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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />U Agreement Amendment <br />I Contract <br />LJ Proposal Lj Addendum <br />❑ Professional Services <br />❑ <br />Resolution <br />❑ Bid Opening <br />❑ <br />Bid Award <br />❑ Req. to Advertise ❑ Title Sheet <br />❑ Quote Opening <br />❑ Quote Award <br />❑ <br />Change Order No. <br />❑ CIO & PCA No. <br />❑ PCA <br />❑ <br />Ease/Encroach. <br />® Traffic Control: Parking <br />Restrictions <br />f-I <br />Other: <br />Company or Vendor Name <br />❑ Yes ❑ No ❑ If Yes, Approved by <br />New Vendor Purchasing <br />MBEIWBE Contractor ❑ MBE ❑ WBE <br />MBEIWBE Contractor Requested ❑ No ❑ Yes Name of Company <br />Project Name Liberty Tower --Main and Washington Streets Parking <br />Project Number TR117-112 <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description Parking changes along the west side of Main Street north of <br />Washington Street and north side of Washington Street west of <br />Main Street for the newly renovated Liberty Tower. <br />❑ Required Contractor's Certification Forms Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) <br />Amount of ❑❑ Increase $ <br />Decrease $ <br />Previous Amount $ <br />Current Percent of Change: % <br />