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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date September 13, 2018, <br />Name Michael Divita7PV Department DCl <br />BPVV Date September 25, 2018 Phone Extension 5843—'__ <br />eq�qired' Prior t6�f <br />"Su7ii <br />R t <br />t.. . ..... . ... <br />Legal Attorney Name Aladean DeRose <br />Controller review is required for all Contracts $5,000.00 or more <br />Controller F-1 and greater than one year in length per the City Purchasing <br />Policy <br />0 A I �80 01 <br />LJ Agreement <br />[J Professional Services <br />F-1 Bid Opening <br />Quote Opening <br />Chg Order No. <br />Ease,, /E n croach. <br />Other: <br />Company or Vendor Name <br />New Vendor <br />I <br />MBE/WBE Contractor <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />LJ Contract H Proposal H Addendum <br />F-1 Amendment <br />F1 Bid Award Req. to Advertise ❑ Title Sheet <br />❑ Quote Award <br />C/O & PCA No. ❑ PCA <br />El Traffic Control Resolution <br />❑ Claim <br />El Yes If Yes, Approved by Purchasing <br />F] No <br />❑ Mli B E Completed E-Verify Form Attached E] Yes <br />❑BE El No <br />Terms of Contract <br />Purpose/Description Adoption ofa'Fiscal Plan for ­ the Ceres Annexation Area <br />Amount of H Increase <br />EJ 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 />❑ <br />E] <br />F] <br />01 <br />