Laserfiche WebLink
Date <br />Name <br />BOARD OF PUBI,IC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />June 5, 2018 <br />David Relos <br />Department DCl <br />BPW Date June 12, 2018 Phone Extension 5836 <br />. . . . ........ . ....... ­­ . ...... . . .... .. <br />Required Prior to Submittal to Board <br />Legal Attorney Name Sandra Kennedy <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 />Check the Appropriate Item Type — Required forAll Submissions <br />M Agreement F-1 Contract [:1 Proposal El Addendum <br />F-1 Professional Services F] Resolution <br />F-1 Bid Opening F1 Bid Award r_1 Req. to Advertise ❑ Title Sheet <br />E] Quote Opening F-1 Quote Award <br />F-1 Change Order No. [:] C/O & PCA No. ❑ P CA <br />R Ease/Encroach. F-1 Traffic Control <br />F-1 Other: <br />Company or Vendor Name Michigan Street Shops 1,LC <br />New Vendor <br />MBEANBE Contractor <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />J Yes HNo H If Yes, Approved by Purchasing <br />I'MBE F1 WBE <br />Leighton Garage Use, Maintenance, and Fagade Agreement <br />R <br />To determine maintenance' use, and fagade responsibilities post closing <br />after the sale of the Michigan Street Shops to Cressy. <br />F-1 Required Contractor's Certification Form Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) <br />Required For Change Orders Only <br />Amount of F] 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 Original <br />F-1 David Relos <br />❑ R Sandra Kennedy <br />El El <br />