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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />21 May 2018 <br />Amy Kryston <br />22 May 2018 <br />WM <br />Controller <br />Purchasing <br />Department <br />Division/Bureau <br />Phone Extension <br />Engineering <br />DPW <br />9NM <br />Z Attorney Name: C. McDaniels <br />z 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 />z <br />H Agreement <br />H'Contract <br />LJ Proposal LJ Addendum <br />El Professional Services <br />El <br />Resolution <br />F1 Bid Opening <br />F-1 <br />Bid Award E] Req. to Advertise E]Title Sheet <br />R1 Quote Opening <br />R Quote Award <br />F-1 Change Order No. <br />F-1 C/O & PCA No. ❑ PCA <br />0 Ease/Encroach. <br />❑ Traffic Control: <br />F1 Other. Reiect Quote <br />New Vendor <br />MBENVBE Contractor <br />MBENVBE Contractor Requested <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Per-�beowl"�.,DavisElectric <br />H Yes E] No El If Yes, Approved by <br />E] MBE [] WBE <br />0 No El Yes Name of Company <br />Seitz Park Reconstruction Tesco & Conduit <br />11 7-093A <br />General Parks <br />452.1101,452.42.01 <br />Reject all quotes for the Seitz Park Reconstruction Tesco & Conduit <br />N Required Contractor's Certification Forms Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) <br />Amount of F-1 increase $ <br />n Decrease $ <br />Previous Amount $ <br />Current Percent of Change: % <br />New Amount $ <br />Total Percent of Change: % <br />Copy <br />Original <br />F-1 <br />F-1 <br />El <br />F-1 <br />El <br />El <br />