Request to Advertise - Hibberd Plaza Improvements Project No 117-063R

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BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 1/19/2018 Department Public Works Name Kyle Silveus Division/Bureau Engineering BPW Date 1/23/201,8 Phone Extension 9083 Required Prior to Submittal to Board Legal F-1 Attorney Name: Clara McDaniels Controller E] Controller review is required for all Contracts $5,000.00 or more and greater than one year in length per the City Purchasing Policy Purchasing El Michael Schmidt Check the Appropriate Item Type — Required for All Submissions F Agreement F-1 Contract ❑ Proposal El Addendum ❑ Professional Services ❑ Resolution ❑ Bid Opening ❑ Bid Award Z Req. to Advertise El Title Sheet El Quote Opening El Quote Award ❑ Change Order No. F C/O & PCA No,. ❑ PCA Ease/Encroach. F1 Traffic Control. Other: Company or Vendor Name New Vendor MBEMBE Contractor MBEAA/BE Contractor Requested Project Name Project Number Funding Source Account No. Amount Terms of Contract uired Information Hibberd Plaza Improvements 117-063R 324-105,0-4601-42.01 Purpose/Description Demolition and construction work at the Hibberd Building, 321 S. Main Street F-1 Required Contractor's Certification Forms Attached (Non - Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) Required For Change Orders Only Amount of F-1 increase $ n Decrease $ AP112,0VED Previous Amount $ II of Pub]W or Current Percent of Change: % New Amount $ I A N 2 13 _t_ Total Percent of Change: % Dispersal After Copy Original ❑ F-1