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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 02/15/18 <br />Name Michael E. Sniadecki Department Innovation & Tech <br />BPW Date 02/27/18 Phone Extension 6004 <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 <br />Agreement U Contract U Proposal U Addendum <br />❑ <br />Professional Services ❑ Resolution <br />❑ <br />Bid Opening ❑ Bid Award ❑ Req. to Advertise ❑ Title Sheet <br />❑ <br />Quote Opening ❑ Quote Award <br />❑ <br />Change Order No. ❑ C/O & PCA No. ❑ PCA <br />❑ <br />Ease/Encroach. ❑ Traffic Control <br />n <br />Other: <br />Company or Vendor Name Pemberton & Dar <br />New Vendor ❑ Yes ® No <br />MBE/WBE Contractor ❑ MBE ❑ WBE <br />MBE/WBE Contractor Requested ❑ No ❑ Yes <br />Project Name Network Wiring <br />Project Number n/a <br />Funding Source IT Professional Services <br />Account No. 279-0672-415-31-06 (1T Professional Services) <br />Amount A one-time cost of $4,466.00. <br />Terms of Contract Statement of Work <br />Purpose/Description Provide and install 1 400' CAT6 network cables to six locations <br />If Yes, Approved by Purchasing <br />Name of Company <br />for SBPD Bodv Camera In -Car Video <br />within SBPD for the Utility Body Camera In -Car Video solution and <br />wireless upgrade projects. <br />❑ Required Contractor's Certification Form Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, 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 <br />Original <br />® <br />❑ Michael Sniadecki <br />❑ <br />❑ <br />❑ <br />❑ <br />