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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 10/16/18 <br />Name Matt Coats Department Innovation & Technology <br />BPW Date 10/23/18 Phone Extension 5817 <br />Required Prior to Submittal to Board <br />Legal Attorney Name Sandra Kennedy <br />Controller review is required for all Contracts $5,000,010 or more <br />Controller El and greater than one year in length per the City Purchasing <br />Policy <br />Purchasing E] <br />tneCK ine /-xppr)pnaie nern i ype - rye QV�Cl ror AH z5unmissions <br />F-1 Agreement F-1 Contract [:1 Proposal El Addendum <br />F-1 Professional Services F-1 Amendment <br />F-1 Bid Opening El Bid Award ❑ Req. to Advertise El Title Sheet <br />0 Quote Opening ❑ Quote Award <br />El Chg Order No. C/O & PCA No. PCA <br />F-1 Ease./Encroach. F-1 Traffic Control ❑ Resolution <br />Z Other: QPA Purchase El Claim <br />Reauired Information <br />Company or Vendor Name <br />New Vendor <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Dell Inc. <br />El Yes E] If Yes, Approved by Purchasing <br />Z No <br />F-1 <br />1:1 WBE MBE No <br />Completed E-Verify Form Attached Ej El Yes <br />E,RP Software Licenses <br />IT Operating <br />279-0672-415-36-04 <br />Amount $125.859.93 <br />Terms of Contract Expiration of ELA with Microsoft/Dell fending September 'l , 2021). <br />Purpose/Description Purchase of licenses for the implementation of Dynamics 365 for <br />Finance and Operations, paid in full for the next three_!ears. <br />For Change Orders Only <br />Amount of E] increase $ <br />F-1 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 />F] <br />El <br />F1 <br />Matt Coats <br />Shawn Delahan <br />