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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 06/18/2018 Department Public Works <br />Name Toy Villa Division/Bureau Engineering <br />BPW Date 06/26/ 2018 Phone Extension 5920 <br />Legal F-1 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 n <br />H Agreement <br />LJ Contract LJ Proposal LJ Addendum <br />F-1 Professional Services <br />❑ Resolution <br />n Bid Opening <br />❑ Bid Award ❑ Req. to Advertise El Title Sheet <br />F-1 Quote Opening <br />❑ Quote Award <br />* <br />Change Order No. 1 <br />F-1 <br />C/O & PCA No. ❑ PCA <br />* <br />Ease/Encroach. <br />El <br />Traffic Control: <br />n Other: <br />Company or Vendor Name <br />New Vendor <br />MBE/WBE Contractor <br />MBEANBE Contractor Requested <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Walsh & Kelly, Inc. <br />Downtown Cross Street Improvements <br />117-041 A <br />RWDA <br />324.11050.4601.31.02 <br />roval of C.O. #1 <br />F1 Required Contractor's Certification Forms Attached (Non - <br />Collusion, Non -Discrimination. Non -Debarment, E-Verffv. Iran, etc. <br />Amount of Z Increase $ 10,7991.20 <br />[:] Decrease $ <br />Previous Amount $ 1,659,060.60 <br />Current Percent of Change: 0.65% <br />New Amount $ 1,669,859.80 <br />Total Percent of Change: 0.65% <br />Dispersal After Approval <br />Copy Original <br />Z F] Roger Nawrot <br />Z El Alicia Czarnecki <br />1:1 F <br />