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BOARD OF PUBLIC WORKS <br />AGENDA ITEM 14' VIEW REQUEST FORM <br />2/21/2018 <br />3/13/2018 <br />Name Stephen Cox, Fire Chief <br />.......... <br />Department Fire <br />Phone 9255 <br />0 Legal F-1 Attorney Name <br />_0 4- <br />�D 40- _M -0 Controller review is required for all Contracts $5,000.00 or more <br />.5 " = <br />0 Controller F-1 and greater than one year in length per the City Purchasing <br />E 0 <br />Q_ -0 fn Policy <br />M <br />U) Purchasing F-1 <br />Check the Appropriate Item Type — Required for All Submissions <br />❑ <br />Agreement <br />❑ Contract <br />❑ Proposal <br />❑ Addendum <br />El <br />F❑I <br />Claim <br />Bid Opening <br />El Bid Award eq. to Advertise ___1 El Title Sheet <br />Quote Opening <br />El <br />Quote Award <br />Chg Order No. <br />E] <br />C/O & PCA No. <br />❑ <br />PCA <br />Ej <br />Ease./Encroach. <br />El <br />Traffic Control <br />Resolution <br />F1 <br />Other: <br />Required Information <br />Company or Vendor Name <br />New Vendor El Yes El No El If Yes, Approved by Purchasing <br />MBENVBE Contractor ❑ MBE ❑ WBE <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Disposal of Unfit Property: retirees: M. Killelea, M. Steele, D. <br />Okrezik <br />Amount o increase❑ Decreas( <br />For Change Orders Onily <br />Previous Amount <br />Current Percent of Change: <br />New Amount <br />Total Percent of Change-, <br />PO No. <br />% <br />$ <br />% <br />Dispersal After Approval <br />Copy <br />Original <br />F1 <br />n <br />n <br />n <br />