Terms of Contract <br />Lum su�m.m. _... m.,.m ......A..,,..,.....,...... <br />P m for 3 months of services <br />Purpose/Description <br />Communication Training for Facilities & Grounds staff <br />® Required Contractor's Certification Form Attached (Non- <br />_...__ ................................ <br />_,._ wwwCollusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc. <br />Reuuired For Charade Orders Onliv <br />Amount of El Increase $ <br />E] Decrease $ <br />Previous Amount $ <br />.................................... <br />Current Percent of Change: <br />New Amount $ <br />Total Percent of Change: <br />Copy <br />Original <br />% <br />DispersalAfterApproval <br />