Laserfiche WebLink
BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date <br />Name <br />12/06/18 <br />Timmer <br />Department DCI <br />BPW Date 12/20/18 Phone Extension 5841 <br />� lwimm'=PANB�MMl�immmmmmmmimiiiimmmimimililillimimimimillilliillillillilillillillillillWiI <br />. ........ ................................... <br />. ... <br />Re uired Prior to Submittal to Board <br />................... . ........... <br />Legal Attorney Name Clara McD�ani'els, Sandra Kennedy <br />Controller z Controller review is required for all Contracts $5,000.00 or more anc <br />greater than one year in length per the City Purchasing Policy <br />Purchasing z <br />Check the Appropriate Item Type - Required for All Submissions <br />Agreement <br />E] Professional Services <br />E] Bid Opening <br />F] Quote Opening <br />Change Order No. <br />Ease/Encroach. <br />Other: Amendment <br />Contract <br />F Resolution <br />F1 Bid Award <br />F Quote Award <br />F-1 C/O & PCA No. <br />El Traffic Control <br />Proposal <br />El Req. to Advertise <br />uired Information <br />F1 PCA <br />Company or Vendor Name Habitat for Humanity of St. Joseph Co., Inc. <br />New Vendor [:1 Yes Z No El If Yes, Approved by Purchasing <br />MBE/WBE Contractor F-1 MBE [:] WBE <br />MBE/WBE Contractor Requested Z No E:] Yes Name of Company <br />Project Name Ac luisition / Rehabilitation Activity <br />Project Number 16-JC-1 1 (01) <br />Addendum <br />0 Title Sheet <br />