Laserfiche WebLink
130ARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />11. <br />_April 02, 2018 <br />David Relos <br />Department DCl <br />BPW Date, April 10, 2018 Phone Extension 5836 <br />. . . ......... ..... . - .... ..... . . <br />Required Prior to Submittal to Board <br />Legal Z Attorney Name Elliot Anderson <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 1:1 <br />Agreement <br />L1 Contract LJ Proposal LJ Addendum <br />Professional Services <br />Z Resolution <br />Bid Opening <br />F-1 Bid Award E] Req. to Advertise El Title Sheet <br />Quote Opening <br />F-1 Quote Award <br />Change Order No. <br />F-1 C/0 & PGA No. ❑ PCA <br />Ease/Encroach. <br />Traffic Control <br />Other: <br />Company or Vendor Name BPW <br />New Vendor F Yes 0 No F1 If Yes, Approved by Purchasing <br />MBE/WBE Contractor F-1 MBE R WBE <br />Project Name City Cemetery <br />Project Number <br />Funding Source RDA <br />Account No. <br />Amount $ <br />Terms of Contract RDC approved a budget for these acquisitions March 23, 2017. <br />Purpose/Description To authorize David Relos to sign documents related to the acquisition and <br />closing of properties for this project. <br />R Required Contractor's Certification Form Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verifv, Iran, etc.) <br />Amount of F-1 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 Original <br />F-1 David Relos <br />F-1 Elliot Anderson <br />n Chris Dressel <br />