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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 2/22/2019 <br />Department Fire <br />BPW Date 3/12/19 <br />Phone 9255 <br />Name Stephen Cox, Fire Chief��� <br />o Legal <br />Attorney Name <br />a o P <br />Controller review is required for all Contracts $5,000.00 or more <br />o m Controller ❑ <br />and greater than one year in length per the City Purchasing <br />a) a- 0 m° <br />Policy <br />U) Purchasing ❑ <br />Check the A <br />ro riate Item Type e ussions� <br />red for All Submissions <br />0_Agreement <br />...._. <br />El Contract Pro osal Adden11 dum <br />EJ <br />Claim <br />0 <br />Bid Opening_ <br />Bid Award � Re to Advertisemmmm Sheet <br />❑ <br />Quote O enin <br />❑ <br />.... .q mmm mmmTitle <br />Quote Award <br />EJ <br />g <br />_. <br />71 <br />_ .m........❑ <br />C/O & PCA No <br />P CA <br />m <br />EaseO/Encroach„ <br />� <br />Traffic Control <br />� � <br />Resolutionm <br />] <br />Other: <br />... <br />Required Information <br />Co m any or Vendor Name <br />New Vendor <br />MBE/WBE Contractor <br />��Pro'e <br />wm� �... <br />ct.�.N,a..me .�......._.................� <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms o_f Contract ..................... <br />......_ <br />Purpose/Description <br />Yes L JI No <br />MBE WBE <br />9 <br />Asset Disposable--h, <br />and Thomas Sheets <br />Orders <br />Dispersal After Approval <br />Copy Original <br />❑ ❑ <br />❑ ❑ <br />I <br />I <br />