Laserfiche WebLink
Date 10/16/18 <br />Name Kyle Silveus <br />BOARD OF PUBLIC WOIZKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Department <br />Division/Bureau <br />Public Works <br />Engineering <br />BPW Date 10/23/2018 Phone Extension 9083 <br />[_J Agreement <br />jJ Contract L] Proposal LJ Addendum <br />❑ Professional Services <br />❑ Resolution <br />❑ Bid Opening <br />❑ Bid Award ❑ Req. to Advertise ❑ Title Sheet <br />❑ Quote Opening <br />❑ Quote Award <br />❑ Change Order No. <br />❑ C/O & PCA No. ❑ PCA <br />[� Ease/Encroach. <br />❑ Traffic Control: <br />I� Other: Riaht of Entry <br />Company or Vendor Name <br />New Vendor <br />MBEANBE Contractor <br />MBEIWBE Contractor Requested <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Previous Amount <br />Current Percent of Change <br />New Amount <br />Bridge Financial Services (Bridge Staffing) <br />❑ Yes ❑ No ❑ If Yes, Approved by Purchasing <br />❑ MBE ❑ WBE <br />❑ No ❑ Yes Name of Company <br />Lincoln Way East Corridor Improvements Phase 1 <br />117-055A <br />RWDA TIF <br />324-1050-460-31-02 <br />$ N/A <br />N/A <br />Total Percent of Change: % <br />Dispersal After Approval <br />Copy <br />Original <br />