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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date <br />Name <br />11 /04/2019 <br />Jacob Alexander <br />Department DCI <br />BPW Date 11/12/2019 Phone Extension 9278 <br />arc � �mHUHu�i�i�i�uHUHi�i�i�mmniniw�vumwn�re�,r�°rnrs�,awu , ��� .rx;M�min� „��n �fia;�airwsauw rrtrm��mmmm<:.�„w>»,.�;�,wr�,tira w�rnirr✓,e�,�;�;�M��omw,.w,�vng��u <br />_.................................. <br />_- .... ........�,�,. ....�, ._ <br />�............. Board <br />eaiicd Prior to Submittal to B._ <br />Legal IZ Attorney Name Sandra Kennedy <br />Controller review s required acontracts <br />Controller ®id for $5,000.00 or more and <br />eater than one year in length per the City Purchasing Policy <br />Purchasing <br />X <br />Check the A ropriate Item f " e....... <br />Professional Services Agreement <br />Contract <br />[] <br />Open Market Contract <br />El <br />Amendment/Addendum <br />Bid Opening <br />El <br />Bid Award <br />Quote Opening <br />El <br />Quote Award <br />El <br />Proposal Opening <br />❑ <br />C/O & PCA No. <br />❑ Chg. Order, No. <br />❑ <br />Traffic Control <br />F I 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 />Purpose/Description <br />All l Submissions <br />..........-�w:_� _.......�.._..�_��..���: <br />LJ Proposal <br />Special Purchase, QPA <br />Req. to Advertise <br />Reject Bids/Quotes <br />PCA <br />F] Resolution <br />Ease./Encroach <br />❑ Title Sheel <br />1st Seniorsm LLC d/b/a Senior 1 Care <br />Yes ❑ If Yes, Approved by Purchasing <br />® No <br />❑MBE Completed E-Verify Form Attached ❑ No <br />WBE <br />Workforce Pathways <br />1..,..,... _. <br />9JO22 __...... <br />COIT.�.�_.......�..Grants and Sub.....sid.......�..............e. �����............�.�.�.�.�.�.�...._....... ........._...__........._.a. �.... <br />es <br />404-1001-460.39-30 ....�..............�___-,�.............__..�.v�....�..............,......_ ,� <br />... __.,. ....... <br />NTE $30„m000 <br />01 /01 /2019 — 12/31 /2019 <br />.... <br />Provide Certified Nursing AssistantL� training through Legacy CAN Trainin€ <br />for the Workforce Pathways program. <br />For Oblige Ordersol <br />Amount of Increase $ <br />Decrease J$ -) ..�.....��__��. aa._._ .. �.... ...��...�w ............. <br />...............m ...-.� <br />Previous Amount $ <br />Current Percent of Change <br />New Amount <br />N <br />Increase % <br />-(WWWWWWWW <br />DecreaseW <br />Increase <br />Total Percent of Change: Decrease ( % <br />Time Extension Amount: <br />New Completion Date: <br />