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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 11-7-19 <br />Name Michelle Smith Department Utilities <br />BPW Date 11-26-19 Phone Extension 5994 <br />uwieimiuvmiuvmummruuwuuwiuww — �u,�.u,._:�.._. _. _.,., _ .„.. ,,.dm .nx✓rexswueit umimMiuwuNUAys*,-.........uurwwraww:;���a,axA�rvmmuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuunimr�rrsHrv�mmmrvr .� <br />lZ�rt! jE Prior to Submittal to Board <br />BPW Attorney ® Attorney Name Clara McDanlels <br />Dept. Attorney Attorney Name <br />Purchasing ❑ <br />Professional Services Agreement <br />LJ Open Market Contract <br />Bid Opening <br />F Quote Opening <br />Proposal Opening <br />] Chg. Order, No. <br />Other: <br />-..----.� ............................... <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 />LJ Contract <br />❑ Amendment/Addendum <br />❑ Bid Award <br />Quote Award <br />C/O & PCA No. <br />Traffic Control <br />uatic Informatics <br />ll Submissions <br />❑ Proposal <br />❑ Special Purchase, QPA <br />❑ Req. to Advertise <br />❑ Reject Bids/Quotes <br />PCA <br />Resolution <br />Ease./Encroach <br />❑ Title Sheel <br />❑ Yes I If Yes, Approved by Purchasing <br />No <br />MBE Completed E-Verify Form Attached ❑ Nos <br />WBE <br />� mmmmm_mmmmmmm Services Renewal uahc In o,rmatics �Agreement.............. <br />IT6....� _............ <br />279-0672-415.36-04 <br />$12,288 <br />Years/Annual Fee <br />WaterTrax Software Subscription <br />_ For Change,Orders Only <br />�.._.....m <br />Amount of ... �....:::......� . � - mw �m <br />Increase $ ... _ ........ <br />Decrease$ <br />Previous Amount $ <br />Increase — � m ............ ... .......%.... � .� _ ..... .. ....... <br />........ .......... <br />Current Percent of Change: Decrease <br />New Amount $ <br />�., ........................ <br />.WWW-_...._..............................e__ <br />Increase % <br />Total Percent of Change: Decrease ( /0) <br />Time Extension Amount: <br />New Completion Date: <br />