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130ARD OF PU13LIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date <br />03/19/2018 <br />Department <br />Public Works <br />Name <br />Toy Villa <br />Division/Bureau <br />Engineering <br />BPW Date <br />03/27/2,018 <br />Phone Extension <br />5920 <br />Legal <br />Controller <br />Purchasing <br />H Agreement <br />F Professional Services <br />F-1 Bid Opening <br />El Quote Opening <br />Z Change Order No. I <br />❑ Ease/Encroach. <br />Other: <br />F-1 Attorney Name: <br />❑ 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 />El <br />H Contract <br />F-1 Resolution <br />Bid Award <br />Quote Award <br />F] C/O & PCA No. <br />F-1 Traffic Control: <br />Company or Vendor Name <br />New Vendor <br />MBEANBE Contractor <br />MBENVBE Contractor Requested <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Amount of F-1 Increase <br />R Decrease <br />Previous Amount $ <br />Current Percent of Change: <br />New Amount <br />Total Percent of Chanae: <br />Copy <br />Original <br />F-1 <br />F-1 <br />F-1 <br />1-1 <br />El <br />El <br />CBS Services, LLC <br />12= <br />FEME <br />F Title Sheet <br />Berlin Place B,P#2: Mechanical, Electrical, Plumbing <br />117-048P - R <br />RWDA TIF <br />324.1050,460�.31.02 <br />90 Day Time Extension (See attached) <br />F-1 Required Contractor's Certification Forms Attached {Non <br />Collusion, Non -Discrimination, Non -Debarment, E-Verifv, Iran, etc. <br />