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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date June 28, 2018 Department <br />Name Alicia Czarnecki 1 Theresa Harrison Division/Bureau <br />Purchasing ❑ <br />Public Works <br />Engineering <br />❑ Agreement Amendment <br />Contract H Proposal LJ Addendum <br />❑ Professional Services <br />❑ Resolution <br />❑ Bid Opening <br />❑ Bid Award ❑ Req. to Advertise ❑ Title Sheet <br />❑ Quote Opening <br />❑ Quote Award <br />❑ Change Order No. <br />❑ CIO & PCA No. ❑ PCA <br />❑ Ease/Encroach. <br />® Traffic Control: <br />Traffic Calming — Riverside and Hudson Traffic Circle <br />n Other: <br />Company or Vendor Name <br />New Vendor <br />MBEIWBE Contractor <br />MBEIWBE Contractor Requested <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />❑ Yes ❑ No ❑ If Yes, Approved by <br />Purchasinq <br />❑ No ❑ Yes Name of Company <br />Traffic Calmihai — Riverside and Hudson Traffic Circle <br />Previous Amount $ <br />Current Percent of Change: % <br />New Amount $ <br />Total Percent of Change: % <br />- Dispersal After Approval ` <br />Copy <br />Original <br />® <br />❑ <br />Theresa E. Harrison, Traffic Engineer <br />Ed Gleckler, Manager Bureau of Traffic & Lighting <br />SBPD <br />