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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date <br />Name <br />11 /08/2018 <br />Patrick Sherman <br />Department Venues Parks & Arts <br />BPW Date 11/13/2018 Phone Extension 5601 <br />iui�miuwwttaiw��r�+m�nti�a�,�"aurwu�wlaouucmrm�rvuwv�mmmmmouuuWmuum wa�m�rrtm��� v,:����-'�eu aaw,vue�mcm� w��r_ u�i�o. Lei ..,,,,,-.,�mHa�e�nrrdu�uu �r � �� <br />w .._� Submittal t. ...��� <br />o Board Re u' <br />_......_��._.�_ . fired. Prior to Sub __.._ ...-��.,..��.....��_ ..... �.. <br />Legal I Attorney Name Clara McDaniels <br />Controller ® Controller review is required for all Contracts $5,000.00 or more and <br />greater than one year in length per the City Purchasing Policy <br />Purchasing Michael Schmidt <br />I_..I Agreement LJ Contract H Proposal ❑ Addendum <br />® Professional Services ❑ Resolution <br />❑ Bid Opening ❑ Bid Award E] Req. to Advertise ❑ Title Sheet <br />EI Quote Opening Quote Award <br />0' Change Order No. ❑ C/O & PCA No. ❑ PCA <br />❑ Ease/Encroach. ❑ Traffic Control <br />F1 Other: <br />Company or Vendor Name C M Buck & Associates,d/b/a Associated Controls + Desian <br />New Vendor <br />Yes Z No F1 If Yes, Approved by Purchasing <br />MBE/WBE Contractor <br />[_1 MBE ❑ WBE <br />MBE/WBE Contractor Requested ❑ No ❑ Yes Name of Company <br />Project Name <br />Century Center Lighting Intecration ............. . _�................ <br />Project Number <br />1064-2018 <br />Funding Source <br />................ ..... <br />Hotel/Motel Tax Fund <br />Account No. <br />N/A <br />Amount <br />$ 13,433.00 <br />Terms of Contract <br />Per Exhibit A <br />Purpose/Description <br />Inte ration/Pro ra�nmin of new LED H htin to river li hts <br />Z Required Contractor's Certification Form Attached (Non- <br />mmmw__yCollusion, <br />Non -Discrimination„ Non -Debarments E Vri,Iran, etc. <br />Reodired For Chuanae Orders Only <br />Amount of El Increase <br />n Decrease <br />Previous Amount $ <br />Current Percent of Change: <br />New Amount $ <br />Total Percent of Change: <br />Dispersal After Approval <br />Copy <br />Original <br />❑ <br />❑ <br />❑ <br />El <br />❑ <br />E <br />