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BOARD OF PUBLIC WORI?.S <br />AGENDA ITEM REVIEW REQUEST FORM <br />July 17. 2018 <br />er Nawrot <br />Department Engineering <br />BPW Date July 24, 2018 Phone Extension 5932 <br />Req,uirod Prior to Submittal to Board, <br />Legal Z Attorney Name Clara McDaniels <br />Controller z Controller ireview is required for all Contracts $5,000.00 or more and <br />greater than one year in length per the City Purchasing Policy <br />a IN 11 111 <br />Professional Sery <br />❑ Bid Opening <br />❑ Quote Opening <br />Change Order No <br />Ease/Encroach. <br />F-1 Other: <br />F-1 Resolution <br />D Bid Award <br />F1 Quote Award <br />E] C/O & PCA No. <br />F1 Traffic Control <br />❑I Req. to Advertise [:] Title Sheet <br />XM <br />Company or Vendor Name Lawson -Fisher Associates P.C. <br />0 Yes N No ❑ If Yes, Approved by <br />New Vendor Purchasinq <br />MBE/WBE Contractor F] MBE E] WBE <br />IMBENVBE Contractor Requested E] No 0I Yes Name of Company <br />Project Name East Bank Trail Slope Stabilization Design Services <br />Project Number 118-306 <br />Funding Source Liability Insurance Fund <br />Account No. 226-0419-672A2­03 <br />Amount $ 90,740.00 <br />Terms of Contract NT'E <br />Purpose/Description <br />E] Required Contractor's Certification Form Attached (Non <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) <br />F_ 'Rp�quirbd'Por Change OrdnI <br />Amount of El increase $ <br />El Decrease $ <br />Previous Amount $ <br />Current Percent of Change: % <br />New Amount $ <br />Total Percent of Change: % <br />Copy <br />Original <br />F-1 <br />F-1 <br />F-1 <br />El <br />El <br />El <br />