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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 12/29/17 <br />Name Stephen Cox, Fire Chief Department SBFD <br />BPW Date 1/9/18 Phone Extension 9255 <br />Req uAie'd'', P r"16­r­t o" "86b <br />Legal Attorney Name Anderson <br />Controller review is required for all Contracts $5,000.00 or more <br />Controller and greater than one year in length per the City Purchasing <br />Policy <br />Purchasing F <br />Agreement <br />0 Contract <br />LJ Proposal LJ Addendum <br />❑ Professional Services <br />F Amendment <br />Bid Opening <br />F Bid Award <br />E] Req. to Advertise E]'Title Sheet <br />El <br />Quote Opening <br />F Quote, Award <br />F <br />Chg Order No. <br />❑ <br />C/O & PCA No. <br />PCA <br />F <br />Ease./Encroach. <br />Traffic Control <br />Resolution <br />F-1 <br />Other: <br />❑ Claim <br />Company or Vendor Name <br />New Vendor <br />MBEANBE Contractor <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Previous Amount <br />Current Percent of Change,: <br />New Amount <br />City of Indianapolis, acting through Indianapolis Fire Department <br />El Yes F-1 If Yes, Approved by Purchasing <br />EJ No <br />1:1 MBE ❑Nos <br />Completed E-Verify Form Attached <br />Total Percent of Change: % <br />Time Extension: <br />Dispersal After Approval <br />Copy Original <br />F Z SBFD <br />Z E] Legal <br />El F <br />