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Date <br />Name <br />BOARD OF PUBLIC WORKS, <br />AGENDA ITEM REVIEW REQUEST FORM <br />5/7/2018 <br />Shawn Delaha <br />Department Innovation & Tech <br />BP W Date 5/22/2018 Phone Extension 6205 <br />Legal Attorney Name Kennedy <br />Controller review is required for all Contracts $5,000.00 or more <br />Controller and greater than one year in length per the City Purchasing <br />Policy <br />Purchasing <br />Agreement <br />Professional Services <br />Bid Opening <br />Quote Opening <br />Chg Order No. <br />Ease./Encroach. <br />Other: <br />Company or Vendor Name <br />New Vendor <br />MBEANBE Contractor <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Contract <br />H Amendment <br />F-1 Bid Award <br />F-1 Quote Award <br />F-1 C/O & PCA No. <br />EJ Traffic Control <br />Proposal <br />El Req. to Advertise <br />PCA <br />Resolution <br />Claim <br />0 Title Sheet <br />AT&T <br />El Yes [:1 If Yes, Approved by Purchasing <br />F-1 No <br />1-1 WBE Nos Completed E-Verify Form Attached F-1 <br />Renewal of Golf Course T1 Lines <br />IT Teleohone Account <br />279-0672-415-32-04 <br />$1311.56 per month for 36 months ($47,216.16 total) <br />36 months <br />For Change Orders Only <br />Amount of El increase $ <br />El Decrease $ <br />Previous Amount $ <br />Current Percent of Change: % <br />New Amount $ <br />Total Percent of Change: % <br />Time Extension: <br />Dispersal After Approval <br />Copy Original <br />0 E] Shawn Delahanty <br />n El <br />