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11/1/2012 2:22:38 PM
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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 05/17/2001 Department Legal <br />BPW Date 07/22/2010 (Agenda Session) Phone 5865 <br />Name Pam Paluszewski <br />o Legal ® Attorney Name Cheryl Greene <br />o iq a Controller review is required for all Contracts $5,000.00 or more <br />5 o E c Controller ® and greater than one year in length per the City Purchasing <br />cr � <br />L m Policy <br />U) Other Appropriate Reviewers ❑ <br />t%L-1, 46.. i*nm TLtnjm _ pan, anorl fnr All SI/hmissions <br />Company or Vendor Name <br />Agreement <br />New Vendor <br />Contract <br />Yes ID <br />Prop <br />Addendum <br />17CIaim <br />Olive Road Corridor Brick Road to Adams Road <br />Project Number <br />Current Percent of Change: <br />Bid Opening <br />% <br />Bid Award <br />Reg. to Advertise <br />I Lj <br />Title Sheet <br />Quote Opening <br />For acquisition of ROW related to project <br />—.�7 �._6M7,.77.v.1 __.e -, v <br />Quote Award <br />Fj <br />Chg Order No. <br />C/O & PCA No. <br />PCA <br />Ease. /Encroach. <br />Traffic Control <br />El <br />Resolution <br />170ther: <br />Company or Vendor Name <br />Cooreman Real Estate Group, Inc. <br />New Vendor <br />F. °art= 'Ja1..r11 <br />$ <br />Is <br />Yes ID <br />No <br />If Yes, Approved by Purchasing <br />Project Name <br />Olive Road Corridor Brick Road to Adams Road <br />Project Number <br />Current Percent of Change: <br />Funding Source <br />% <br />Account No. <br />Amount <br />$ $2691657.00 <br />Terms of Contract <br />Purpose /Description <br />For acquisition of ROW related to project <br />—.�7 �._6M7,.77.v.1 __.e -, v <br />Copy <br />< ` {,s- "hamT <br />°Fu, . :; ,w: <br />Increase <br />Decrease <br />F. °art= 'Ja1..r11 <br />$ <br />Is <br />Amount of <br />❑ <br />❑ <br />Previous Amount <br />$ <br />Current Percent of Change: <br />% <br />New Amount <br />$ <br />Total Percent of Change: <br />PO No. <br />Copy <br />Original <br />❑ <br />0 <br />❑ <br />U'Isper5d1 hILVI Onypiuval <br />. <br />Legal (Pam P.) <br />
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