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BOARD OF PUBLIC 'WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date December 8, 2017 <br />Department Engineering <br />Name Kara M. Boyles Division/Bureau DPW <br />BPW Date 12/21/17 Phone Extension 5933_ <br />Required Prior to Submittal to, Board, <br />Legal ❑ Attorney Name: Clara McDaniels <br />Controller ❑ Controller review is required for all Contracts $5,000.00 or more and <br />greater than one year in length per the City Purchasing Policy <br />Purchasing F <br />[J Agreement H Contract LJ Proposal LJ Addendum <br />Professional Services F1 Resolution <br />❑ Bid Opening n Bid Award E] Req. to Advertise El Title Sheet <br />❑ Quote Opening El Quote Award <br />F-1 Change Order No. El C/O & PCA No. F1 PCA <br />E] Ease/Encroach. ❑ Traffic Control: <br />Other: Amendment <br />Company or Vendor Name <br />New Vendor <br />MBEANBE Contractor <br />MBE/WBE Contractor Requested <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Lawson -Fisher Associates <br />Ll Yes [A No �IN If Yes, Approved by_.__ <br />F-1 MBE E] WBE <br />—WNo 2 Yes Name of Companv: <br />_Update of CoSB Construction Standards <br />115-116 <br />Engineering Professional Services <br />Fund 101 <br />Completion date of 2013 <br />Work includes preparing Section 1, finalize standards and specs, <br />and to prepare final deliverable to City., <br />H Required Contractor's Certification Forms Attached (Non- <br />Collusion, Non -Discrimination, Non-Debairment, E-Verify, Iran, etc.) <br />Required For CW6 !*,0r1Iy1.­ <br />Amount of F-1 increase $ mm <br />El Decrease $ <br />Previous Amount <br />Current Percent of Change: <br />New Amount <br />Total Percent of Chance: <br />Copy <br />Original <br />F-1 <br />F-1 <br />F-1 <br />El <br />11 <br />El <br />