Laserfiche WebLink
I' <br />BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />December 18, 2017 <br />Tara Weigand <br />Department <br />Division/Bureau <br />Engineering <br />BPW Date December 2.1, 2017 Phone Extension 5998 <br />Legal ❑' Attorney Name: <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 <br />H Agreement Amendment <br />❑ <br />Contract ❑ Proposal ❑ Addendum <br />❑ Professional Services <br />Resolution <br />El <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 />❑ C/O, & PCA No. ❑ PCA <br />F] Ease/Encroach. <br />❑ Traffic Control: <br />F-1 <br />Other: <br />Company or Vendor Name <br />New Vendor <br />MBE/WBE Contractor <br />MBEANBE Contractor Requested <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Burkhart Sign Systems, LLC <br />❑ Yes ❑ No ❑ If Yes, Approved by <br />Purchasing <br />❑ MBE [❑ WBE <br />❑ No ❑ Yes Name of Company❑_ <br />Morris Performing Arts Center Marquee Display Installation <br />117-070A <br />Morris Capital Improvement Fund <br />416-0404-453.43-08 <br />$19,000.010 <br />Lump Sum <br />Install LED Ribbon display on the Morris PAC Marquee <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 />New Amount <br />Total Percent of Chance: <br />Copy Original <br />❑ Kara Boyles, City Engineer <br />❑ Patrick Sherman, VPA <br />❑I El <br />