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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date November 6, 2018 Department Public Works <br />Name Alicia Czarnecki/Patrick Sherman Division/Bureau Engineeringng <br />BPW Date November 13, 2018 Phone Extension 5903 <br />IM�PMfINmMIINII�IIIIIIIIIIIIIIIIIWIVII'INMIVINVOWIiVIVlrib1✓ yr �p�ryygy�,yy�9,pp IIIIIIIIIIIMIIIIIIIIIII��YiPkY,MfV unrnvmmrwr�ara��p INW4Y�E �� P�61 �` i2�Wf/�g��' gNi�ItlIfrYY:Y.q.,.,.,,.,Y�'c�yf�yayfy�g�p ;gl :N�Sd/IM++YL�PF+i.,PYMII <br />�._ r to Submittal to Board <br />Legal ® Attorney Name Clara McDaniels <br />Controller ❑ 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 ❑ <br />Check the <br />Agreement Amendment <br />Professional Services <br />[� Bid Opening <br />❑] Quote Opening <br />Change Order No. <br />�] Ease/Encroach. <br />Other: <br />Company or Vendor Name <br />pro riate Item Type <br />Contract®��� <br />F Resolution <br />F] Bid Award <br />❑ Quote Award <br />❑ C/O & PCA No, <br />❑ Traffic Control: <br />New Vendor <br />MBE/WBE Contractor <br />MBE/WBE Contractor Requested <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />for All Submissions <br />1_'Proposal ...... <br />❑ Req. to Advertise <br />Required Information <br />DLZ <br />❑ PCA <br />Addendum <br />❑ Title Sheet <br />