Laserfiche WebLink
BOARD OF PUB1,IC WORI(S <br />AGENDA ITEM R14 VIEW RE, QUEST FORM <br />Date 04/24/2018 <br />Name Toy Villa Department Engineering <br />BPW Date 05/08/20 18 Phone Extension 5920 <br />Required Prior to Submittal to Board <br />Legal ❑ 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 />Purchasing El <br />H Agreement Ll Contract Proposal ❑ Addendum <br />F] Professional Services El Resolution <br />Ej Bid Opening n Bid Award ❑ Req. to Advertise E] Title Sheet <br />[:1 Quote Opening ❑ Quote Award <br />F1 Change Order No. ❑ C/O & PCA No. PCA <br />R Ease/Encroach. F-1, Traffic Control <br />F-1 Other: <br />Company or Vendor Name <br />New Vendor <br />MBEANBE Contractor <br />MBEANBE Contractor <br />Requested <br />Project Name <br />Project Number <br />Funding Source <br />Account INo. <br />Ziolkowski Construction Inc. <br />If Yes, Ar)r)roved by Purchasi <br />I kyj 1 1.11 :111111 M RTWTJ Zq 0 <br />El NoEl Yes Name of Company <br />2017 Code Enforcement Remodel <br />117-117 <br />Consolidated Building Fund / Code Enforcement <br />600.1201.415.39,89 <br />Amount $6,339.00, <br />Terms of Contract <br />Purpose/Description Project Closeout <br />0 Required Contractor's Certification Form Attached (Non - <br />Collusion. Non -Discrimination, Non -Debarment. E-Verifv, Iran. etc. <br />Amount of F-1 increase - $ <br />El Decrease $ <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 />z <br />F-1 Toy Villa <br />F-1 <br />F-1 <br />F <br />El <br />