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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date6/22/20 ........... Department Fire .................................................. ��_,,.....................................___....... <br />BPW Date 7/7/20 Phone 9255 <br />.. ..... <br />Name Carl R. Buchanon, Fire Chief <br />��uww�r��revTwam�mom�m�mmim�minurr�w�we� ,�� �vx ds.��rmu�we�aaam��rsu�r�avwam�min rvr�rnw,..�---.amiwo�wa��urruaw�wmrcmswwwwr�rvum��rrr�m�rr�e¢ ,,�.�m,�raaa�m�,mm : � �m,�rn�rnm�r�,�tim�rn � cw,m!rwnuauwwmrv,�v�rrerv�s <br />o Legal Attorney Name <br />o � -P Controller review is required for all Contracts $5,000.00 or more <br />o= Controller and greater than one year in length per the City Purchasing <br />a -2 co Policy <br />Company or Vendor Name <br />New Vendor <br />nac.......... <br />MBE/W B E Co trtor <br />Project Name..... ....���� <br />......1'ect _..u.m..be..r--...... <br />ProN.. , ..... <br />Funding Source <br />Account No. <br />Amount ���... .-�....... __ <br />Terms of <br />Contract............ ..,.,.,.�...� <br />Purpose/Description <br />j iption <br />wriate Item Tvpe <br />Contract <br />Bid Award <br />Quote Awa..........._ <br />_ rd <br />C/O �& PCA No <br />. <br />Traffic Control <br />iSubmissions <br />Pro osa l <br />Req. to Advertise <br />PCA <br />Resolution <br />_ _,,,wired Information <br />Yes Ej No El <br />.. <br />If Yes, Approved by Purchasi <br />MBE <br />Addendum <br />Title Sheet <br />Dis osal of Unfit Pro ert -Helmet &Boots' Retiree Leon Stein <br />For Chance Orders <br />HJ Increase <br />Decrease <br />...........mount of.,.................................�.�. �.� __..._�.,_�..., <br />Previous Amount $ <br />............. <br />Current Percent of Change: <br />New Amount $ <br />Percent <br />Total Pe <br />�. ___......... t of Chan e:� <br />PO No. <br />Dispersal After Approval <br />Copy <br />Original <br />El <br />