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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 4/1/2019 <br />Name Ken Glowacki Department VPA <br />BPW Date 4/9/2019 Phone Extension 9195 <br />................. _ . ....._... .............. _. _ ..... ._ _ � . <br />Re red Prior to Submittal to Board <br />_.... . <br />BPW Attorney F-] Attorney Name <br />Dept. Attorney Z Attorney Name Elliot Anderson <br />Purchasing [� <br />Check the <br />Item Ty_e_-IAuireelfor All Submissions <br />LJ Professional Services Agreement Contract <br />0 <br />Open Market Contract ❑ Amendment/Addendum <br />❑ <br />Bid Opening EJ Bid Award <br />❑ <br />Quote Opening] Quote Award <br />❑ <br />Proposal Opening (�, C/O & PCA No. <br />R <br />Chg. Order, No. ❑ Traffic Control <br />Other: <br />Reuuird Information <br />❑ Proposal <br />Special Purchase, QPA <br />E] Req. to Advertise <br />0 Reject Bids/Quotes <br />PCA <br />® Resolution <br />Ease./Encroach <br />❑ Title Sheei <br />Company or Vendor Name <br />PNC Ecut Finance, LLC <br />0 Yes❑ If Yes, Approved by Purchasing <br />New Vendor <br />No <br />E] ❑ <br />MBE/WBE Contractor <br />Completed E-Verify Form Attached <br />MBE ❑ Nos <br />Project Name <br />Eibel & Erskine Golf Cart Lease <br />Project Number <br />d-____- ........... _. <br />.............. ��.�.�.�............................................................._..� <br />Funding Source <br />Fund 201.�.�._Parks Recreation <br />Account No. <br />201-1102-452.37-07....._........w..wwwwwwwww� .............................W_ <br />Amount <br />$195,138.50 Five annual vayments of $39,027.70_ <br />Terms of Contract <br />.......... <br />56 month equipment lease ......... LL <br />Purpose/Description <br />Replace 55 old golf carts at Eibel & Erskine <br />. . .. _.............. _ ....... <br />__.. <br />Amount of 1-1Increase--............... .. ,,,,........... <br />.... <br />❑ Decrease ($ ) <br />Previous Amount <br />$ <br />Increase <br />mmmm <br />Current Percent of Change: <br />Decrease <br />( % o <br />New Amount <br />$ <br />Increase <br />% <br />Total Percent of Change: <br />Decrease <br />% <br />Time Extension Amount: <br />mmm....... <br />New Completion Date: <br />