Laserfiche WebLink
BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date <br />Name <br />October 26, 2017 <br />Kara M. Boyles <br />Department <br />Division/Bureau <br />Engineering <br />DPW <br />BPW Date 11/14/17 Phone Extension 5933 <br />"Agreement <br />IJ Contract U Proposal H Addendum <br />❑ Professional Services <br />® <br />Resolution <br />❑ Bid Opening <br />❑ <br />Bid Award ❑ Req. to Advertise ❑ Title Sheet <br />❑ <br />Quote Opening <br />❑ Quote Award <br />❑ <br />Change Order No. <br />❑ CIO & PCA No. ❑ PCA <br />❑ Ease/Encroach. <br />❑ Traffic Control: <br />n Other: <br />Company or Vendor Name <br />New Vendor <br />MBE/WBE Contractor <br />MBE/WBE Contractor Requested <br />Project Name <br />Project Number <br />enFocus. <br />❑ Yes ® No ❑ If Yes, Approved by <br />Purchasing <br />❑ MBE ❑ WBE <br />❑ No ❑ Yes Name of Company <br />_Sensors for PavementTemperature Monitoring <br />117-112 <br />Funding Source NIA <br />Account No. NIA <br />Amount NIA <br />Terms of Contract Completion date of November 30th, 2017. <br />Purpose/Description Access to six (6) traffic light poles in various locations to mount <br />Previous Amount $ <br />Current Percent of Change: % <br />New Amount $ <br />Total Percent of Change: % <br />Dispersal After Approval <br />Copy Original <br />❑ ❑ <br />❑ ❑ <br />❑ ❑ <br />