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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date: 12/16/2019 <br />Name: Therese Dorau m mm Department of Public Works — Sustainability Division <br />BPW Date: 12/18/2019 Phone Extensi <br />RNuired Prior to Submittal <br />BPW Attorney X Clara McDaniels <br />Dept. Attorney ❑ Attorney Name <br />Purchasing Z IT — Dan O'Connor <br />Check the A u riat Item "1 e <br />El Professional Services Agreement F-1 Contract <br />F Open Market Contract ❑ Amendment/Addendum <br />❑ Bid Opening Bid Award <br />Quote Opening Quote Award <br />Proposal Opening C/O & PCA No. <br />El Chg. Order, No. ❑ Traffic Control <br />® Other: Master Goods ,and <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 />Amount of <br />Previous Amount <br />Current Percent of Change: <br />New Amount <br />u ---- <br />❑ Ease./Encroach <br />ZEF Energy. ................. <br />Z YesZ If Yes, Approved by Purchasing <br />F] No <br />MBE Completed E-Verify Form Attached Yes <br />❑ WBE No <br />Electric Vehicle Supply Equipment 2019-2020 <br />.... ............ <br />N/A <br />Sustainability Office Budget <br />........ ....... <br />.. . <br />101 0616-419-21-04 (Office Supplies��......... <br />Not to exceed $24,9 <br />99 <br />g discount before March 31, 2019. <br />mmmPncm or 2019/2020. 10% _..... www w <br />Setting pricing, terms, and conditions for 2019 and 2020 purchases of EV <br />chargers and 5-year service and cloud -based software package. <br />Increase $ <br />Decrease <br />... . .............. <br />Increase — % . <br />Decrease _ mmmm wwww % <br />Increase % <br />Total Percent of Change: Decrease (�0 <br />— ....... <br />Time Extension Amount:. <br />�... <br />New Completion Date: <br />...,,,--- — —...---_................. ......... � .._ ..... <br />