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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 2/3/2020 <br />Department <br />Name Herschel Layman Innovation & Tech <br />BPW Date 2/25/2020 Phone Extension 9145 <br />.............. __ <br />Rec uired Prior to Submittal to Board <br />BPW Attorney ® Attorney Name McDaniels <br />Dept. Attorney Attorney Name Kennedy <br />Purchasing n Schmidt <br />Check the <br />Item 'l"ype - Required, )r All Submissions <br />H Professional Services Agreement ❑I Contract <br />E] Open Market Contract <br />E] Amendment/Addendum <br />Bid Opening <br />F Bid Award <br />❑ Quote Opening <br />❑ Quote Award <br />Proposal Opening <br />❑ C/O & PCA No. <br />E] Chg. Order, No. <br />F Traffic Control <br />El Other: Hardware Lease <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 />Proposal <br />❑ Special Purchase, QPA <br />E]Req. to Advertise <br />Reject Bids/Quotes <br />PCA <br />E] Resolution <br />Ease./Encroach <br />❑ Title Sheet <br />AT&T_Mobility <br />Yes❑], If Yes, Approved by Purchasing <br />® No <br />❑ MBE Completed E-Verify Form Attached El No <br />❑ <br />WBE <br />Mobile Tablet Lease <br />IT Lease Accounts <br />279-0672-415.38-01 (principal)ITand w38-02 (interest) <br />$24,402.53 <br />36 months .............._..... ........... w _...__.......� <br />iPad/Surface lease for Public Works, Public Safety, and City Council ....._.....__...... <br />..... ---------- <br />Amount of Increase <br />Decrease $ ....... _....._ .. _... <br />Previous Amount $ <br />Increase % <br />Current Percent of Change: Decrease ( /o <br />New Amount $ <br />Increase % <br />_.... <br />Total Percent of Change: Decrease ._( %) <br />Time Extension Amount: <br />New Completion Date: <br />