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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date May 11, 2018 <br />Name Department Morris PAC <br />BPW Date Phone Extension <br />❑ Agreement <br />❑ Contract <br />❑ Proposal U Addendum <br />❑ Professional Services <br />❑ <br />Amendment <br />❑ Bid Opening <br />❑ <br />Bid Award <br />❑ Req. to Advertise ❑ Title Sheet <br />❑ <br />Quote Opening <br />❑ Quote Award <br />❑ <br />Chg Order No. <br />❑ CIO & PCA No. <br />❑ PCA <br />❑ Ease./Encroach. <br />❑ Traffic Control <br />❑ Resolution <br />XF] Other: <br />❑ <br />Claim <br />Company or Vendor Name <br />New Vendor <br />MBENVBE Contractor <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />❑ Yes ❑ if Yes, Approved by Purchasing <br />❑ No <br />❑ WBE Completed ETVerify Form Attached ❑Nos <br />Morris/Palais buildina cleaning services <br />Event funds <br />Purpose/Description Reject Proposal <br />For Change Orders Only „ <br />Amount of ❑ Increase $ <br />❑ Decrease $ <br />Previous Amount $ <br />Current Percent of Change <br />New Amount <br />Total Percent of Change: <br />F <br />Time Extension: <br />Dispersal After Approval <br />Copy <br />Original <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />