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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Patrick Sherman <br />Department VPA <br />BPW Date 03/27/2018 Phone Extension 5601 <br />.... . .................. <br />Required Priorto-ubmittal to Board <br />Legal Attorney Name Clara McDaniel's <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 Michael Schmidt <br />H Agreement <br />El Professional Services <br />F-1 Bid Opening <br />F-1 Quote Opening <br />Change Order No. <br />Ease/Encroach. <br />Other: <br />L] Contract <br />F-1 Resolution <br />Bid Award <br />❑ Quote Award <br />C/O & PCA No. <br />Traffic Control <br />9= <br />[] Req. to Advertise <br />AM <br />Addendum <br />n Title Sheet <br />Company or Vendor Name Acre's Group <br />New Vendor El Yes El No El If Yes, Approved by Purchasing <br />MBE/WBE Contractor F-1 MBE [:] WBE <br />MBENVBE Contractor Requested [:1 No F-1 Yes Name of Company <br />Project Name 20,18 VPA Cemetery Mowing <br />Project Number 1049-2018 <br />Funding Source K61-CEM <br />Account No, 201-1101-452-39.89 <br />Amount $ 391,540.00 <br />Terms of Contract April I st — November 1 , 2018 <br />Purpose/Description, Contract for mowing two City owned cemeteries. Bowman and City <br />Cemetery. <br />Z Required Contractor's Certification Form Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verifv, Iran, etc.) <br />Amount of F-1 <br />D <br />Increase $ <br />Decrease, $ <br />Previous Amount <br />Current Percent of Change <br />New Amount <br />Total Percent of Change: <br />Dispersal After Approval <br />Copy <br />Original <br />El <br />F-1 <br />F-1 <br />El <br />n <br />El <br />