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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 12/5/17 <br />Name Jennifer Hockenhull Department A/F <br />BPW Date 12/12/17 Phone Extension 9822 <br />LJ <br />Agreement <br />Lj Contract <br />L] Proposal U Addendum <br />❑ <br />Professional Services <br />❑ Amendment <br />❑ Bid Opening <br />❑ Bid Award <br />❑ Req. to Advertise ❑ Title Sheet <br />❑ Quote Opening <br />❑ Quote Award <br />❑ <br />❑ <br />Chg Order No. <br />Ease./Encroach. <br />❑ CIO & PCA No. <br />❑ Traffic Control <br />❑ PCA <br />® Resolutions <br />n <br />Other: <br />❑ <br />Claim <br />Company or Vendor Name n/a <br />New Vendor <br />MBEANBE Contractor <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Amount of <br />❑ Yes El If Yes, Approved by Purchasing <br />❑ No <br />❑ MBE Completed E-Verify. Attached ❑Yes <br />❑ WBE - ❑ No <br />Change in the Effective Date of Annual Pav Increases <br />To change the date that annual pay raises are effective -- see <br />attached resolution <br />Increase $ <br />Decrease $ <br />Previous Amount $ <br />Current Percent of Change: % <br />New Amount $ <br />Total Percent of Change: % <br />Time Extension: <br />Dispersal After Approval <br />Copy Original <br />® ❑ Kyra Clark, Director of Human Resources <br />❑ ❑ <br />❑ ❑ <br />