Laserfiche WebLink
BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 04/05/2018 <br />Name Patrick Sherman <br />Department VPA: Facilities & <br />Grounds <br />BPW Date 04/10/2018 Phone Extension 5601 <br />.... . ... I _Required 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 />0 - � F129 � <br />H Agreement <br />❑ Professional Services <br />❑ Bid Opening <br />Quote Opening <br />Change Order No. <br />F] Ease/Encroach. <br />F-1 Other: <br />Michael Schmidt <br />HContract <br />Resolution <br />El Bid Award <br />F-1 Quote Award <br />n C/O & PCA No. <br />F1 Traffic Control <br />A= <br />[:1 Req. to Advertise <br />Addendum <br />El Title Sheet <br />Company or Vendor Name <br />Martell Electric,_LLC <br />New Vendor <br />EJ Yes Z No El If Yes, Approved.by Purchasing <br />MBE/VVBE Contractor <br />F-1 MBE [] WBE <br />MBEANBE Contractor Requested EJ NoF_1 Yes Name ofCompany _ <br />Project Name <br />Electrical Services Contract <br />Project Number <br />1040-2018 <br />Funding Source <br />K61 RMT <br />Account No. <br />201-1101-452 36.01 <br />Amount <br />Depending on need. Standard rate at $89.00/hr <br />Terms of Contract <br />I Year with option to renew for 1 year <br />Purpose/Description <br />Electrical services contract for VPA <br />Z 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 />Copy <br />Original <br />F-1 <br />F-1 <br />F-1 <br />F-1 <br />El <br />1:1 <br />Dispersal After Approval <br />