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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date Aril 2, 2018 <br />Name Jeff Hudak Department <br />Central Services <br />❑ Agreement <br />❑ Contract ❑ Proposal Addendum <br />❑ Professional Services <br />❑ Bid Opening <br />❑ Resolution <br />❑ Bid Award ® Req. to Advertise ❑ Title Sheet <br />❑ <br />Quote Opening <br />❑ Quote Award <br />❑ <br />Change Order No. <br />❑ CIO & PCA No. ❑ PCA <br />❑ Ease/Encroach. <br />❑ Traffic Control <br />Fl Other: <br />Company or Vendor Name <br />New Vendor <br />MBEMIBE Contractor <br />MBEANBE Contractor <br />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 0 <br />Require <br />_❑ Yes ❑ No U If Yes, Approved by Purchasing <br />F� MBE ❑ WBE <br />❑ No ❑ Yes Name of Company <br />Spec P -- Two (2) more or less 2018 or Newer Mid -Size Four Door <br />Hvbrid Sedan Automobiles <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 />® <br />❑ <br />® <br />❑ <br />Jeff Hudak & Sheila Enos <br />Al Greek, Ken Smith, Carol Kurzhal <br />Todd Skwarcan <br />