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Date <br />Name <br />BOARD OF PUB1,IC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />8/20/2018 <br />Andrew Netter <br />Department DCI <br />BPW Date 8/28/2018 Phone Extension X5931 <br />.. ........... <br />RoqqiLed Prior to S.Libryfittal to Board <br />Legal F1 Attorney Name Clara McDaniels <br />Controller ❑ 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 F1 <br />Agreement <br />F-1 Contract Ll Proposal LJ Addendum <br />Professional Services <br />❑ Resolution <br />F1 Bid Opening <br />Bid Award ❑ Req. to Advertise ❑ Title Sheet <br />Quote Opening <br />❑ <br />Quote Award <br />❑ Change Order No. <br />❑ <br />C/O & PCA No. ❑ PCA <br />El Ease/Encroach. <br />❑ Traffic Control <br />n <br />Other: <br />Company or Vendor Name Robert M. Vernon <br />New Vendor E] Yes E] No [:1 If Yes, Approved by Purchasing <br />MBE/WBE Contractor R MBE n WBE <br />MBE/WBE Contractor Requested E] No 0 Yes Name of Company <br />Project Name <br />Sale of City -Owned Pro peqy_::I018-1 fD43-1849.... <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />225.00 <br />Terms of Contract <br />Purpose/Description <br />Reguest to award bid and sign purchase agreement for the sale of <br />City owned property parcel ID 018-1043-18,49. Award bid to Robert <br />M. Vernon. <br />El Required Contractor's Certification Form Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc. <br />Ike uirod For' h,arlge'Orders 0,01y . . . . . . . . . . . . . . . . . <br />Amount of F1 <br />increase $ <br />El <br />Decrease $ <br />Previous Amount <br />$ <br />Current Percent of Change: % <br />New Amount <br />$ <br />Total Percent of Change: % <br />Dispersal After Approval <br />Copy Original <br />F] <br />Andrew Netter <br />F1 11 <br />