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BOARD OF PUBLIC WOR1/-,S <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 08/09/2018 <br />Department VPA: Facilities& <br />Name Patrick Sherman Grounds <br />BPW Date 08/14/2018 Phone Extension 5601 <br />Legal Z Attorney Name Clara McDaniels <br />Controller ❑ Controller review is required for all Contracts $5,0010.00 or more and <br />greater than one year in length per the, City Purchasing Policy <br />Purchasingi Michael Schmidt <br />LJ Agreement <br />H Contract H Proposal LJ1 Addendum <br />M Professional Services <br />F-11 Resolution <br />F-1 Bid Opening <br />El Bid Award El Req. to Advertise El Title Sheet <br />❑ Quote Opening <br />El Quote Award <br />Change Order No. <br />C/O & PGA No. F-1 PCA <br />❑ Ease/Encroach. <br />❑ Traffic Control <br />F-1 Other: <br />Company or Vendor Name <br />Jones Petrie Rafinsky <br />New Vendor <br />[:1 Yes Z No El If Yes, Approved by Purchasing <br />MBE/VVBE Contractor <br />F-1 MBE E] WBE <br />MBE/WBE Contractor Requested'❑ No 0 Yes Name ofCompany _ <br />Project Name <br />Performing Arts Center Mezzanine Rails <br />Project Number <br />-Morris <br />118-081 <br />Funding Source <br />Fund 416 <br />Account No. <br />Amount <br />$2,800.00 <br />Terms of Contract <br />Per E,JCDC <br />Purpose/Description <br />Design services to add handrails to Morris Mezzanine for safetV. <br />R Required Contractor's Certification Form, Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) <br />Required <br />, For Change Orders Only <br />Amount of F-1 increase $, <br />F-1 Decrease $ <br />Previous Amount <br />$ <br />Current Percent of Change: <br />% <br />New Amount <br />$ <br />Total Percent of Change: <br />% <br />-After <br />Dispersal Approval <br />Copy Original <br />11 El <br />F-1 F-1 <br />El El <br />