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Date <br />Name <br />BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />10/24/17 <br />Jeff Hudak <br />H Agreement <br />❑ Professional Services <br />❑ Bid Opening <br />❑ Quote Opening <br />❑ Change Order No. <br />❑ Ease/Encroach. <br />1-1 Other: <br />Company or Vendor Name <br />New Vendor <br />MBE/WBE Contractor <br />MBENVBE Contractor <br />Requested <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Previous Amount <br />Current Percent of Change: <br />New Amount <br />Total Percent of Change: <br />Copy <br />Original <br />❑ <br />❑ <br />® <br />❑ <br />❑ <br />❑ <br />U Contract <br />❑ Resolution <br />® Bid Award <br />❑ Quote Award <br />❑ CIO & PCA No. <br />❑ Traffic Control <br />Department Central Services <br />Proposal <br />Martin Country Chevrolet, Inc. dba: Country Auto Center <br />® Yes No Ll If Yes, Approved by Purchasing <br />1-1 MBE R WBE <br />Addendum <br />❑ No ❑ Yes Name of Compan <br />Spec AA — Two 2 more or less 2017 or Newer Utility Crew Trucks <br />p Capital Budget <br />7 ewer Department C .... _ ....,...._ , <br />642-0621-415-43-02 <br />$ 114,312.00 (2 @ $57,156 each) <br />Dispersal After Approval <br />Jeff Hudak & Sheila Enos <br />Derick Roberts, Dale Helpingstine, Terri Swift <br />