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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date <br />Name <br />11-5-2019 <br />Dan O'Connor <br />Department Innovation <br />BPW Date 11-12-2019 <br />IMMI�I�IMI IVIVIVIVN'VWVIVIVWdWtIflPoW4MWl <br />Phone Extension 6201 <br />Vl9l�. ImImImIWVIVWV�WV�IWVIVIWVWW�N ApIIIIIIIIIIIIIIIIImImII�Y9111WVIWIIIIIIIIIEWMI�II "W/RY�n ��� <br />...,..,��...........�..m.......—,. <br />....e .... ..... ............ e..W. .�.p.............,....,...e. <br />R9 aired Prior to Submittal to Board <br />Legal ® <br />Attorney Name Sandra Kenned <br />Controller ® <br />Controller review is required for all Contracts $5,000.00 or more anc <br />greater than one year in length per the City Purchasing Policy <br />Purchasing <br />Check the r� date Item T e Required for All Submissions <br />_..t _m ,W _ Type r .... ions <br />E <br />Agreement <br />p Addendum <br />El Contract ❑] Proposal <br />Professional Services <br />[l Resolution <br />Bid Opening <br />[] Bid Award ❑ Req. to Advertise ❑ Title Sheet <br />[� <br />Quote Opening <br />[-I Quote Award <br />[❑ <br />Change Order No. <br />0 C/O & PCA No. ❑ PCA <br />❑ <br />Ease/Encroach. <br />❑ Traffic Control <br />Other: <br />___.._.. <br />__vReq�uired Information <br />_. _.......... _ ...._....._..� <br />Company or Vendor Name <br />_._...m <br />Kronos Inc. <br />New Vendor <br />❑Yes ® No Olf Yes, Approved by Purchasing <br />MBE/WBE Contractor <br />❑ MBE ❑ WBE <br />MBE/WBE Contractor Requested ❑ No ❑ Yes Name of Company <br />Project Name <br />Change order for new vacation accrual policies in Kronosw <br />Project Number <br />Funding Source <br />Other Professional r Tonal Services � .._. <br />Account Account No. <br />................. <br />101-0401-41w _A��.......�.�.�...�.�....._.,� . m�..................................................w� <br />5.31-06 <br />Amount <br />............�.�.�.�..m............. �..........................._,...mm..._.—. <br />$6,120 <br />Terms of Contract <br />..... ...._ ............ m�.,,.., ........ <br />34 hours at a rate of $180 per hour <br />Purpose/Description <br />Change order to desi n and confi ure new vacation accrual policies <br />in Kronos for the Cit <br />[Required Contractor's Certification Form Attached (Non -Collusion, <br />Non -Discrimination, Non -Debarment., E-Verifv. Iran, etc.) <br />Amount of H Increase $ <br />Decrease $ <br />Previous Amount $ <br />Current Percent of Change: <br />New Amount <br />Total Percent of Change: <br />Copy <br />Original <br />® <br />❑ Dan O'Connor <br />® <br />Shawn Delaha <br />El <br />El <br />Dispersal After Approval <br />