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Project Completion Affidavit - Newman Center Window & Door Repair Proj No 117-001 - JW Werntz & Son, Inc.
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Project Completion Affidavit - Newman Center Window & Door Repair Proj No 117-001 - JW Werntz & Son, Inc.
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4/4/2025 10:21:22 AM
Creation date
1/24/2018 10:18:41 AM
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Board of Public Works
Document Type
Projects
Document Date
1/23/2018
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BOARD OF PUBLIC WORKS <br />AGENDA ITEM RUA VIEW REQUEST FORM <br />Date <br />01/11/2018 <br />Department <br />Public Works <br />Name <br />Toy Villa <br />Division/Bureau <br />Engineering <br />BPW Date <br />01123/2018 <br />Phone Extension <br />5920 <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 F-1 <br />LJ Agreement <br />LJ Contract LJ Proposal LJ Addendum <br />El Professional Services <br />El <br />Resolution <br />F-1 Bid Opening <br />R <br />Bid Award E] Req. to Advertise Title Sheet <br />F] Quote Opening <br />F-1 Quote Award <br />F-1 Change Order No. <br />F C/O & PCA No. PCA <br />F <br />Ease/Encroach. <br />F-1 Traffic Control: <br />� <br />Other: <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 />J.W. Wernitz & Son, Inc. <br />El Yes El No El If Yes, Approved by Purchasing <br />E] MBE [J WBE <br />n No El Yes Name of Company <br />Newman Center Window & Door Repair <br />117-001 <br />REDATIF <br />429.1050AWA2.02 <br />$130,600.00 <br />Project Closeout <br />R Required Contractor's Certification Forms Attached (Non- <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc. <br />Amount of F-1 Increase $ <br />F-1 Decrease $ <br />Previous Amount $ <br />Current Percent of Change: % <br />New Amount $ <br />Total Percent of Change: % <br />Copy <br />Original <br />D <br />El <br />F-1:1 <br />F] <br />
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