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Date <br />Name <br />BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />19 March 2018 <br />Amy Kryston <br />Department Public Works <br />Division/Bureau Engineering <br />IBPW Date 2f March 2018 Phone Extension— 9246 <br />R p q ui r ed Prior to Submittal fie Board, <br />Legal F-1 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 />"Agreement Amendment <br />El Professional Services <br />F-1 Bid Opening <br />F-1 Quote Opening <br />❑ Change Order No. <br />EJ Ease/Encroach. <br />F1 Other: <br />Company or Vendor Name <br />New Vendor <br />IT11101"Y'll <br />kyj 1 001 WITITI 101 <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />L] Contract L] Proposal L] Addendum <br />F-1 Resolution <br />F-1 Bid Award ❑ Req. to Advertise F] Title Sheet <br />M Quote Award <br />El C/O & PCA No. PCA <br />0 Traffic Control: <br />Michigan NPT <br />F-1 Yes F1 No <br />Purchasina <br />I & 1 0.1 E I RITI -.01 <br />f Yes, Approved by <br />LJ No L] Yes Name of Company <br />Nello Purchasing <br />118-026 <br />Redevelopment Commission <br />Terms of Contract Purchasing of equipment for Nello Inc. as part of a development <br />Purpose/Description agreement; this quote is for the purchase of a flaw detector and <br />attachments <br />M Required Contractor's Certification Forms Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Irain, etc.) <br />Re 'Ir or,ChaqgeOrders 1bqy­ <br />_qu ed: r <br />Amount of increase $ <br />❑I Decrease $ <br />Previous Amount $ <br />Current Percent of Change: % <br />New Amount $ <br />Total Percent of Change: % <br />Copy <br />Original <br />M <br />F-1 Amy Kryston <br />M <br />F] Kara Boyles <br />El <br />El <br />