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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date July 16, 2018 <br />Name Andrew Netter <br />Department DCI <br />Division/Bureau Planning <br />BPW Date July 24, 2018 Phone Extension 5931 <br />Legal Z Attorney Name: Clara McDaniels <br />Controller F1 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 0 <br />H Agreement Amendment <br />LJ Contract Proposal ❑ Addendum <br />[] Professional Services <br />F-1 Resolution <br />F1 Bid Opening <br />D Bid Award Req. to Advertise El Title Sheet <br />❑ Quote Opening <br />F] Quote Award <br />❑ Change Order No. <br />F1 C/O & PCA No. F1 PCA <br />F1 Ease/Encroach. <br />F] Traffic Control: <br />F-1 <br />Other: <br />Company or Vendor Name <br />New Vendor <br />MBENVBE Contractor <br />MBENVBE Contractor Requested <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />El Yes 0 No El If Yes, Approved by <br />Purchasing <br />D MBE El WBE <br />n No 0 Yes Name of Company <br />Sale of City -owned Property: 018-1043-1849 (Vacant Lot) <br />Request to advertise the sale of 01 8-1 043-849 (vacant lot). <br />F1 Required Contractor's Certification Forms Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) <br />Amount of ❑ Increase $ <br />❑ Decrease $ <br />Previous Amount $ <br />Current Percent of Change: <br />New Amount $ <br />Total Percent of Chanae: <br />Copy <br />Original <br />F1 <br />❑ <br />Andrew Netter <br />. .. ....... <br />Dispersal After Approval <br />L1 <br />