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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date <br />Name <br />11 /25/19 <br />Michael Sniadecki <br />Department Innovation & Tech <br />BPW Date 12/5/19 Phone Extension 6004 <br />wvmmuwwim�am ��rv�ummimimimimHUHimmmHUHuuuuuuuuuwuwuwum rii.... rt�rrmwranvruraauu rare �i � <br />.. _. _._,. _.. ... .. _......_ .......�...._. .._...... _...... <br />_.. <br />�__..._fNrod Prior to Submittal to Board <br />Legal Attorney Name Sandra Kennedy <br />Controller review is required for all Contracts $5,000.00 or more <br />Controller Z and greater than one year in length per the City Purchasing <br />Policy <br />Purchasing <br />Check the P <br />N Agreement <br />El Professional Services <br />[] Bid Opening <br />❑ Quote Opening <br />❑ Chg Order No. <br />Ease./Encroach. <br />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 />)T,rqpriate Item T p -- Required uired for All Submissions <br />Contract] Proposal <br />El Amendment <br />F , Bid Award ❑ Req. to Advertise <br />Quote Award <br />❑ C/O & PCA No. PCA <br />❑ Traffic Control Resolution <br />[� Claim <br />Reauired Information <br />Addendum <br />❑ Title Sheet <br />Network Solutions, Inc <br />�..[n Yes ......_ .,�.. f❑....I Ye.s.... <br />, A roved b Pura..........�.. <br />pp y ha......sing.. <br />® No <br />❑, MBE Completed E-Verify Form Attached El Yes <br />❑ WBE ❑ No <br />Logic Monitoring System hosted by NSI (renewal) <br />Oerating�m.......� IT ........_. �.�.�.�...� _. <br />279-0672-415.36-04.................................................................................�_...._�. _m _._.�_�_�..... <br />$32,500.00 annually for 3 years $92 500.00 total <br />3 vears <br />IT Monitoring System <br />For.Phanigo Orders 90y <br />Amount of Increase $ <br />Decrease $ <br />Previous Amount $ <br />Current Percent of Change; % <br />New Amount $ <br />Total Percent of Change: % <br />Time Extension: <br />Copy <br />Original <br />® <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />Dispersal After Approval <br />Michael Sniadecki <br />