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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 12/16/2019 <br />Name Brian Dono have Department Innovation & "I'echnologry <br />BPW Date 12/1912019 Phone Extension 7652 <br />MWE w wwmmmwwwuuummmuwwuwammalrma�mn w mmmimiwwiwuwuwww wmu <br />ITITITIT_ _ITIT- Required Prior to Submittal to Board.._ ITITITIT-mmmmmmITmW <br />Legal Attorney Name Kennedy <br />Controller review is required for all Contracts $5,000.00 or more <br />Controller ® and greater than one year in length per the City Purchasing <br />Policy <br />Purchasing <br />Check the Armrorariate Item Tvne <br />DI Professional Services Agreement ❑ Contract <br />Open Market Contract <br />❑ Amendment/Addendum <br />Bid Opening <br />[ <br />Bid Award <br />Quote Opening <br />Quote Award <br />Proposal Opening <br />❑ C/O & PCA No. <br />❑ <br />Chg. Order, No. <br />Traffic Control <br />F-1 Other: <br />Reciui:red Information <br />All Submissions <br />LJ Proposal <br />❑ Special Purchase, QPA <br />Req. to Advertise ❑ Title Sheet <br />EJ Reject Bids/Quotes <br />PICA <br />Resolution <br />Ease./Encroach <br />Company or Vendor Name <br />Enfocus <br />New Vendor <br />..... "............ ...... <br />_Yes If .. ....— <br />EJ es, Approved by Purchasing <br />No <br />MBE/WBE Contractor <br />MBE 01 WBE Completed E-Verify Form Attached Nos <br />Project Name <br />Project Number <br />n/a <br />Funding Source <br />IT Operatingmmmmmmmm <br />Account No. <br />279-0672-415.31-06 <br />Amount <br />$3 _... ............ <br />7,500 <br />Terms of Contract <br />l/l/2020 — 12/31/202 ........ .._......_....�w <br />0 <br />Purpose/Description <br />Provide internship matching and management services for the Innovation <br />& Technology internship programs <br />Amount of H Increase <br />Decrease <br />Previous Amount $ <br />Current Percent of Change: <br />New Amount $ <br />Total Percent of Change: <br />Time Extension: <br />For ChangeIT Orders Oni <br />Dispersal After Approval <br />Copy Original <br />® Denise Riedl <br />® Brian Donoghue <br />® ❑ Daniel Parker <br />