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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW RE, QUEST FORM <br />5/22,/2018 <br />Shawn Delahantv <br />Department Innovation & Tech <br />BPW Date 6/12/2018 Phone Extension 6205 <br />E=== Required Prior to Submittal to Board <br />Legal Attorney Name Kennedy <br />Controller review is required for all Contracts $5,000.00 or more <br />Controller Z and greater than one year in length per the City Purchasing <br />Policy <br />Check the Appropriate Item Type - Required for All Submissions _J <br />R Agreement El Contract El Proposal El Addendum <br />El Professional Services R Amendment <br />EJ Bid Opening El Bid Award El Req. to Advertise El Title Sheet <br />El Quote Opening ❑ Quote Award <br />F-1 Chg Order No. ❑ C/O & PCA No. ❑ PCA <br />❑ Ease./Encroach. Traffic Control El Resolution <br />Other: Hardware Lease D Claim <br />Company or Vendor Name <br />New Vendor <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />AT&T Mobility <br />0 Yes El If Yes, Approved by Purchasing <br />E] No <br />El MBE Completed E-Verify Form Attached <br />F] WBE <br />Mobile Tablet Lease <br />IT Lease Account <br />279-0672-415-37-11 (principal)_and 37-12 (interest) <br />$513.25 per month for 36 months ($143r-,477 total) <br />36 months <br />F-1 Yes <br />F-1 No <br />Purpose/Description 16 ipads for SBWW, Traffic & Lighting, VPA, Code; Surfaces for <br />Building Dept and Police <br />For Change Orders OnI <br />Amount of❑ increase $ <br />El Decrease $ <br />Previous Amount $ <br />Current Percent of Change: % <br />New Amount $ <br />Total Percent of Change: % <br />Time Extension: Dispersal After Approval <br />Copy Original <br />M ❑ Shawn Delahanty <br />❑ F-1 <br />