Laserfiche WebLink
BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 03/06/201'8 <br />Name Patrick Sherman <br />Department Venues Parks & Arts <br />BPW Date 03/13/2018 <br />Phone Extension 5601 <br />Required Prior to, Submittal to Board <br />Legal <br />Attorney Name Clara McDaniels <br />Controller z <br />Controller review is required for all Contracts $5,0010.00 or more and <br />greater than one year in length per the City Purchasing Policy <br />Purchasing Z <br />Michael Schmidt <br />Ch <br />/I Submissrions <br />R Agreement <br />F-1 Contract El Proposal ❑ Addendum <br />F-1 Professional Services <br />0 Resolution <br />F1 Bid Opening <br />El Bid Award F-1 Req. to Advertise E] Title Sheet <br />❑ Quote Opening <br />F] Quote Award <br />❑ Change Order No. 1 <br />R C/O & PCA No. ❑ PCA <br />F-1 Ease/Encroach. <br />F-1 Traffic Control <br />F-1 Other: <br />Company or Vendor Name <br />Custom Awning <br />New Vendor <br />El <br />Yes El No El If Yes, Approved by Purchasing <br />MBEANBE Contractor <br />F] <br />MBE FJ­W8*E .. .... . .... <br />MBENVBE Contractor Requested n No R Yes Name, of Company <br />Project Name <br />Palais Royale Awnings <br />Project Number <br />1044-2018 <br />Funding Source <br />Joint Licensing Fund <br />Account No. <br />N/A <br />Amount <br />$21,016.00 <br />Terms of Contract <br />Lump Sum <br />Purpose/Description <br />Rebrand and replace aged awning at Palais Royale. <br />M Required Contractor's Certification Form Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verity, Iran, etc,) <br />Amount of Increase $ 2,34,5.,010 <br />❑ Decrease $ <br />Previous Amount $,18,671.,00 <br />Current Percent of Change: 13% <br />New Amount <br />Total Percent of Change: <br />Copy <br />Original <br />F-1 <br />El <br />F-1 <br />F-1 <br />El <br />El <br />$21,016.00 <br />13% <br />Dispersal After Approval <br />