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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />11TOT) "; )uf U04 <br />Patrick Sherman/Alicia Czarnecki Department Engineering <br />BPW Date 07/10/2018 Phone Extension 5903 <br />Required Prior to Submittal to Board <br />Legal Z Attorney Name Clara McDaniels <br />Controller Z 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 <br />Check the. <br />L Agreement <br />F-1 Professional Services <br />F-1 Bid Opening <br />F-1 Quote Opening <br />El Change Order No. <br />R Ease/Encroach. <br />F-1 Other: <br />Michael Schmidt <br />Mropriate Item Type — <br />Contract <br />❑ Resolution <br />❑ Bid Award <br />F-1 Quote Award <br />[:] C/O & PCA No. <br />F-I'Traffic Control <br />aired Informatio <br />for All Submissions <br />I Proposal <br />Z Req. to Advertise <br />um <br />Company or Vendor Name TBD <br />New Vendor El Yes [:1 No El If Yes, Approved by Purchasing <br />MBE/WBE Contractor [:] MBE [:] WBE <br />MBEANBE Contractor RequestedE] NoF-1 Yes Name of Company <br />Project Name VPA Maintenance Storage Building <br />Project Number 118-046R <br />Funding Source Park Bond Series I <br />Account No. 471-1138-452.42-01 <br />Amount $ TBD <br />Terms of Contract Lump sum base bid with alternates <br />FA .T1tTqT-X1T*7n711 <br />El Title Sheet <br />Purpose/Description Storage building extension at Maintenance Division Campus <br />Required Contractor's Certification Form Attached (Non - <br />Collusion, Non -,Discrimination, Non -Debarment, E-Verify, Iran, etc.) <br />Required For Change Orders Only <br />Amount of F❑ increase $ <br />[:] Decrease $ <br />Previous Amount $ %72 I-UJNM <br />Current Percent of Change: <br />New Amount <br />Total Percent of Change: <br />Copy <br />Original <br />F-1 <br />F-1 <br />El <br />El <br />n <br />n <br />nz <br />