Laserfiche WebLink
BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW RE, QUEST FORM <br />Date 08/20/2018 <br />Name Amv Shirk <br />Department Admin & Finance <br />—BPW Date Phone Extension 9133 <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 El and greater than one year in length per the City Purchasing <br />Policy <br />Purchasing ❑ <br />uneCKine Appropp <br />g�t m A ype -Keguirea <br />rorAll�uDmissions <br />❑ Agreement <br />❑ Contract <br />El Proposal 0 Addendum <br />F-1 Professional Services <br />F-1 <br />Amendment <br />E:1 <br />Bid Opening <br />El <br />Bid Award <br />El Req. to Advertise El Title Sheet <br />F-1 <br />Quote Opening <br />F-1 Quote Award <br />F-1 Chg Order No. <br />n C/O & PCA No. <br />F-1 PCA <br />F-1 Ease./Encroach. <br />F-1 Traffic Control <br />0 <br />Resolution <br />0 <br />Other: Disposal <br />F1 <br />Claim <br />Required Information <br />Company or Vendor Name <br />New Vendor H Yes <br />[:] No <br />MBEANBE Contractor ❑ MBE <br />❑ WBE <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Amount of Ll Increase $ <br />El Decrease $ <br />Previous Amount $ <br />Current Percent of Change: % <br />New Amount $ <br />Total Percent of Change: % <br />Time Extension: <br />Copy <br />Original <br />F] <br />El <br />El <br />El <br />n: <br />n <br />If Yes, Approved by Purchasing <br />Completed E-Verify Form Attached El Yes <br />El No <br />Dispersal After Approval <br />