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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 9/30/19 <br />Department Fire <br />BPW Date 10 8 19 <br />Phone 9255 <br />Name Todd Skwarcan, A/C Services <br />�: Y�NNNOiNN'Jf N?NNkY.kd`k SIP"""-'_'*.ffi..... ., ,,, ,,,,,,,,,/�IHIIIIIIII4NlNllklWNkIRkHNNINAWP!NMMMHNIM i�Y�IAbFY.WNJIMIMVNWVWVfroznvaug�N:YIIKYv.+kM <br />o Legal <br />Z Attorney Name Elliot Anderson <br />Controller review is required for all Contracts $5,000.00 or more <br />o Controller <br />n <br />Z and greater than one year in length per the City Purchasing <br />m° <br />n <br />Policy <br />U) Purchasing <br />® Michael Schmidt <br />Check the A m e Re uired for All Submissions <br />A reement <br />c <br />C t ❑Proposal <br />Addendum <br />Claim <br />El <br />Bid Oenir�l p <br />Bid AwardRe to Advertise Title Sheet <br />❑' <br />.....�_ _.,_.��.�.mm....Ej <br />Quote O erin <br />Quote Award.. <br />❑ <br />Chc Order No. <br />�.. �..m. <br />,Z <br />C/O & PCA No. <br />❑ PCA <br />�� <br />Ease./Encroach <br />_El <br />Traffic Control <br />on <br />El Resolution <br />Other: <br />wwwwwww.�w <br />Required Inform <br />Company or Vendor Name <br />Office 360 <br />New Vendor <br />�m. <br />Yes �... <br />No If Yes Approved by Purchasing .. <br />_.... _ .. <br />MBE/WBE Contractor <br />� MBE WBE <br />................................................................................_.� <br />Project <br />1 �.................. <br />Tr......Ln.Ln................ n...........r................................� <br />..a.......q Ce to Class.r...........................��wwwwww <br />Proaect Number <br />117-127 <br />Fundin Source <br />e�...� <br />e Services <br />Repairs .... Maintenance .... .... <br />Account No. <br />.Amount <br />288.0909.422.36-05 <br />$ 37,505.80.........................................._......................_..._.__ <br />Terms of Contract <br />As invoiced <br />Purpose/Description <br />Award total uote as s -���e - <br />fu for n ubmitted� furniture for new classrooms at <br />Luther J. Taylor Fire Training Center <br />.................... <br />... ...... <br />— -------- _________ <br />For Change Orders Only <br />...Amount of...._....�.......... <br />�.� <br />Increase $ <br />Decrease $ <br />Previous Amount <br />..m_.. ,,,,,,, _ ----------- ---------------- ...... � <br />Current Percent of Chan � �------- . .... <br />e� <br />New Amount <br />$ <br />Total Percent of Change % <br />PO No. <br />�.,,...�.�.�..........�..... ��.............................................................................. <br />�w�...........................__w�w�w�w�w�w�.. ... w....�A....................................... .._.............._...................................... , ...... <br />Dispersal After Approval <br />Copy Original <br />❑ ❑ <br />Todd Skwarcan <br />...... m ... ...... <br />