Request to Advertise - JMS Facade Work - Project No. 116-048

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Date Name BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM 11 /10/2016 Richard Estes Department Division/Bureau Public Works Engineering BPW Date 11/22/2016 Phone Extension 5896 Required Prior to Submittal to Board Legal ® Attorney Name: Michael Schmidt Controller ❑ Controller review is required for all Contracts $5,000.00 or more and greater than one year in length per the City Purchasing Policy Purchasing ® George King Check the Appropriate Item Type — Required for All Submissions ❑ Agreement ❑ Contract ❑ Proposal ❑ Addendum ❑ Professional Services ❑ Resolution ❑ Bid Opening ❑ Bid Award ® Req. to Advertise ® Title Sheet ❑ Quote Opening ❑ Quote Award ❑ Change Order No. ❑ C/O & PCA No. ❑ PCA ❑ Ease/Encroach. ❑ Traffic Control: n Other: Required Information Company or Vendor Name ❑ Yes ❑ No ❑ If Yes, Approved by New Vendor Purchasing MBE/WBE Contractor ❑ MBE ❑ WBE MBE/WBE Contractor Requested ❑ No ❑ Yes Name of Company Project Name JMS Fagade Work Project Number 116-048 Funding Source RWDA TIF Account No. 324-1050-460-3102 Amount Terms of Contract Purpose/Description JMS Building Fagade renovation. Proposed schedule: Adl- 11/25, Ad2-12/2, Bids Due 12/13, Bid Award 12/13 ❑ Required Contractor's Certification Forms Attached (Non - Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) Required For Change Orders Only Amount of ❑ Increase $ ❑ Decrease $ Previous Amount $ APPROVED Roam Current Percent of Change: Mir ,o Works % New Amount $ Total Percent of Change: kink! 9irl (I % Dispersal After Approval Copy Original ® ❑ Patrick C Kerr ® ❑ Aaron Kobb