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BOARD OF PUBLIC WORI(S <br />AGENDA ITEM REA VIEW REQUEST FORM <br />Date July 2, 2018 <br />Department Public Works <br />Name Tara Weigand <br />Division/Bureau Engineering <br />BPS/ Date July 10, 2018 <br />Phone Extension 5998 <br />Required Prior to Submittal to Board <br />Legal <br />Attorney Name: Clara McDaniels <br />Controller El <br />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 <br />Michael Schmiidt <br />Check the Appropriate <br />Item Type- Required for All Submissions <br />El <br />Agreement Amendment <br />❑ Contract ❑ Proposal ❑ Addendum <br />❑I <br />Professional Services <br />❑ Resolution <br />n <br />Bid Opening <br />Bid Award ❑ Reqto Advertise El Title Sheet <br />F-1 <br />Quote Opening <br />F1 Quote Award <br />n <br />Change Order No. <br />❑ C/O & PCA No. El PCA <br />El <br />Ease/Encroach. <br />Traffic Control: <br />F-1 <br />Other: <br />Company or Vendor Name <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 />Premium Concrete Services, Inc. <br />0 Yes H No E] If Yes, Approved by <br />Purchasing <br />❑ MBE 0 WBE <br />No [:] Yes Name of Company <br />2018 Curb and Sidewalk Construction <br />118-007 <br />MVH <br />202-0619-431.31-06 <br />$36,1'60.00 (Division 132) <br />Unit Prices not to exceed <br />Award Division B2 of 2018 Curb and Sidewalk Program <br />F-1 Required Contractor's Certification Forms Attached (Non <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) <br />Amount of El increase $ <br />El Decrease $ <br />Previous Amount <br />Current Percent of Change <br />New Amount <br />Total Percent of Chanae: <br />Copy <br />Kara Boyles, City Engineer <br />Marcia Qualls <br />Original <br />El <br />El <br />