Laserfiche WebLink
BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date Mav 1, 20114, <br />Name <br />Benjamin Dougherty <br />Department <br />Admin & Finance <br />BPVV Date <br />May 8, 2018 <br />Phone Extension <br />7678 <br />Legal Attorney Name <br />Controller review is required for all Contracts $5,000.00 or more <br />Controller El and greater than one year in length per the City Purchasing <br />Policy <br />Purchasing F1 <br />LJ <br />Agreement <br />U Contract <br />❑ Proposal LJ Addendum <br />El <br />Professional Services <br />F-1 Amendment <br />F-1 Bid Opening <br />❑ Bid Award <br />❑ Req. to Advertise F] Title Sheet <br />F] Quote Opening <br />F] Quote Award <br />E] Ch:g Order No. <br />F] C/O & PCA No. <br />E] <br />PCA <br />El <br />Ease./Encroach. <br />F] Traffic Control <br />El <br />Resolution <br />Z� <br />Other: Authorization <br />El Claim <br />Letter <br />Company or Vendor Name <br />New Vendor <br />MA FIFOINVI-04 WSTIUR rM# <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Studebaker National Museum <br />El Yes F-1 If Yes, Approved by Purchasing <br />Z No <br />F1 F-1 WMBBE Nos <br />Completed E-Verify . Form Attached El Yes <br />2018 Studebaker National Museum Car Raffle <br />None <br />None <br />None <br />Authorization letter for annual Studebaker National Museum car <br />raffle. Permission has been granted in prior years. Board's <br />approval of authorization letter is requested. <br />Amount of El increase <br />$ <br />F-1 Decrease- <br />$ <br />Previous Amount <br />Current Percent of Change: <br />% <br />New Amount $ <br />Total Percent of Change: <br />% <br />Time Extension: <br />Copy <br />Original <br />M <br />F1 <br />F] <br />0 <br />El <br />11 <br />spersal After Approval <br />Patrick Slebonick, Executive Director, Studebaker National Museum <br />