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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 1012118 <br />Name Jeff Hudak <br />Department Central Services <br />BPW Date 1019118 Phone Extension 574-235-9316 <br />U Agreement <br />LJ Contract <br />L] Proposal U Addendum <br />❑ Professional Services <br />❑ Bid Opening <br />® Bid Award <br />❑ Req. to Advertise ❑ Title Sheet <br />❑ Quote Opening <br />❑ <br />Quote Award <br />❑ Chg Order No. <br />❑ <br />CIO & PCA No. <br />❑ PCA <br />❑ Ease./Encroach. <br />❑ Traffic Control <br />❑ Resolution <br />n <br />Other: <br />I <br />F] Claim <br />Company or Vendor Name <br />New Vendor <br />MBEIWBE Contractor. <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Southeastern E <br />nt Co., Inc. <br />Yes H If Yes, Approved by Purchasing <br />No <br />❑ WBE Completed E-Verify Form Attached ❑ Neos <br />Spec V - 2018 or Newer 50 Ton Paver Special Trailer <br />202-0607-431 -3711 Principal & 202-0607-431-3712 <br />Interest <br />2018 Street Department Capital Lease Principal & Interest <br />$ 60,000.00 <br />Award: <br />Amount of ❑ Increase <br />❑ Decrease <br />Previous Amount $ <br />Current Percent of Change: <br />New Amount <br />Total Percent of Change: % <br />