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Date <br />Name <br />BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />02/16/18 <br />Michael E. Sniadecki <br />Department Innovation & Tech <br />BPW Date 02/27/18 Phone Extension 6004 <br />Required d.Prior to Submittal to Board <br />Legal ® Attorney Name Clara McDaniels <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 />M Agreement <br />L] Contract U 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 />I -I Other: <br />Company or Vendor Name Network Solutions <br />New Vendor ❑ Yes ®No E <br />MBE/WBE Contractor ❑ MBE ❑ WBE <br />MBE/WBE Contractor Requested ❑ No ❑ Yes <br />Project Name Wireless Upgrac <br />Project Number n/a <br />Inc <br />If Yes, Approved by Purchasing <br />Name of Company <br />for SBPD Bodv Camera In -Car Video <br />Funding Source Police General Fund <br />Account No. 101-0801-421-39-89 (Police General Fund) <br />Amount A one-time cost -of $3,878.20. <br />Terms of Contract Statement of Work <br />Purpose/Description Upgrade wireless coverage to the SBPD maintenance garage and <br />outdoor parking lot areas within SBPD for the Utility Body Camera <br />In -Car Video solution project <br />❑ Required Contractor's Certification Form Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verifv. Iran, etc.) <br />Amount of ❑ Increase $ <br />❑ Decrease $ <br />Previous Amount $ <br />Current Percent of Change: % <br />New Amount $ <br />Total Percent of Change: % <br />Dispersal After Approval <br />Copy Original <br />® ❑ Michael Sniadecki <br />❑ ❑ <br />❑ ❑ <br />