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Date <br />Name <br />BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Patrick Sherman <br />Department Venues Parks & Arts <br />BPW Date 02/13/2018 Phone Extension 5601 <br />--- Required Prior to Submittal to Board <br />Legal Attorney Name Clara McDaniels <br />Controller Controller review is required for all Contracts $5,0100.00 or more and <br />greater than one year in length per the City Purchasing Policy <br />Purchasing, H Michael Schmidt <br />H Agreement <br />Ll Contract El Proposal El Addendum <br />F-1 Professional Services <br />F-1 Resolution <br />❑ Bid Opening <br />❑ Bid Award E:1 Req. to Advertise [:]'Title Sheet <br />❑ Quote Opening <br />Quote Award <br />❑ Change Order No. <br />❑ C/O & PCA No, [:1 PCA <br />El Ease/Encroach. <br />El Traffic Control <br />F-1 Other-, <br />Company or Vendor Name <br />M&V Pro Services <br />New Vendor <br />El Yes M No n If Yes, Approved by Purchasing <br />MBENVBF Contractor <br />MBE ❑ WBE <br />MBE/BE Contractor Requested[-] NoF_1 Yes Name ofCompany _ <br />Project Name <br />Morris Bistro Renovation <br />Project Number <br />1045-2018 <br />Funding Source <br />Joint Licensing Fund <br />Account No. <br />N/A <br />Amount <br />$33,777.90 <br />Terms of Contract <br />Lump Sum <br />Purpose/Description <br />Renovate Morris Bistro foroperations to serve clientele. <br />,new <br />Z Required Contractor's Certification Form Attached (Non- <br />CoHusion, Non -Discrimination, Non -Debarment, E-Verifv, Iran, etc.) <br />Amount of "' Increase $ <br />El Decrease $ <br />Previous Amount $ <br />Current Percent of Change, % <br />New Amount $ <br />Total Percent of Change: <br />Dispersal After Approval <br />Copy <br />Original <br />F] <br />F-11 <br />F] <br />❑ <br />