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Date <br />Name <br />BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />October 1. 2018 <br />Jacob M. Klosinski <br />Department Utilities Env. Serv. <br />Company or Vendor Name <br />New Vendor ❑ Yes ® No ❑ If Yes, Approved by Purchasing <br />MBE/WBE Contractor ❑ MBE ❑ WBE <br />MBE/WBE Contractor Requested ❑ No ® Yes Name of Company See Contractor Bid <br />Project Name WWTP - Electrical Upgrades <br />Project Number 117-032 <br />Funding Source Utilities - Wastewater - Capital <br />Account No. 642-0630-415-43-66 <br />Amount $ <br />Terms of Contract <br />Purpose/Description The Division of Utilities requests the Board of Public Works approval <br />of the Title Sheet and the Request to Advertise for the receipt of <br />Bids for Protect No. 117-032 Wastewater Treatment Plant Electrical <br />Upgrades. Advertise 10/19/2018 and 10/26/2018. <br />❑ Required Contractor's Certification Fora Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verifv, 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 />® <br />❑ <br />® <br />❑ <br />® <br />❑ <br />Dispersal After Approval <br />Al Greek, Director of Utilities <br />Jacob M. Klosinski, P.E., Assistant City Engineer <br />Susan Zeeb, Director of Financial Services, Environmental Services <br />