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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW .REQUEST FORM <br />Date May 14, 2018 <br />Department <br />Public Works <br />❑ <br />Agreement Amendment <br />❑ Contract ❑ Proposal I_J Addendum <br />❑ <br />Professional Services <br />❑ Resolution <br />❑ Bid Opening <br />❑ Bid Award ❑ Reg. to Advertise ❑ Title Sheet <br />❑ Quote Opening <br />® Quote Award <br />❑ <br />Change Order No. <br />❑ <br />CIO & PCA No. ❑ PCA <br />❑ <br />Ease/Encroach. <br />❑ <br />Traffic Control: <br />I-1 <br />Other: <br />Company or Vendor Name <br />New Vendor <br />MBEANBE Contractor <br />MBEANBE Contractor Requested <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Walsh & Kelly, Inc. <br />❑ Yes M No ❑ If Yes, Approved by <br />Purchasing <br />❑ MBE WBE <br />❑ No ❑ Yes Name of Company <br />Leighton Parking Gara e Entrance Repair <br />118-038 <br />Major Moves <br />412-0401-415.36-01 <br />$ 28,025.00 <br />Current Percent of Change: % <br />New Amount $ <br />Total Percent of Change: % <br />Dispersal After Approval <br />Copy Original <br />® ❑ Kara Boyles, City Engineer <br />® ❑ Roger Nawrot, Assistant City Engineer <br />® ❑ John Martinez, VPA <br />