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Date <br />Name <br />BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />5/25/17 <br />Ken Glowacki <br />Department Police <br />BPW Date 6/13/17 Phone Extension 9195 <br />�I Agreement <br />U Contract LJ Proposal U 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 />❑ CIO & PCA No. ❑ PCA <br />❑ Ease/Encroach. <br />❑ Traffic Control <br />f lOther.- <br />Company or Vendor Name Shein Reality <br />New Vendor ❑ Yes ® No ❑ If Yes, Approved by Purchasing <br />MBEIWBE Contractor ❑ MBE ❑ WBE <br />MBEIWBE Contractor Requested ❑ No ❑ Yes Name of Company <br />Project Name ATFISBPD Project Disarm office lease. <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Current Percent of Change: <br />New Amount <br />Continuing Ed Fund -Full amount reimbursed by ATF <br />220-8101-4221.39-89 <br />$10,975 <br />0/p <br />Total Percent of Change: % <br />Dispersal After Approval <br />Copy <br />Original <br />® <br />❑ <br />❑ <br />0 <br />Michael Schmidt <br />Ken Glowacki <br />