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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 3/21/19 Department Fire <br />BPW Date 4/9/19 Phone 9255 <br />Name Ste hen Cox, Fire Chief <br />csadw�vdau�u^ruww��owwuuwmau�anw��miwswwurmmu iuixmm�.mim�ue�ni r�rmvr.��x�uxu��u�u�u�w��w�w�w�w�w�w�w�wuu�rv�rv� mmuvur�s�rr��nrcrtr nr �:..� ——asoarau��zvr,�aAWss�mu <br />o Legal El Attorney Name <br />a o - -a Controller review is required for all Contracts $5,000.00 or more <br />o E cu ° Controller and greater than one year in length per the City Purchasing <br />a mPolicy <br />U) Purchasing ❑ <br />Check the A <br />rmmo <br />riItem T e Required forAllSubmissions.�m.mmm <br />ment <br />Contract <br />ract Pro osal A m <br />ddendu- <br />mmmmmmm <br />— <br />Claim <br />„ <br />...............� � Req. to Advertise IT Title Sheet <br />Bid Award <br />❑ <br />QudoOpOpenin <br />�I <br />Award m <br />Chg_Order No. <br />Ease./Encroach, <br />� <br />O & PCA,No. _ <br />Traffic Control <br />❑PCA <br />Z <br />.._m.m.... .............. <br />Resolution <br />� <br />Other <br />w <br />mMmm <br />_,_n <br />.q u i redInformation , ..... _ . �.._. <br />Company or Vendor Name <br />New Vendor <br />Yes <br />No If Ye rop ved by_Purchasin <br />�IIW s, Apcl <br />MBE/WBE Contractor <br />❑ <br />MBE � WmgE <br />Pro .ecl t Name............._A .._ <br />— __ <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />$ <br />m�,,.......,....... <br />rf Contract <br />.... Terms o <br />a <br />__ m...._... <br />Purpose/Description <br />.... ........... <br />Dis osal of Unfit and/or Obsolete Property- -.. <br />Firefighter <br />Christo her Cox <br />For Chan emmOrders Only <br />Amount of <br />Increase <br />Decrease <br />$ <br />$ <br />Previous Amount. <br />Current Percent of Change <br />New Amount <br />$ <br />Total Percent of Chan e: <br />PO No. <br />Dispersal After Approval <br />Copy Original <br />EJ <br />