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Date <br />Name <br />BOARD OF PUBLIC WORKS <br />AGENDA ITEM RE, VIEW RE' QUEST +SST FORM <br />y i • i <br />D]I s .,1 « <br />Department Innovation <br />BPW Date 9-22-18 Phone Extension 7652 <br />Legal ® Attorney fume Kennedy <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 />H <br />Agreement U Contract L] Proposal U Addendum <br />❑' <br />Professional Services ❑ Resolution <br />❑ <br />Bid Opening ❑ Bid Award ❑ Req. to Advertise ❑ Title Sheet <br />❑ <br />Quote Opening ❑ Quote Award <br />❑ <br />Change Order No. 0 C/O & PCA No. ❑ PCA <br />❑ <br />Ease/Encroach. ❑ Traffic Control <br />f IOther: <br />Company or Vendor Dame ESRI <br />New Vendor <br />❑ Yes Z No ❑ If Yes, Approved by Purchasing <br />MBEANBE Contractor <br />E] MBE ❑ WBE <br />MBEA NBE Contractor <br />Requested ❑ No ❑ Yes Name of Company <br />Project Name <br />Project Number <br />_ <br />Funding Source <br />IT' Operating Budget <br />Account No, <br />27-0672-415-36-04 <br />Amount <br />$195,500 <br />Terms of Contract <br />10/1/2018 — 10/1/2021 <br />Purpose/Description <br />Enterprise agreement and Hub renewal <br />® Required Contractor's Certification Form attached' (Non - <br />Collusion, Non-Discdmli nation, Non -Debarment, E-Verify, Iran, etc, <br />Required <br />For Change Orders Only <br />Amount of ❑ <br />Increase $ <br />❑ <br />Decrease $ <br />Previous Amount <br />$ <br />Current Percent of Change: % <br />New Amount <br />$ <br />Total Percent of Change: % <br />Dispersal After Approval <br />Copy Original <br />❑ ❑ <br />Dan O'Connor <br />® ❑ <br />Shawn Delahanty <br />0 ❑ <br />,ten Hockehull <br />