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BOA 1ZD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 07/19/20 <br />Name Patrick Sherman <br />Department VPA: Facilities & <br />Grounds <br />BPW Date 07/24/2018 Phone Extension 5601 <br />Legal ❑ Attorney Name Clara McDaniels <br />Controller ❑ 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 Michael Schmidt <br />LJ Agreement <br />El Professional Services <br />F-1 Bid Opening <br />F-1 Quote Opening <br />F-1 Change, Order No. <br />F-1 Ease/Encroach. <br />F Other: <br />a Contract <br />F-1 Resolution <br />Bid Award: <br />Quote Award <br />C/O & PCA No. <br />Traffic Control <br />Company or Vendor Name Acorn Landscaping LL <br />Proposal <br />❑ Req. to Advertise <br />x= <br />New Vendor El Yes Z No El If Yes, Approved by Purchasing <br />MBE/WBE Contractor 0 MBE F-1 WBE <br />MBE/WBE Contractor Requested Z No F-1 Yes Name of Company <br />Project Name City Cemetery Path Resurfacing <br />Project Number 1067-2018 <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />COIT <br />408-1001-460,42-01 <br />$46,830.00 <br />LuMD SUM <br />Addendum <br />El Title Sheet <br />Purpose/Description Resurfacing of overgrown paths in City Cemetery. <br />E Required Contractor's Certification Form Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verifv. Iran, etc, <br />Amount of ❑ increase <br />Decrease <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 />F-1 <br />F-1 <br />F1 <br />F-1 <br />0 <br />0 <br />