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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date <br />Name <br />12-11-18 <br />Kim Thompson <br />Department Utilities <br />BPW Date 12-20-18 Phone Extension 5969 <br />�JIMEMPOMMMMMMMM1111110 �Mi <br />___JRequired Prior to Submittal to Board <br />Legal Attorney Name Clara McDaniels <br />Controller review is required for all Contracts $5,000.00 or more <br />Controller and greater than one year in length per the City Purchasing <br />Policy <br />Purchasing Z <br />Check the P <br />U Agreement <br />Z Professional Services <br />El Bid Opening <br />❑ Quote Opening <br />Chg Order No. <br />Ease./Encroach. <br />F1 Other: <br />Company or Vendor Name <br />New Vendor <br />MBE/WBE Contractor <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Tqprlate Item TVA <br />. . ...... ................. <br />EI Contract <br />n Amendment <br />El Bid Award <br />El Quote Award <br />❑ C/O & PCA No <br />❑ Traffic Control <br />7_Rq uired for All Submissions <br />El Proposal <br />El Req. to Advertise <br />Required Information <br />M�qgnum Security Services <br />Yes <br />No <br />MBE <br />WBE <br />[:1 PCA <br />E] Resolution <br />M Claim <br />If Yes, Approved by Purchasing <br />Addendum <br />0 Title Sheet <br />Completed E-Verify Form Attached 0 Yes <br />F-1 No <br />Water Works O&M <br />620-0640-657.31-35 <br />$13.10 per hour 40-45 hours per week <br />Provide security service for Customer Service public office <br />E, For <br />Amount of Orders . ......... <br />El increase mm.. . . . ........... <br />E] Decrease <br />Previous Amount <br />Current Percent of Change: <br />New Amount $ <br />Total Percent of Change: <br />Time Extension: <br />Dispersal After Approval <br />Copy <br />Original <br />El <br />F� <br />0 <br />F� <br />EJ <br />0 <br />