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Date <br />Name <br />BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW RE QUEST FORM <br />Tara Weigand <br />Department <br />Division/Bureau <br />Public Works <br />Engineering <br />BPW Date July 10, 2018 Phone Extension 5998 <br />Required Prior to Submittal to Board <br />Legal Attorney Name: Clara McDaniels <br />Controller F-1 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 M Michael Schmidt <br />[:] Agreement Amendment <br />[-I Contract LJ Proposal LJ Addendum <br />Z Professional Services <br />❑I Resolution <br />E] Bid Opening <br />F-1 Bid Award E] Req. to Advertise ❑ Title Sheet <br />F-1 Quote Opening <br />F] Quote Award <br />F-1 Change Order No. <br />❑ C/O & PCA No. E] PCA <br />E] Ease/Encroach. <br />❑ Traffic Control: <br />F-1 Other: <br />Company or Vendor Name <br />HCO, Inc. <br />Z Yes [:1 No ❑ If Yes, Approved by <br />New Vendor <br />Purchasing <br />MBE/WBE Contractor <br />M MBE 0 WBE <br />MBEANBE Contractor Requested <br />❑ No F] Yes Name of Company <br />Project Name <br />Century Center Softscaping and Wayfinding <br />Project Number <br />118-037 <br />Funding Source <br />Hotel -Motel <br />Account No. <br />7304.42010.000.0099 <br />Amount <br />$15,000.00 <br />Terms of Contract <br />Purpose/Description <br />Develop wayfinding masterplan and construction documents <br />n Required Contractor's Certification Forms Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) <br />Amount of LJ Increase <br />[:] Decrease <br />Previous Amount <br />Current Percent of Change <br />New Amount <br />Total Percent of Chanqe- <br />Copy <br />Original <br />Scott Herczeg, Century Center <br />Patrick Sherman, VPA <br />El <br />