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BOARD OF PUBLIC WORDS <br />AGENDA ITEM REVIEW REQUEST FORM <br />11111111l%6 5RIK1F; <br />Department Innovation & <br />Name Anna Kennedy Technology <br />BPVV Date 9-,25-,2018 Phone Extension 6203 <br />Legal Z' <br />Attorney Name Kennedy <br />Controller z <br />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 z <br />Check the Appropriate <br />Item Type — Required for All Submissions <br />El Agreement <br />El Contract El Proposal El Addendum <br />Z Professional Services <br />0 Resolution <br />El Bid Opening <br />F-1 Bid Award ❑ Req. to Advertise F] Title Sheet <br />El Quote Opening <br />❑ Quote Award <br />R Change Order No. <br />❑ C/O & PCA No. EJ PCA <br />R Ease/Encroach. <br />El Traffic Control <br />F-1 Other: <br />Required Information <br />Company or Vendor Name <br />Pathfinders Advertising <br />New Vendor <br />R Yes Z No Rif Yes, Approved by Purchasing <br />MBE/WBE Contractor <br />F-1 MBE F] WBE <br />MBE/BE Contractor Requested [:] No [:] Yes Name of Company <br />Project Name <br />Website Maintenance <br />Project Number <br />Funding Source <br />IT Fund Professional Services <br />Account No. <br />279-0672-415.31-06 <br />Amount <br />$20,000 <br />Terms of Contract <br />8/1/2018-8/1/2019 <br />Purpose/Description <br />Maintain and improve southbendin,gov <br />FIRequired Contractor's Certification Form Attached (Non -Collusion, <br />Non -Discrimination, Non -Debarment. E-Verifv. Iran. etc.) <br />Amount of R increase $ <br />F-1 Decrease $ <br />Previous Amount $ <br />Current Percent of Change: % <br />New Amount $ <br />Total Percent of Change: <br />Copy <br />Original <br />F <br />E <br />El <br />M <br />El <br />Dispersal After Approval <br />Santiago Garces <br />Dan O'Connor <br />Den Hockehull <br />