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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 8/16/18 <br />Name Jeff Hudak <br />Department Central Services <br />❑ Agreement <br />U Contract <br />U Proposal (_J Addendum <br />❑ Professional Services <br />❑ Bid Opening <br />❑ Bid Award <br />® Req. to Advertise ❑ Title Sheet <br />❑ Quote Opening <br />❑ Quote Award <br />❑ Chg Order No. <br />❑ CIO & PCA No. <br />❑ PCA <br />❑ Ease./Encroach. <br />❑ Traffic Control <br />❑ Resolution <br />I -I Other; <br />❑ Claim <br />Company or Vendor Name <br />New Vendor <br />MBENBE Contractor <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />❑ Yes ❑ If Yes, Approved by Purchasing <br />❑ No <br />❑ WBE Completed E-Verify Form Attached ElNs <br />Spec U - One (1) more or less 2018 or Newer Compact Track <br />Loader <br />Street Department - 20206074313801 and 20206074313802 <br />Bid Opening Date: <br />Amount of H Increase $ <br />❑ Decrease $ <br />Previous Amount $ <br />Current Percent of Change: % <br />New Amount $ <br />Total Percent of Change: % <br />PO No. <br />Dispersal After :App. rova! <br />Copy Original <br />® ❑ Jeff Hudak, Central Services <br />® ❑ Terri Swift, Street Department <br />❑ 11 <br />