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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW RE,QUEST FORM <br />Data June 19, 2018 <br />Name <br />Carl Littrell <br />Department <br />DPW Engineering <br />BPW Date <br />June 26, 2018 <br />Phone Extension <br />9149 <br />Legal Attorney Name Clara McDaniels <br />Controller review is required for all Contracts $5,000.00 or more <br />Controller Ell and greater than one year in length per the City Purchasing <br />Policy <br />Purchasing F] <br />lH <br />Agreement <br />IH Contract <br />H Proposal Ll Addendum <br />El <br />Professional Services <br />0 <br />Amendment <br />F] Bid Opening <br />F] <br />Bid Award <br />El Req. to Advertise E:1 Title Sheet <br />Quote Opening <br />F-1 Quote Award <br />Chg Order No. <br />E] c/o & PCA No. <br />❑ PCA <br />Ease./Encroach. <br />Traffic Control <br />❑ Resolution <br />Other: Grants Access <br />El Claim <br />Easement to City Across <br />Company or Vendor Name <br />New Vendor LJ Yes U If Yes, Approved by Purchasing <br />F-1 No <br />MBEANBE Contractor 0 MBE Completed E-Verify Form Attached <br />F-1 AAMC: <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Dollar General— Michiaan Street <br />DPO17-089 <br />N/A <br />M <br />By this document the BPW accepts an access easement across <br />the Dollar General Property at 6103 S. Michigan Street <br />Amount of EI increase <br />E] Decrease <br />§11 <br />R. <br />Previous Amount $ <br />Current Percent of Change: % <br />New Amount $ <br />Total Percent of Change: % <br />Time Extension: <br />Dispersal, AfterApproval <br />Copy Original <br />1:1 Z Fisher Matthews PLLC — 414 Bridge Street Franklin TN 37064 <br />R 0 Attn: Rebekah E. Fisher, Esq. <br />El El <br />