Laserfiche WebLink
Date <br />Name <br />BOARD OF PUB1,IC WORKS <br />AGENDA ITEM REVIEW RE QUEST FORM <br />I-ITA 9=11 I U-6 <br />Shawn Delahantv <br />Department Innovation & Tech <br />BPW Date 8/28/18 Phone Extension 6205 <br />Required Prior to, Submittal to Board <br />Legal Attorney Name Kennedy <br />Controller review is required for, all Contracts $5,000.00 or more <br />Controller Z and greater than one year in length per the City Purchasing <br />Policy <br />a W 1$ OR <br />unecK me Appropriate <br />item I ype - Hequirea <br />rorAll ,submissions j <br />Z <br />Agreement <br />F-1 Contract <br />[I Proposal El Addendum <br />F] <br />Professional Services <br />El <br />Amendment <br />F-1 Bid Opening <br />El <br />Bid Award <br />❑ Req. to Advertise 0 Title Sheet <br />R Quote Opening <br />F-1 Quote Award <br />F-1 <br />Chg Order No. <br />R C/O & PCA No. <br />El PCA <br />El <br />Ease./Encroach. <br />R Traffic Control <br />R Resolution <br />R <br />Other: <br />[71 Claim <br />I Required Information <br />Company or Vendor Name Dell <br />New Vendor <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />El Yes ❑ If Yes, Approved by Purchasing <br />0 No <br />E] MBE F1 WBE Completed E-Verify Form Attached [:] El YeNos <br />QPA E,LA Agreement for Microsoft Licensing <br />IT Operating <br />279-0672-415.36-04 <br />$284,786, 16 per year for 3 years ($855,263.79 total) <br />3 vears <br />Microsoft Annual Licens,ing renewal <br />For Chance _Orders Only <br />Amount of F-1 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 <br />Original <br />F-1 <br />El <br />El <br />