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BOARD OF PUBLIC WORK'S, <br />AGENDA ITEM RE VIEW I& QUEST FORM <br />Date December 19, 2017 <br />Name Roger Nawrot <br />Department <br />Division/Bureau <br />Public' orks <br />Engineering <br />BPW Date December 21, 2017 Phone Extension 5932 <br />Required Prior to Submittal to Board <br />Legal F-1 Attorney Name: <br />Controller El Controller review is required for all Contracts $5,000.00 or more and <br />greater than one year in length per the City Purchasing Policy <br />Purchasing F-1 Michael Schmidt <br />F-1 Agreement <br />Ll Contract <br />L_J Proposal LJ Addendum <br />❑ Professional Services <br />F Resolution <br />❑ Bid Opening <br />F Bid Award <br />E] Req. to Advertise El Title Sheet <br />Quote Opening <br />E] Quote Award <br />F-1 Change Order No. <br />F-1 C/O & PCA No. <br />❑ PCA <br />❑ Ease/Encroach. <br />Z Traffic Control: Temporary <br />Bus Parking <br />❑ Other: <br />Company or Vendor Name <br />New Vendor <br />[:] Yes Z No El If Yes, Approved by Purchasing <br />MBEANBE Contractor <br />E] IMBE [:] WBE <br />MBE/WBE Contractor Requested <br />❑ No [:] Yes Name of Company <br />Project Name <br />Morris Preforming Arts Center <br />Project Number <br />TR 17-143 <br />Funding Source <br />Account No. <br />Amount <br />$ <br />Terms of Contract <br />Purpose/Description <br />Temporary bus parking restriction in the 200 Block of Main <br />Street on the west side from LaSalle Avenue to the east -west <br />alle ( for Morris events. <br />F-1 Required Contractor's Certification Forms Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) <br />Required For Change Orders Only <br />Amount of F-1 increase $ <br />[:] Decrease $ <br />Previous Amount $ <br />Current Percent of Change: <br />% <br />New Amount $ <br />Total Percent of Chance: <br />% <br />Copy <br />Original <br />F] Kara Boyles <br />❑ <br />n Roger Nawrot <br />❑ <br />El <br />