Laserfiche WebLink
BOARD OF PUBLIC WORKS <br />AGENDA ITEM RE, VIEW Rr',QUEST FORM <br />Date May 1, 2018 Department Public Works <br />Name <br />Tara Weigand <br />Division/Bureau <br />Engineering <br />BPW Date <br />May 8, 2018 <br />Phone Extension <br />5998 <br />Legal Attorney Name: Clara McDaniels <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 El <br />N Agreement Amendment <br />L_J Contract L_J Proposal LJ Addendum <br />n Professional Services <br />El Resolution <br />F-1 Bid Opening <br />El Bid Award ❑ Req. to Advertise ❑ Title Sheet <br />0 <br />Quote Opening <br />n Quote Award <br />F-1 <br />Change Order No. <br />F1 <br />c/o & PCA No. ❑ PCA <br />F1 Ease/Encroach. <br />❑ <br />Traffic Control: <br />F-1 <br />Other: <br />Company or Vendor Name <br />New Vendor <br />MBEANBE Contractor <br />MB,E/WBE 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 <br />Jones Petrie Rafinski <br />El Yes 12] No El If Yes, Approved by <br />Purchasina <br />LJ MBE LJ WBE <br />R No F1 Yes Name of Comoanv <br />Charles Black Center <br />116-073 <br />$15,000.00 <br />Not to Exceed <br />Additional construction phase services due to unforeseen <br />conditions and expanded scope 0 <br />F1 Required Contractor's Certification IForms Attached (Non <br />Collusion, Non-Discrim,ination, Non -(Debarment, E-Verify, Iran, etc,) <br />Increase $ <br />Decrease $ <br />Previous Amount <br />Current Percent of Change <br />New Amount <br />Total Percent of Change: <br />Ala <br />Copy <br />Original <br />Kara Boyles, City Engineer <br />F-1 Tara Weigand <br />El <br />