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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 10/16/18 Department <br />Name Kyle Silveus Division/Bureau <br />Public Works <br />Engineering <br />❑ Agreement <br />❑ Contract ❑ Proposal H Addendum <br />❑ <br />Professional Services <br />❑ Resolution <br />❑ <br />Bid Opening <br />❑ Bid Award ❑ Req. to Advertise ❑ Title Sheet <br />❑ Quote Opening <br />❑ Quote Award <br />❑ Change Order No. <br />❑ CIO & PCA No. ❑ PCA <br />❑ <br />Ease/Encroach. <br />❑ Traffic Control: <br />F� <br />Other: Riqht of Entry <br />Company or Vendor Name Ceol Mor Properties Crooked Ewe <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 <br />Project Name Lincoln Way East Corridor Improvements — Phase 1 <br />Project Number 117-055A <br />Funding Source RWDA TIF <br />Account No. 324-1050-460-31-02 <br />Amount $NIA <br />Terms of Contract NIA <br />Previous Amount $ <br />Current Percent of Change: % <br />New Amount $ <br />Total Percent of Change: % <br />Dispersal After Approval <br />Copy <br />Original <br />❑ <br />❑ <br />