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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date July 2, 2018 Department <br />Name Tara Weigand Division/Bureau <br />Public Works <br />Engineering <br />BPW Date July 10, 2018, Phone Extension 5998 <br />Legal Z Attorney Name: Clara McDaniels <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 Z Michael Schmidt <br />❑ Agreement Amendment <br />ILj Contract H Proposal U Addendum <br />Professional Services <br />n Resolution <br />n Bid Opening <br />El Bid Award Ej Req. to Advertise ❑ Title Sheet <br />Quote Opening <br />n Quote Award <br />❑ <br />Change Order No. <br />E:1 C/O & PCA No. F-1 PCA <br />❑ Ease/Encroach. <br />EJ Traffic Control: <br />Other: Reiect Bids (Divisions A2 and F) <br />Company or Vendor Name <br />New Vendor <br />MBEANBE 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 />0Yes [] No El If Yes, Approved by <br />Purchasing <br />[:]'MBE [:] WBE <br />El No El Yes Name of Company <br />2018 Curb and Sidewalk Construction <br />118,-007 <br />MVH <br />202-0619-431.31-06 <br />REJECT Divisions A2 and F <br />F-1 Required Contractor's Certification Forms, Attached (Non - <br />Collusion, Nan -Discrimination, Non -Debarment, E-Verify, Iran, etc.) <br />Amount of F-1 increase $ <br />D Decrease $ <br />Previous Amount <br />Current Percent of Change <br />New Amount <br />Total Percent of Change: <br />0 <br />Copy <br />Original <br />F] Kara Boyles, City Engineer <br />Marcia Qualls <br />El <br />