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BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date June 23, 2011 Department C &ED BPW Date July 11, 2011 Phone 235 -5842 Name Bill Schalliol o Legal ® Attorney Name L. Meteiver ° -v Controller review is required for all Contracts $5,000.00 or more o Controller ® and greater than one year in length per the City Purchasing Q•�Eo a oo> Policy !:P Other Appropriate Reviewers ❑ ( hpr•.,k tho Annrnnrh °ata tfam Tvn'd Q'Qt ij fnr A11 L`;rf.•.u::n .,.,.: Ke.0thred dnform,ation Company or Vendor Name A Agreement El Contract Pro osal I El;kdde;dum M N No I Claim Project Name N Ej Bid Opening ❑ Bid Award I ❑ Req. to Advert ise Account No. 3 Title Sheet Amount $ Quote Opening Terms of Contract Quote Award ❑ Chg Order No. Engineerinq Proiect C/O & PCA No. OPCA Ease. /Encroach. Traffic Control Resolution ❑ Other: Ke.0thred dnform,ation Company or Vendor Name A Abonmarche New Vendor Y Yes M M N No I If Yes, Approved b Purchasing Project Name N Nimtz Parkway Multi -Use Path — Engineering Project Project Number ( (Not yet assigned) Funding Source A AEDA TIF Account No. 3 324 -1050- 460 -31.02 Amount $ $ 38,800.00 Terms of Contract Purpose /Description D Desiqn service proposal for Nimtz Parkway Multi -Use Path — Engineerinq Proiect MAMA t qtr r� � 3rary . Amount of ❑ Increase $ ❑ Decrease $ Previous Amount $ Current Percent of Change: % New Amount $ Total Percent of Change: % PO No. Copy Original ® ❑ Vfspprspl.After'Approvall Roger Nawrot, Abonmarche Bill Schalliol, CED; Rob Nichols, Patrick Henthorn, Toy Villa, Engineering Copy Original ® ❑ Vfspprspl.After'Approvall Roger Nawrot, Abonmarche Bill Schalliol, CED; Rob Nichols, Patrick Henthorn, Toy Villa, Engineering Vfspprspl.After'Approvall Roger Nawrot, Abonmarche Bill Schalliol, CED; Rob Nichols, Patrick Henthorn, Toy Villa, Engineering