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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 12/12/19 <br />Name Kim 'Fhompson Utilities <br />..................................... BPW Date 12/19/19 Phone Extension 5969 <br />Reauired Prior to Submittal to Board <br />BPW Attorney Attorney Name Clara McDaniels <br />. ..... ­ ... . ........... . ............... . . ..................... . ........... . ­=­ ...... ­ .................... . ............ ... <br />Dept. Attorney F-1 Attorney Name <br />Purchasing El <br />Check the Appropriate Item 1ype=,Re ju <br />Professional Services Agreement ❑ Contract <br />Open Market Contract E] Amendment/Addendum <br />F-1 Bid Opening 0 Bid Award <br />F-I Quote Opening El Quote Award <br />F Proposal Opening C/O & PCA No. <br />F-1 Chg. Order, No. Traffic Control <br />7 Other: <br />Retire d Information <br />VAi� All Submissions <br />0 Proposal <br />Special Purchase, QPA <br />Req. to Advertise <br />Reject Bids/Quotes <br />E] PCA <br />0 Resolution <br />OEase./Encroach <br />0 Title Sheel <br />Company or Vendor Name <br />Informatics <br />-Aquatic ........ <br />E] Yes[:] If Yes, Approved by Purchasing <br />New Vendor <br />No <br />MBE Yes <br />MBE/WBE Contractor <br />Completed E-Verify Form Attached <br />WBE ❑ No <br />Project Name <br />_:Tokay Cross Connection Control- ­ software upgrade <br />..................... ­­­.­ .............. ­­­­­­­ ....... .. ..... ...... <br />Project Number <br />Funding Source <br />Water Works Other Services Subscriptions ...... _ ......... <br />Account No. <br />620-0640-657.39-10 <br />Amount <br />$19,750 <br />Terms of Contract <br />Upgrade to newer version, 3 years of support <br />Purpose/Description <br />This application is used to manage the required cross connection control <br />program for the water system, and includes an upgrade to the newest versic <br />and integration with the CIS <br />application.---- <br />. . . . ....... . ............ ................... .................. <br />For Chan Oje"Qrders n ly, <br />Amount of El <br />increase <br />Decrease 1" $ <br />Previous Amount <br />... . ......... <br />$ <br />........... . . . . .................... <br />Increase % <br />Current Percent of Change: <br />Decrease <br />New Amount <br />$ <br />Increase % <br />Total Percent of Change: <br />Decrease %) . . ....... . . <br />Time Extension Amount: <br />New Completion Date: <br />