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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 09/20/2018 <br />Name Patrick Sherman Department Venues Parks & Arks <br />BPW Date 09/25/2018 <br />Phone Extension 5501 <br />Required Prior to Submittal to Board <br />Legal <br />Attorney Name Clara McDanieis <br />Controller [ <br />Controller review is required for all Contracts $5,000.00 or more and <br />greater than one year in length per the City Purchasing Policy <br />Purchasing ❑ <br />Michael Schmidt <br />Check tho Appropriate <br />Item Type — 1,� 'uirocl br 11 ubmi sioh <br />❑ Agreement <br />❑ Contract ❑ Proposal ❑ Addendum <br />❑ Professional Services <br />Resolution <br />Bid Opening <br />Bid Award ® Req. to Advertise ❑ Title Sheet <br />❑ Quote Opening <br />❑ Quote Award <br />Change Order No. <br />0 C/O & PCA No. ❑ PCA <br />❑ Ease/Encroach. <br />❑ Traffic Control <br />❑ Other: <br />Re duired Information <br />Company or Vendor Name <br />TBD <br />New Vendor <br />n Yes ❑]I No ❑ If Yes, Approved by Purchasing <br />MBENVBE Contractor <br />❑ MBE ❑ VVBE <br />MIBENVBE Contractor Requested ❑ No ❑ Yes Name of Company <br />Project Name <br />Branded Apparel & Accessories RFP <br />Project Number <br />1074-2018 <br />Funding Source <br />Various <br />Account No. <br />Various <br />Amount <br />$ TBD based on contract negotiation with winning firm <br />Terms of Contract <br />TBD based on negotiation with winning firm <br />Purpose/Description <br />Choose partner for the purchase of branded clothing and <br />accessories <br />Required Contractor's Certification Form Attached (Non- <br />Colllusion, Non -Discrimination, Non -Debarment, E-Verifv. Iran. etc.) <br />Amount of ❑ Increase $ <br />Decrease $ <br />Previous Amount <br />Current Percent of Changer 0% W.1 x1 ; o <br />New Amount <br />Total Percent of Change: <br />Copy <br />Original <br />❑] <br />❑ <br />