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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 10-2-18 <br />Name Cara Grabowski <br />Purchasing ❑ <br />Department <br />Division/Bureau <br />Public Works <br />Public Works <br />❑ Agreement Amendment <br />N Contract U Proposal LJ Addendum <br />® Professional Services <br />❑ Resolution <br />❑ Bid Opening <br />❑ <br />Bid Award ❑ Req. to Advertise ❑ Title Sheet <br />❑ <br />Quote Opening <br />❑ <br />Quote Award <br />❑ <br />Change Order No. <br />❑ CIO & PCA No. ❑ PCA <br />❑ Ease/Encroach. <br />❑ Traffic Control: <br />F1 <br />Other: <br />Company or Vendor Name <br />New Vendor <br />MBE/WBE Contractor <br />MBE/WBE Contractor Requested <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Corbin Design <br />® Yes ❑ No ❑ If Yes, Approved by <br />Purchasing <br />❑ MBE ❑ WBE <br />❑ No ❑ Yes Name of Company <br />Wayfinding Signage Master Plan <br />Fund 217 (Gifts & Donations) — Account Number TBD & Complete <br />Streets Transportation <br />Fund 217 (Gifts & Donations) — Account Number TBD <br />Complete Streets Transportation - 404-001-460-42.03 <br />$80,000 <br />Current Percent of Change: % <br />New Amount $ <br />Total Percent of Change: % <br />Dispersal After Approval <br />Copy <br />Original <br />❑ <br />❑ <br />