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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date December 18, 2018 <br />Name _R�,pgerNawrot . ..... -, Department <br />BPW Date December 20,,2018 Public Works <br />Phone Extension 5932 <br />uirea Frior to Submittal to Board <br />Legal Attorney Name <br />Controller Ei Controller review is required for all Contracts $5,000-00 or more anc <br />Purchasing 1:1 greater than one year in length per the City Purchasing Policy <br />Check the <br />L 0 Agreement <br />El Professional Services <br />El Bid Opening <br />0 Quote Opening <br />D Change Order No. <br />El Ease/Encroach. <br />El Other: <br />Company or Vendor Name <br />New Vendor <br />MBE/WBE Contractor <br />MBE/WBE Contractor <br />Requested <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Amount of <br />U'Contract <br />Resolution <br />Bid Award <br />El Quote Award <br />EJ C/O & PCA No. <br />El Traffic Control <br />Required 14o_rtWaT�o` <br />-D..C. Byers Co./Detroit Inc, <br />0 <br />Yes 0 Ye <br />�,d foProp r All Submi . ssion s Addendum <br />Req. to Advertise Z Title Sheet <br />El PCA <br />ved by Purchasi <br />�_No��Yes Name of Company <br />Main & Colfax Pa—rk"ing" Structure Repairs 2019 <br />11 5-143A <br />M aj _or Moves GaEaR� Fund and RWT IF <br />and 324-1050-460.42-02 Project Code 15JO19 <br />Not to Exceed <br />M a MovesSara e Fund and RWTIF 2,96 370�,00 <br />T�g <br />W <br />000 <br />;EJ rt 0 00 Attached (Non - <br />'or r <br />Req red Contractor's e f -cation Form A tach d (N n <br />Ui C 1 1 tt <br />ollusio 0 _ iscri ir��t 0 0 a t _ r �jy Ira <br />n n D n ed Iran <br />i 9-D en V e n, e <br />Increase" -$- <br />Decrease <br />Previous Amount <br />Current Percent of Change: <br />New Amount <br />Total Percent of Change: <br />Copy <br />Original <br />El <br />❑ <br />S ersal f Ate <br />wrAmp proval <br />