Omnia QPA Purchase Agreement - Office Interiors - Howard Park Facilities' Furniture

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BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date Name 09/05/2019 Patrick Sherman Department VPA: F&G BPW Date 09/10/2019 Phone Extension 5601 ................ ... ... _..w ___ Required Prior to Submittal to Board Legal ® Attorney Name Clara McDaniels Controller ® Controller review is required for all Contracts $5,000.00 or more and greater than one year in length per the City Purchasing Policy Purchasing ® Michael Schmidt Check the Ap wropri to Item Type �R� ur ed for All Submissions . Agreement Contract Proposal E] Addendum E] Professional Services ❑I Resolution Bid Opening Quote Opeing 0 Bid Award ElReq. to Advertise ❑ Title Sheet Quote Award �I Change Order No. ❑ C/O & PCA No. ❑ PCA Ease/Encroach. ❑ Traffic Control Other: _. ...._ ... ...... _ ... ................. ....... ............ Required Information Company or Vendor Name Office Interiors Inc New Vendor Yes Z No F-1 If Yes, Approved by Purchasing MBE/WBE Contractor n MBE ❑ WBE MBE/WBE Contractor Requested ❑ No ❑ Yes Name of Company Project Name Howard Park Furniture ProjectNumber _� Funding Source .. .. .......... w ................ ........................a. Cum Cap and Regional Cities Account No. 406-1101-452.42-01, 407-1101-452.42-01, 201-1101-452.42-01 ....._...................................................._.. Amount � 144,305.79 ContractTerms of Purpose/Descriptionurnture ..��.. � ��............ . �is Q�PApurchase _ '� for offices wu yes at Howard Park. ® Required Contractc Collusion, For Chan R Qvc ed e Increase $ ..... .... �� Amount of Decrease $ Previous Amount $ Current Percent of Change: New Amount % Total Percent of Change: % Copy OriginalEl DispersalAfterApp ��d . �mm....._.................... El