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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date August 6, 2018 <br />Name Andrew Netter <br />Department <br />Division/Bureau <br />DCI <br />Planning <br />BPW Date August 14, 2018 Phone Extension 5931 <br />I Agreement Amendment <br />❑ Professional Services <br />❑ Bid Opening <br />❑ Quote Opening <br />❑ Change Order No. <br />❑ Ease/Encroach. <br />n Other: <br />Company or Vendor Name <br />U Contract <br />❑ Resolution <br />® Bid Award <br />❑ Quote Award <br />❑C/O &PCANc <br />❑ Traffic Control: <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 />Amount of ❑ <br />El <br />k,e l6(c- S <br />Y-bs F1 No <br />Addendum <br />l Title Sheet <br />If Yes, Approved by <br />Purchasing <br />❑ MBE ❑ WBE <br />I-1 No F-1 Yes Name of COmpanv <br />Award Bid & Sian Purchase Aareement - 306 Dubail <br />G00 . po <br />Request to award bid to Miguel Torres and Maria Maya (sole <br />bidders). Bid amount submitted: $600. 306 E. Dubail Ave. <br />❑ Required Contractor's Certification Forms Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) <br />Increase $ <br />Decrease $ <br />Previous Amount $ <br />Current Percent of Change: % <br />New Amount $ <br />