Laserfiche WebLink
BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 2/5/18 <br />Name <br />Rene Casiano <br />Department <br />Innovation & Technqto�qy <br />BPW Date, <br />2/13/2018 <br />Phone Extension <br />5897 <br />Legal Attorney Name Clara McDaniels <br />Controller review is required for all Contracts $5,000.00 or more <br />Controller El and greater than one year in length per the City Purchasing <br />Policy <br />Purchasing [:] <br />�f Agreement <br />Ll <br />Contract <br />L_J Proposal LJ Addendum <br />F-1 Professional Services <br />El <br />Amendment <br />[:1 <br />Bid Opening <br />F-1 <br />Bid Award <br />F] Req. to Advertise ❑ Title Sheet <br />Quote Opening <br />F-1 Quote Award <br />❑ Chg Order No. <br />F C/O & PCA No. <br />EJ <br />PCA <br />F-1 Ease./Encroach. <br />F-1 Traffic Control <br />El <br />Resolution <br />[71 <br />Other: <br />F-1 <br />Claim <br />Company or Vendor Name <br />New Vendor <br />MBE/' VBE Contractor <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Vermont Systems <br />El Yes [:1 If Yes, Approved by Purchasing <br />No <br />MBE Completed E-Verify Form Attached <br />F-1 WBE <br />RecTracMebTrac Software Renewal <br />Operating Fund <br />279-0672-415-36-04 <br />IRTIVQ;1� <br />For Change Orders Only <br />Amount of FI increase $ <br />F1 Decrease $ <br />Previous Amount $ <br />Current Percent of Change: % <br />New Amount $ <br />Total Percent of Change: % <br />Time Extension: <br />Copy <br />Original <br />F-1 <br />F] <br />El <br />El <br />El <br />11 <br />