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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 11/21/2018 <br />.... .. . . . ..... <br />Department VPA — Facilities & <br />Name Patrick Sherman Grounds <br />BPW Date 11/27/2018 Phone Extension 5601 <br />q ..... ...... <br />aired Prior to Submittal to Board <br />Legal Attorney Name Clara McDaniels <br />Controller Controller review is required for all Contracts $5,000.00 or more and <br />greater than one year in length per the City Purchasing Policy <br />Purchasing F-1 <br />Agreement <br />Professional Services <br />EJ Bid Opening <br />[:] Quote Opening <br />El Change Order No. <br />El Ease/Encroach. <br />n Other: <br />Company or Vendor Name <br />LJ Contract <br />Resolution <br />Bid Award <br />F] Quote Award <br />El C/O & PCA No, <br />0 Traffic Control <br />Proposal <br />E] Req. to Advertise <br />[:1 PCA <br />Addendum <br />El Title Sheet <br />New Vendor <br />El Yes EJ <br />No 0 If Yes, Approved by Purchasing <br />MBENVBE Contractor <br />F-1 MBE F] WBE <br />MBEANBE Contractor Requested E] No [:1 Yes Name of Company <br />Project Name <br />Disposal of obsolete property <br />Project Number <br />Resolution #59 <br />Funding Source <br />Account No. <br />Amount <br />$ <br />Terms of Contract <br />Purpose/Description <br />Dis osal of 2 obs o I e te Pickgp Trucks <br />FIRequired Contractor's Certification Form Attached (Non - <br />Collusion, N on-Discrim i nation, Non -Debarment, E-Verify, Iran, etc..........___— <br />edired For Change Orders Only <br />Amount of El increase — $ <br />Decrease $ <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 />El <br />F-1 <br />El <br />F-1 <br />El <br />El <br />