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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 10/15/19 <br />Name Sue Gerlach Department IT <br />BPW Date 10/22/19 Phone Extension 6209 <br />.,,, „= d �, . wrxrxs v,,: wwawa�araww���rerwaa rw�maaw�wvr�earamr Karma-._:.� ,��� r mrva�r�rsr�rcme'...-uaee.�nauwourmuwaum�raa�acm marc�,rr�mnmm nP.000--.- w.r. ¢r mn�amm�uirew <br />,..,m. .......... .......�._�.�..�,.�. ,,,,.,.. .... ......... ,.,,.,..�...... .................... �,..._�...� <br />�� �..,.... ...,tuired Prior to Submittal to Board <br />B...�.�._ .-............... <br />PW Attorney ® Attorney Name Clara Daniels <br />Dept. Attorney w Attorney Name Sandra Kennedy <br />Purchasing Michael Schmidt............�.�.�.�.........��-����������..� <br />Check the Appropriate Item 'rylae <br />F Professional Services Agreement ❑ Contract <br />El Open Market Contract <br />❑ Amendment/Addendum <br />E Bid Opening <br />❑ Bid Award <br />❑ Quote Opening <br />Quote Award <br />Proposal Opening <br />C/O & PCA No. <br />❑ Chg. Order, No. <br />El Traffic Control <br />;; Other: HP Lease Schedule <br />All Submissions <br />Proposal <br />Special Purchase, QPA <br />Req. to Advertise <br />Reject Bids/Quotes <br />PCA <br />Resolution <br />[� Ease./Encroach <br />�... w... .......... <br />g9tipired Information <br />❑ Title Sheet <br />Company or Vendor Name <br />Hewlett Packard <br />_ <br />Yes.. If Yes, Approved ............... <br />� � by Purchasing <br />New Vendor <br />® No <br />MBE/WBE Contractor <br />MBE Completed E-Verify Form Attached Nos <br />Project Name <br />HP Computer Lease #22 <br />---.. .....--- ...... <br />Project Number <br />N/A <br />Funding Source <br />_ .......... �.. -- _... .... <br />Capital Lease Proceeds <br />—in. <br />Account No. <br />Pr 279-0672-415-38.01 Int. 279-0672-415-38.02 <br />-_.... _ ...�_.,_..... <br />Amount <br />�.. __.._w __._--- _,_---------- <br />$3 9,800.00 <br />Terms of Contract <br />$ .._.......... __.-------- _...�. ....._ ______m <br />21.0 /Mo. For 48 Months <br />.. ...---- <br />Purpose/Description <br />_ .. ...... ........ ------- - <br />for new and changed <br />Equipment_w....__.................g <br />positions <br />For Chang Ordersm_Oq!y <br />Amount of El Increase $ <br />r Decrease ($ ) <br />Previous Amount $ <br />Current Percent of Change <br />New Amount <br />$ <br />Increase % <br />Decrease..............................�..... <br />Increase % <br />Total Percent of Change: Decrease <br />Time Extension Amount: <br />............. ..... ._________- <br />New Comoletion Date: <br />