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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date <br />Name <br />9-3-2019 <br />Daniel Parker <br />Department Admin & Finance <br />BPW Date 9-10-2019 Phone Extension 9822 <br />1 iiiiiiiiiiiiiiiiiiiiiillillillillillillilliillillillillillillilliillillillilliillillillimilmillilliwWr//&Mm�a ff <br />Required Prior to Submittal to Board <br />Legal Z Attorney Name Sandra Kennedy <br />Controller z 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 z <br />Check the <br />L Agreement <br />Z Professional Services <br />F1 Bid Opening <br />Quote Opening <br />Change Order No. <br />Ease/Encroach. <br />Other: <br />prqpriate Item ..T.Y - �Rt_ <br />Contract <br />..... ... . .. .. ........ <br />Resolution <br />Bid Award <br />El Quote Award <br />El C/O & PCA No. <br />F-1 Traffic Control <br />for All Submissions <br />Proposal - - -- - ­­­ Addendum <br />E] Req. to Advertise E] Title Sheet <br />R .f!quired Information <br />El PCA <br />Company or Vendor Name EnFoCLIS Inc, <br />New Vendor E]Yes H No E]If Yes, Approved by Purchasing <br />MBENVBE Contractor F-1 MBE❑ WBE <br />MBEIWBE Contractor RequestedE] NoF_1 Yes Name of Company <br />Project Name <br />Project Number <br />Funding Source her Professional Services <br />..... .. ................ ........ <br />Account No. 101-0401-415.31-06 <br />.............. <br />Amount $12,800 <br />Terms of Contract _41 0 19 — "l /2 6,/,2,0-2 0 . ............. <br />Purpose/Description Professional services support for the Payroll Division during th <br />transition to the Kronos HR Payroll software. <br />❑Required Contractor's Certification Form Attached (Non -Collusion, <br />Non -Discrimination, Non -Debarment, E-Verifv, Iran, etc.) <br />Amount of F-1 increase - $ <br />R Decrease,,,,,,,,,,,,,,,,,, <br />Previous Amount $ <br />. . . . . . . . . . ...................... Current Percent of Change: % <br />New Amount <br />R <br />Total Percent of Change: <br />Copy <br />Original <br />FI <br />F"J Daniel Parker <br />z <br />El Ben Doughert <br />z <br />El Amy Shirk <br />Dispersal After Approval <br />