Laserfiche WebLink
BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date <br />Name <br />9/17/19 <br />Denise Riedl <br />Department Innovation & Tech <br />BPW Date 9/24/19 Phone Extension 6004 <br />auuuw�m��o�o�u��oruo�mweu�m . ���mmimmm�uiw�uw�mmmim�wmouououoiwwwu�uiooiooiwuwuu ^^^^�^^^^��iuiuiuiuiuiuiuw�uwimwiummui!mnuz� gym..... n�v�v�rmr�or,�muw!mmm!w!m��w!�w�w�u�u�w�w�w�w� rtr�,�mw..,.. �w�r� <br />Rtquired Prior to Submittal to Board ITmm IT wwwww <br />Legal ® Attorney Name Kennedy <br />Controller review is required for all Contracts $5,000.00 or more <br />Controller ® and greater than one year in length per the City Purchasing <br />Policy <br />Purchasing <br />Check the <br />Agreement <br />EI Professional Services <br />[] Bid Opening <br />FJ Quote Opening <br />(] Chg Order No. <br />El' Ease./Encroach. <br />F l Other: <br />Company or Vendor Name <br />New Vendor <br />MBE/WBE Contractor <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />err%fie Item Te <br />El Contract <br />Amendment <br />for All Submissions <br />Proposal <br />F-I Bid Award ❑ Req. to Advertise <br />❑ Quote Award <br />❑ C/O & PCA No, PCA <br />❑ Traffic Control EJ Resolution <br />Ll Claim <br />Rea ired Information <br />Addendum <br />❑ Title Sheet <br />Raymond Kate Training ......... <br />Yes ❑ If Yes, Approved mm <br />pp by Purchasing <br />III No <br />❑ MBE Completed E-Verify Form Attached Yes <br />❑ WBE F] No <br />P Tject mana, ement and technology try ainin'g program delivery <br />IT Professional Services <br />279-0672-415.31-06 <br />$150,000 <br />September 1, 2019 _.....Decemb.......er 31, 2019 _w w.... <br />Current Percent of Change„ % <br />New Amount $ <br />Total Percent of Change: % <br />Time Extension: <br />Dispersal After Approval <br />Copy <br />Original <br />® <br />E] Denise Riedl <br />® <br />E] Brian Donoghue <br />® <br />El Shawn Delahanl <br />