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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 9/28/2018 <br />❑ Agreement <br />❑ Professional Services <br />❑ Bid Opening <br />❑ Quote Opening <br />❑ Change Order No. _ <br />❑ Ease/Encroach. <br />I-1 Other: <br />Company or Vendor Name <br />New Vendor <br />MBE[WBE Contractor <br />MBEIWBE Contractor <br />Requested <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />❑ Contract L] Proposal U Addendum <br />❑ Resolution <br />® Bid Award ❑ Req. to Advertise ❑ Title Sheet <br />❑ Quote Award <br />❑ CIO & PCA No. ❑ PCA <br />❑ Traffic Control <br />Required Information <br />Truck Centers, Inc. <br />❑ Yes ❑ No ❑ If Yes, Approved by Purchasing <br />❑ MBE ❑ WBE <br />❑ No ❑ Yes Name of Company <br />Spec T - Award for One 1 or more used low boy tractor <br />Street Department - 202 0607 431 3801 and 202 0607 431 3802 <br />h� A <br />Award One more or less 2018 or newer Emergency Medical Vehicle <br />❑ Required Contractor's Certification Form Attached {Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify; Iran, etc. <br />Amount of I_1 Increase $ <br />❑ Decrease $ <br />Previous Amount $ <br />Current Percent of Change: % <br />New Amount $ <br />