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(4/14/2011) Jennifer Corle - Agenda Request Form- DSG.doc <br />BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date April 14, 2011 Department Engineering <br />BPW Date April 25, 2011 Phone 235 -5933 <br />Name John Engstrom <br />Requir Legal 0 Attorney Name <br />ed Controller 0 Controller review is required for all Contracts $5,000.00 or more <br />Prior and greater than one year in length per the City Purchasing <br />to Policy <br />Submi Other Appropriate Reviewers f i <br />ttal to <br />Board <br />Chp (-k the Annrnnrintp Ifpm Tvna _ Ran <br />Li Agreement <br />u Contract- <br />0 Claim <br />0 Yes ❑ No n If Ye: <br />G Bid Opening <br />D Bid Award <br />Quote Opening <br />n Quote Award <br />U Chg Order No. <br />Il C/O & PCA No. <br />n Ease. /Encroach. <br />0 Traffic Control <br />C Other: <br />$ 81,000 <br />I:(-It I I I I i:Ti 010 (-*TiffieY_i C <br />Company or Vendor Name <br />Development Strategies C <br />New Vendor <br />0 Yes ❑ No n If Ye: <br />Project Name <br />Training Center Site Deve <br />Project Number <br />109-0118 <br />Funding Source <br />EMS Capital Fund <br />Account No. <br />E.M.S.C.I.P. #288000 -341 <br />Amount <br />$ 81,000 <br />Terms of Contract <br />Purpose /Description <br />Engineering services to pr <br />Training Center Phase 1 C <br />Fnr Channp Ordism r <br />Amount of <br />C <br />n <br />I Increase <br />Decrease <br />$ <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 />ulspersai Aver Appro <br />Copy Original <br />I; n <br />u <br />Page _1 <br />