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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 9/17/19........»... _........ ,_�... <br />Name Kim Thoingso .. <br />Utilities <br />BPW Date 9/24/19 Phone Extension 5969 <br />wem�ww�r�wu��.m�^rt�w�wruw� a,.�r.,vms�z�nau✓sam xm�..�-�.��.nsz,�c-�..✓auwuuu¢aaa�uwv��u�mwuuiwuwuwmuumuiuiuiwuwwwwmu v::.�,�;,���w�mroc^r�ra.��o�r����u�u�u�u�u��wuwwrv�rvw; ,.�rviuww�wwuw�uwu�,�zm <br />Rc;�luired. Pnor to Submittal to Board <br />BPW Attorney ® Attorney Name Clara McDaniels <br />Dept. Attorney ❑ Attorney Name <br />Purchasing ❑ <br />Check the Appropriate Item Type <br />Z Professional Services Agreement ❑ Contract <br />F-1 Open Market Contract <br />❑ Amendment/Addendum <br />❑ Bid Opening <br />Bid Award <br />❑ Quote Opening <br />❑ Quote Award <br />❑ Proposal Opening <br />C/O & PCA No. <br />Chg. Order, No. <br />Traffic Control <br />Other: <br />le�Wr.iiwred Information <br />All Submissions <br />LJ Proposal <br />❑ Special Purchase, QPA <br />EJ Req. to Advertise <br />] Reject Bids/Quotes <br />PCA <br />F] Resolution <br />Ease./Encroach <br />❑ Title Sheel <br />Company or Vendor Name Invoice Cloud <br />p A Noso If Yes, y g.._... <br />New Vendor ® Approved b Purchasin_�... �..................w_.....��u��.�.................................._�......_ <br />MBE/WBE Contractor ❑ WBE Completed E-Verify Form Attached Nos <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Water O&M <br />Based on credit card and various sales <br />_Credit card payment <br />processing__, <br />For Cha Orders Only <br />Amount of El <br />Increase $ <br />_........... <br />E] <br />Decrease <br />Previous Amount <br />$ <br />Increase m <br />% w <br />Current Percent of Change: <br />Decrease (� <br />����.......... <br />%) W.... <br />New Amount <br />$ <br />Increase <br />/o <br />Total Percent of Change: <br />Decrease <br />Time Extension Amount: <br />New Completion Date: <br />�_.�_......_ <br />_................ .....................�..........�.............. ._ <br />