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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUE'ST FORM <br />Date Auqust 15, 2018 <br />I Department Community <br />Name Elicia Feasel Investment <br />BP W Date, Phone Extension 7672 <br />Required Prior to Submittal to Board <br />Legal Attorney Name Aladean DeRose <br />Controller review is required for all Contracts $5,000.00 or more <br />Controller and greater than one year in length per the City Purchasing <br />Policy <br />EMEMMIUFI-1] <br />Check the Appropriate Item -1 ype — Hequired tor. All �5ubmissjons <br />F-1 Agreement E] Contract F1 Proposal E]Addendum <br />0 Professional Services El Amendment <br />F] BidOpening El Bid Award El Req. to Advertise El Title Sheet <br />[J Quote Opening! n Quote Award <br />n Chg Order No. F-1 C/O & PCA No. El PCA <br />El Ease./Encroach. ❑ Traffic Control F-1 Resolution <br />n Other: El Claim <br />Company or Vendor Name <br />New Vendor <br />A5170-1 WITITA 0.1 0111)6�1� <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Required Information <br />BOLT LIMITED, Inc. (preferred vendor for specialized services) <br />El Yes ❑ If Yes, Approved by Purchasing <br />No <br />MBE Completed E-Verify Form Attached El Yes <br />WBE ❑ No <br />Historic Preservation Digitization of Records <br />n/a <br />DC1 Admin <br />211-1001-460-3106 <br />$20,000 <br />See attached <br />Scan Historic Preservation records including Local Landmark and <br />Historic District files, meeting minutes binders, 1932 Assessor <br />Cards, Survey cards, and -Demolished files. Index into folders for <br />For Change Orders Only <br />Amount of F-1 increase, $ <br />[:] 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 />M <br />F] <br />F] <br />F-1 <br />11 <br />El <br />Dispersal After Approval <br />Judy (Love, Community Investment <br />