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.1.....­ <br />BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date September 28, 2018 <br />Name Roger Nawrot Department Public Works <br />Purchasing ❑ <br />❑ Agreement <br />❑ Professional Services <br />❑ Bid Opening <br />❑ Quote Opening <br />❑ Change Order No. <br />❑ Ease/Encroach. <br />Z Other: Amendment #1 <br />❑ Contract ❑ Proposal ❑ Addendum <br />❑ Resolution <br />❑ Bid Award ❑ Req. to Advertise ❑ Title Sheet <br />❑ Quote Award <br />❑ C/O & PCA No. ❑ PCA <br />❑ Traffic Control <br />Required Information <br />Company or Vendor Name <br />WGI (Wantman Group, Inc.) <br />New Vendor <br />❑ Yes ❑ No ❑ If Yes, Approved by Purchasing <br />MBE/WBE Contractor <br />❑ MBE ❑ WBE <br />MBE/WBE Contractor <br />Requested <br />❑ No ❑ Yes Name of Company <br />Project Name <br />Downtown Parking Garage Repairs <br />Project Number <br />115-143 <br />Funding Source <br />Parking Garage Fund <br />Account No. <br />412-0401-415.3601 <br />Amount <br />$0.00 No Change in Contract Amount <br />Terms of Contract <br />NTE <br />Purpose/Description <br />Change Carl Walker, Inc. to WGI and increase hourly rates_. <br />❑ Required Contractor's Certification Form Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, [ran, etc.) <br />Amount of ❑ <br />Increase $ <br />Decrease $ <br />Previous Amount <br />Current Percent of Change: <br />New Amount <br />Total Percent of Change: <br />Copy <br />Original <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />Dispersal After Approval <br />