Laserfiche WebLink
BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date _ <br />Aril 15, 2011 <br />Department <br />En ineerin <br />BPW Date <br />April 251, 2011 <br />Phone <br />235 -5933 <br />Name <br />John Engstrom <br />New Amount <br />DMA reement <br />c: <br />Amount of <br />Requir Legal <br />V <br />I Attorney Name <br />- <br />[—$ <br />ed Controller 9 Land ontroller review is required for all Contracts $5,000.00 or more <br />Prior greater than one year in length per the City Purchasing <br />to olic _ <br />u mi Other Appropriate Reviewers i ❑ - - <br />ttal to <br />Board _ <br />$ <br />Check the Appropriate <br />Item Type - Required for All Submissions <br />New Amount <br />DMA reement <br />m Contract X Proposal 11 Addendum <br />% <br />r7 Claim <br />Bid Opening <br />Ij Quote Opening <br />I Bid Award P Reg. to Advertise P Title Sheet <br />r-; Quote Award <br />C Chg Order No. <br />F C/O & PCA No. <br />C PCA <br />L Ease. /Encroach. <br />ri- Traffic Control <br />L Resolution <br />L Other: <br />Required Information <br />Company or Vendor Name R.W. Armstrong <br />Vendor L Yes iii No L If Yes, Approved b Purchasing <br />ect Name Training Center Site Development Phase 1 <br />ct Number 109 -011 B <br />PFund(ing <br />Source EMS Ca ital Fund <br />ccount No. E.M.S.C.I.P. #288000 - 341 -03 -00 <br />Amount 1$132,200 <br />Terms of.Contract <br />Purpose /Description Engineering services to prepare plans and specifications for the <br />Training Center Phase 1 Construction <br />Fnr Channo rlrA*re rinly <br />c: <br />Amount of <br />U Increase <br />I $ <br />L <br />I_- Decrease <br />[—$ <br />Previous Amount <br />$ <br />Current Percent of <br />Change: <br />% <br />New Amount <br />$ <br />Total Percent of Change: <br />% <br />PO No. <br />I Disnersal Aftpr Annrnval <br />Copy <br />Original <br />L <br />L <br />0 <br />L <br />- <br />