Laserfiche WebLink
BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date Aril 27th 2018 <br />Department Innovation and <br />Name Brian Donoghue Technology <br />BPW Date May 81h 2018 Phone Extension <br />Purchasing ❑ <br />Agreement <br />LJ Contract <br />L] Proposal U Addendum <br />® Professional Services <br />❑ Amendment <br />❑ Bid Opening <br />❑ Bid Award <br />❑ Req. to Advertise ❑ Title Sheet <br />❑ <br />Quote Opening <br />❑ Quote Award <br />❑ <br />Chg Order No. <br />❑ CIO & PCA No. <br />❑ PCA <br />❑ <br />Ease./Encroach. <br />❑ Traffic Control <br />❑ <br />Resolution <br />n <br />Other: <br />❑ <br />Claim <br />Company or Vendor Name <br />New Vendor <br />MBEIWBE Contractor <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Previous Amount <br />Current Percent of Change <br />New Amount <br />Total Percent of Change: <br />Time Extension: <br />Copy <br />Original <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />Network Solutions, Inc. <br />Yes U If Yes, Approved by Purchasing <br />I� No <br />❑ WBE Completed E�-Verify Form Attached ❑ Nps <br />Digital Inclusion Initiative — Expanding Public Wi-Fi <br />Innovation and Technology Supplies Account <br />279-0672-415-21-05 <br />$6,979.00 <br />% <br />Dispersal After Approval <br />