Laserfiche WebLink
BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 3-21-17 <br />Name <br />Santiago Garces <br />Department <br />Innovation <br />BPW Date <br />3-28-17 <br />Phone Extension <br />7652 <br />Legal ® Attorney Name 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 />Professional Services <br />Bid Opening <br />Quote Opening <br />Change Order No. _ <br />Ease/Encroach. <br />Other: <br />Contract <br />Resolution <br />Bid Award <br />Quote Award <br />C/O & PCA No. <br />Traffic Control <br />Company or Vendor Name Brian Donoghue <br />New Vendor ❑ Yes ® No <br />MBE/WBE Contractor ❑ MBE ❑ WBE <br />MBE/WBE Contractor Requested ❑ No ❑ Yes <br />Project Name <br />Project Number <br />Proposal <br />Addendum <br />❑ Req. to Advertise ❑ Title Sheet <br />It Yes, Approved by Purchasing <br />Name of Company <br />Funding Source COIT Fund Professional Services <br />Account No. 404-0672-415-31-06 <br />Amount $ 22,750 <br />Terms of Contract 4/1/2017 — 6/30/2017 <br />Purpose/Description Professional Services contract for IT consultation <br />Required Contractor's Certification Form Attached (Non- <br />lusion, Non -Discrimination, Non -Debarment, E-Verifv. Iran. et( <br />Amount of <br />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 />❑ Brian Donoghue <br />® <br />❑ Shawn Delahanl <br />® <br />❑ John Murphy <br />