!"#$%& ()##* +,- ./*0 .,1$2/3 4##*/$" ,+5
!"#!$#%!%$
Date Rec’d
%#%&#%!%$
Clerk’s File #
()( %!%$*!!%$
Renews # Submitting Dept
+,-. +(/01
Cross Ref #
,2,- %!%$*$
Contact Name/Phone
-/00, 34,5-/0 6%7*6"7&
Project # Contact E-Mail
-34,5-/085391:2/+,-.;90)
Bid # Agenda Item Type
0<=>?@ ,@<A
Requisition # Agenda Item Name
!%6!*,2,-,:-,B/ 35,(9+.C,2 DE5F099D G/+0,D,2:(,H:-,92
Agenda Wording
+I@J +K<?L 0<=>?@ >M ,MI@IN@IO< 2>; %!%$*$ PIK<Q RJ DNS>M (>?Q TG<U?IAIMNKIV< 5=>LNM<W NMQ 3N@ G>MNXY< ?<ZN?QIMZ 5=>LNM< +I@J =SIK>UJRIM AYSX?>>A Q<U?IAIMNKIVN@I>M;
Summary (Background)
9M 4<R?YN?J &[ %!%$[ DNS>M (>?Q TG<U?IAIMNKIV< 5=>LNM<W NMQ 3N@ G>MNXY< PIK<Q N =?>=>S<Q IMI@IN@IO< \I@X @X< 9PPIU< >P @X< +I@J +K<?L; 3Y?SYNM@ @> 5D+ %;!%;%"![ @X< +I@J :@@>?M<J]S 9PPIU< ?<OI<\<Q @X< A<NSY?< NMQ IM U>MSYK@N@I>M \I@X @X< S=>MS>? =?<=N?<Q N RNKK>@ @I@K< NMQ SYAAN?J >P @X< A<NSY?<; 3<? 5D+ %;!%;!&![ Y=>M ?<U<IOIMZ @XIS ?<=>?@ P?>A @X< +I@J +K<?L[ @X< +I@J +>YMUIK ANJ =NSS @X< A<NSY?< NS =?>=>S<Q[ ?<^<U@ @X< IMI@IN@IO< A<NSY?< NMQ =?>=>S< NM>@X<? >M< Q<NKIMZ \I@X @X< SNA< SYR^<U@ (<NS<_
29 )?NM@ ?<KN@<Q_
29 3YRKIU `>?LS_ 29
Fiscal Impact Budget Account
5<K<U@
$ #
5<K<U@
$ #
5<K<U@
$ #
5<K<U@
$ # Approvals Council Notifications
6#7* 8#&%
34,5-/0[ -/00,
(*1%0 (#99/,$:;*)#- 6/</9/,$ 6/-#2*,- .,1$2/3 (7,$9,- =/$&$2#
CE5-95[ 1,D
Distribution List
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3,++9(9[ D,1/ A=IUU>K>8S=>LNM<UI@J;>?Z
=,- *)# 4&0,-
90D5C.[ D,+F:/( =N@8Q>MNXY<KN\S=>LNM<;U>A
Additional Approvals
?1-2)&9/$"
Continuation of Wording, Summary, Budget, and Distribution
!"#! % &'&(&)(&*+ ,+-),.&'- /0&12345&' 6708,226 .+3,&6&')1&9)(&2'
Agenda Wording Summary (Background)
:; <= >;?@AB=C=B D@ >;E?>AF F=GA@FD:A;?H ;C @E<IA: :J= A?A:AD:AK= I=D@EC= :; :J= K;:=C@ ;? A:@ ;L? I;:A;?M &N :J= >A:O >;E?>AF B;=@ ?;: PD@@ :J= I=D@EC= D@ PC;P;@=B ;C @E<IA: :J= A?A:AD:AK= I=D@EC= :; :J= K;:=C@H :J= A?A:AD:AK= D?B :J= <DFF;: :A:F= D?B @EIIDCO ;N :J= I=D@EC= LAFF <= N;CLDCB=B <O :J= >A:O >F=CQ :; :J= >A:O J=DCA?G =RDIA?=C LJ; @JDFF A@@E= D N;CIDF LCA::=? ;PA?A;? D@ :; :J= F=GDF KDFABA:O D?B =NN=>: ;N :J= PC;P;@=B I=D@EC=M
Fiscal Impact Budget Account
0=F=>:
! #
0=F=>:
! #
Distribution List
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