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BOARD OF PUBLIC WOI�KS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 2/19/2018 Department Fire <br />B,PW Date 2/27/2018 Phone 9255 <br />Name Todd Skwarcan, A/C Services <br />..... . . . .... <br />.... . ..... <br />0 Legal ❑ Attorney Name Elliott Anderson <br />-0 .1-1 <br />0 — <br />Controller review is required for all Contracts $5,000.00 or more <br />Controller and greater than one year in length per the City Purchasing <br />a) m Policy <br />U) Purchasing El <br />('hpr,k thp. Annmnrinfo If Tvnp- — Riormirod fnr All qtjhmi.q.qinn.,., <br />Agreement <br />El . Contract <br />roposal ::::=Addendum <br />-E] <br />El <br />Claim <br />El <br />Bid Opening <br />El <br />. ...... <br />Bid Award El Req. to Advertise F[—:]Title _Sheet <br />❑ <br />Quote Opening <br />E] <br />Quote Award <br />❑ <br />Chg Order No. <br />❑ <br />C/O & PCA No. <br />E] <br />PCA <br />El <br />Ease,/Encroach. <br />[j <br />Traffic Control <br />F1 <br />Resolution <br />N Other: Special <br />Purchase -Personal <br />Protective Eguipmeat <br />Required Information <br />Company or Vendor Name <br />New Vendor <br />Phoenix Safety Outfitters <br />OYes N No E] If Yes, Approved by Purchasing <br />MBE/WBE Contractor <br />0 <br />MBE E] WBE <br />Project Name <br />Project Number <br />Funding Source <br />qApital Lease Principal <br />Account No. <br />287-0902-422,37.11 <br />Amount <br />$ 568,360.00 <br />Terms of Contract <br />Lease purchase <br />Purpose/Description <br />Firefighter turn -out gear purchased through national purchasing <br />consortium specification. <br />Increase <br />Amount of F-11 [:] Decrease <br />for Change Orders,, Only <br />Previous Amount <br />$ <br />Current Percent of Change: <br />% . ..... <br />New Amount <br />Total Percent of Change: <br />PO No. <br />$ <br />% <br />Dispersal After Approval <br />Copy Original <br />F-1 F-1 <br />El R <br />