QPA Purchase - Daktronics - New Scoreboard Orange Field

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BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date Name 10/03/2019 Patrick Sherman Department VPA BPW Date 10/08/2019 Phone Extension 5601 mmmnuum�ww momo a R aired Prior to Submittal to Board Legal ® Attorney Name Clara McDaniels Controller ® Controller review is required for all Contracts $5,000.00 or more anc greater than one year in length per the City Purchasing Policy Purchasing ® Michael Schmidt Check the L Agreement Professional Services Fj Bid Opening El Quote Opening F_� Change Order No. _ ❑ Ease/Encroach. Other: QPA Purchas+ Jro riat Item T e Contract Resolution Bid Award ❑ Quote Award ❑ C/O &PCANo. _ ❑ Traffic Control d" for All Submission; _El Proposal eq. to Advertise ❑ PCA Required Information Company or Vendor Name Daktronics, Inc. Addendum ❑ Title Sheet New Vendor ❑ Yes ® No ❑ If Yes, Approved by Purchasing MBE/WBE Contractor ❑ MBE ❑ WBE MBE/WBE Contractor Requested ❑ No ❑ Yes Name of Company Project Name Borers Orange Field Scoreboard Project Number 1099-2019 Funding Source __._.... .... ,............................... ,,...... �� Account No. ......... w ,....... ..._._..... ��. _ �._._...................m. 201-1101-452.36-09 Amount $ 16,1 55.00 Terms of Contract .m.nia QPA: C _._.�.�.�.�.�.�.�.�.�_�.� �_..._�...................w O�..� ,.._ ' Contract #R170101 Purpose/Description New Scoreboard for Orange Field a r' t B e s Softball Complex ® Required Contractor's Certification Form Attached (Non - Collusion, Non -Discrimination, Non -Debarment E-Verifv, Iran, etc.) Amount of El Increase $ F-1 Decrease $ Previous Amount $ Current Percent of Change, aa�w New Amount $ Total Percent of Change: Dispersal After Approval Copy Original ❑ ❑ ❑ El