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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date -12/12/191-11 <br />Name Kim Thom Utilities <br />BPW Date 12/19/19 Phone Extension 5969 <br />�fiufvwiNw.ietwvesus <br />. . ......... . . ... . ......... <br />... ................. Required Prior to Submittal to Board <br />.......... . . . . . . . . ..... ......................... <br />BPW Attorney Z Attorney Name Clara McDaniels <br />Dept. Attorney F-1 Attorney Name <br />Purchasing 1:1 <br />Check the Appropriate Item Type — R <br />Z Professional Services Agreement F-1 Contract <br />Open Market Contract Z Amendment/Addendum <br />Bid Opening Bid Award <br />Quote Opening Quote Award <br />E] Proposal Opening ❑ C/O & PCA No. <br />E] Chg. Order, No. F-1 Traffic Control <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 />uired Information <br />All Submissions <br />Ll Proposal <br />E] Special Purchase, QPA <br />E] Req. to Advertise <br />Reject Bids/Quotes <br />PCA <br />Resolution <br />Ease./Encroach <br />E] Title Sheel <br />-�ySoftware <br />.�!�!P�La�d Sof <br />E] Yes] If Yes, Approved by Purchasing <br />No <br />MBE F-IWBE Nos <br />Completed E-Verify Form Attached <br />,Utility System (E�nquesta) <br />I . I . ......... . <br />Wastewater O&M Subscriptions <br />. . ....... ........... . .......... <br />641-0630-793-39-10 <br />$83,125 <br />........... <br />Amendment to existing &'S Aueement <br />.............. ........ . ......... . .. ............ ........ <br />Adding an additional environment for testing, removing minor scope items. <br />adding Tokay and Routeware business process <br />sessions <br />For Chan a Orders Onl <br />Amount of El increase . ..... <br />❑Decrease <br />Previous Amount <br />$ <br />Increase <br />% <br />Current Percent of Change: <br />Decrease <br />% <br />New Amount <br />$ WWWWWWWWWWWWWWWWWWW <br />Increase <br />% <br />Total Percent of Change: <br />Decrease <br />% <br />Time Extension Amount: <br />New Completion Date: <br />