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Date 04/23/2018 <br />Name Toy Villa <br />130ARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Department <br />Division/Bureau <br />Public Works <br />Engineering <br />BPW Date 05/08/2018 Phone Extension 5920 <br />Legal ❑ Attorney Name: <br />Controller El 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 Amendment <br />LJ Contract LJ Proposal LJ Addendum <br />[_] Professional Services <br />F-1 Resolution <br />El Bid Opening <br />F-1 Bid Award El Req. to Advertise E] Title Sheet <br />n Quote Opening <br />n Quote Award <br />n Change Order No. <br />E] C/O & PCA No. Z PCA <br />F-1 Ease/Encroach. <br />F-1 Traffic Control: <br />f l Other: <br />Company or Vendor Name Edward J. White, Inc. <br />El Yes Z No E] If Yes, Approved by <br />New Vendor <br />Purchasing <br />MBE/WBE Contractor <br />E] MBE E] WBE <br />MBE/WBE Contractor <br />Requested E] No E] Yes Name of Company <br />Project Name <br />Century Center Cooling Tower <br />Project Number <br />117-035 <br />Funding Source <br />Hotel -Motel <br />Account No. <br />7304.42010.000,0099 <br />Amount <br />$226,631.00 <br />Terms of Contract <br />Purpose/Description <br />Project Closeout <br />El Required Contractor's Certification Forms Attached (Non - <br />Collusion, No n-Discrim i nation, Non -Debarment, E-Verify, Iran, etc.) <br />Rrrd F'or d6an,6W-0-7­4-e`0,n <br />Amount of El <br />R <br />increase $ <br />Decrease $ <br />Previous Amount <br />$ <br />Current Percent of Change: % <br />New Amount <br />$ <br />'Total Percent of Change: <br />% <br />Dispersal After Approval <br />Copy Original <br />E F-1 <br />Kara M. Boyles <br />F-1 El <br />z <br />Scott Herczeg, Leanna Belew <br />