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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 1/21/2020 <br />Name Sue Gerlach. Department IT <br />BPW Date 1/28/2020 Phone Extension 6209 <br />G,�uuuuumuuww .wursiemwaurnw iuwvY;,wm mmmimmmmmmwmim�mmmmmmmmmmmmmmmw�imwwuwuuwa mmmmmmmmam�Mlffiwwwwwv�v�v�w.w.v va �ssmmax, ivwroiv: <br />Review and laproval Re�t�zl Prior to Submittal to Board <br />.._ ..... <br />Diversity Compliance �..__ _....... ._._ <br />and Inclusion Officer ❑ Officer Name <br />BPW Attorney; <br />Attorney Name Clara McDaniels <br />Dept. Attorney <br />Attorney Name Sandra l enned <br />Purchasing <br />Michael Schmidt <br />Check the <br />Professional Services Agreement <br />Open Market Contract <br />FI Bid Opening <br />Quote Opening <br />❑ Proposal Opening <br />❑ Chg. Order, No. <br />® Other: Special Purchase <br />under IC 5-22-10-7 <br />ite ItItemIT hype,,, : <br />Contract <br />Amendment/Addendum <br />E] Bid Award <br />Quote Award <br />C/O & PCA No. <br />❑, Traffic Control <br />Reauired Information <br />All Submissions <br />U Proposal <br />El Special Purchase, QPA <br />❑I Req. to Advertise <br />Reject Bids/Quotes <br />❑ PCA <br />❑ Resolution <br />❑ Ease./Encroach <br />❑ Title Sheet <br />Company or Vendor Name <br />CDW Government <br />If Yes, Approved by P ...... h <br />❑ Ye ❑ pp d by Purchasing <br />New Vendor <br />No <br />MBE/WBE Contractor <br />❑ WBE Completed E-Verify Form Attached <br />Nos <br />ProjectName <br />ayAdobe Licensing...................�.�.�.�.�.........._.............................................. .....ww <br />Project Number <br />N/A <br />Funding Source <br />IT O eratin <br />Account No. <br />279-0672-415-36.04 <br />Amount <br />$35,205.15 <br />Terms of Contract <br />1 Year throu 2/5/2021 <br />w.— ...._h m_m ...............�� m,� ... _.._...... .. <br />Purpose/Description <br />_ Annual subscription renewal for Adobe <br />Licensing <br />m_ <br />For+tg Orders. <br />Amount of <br />Increase $ <br />Decrease ($ ) <br />Previous Amount <br />$ � m ,_.�................. ...... <br />Increase % <br />.......... ......o..................................................................... <br />Current Percent of Change: <br />e: <br />Decrease /o) <br />New Amount <br />$ <br />Increase /o <br />Total Percent of Change: <br />Decrease / <br />Time Extension Amount: <br />— <br />New Completion Date: <br />