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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date <br />Name <br />8/21/18 <br />Michael E. Sniadecki <br />Department Innovation & Tech <br />BPW Date 9/11/18 Phone Extension 6004 <br />Re uired Prior to Submittal to Board <br />Legal ® Attorney Name Sandra Kennedy & Clara McDaniels <br />Controller ® Controller review is required for all Contracts $5,000.00 or more and <br />greater than one year in length per the City Purchasing Policy <br />Purchasing <br />N Agreement <br />H Contract LJ Proposal LJ Addendum <br />® Professional Services <br />❑ Resolution <br />❑ Bid Opening <br />❑ Bid Award ❑ Req. to Advertise ❑ Title Sheet <br />❑ Quote Opening <br />❑ Quote Award <br />❑ Change Order No. <br />❑ C/O & PCA No. ❑ PCA <br />❑ Ease/Encroach. <br />❑ Traffic Control <br />I —I Other: <br />Company or Vendor Name Metronet Zing <br />New Vendor ❑ Yes ® No ❑ If Yes, Approved by Purchasing <br />MBE/WBE Contractor ❑ MBE ❑ WBE <br />MBE/WBE Contractor Requested ❑ No ❑ Yes Name of Company <br />Project Name Metronet Buildout Phase 2 <br />Project Number nla <br />Funding Source IT Professional Svc <br />Account No. 279-0672-415-31-06 (IT Professional Svc) <br />Amount A one-time cost of $438635. <br />Terms of Contract Statement of Work <br />Purpose/Description Add eight COSB locations to the Metronet during phase one of this <br />project.. <br />❑ Required Contractor's Certification Form Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) <br />Amount of H Increase $ <br />❑ Decrease $ <br />Previous Amount <br />Current Percent of Change: <br />New Amount <br />Total Percent of Change: <br />Copy <br />Original <br />® <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />Dispersal After Approval <br />Michael Sniadecki <br />