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BOARD OF PUBLIC WORKS <br />AGENDA ITEM RE VIEW REQUEST FORM <br />Date April 25th 2018 <br />Department Innovation and <br />Name Brian Donoghue_ Technology <br />—BPW Date May 8112 018 Phone Extension <br />Required Prior to Submittal to Board <br />Legal Attorney Name <br />Controller review is required for all Contracts $5,000.00 or more <br />Controller F-1 and greater than one year in length per the City Purchasing <br />Policy <br />Purchasing F-1 <br />H Agreement <br />LJ <br />Contract <br />❑ Proposal ❑ Addendum <br />F-1 Professional Services <br />F-1 <br />Amendment <br />E] Bid Opening <br />❑ Bid Award <br />❑ Req. to Advertise ❑ Title Sheet <br />F] Quote Opening <br />❑ Quote Award <br />F-1 Chug Order No. <br />❑ <br />C/O & PCA No. <br />E] PCA <br />n Ease./Encroach. <br />Traffic Control <br />H Resolution <br />F-1 <br />Other: <br />F-1 <br />Claim <br />Company or Vendor Name St. J <br />New Vendor <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />County Public Lib <br />LJ Yes L-1 If Yes, Approved by Purchasing <br />M No <br />❑ MBE Completed E-Verify Form Attached El Yes <br />F-1 VVBE No <br />Diaital Access Sites <br />Department of Innovation and Technology Professional Services <br />279-0672-415-31-06 <br />$22,41Q*Gg Z 5-, oc),D, <br />See memo <br />Amount of H Increase $ <br />E] Decrease $ <br />Previous Amount <br />Current Percent of Change: <br />New Amount <br />Total Percent of Change: <br />Time Extension: <br />MMUZZ09 =4 <br />Copy <br />Original <br />n <br />F-1 <br />F-1 <br />n <br />1-1 <br />El <br />