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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date September 24, 2018 . . .... <br />Name David Relos Department DCl <br />BPVV Date October 9, 2018 Phone Extension 5836 <br />Required Prior to Submittal to Board <br />Legal Z Attorney Name Clara McDaniels <br />Controller El Controller review is required for all Contracts $5,000,00 or more and <br />greater than one year in length per the City Purchasing Policy <br />Purchasing El <br />[] <br />Agreement <br />LJ Contract <br />Z <br />Professional Services <br />E] Resolution <br />F-1 Bid Opening <br />❑ <br />Bid Award <br />❑ Quote Opening <br />❑ <br />Quote Award <br />❑ Change Order No. <br />C/O & PCA No. <br />Ease/Encroach. <br />E] Traffic Control <br />El <br />Other: <br />Required In <br />Company or Vendor Name <br />New Vendor <br />MBEANBE Contractor <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />DLZ <br />z =4 <br />Addendum <br />Req. to Advertise ❑ Title Sheet <br />PCA <br />0 Yes 0 No [:1 If Yes, Approved by Purchasing <br />E] MBE 0 WBE <br />Fat Daddy's <br />15JO28 <br />RWDA <br />324-1050-460-31.06 <br />$49,800 <br />Prepare demo specs, assist with contract award, attend pre -bid and pre -con <br />meetings, and assist with clarifications during demolition. <br />0 Required Contractor's Certification Form Attached (Non - <br />Collusion. Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.,) <br />Amount of ❑ increase <br />❑ Decrease <br />Previous Amount $ <br />Current Percent of Change: <br />New Amount $ <br />Total Percent of Change: <br />Copy <br />Original <br />z <br />❑ David Relos <br />z <br />F-1 Judy Love <br />z <br />El Toy Villa <br />I <br />gal =1 <br />