Laserfiche WebLink
BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 01/09/2017 <br />Name John Murphy Department Adm/Finance <br />BPW Date 1/2/16 Phone Extension 7678 <br />Re uired Prior to Submittal to Board <br />Legal ® Attorney Name Michael Schmidt <br />Controller ® Controller review is required for all Contracts $5,000.00 or more and <br />greater than one year in length per the City Purchasing Policy <br />Purchasing ® <br />George King <br />Check the Appropriate Item Type — Required for All Submissions <br />® <br />Agreement <br />® Contract ❑ Proposal ❑ Addendum <br />❑ <br />Professional Services <br />❑ Resolution <br />❑ <br />Bid Opening <br />❑ Bid Award ❑ Req. to Advertise ❑ Title Sheet <br />❑ <br />Quote Opening <br />❑ Quote Award <br />❑ <br />Change Order No. <br />❑ C/O & PCA No. ❑ PCA <br />❑ <br />Ease/Encroach. <br />❑ Traffic Control <br />I -I <br />Other: <br />Company or Vendor Name Bruce A. Snyder <br />New Vendor <br />MBE/WBE Contractor <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Information <br />Yes ® No ❑ If Yes, Approved by Purchasing <br />MBE I-1 WBE <br />2016 CAFR Consulting <br />None <br />Administration & Finance Budget, General Fund <br />101-0401-415-31-06 <br />$ 10,000.00 NTE. Maximum of 200 hours x $50.00 per hour - 1/24/16 to <br />12/31/16 <br />One year agreement for assistance with preparation of the 20 66 CAFR and <br />related finacial projects. This project was included in the 2017 budget. <br />❑ Required Contractor's Certification Form Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verifv. Iran. etc. <br />Amount of LJ Increase $ <br />❑ Decrease $ <br />Previous Amount $ <br />Current Percent of Change: % <br />New Amount $ <br />Total Percent of Change: % <br />Copy <br />Original <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />For Change Orders <br />Dispersal After App <br />