Laserfiche WebLink
BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 5/23/2018 Department Fire <br />BPW Date 6/12/2018 Phone 9255 <br />Name Stephen Cox, Fire Chief <br />o Legal ❑ Attorney Name Elliott Anderson <br />o Controller review is required for all Contracts $5,000.00 or more <br />�a � m Controller Eland greater than one year in length per the City Purchasing <br />m Policy <br />U) Purchasing ❑ Michael Schmidt <br />flheck the Annronriate Item Twee -- Required for All Submissions. <br />❑ <br />Agreement <br />❑ Contract <br />❑ Proposal <br />I ❑ Addendum <br />❑ <br />Claim <br />❑ <br />Bid Opening <br />❑ Bid Award <br />❑ Req. to Advertise <br />I ❑ Title Sheet <br />❑ <br />Quote Opening <br />❑ Quote Award <br />❑ <br />Chg Order No. <br />❑ <br />CIO & PCA No. <br />❑PCA - <br />Resolution <br />❑ <br />Ease./Encroach. <br />❑ <br />Traffic Control <br />❑ <br />Other: <br />Company or Vendor Name <br />New Vendor <br />❑ <br />Yes ❑ <br />No ❑ If Yes, Approved by Purchasing <br />MBEANBE Contractor <br />❑ <br />MBE ❑ WBE <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />$ <br />Terms of Contract <br />PurposelDescription <br />Dis osal of Unfit Property/Helmets & Boots; retirees: D. Blake <br />M. Humes J. Riba <br />Amount of <br />❑ <br />❑ <br />Increase $ <br />Decrease $ <br />Previous Amount <br />$ <br />Current Percent of Change: <br />% <br />New Amount <br />$ <br />Total Percent of Change: <br />% <br />PO No. <br />Dispersal Atter Approval <br />Copy Original <br />❑ ❑ <br />