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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date <br />Name <br />December 7„ 2018 <br />Tim Corcoran <br />Department Community <br />Investment <br />BPW Date December 20, 2018 Phone Extension 7692 <br />... Mfg imuiuwwniuniuiuiuwiuwwi�amwiuwwvw.uwe.mw w��r�„��mmr�ruwm�awuumwu��w��w�w�w�w�,wv�� � ��ame,w�rmrnw�,n,mrraaim.�rvmw� <br />Re uired r to Submittal to Board Prio�l t _...... _ .. <br />�����.......::. �w_...w .,,.�.�..�. <br />Legal X Attorney Name Kennedy <br />Controller review is required for all Contracts $5,000.00 or more <br />Controller X and greater than one year in length per the City Purchasing <br />Policy <br />Purchasing X <br />Check the A <br />L_..j Agreement <br />X Professional Services <br />Bid Opening <br />[:] Quote Opening <br />Chg Order No. <br />Ease./Encroach. <br />C—I Other: <br />Company or Vendor Name <br />New Vendor <br />MBE/WBE Contractor <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />ropriate Item Type - <br />..._l Contract <br />El Amendment <br />El Bid Award <br />El Quote Award <br />El C/O &PCANo. <br />_ <br />0 Traffic Control <br />for All Submissions <br />Proposal <br />0 Req. to Advertise <br />uired Information <br />❑ PCA <br />❑ Resolution <br />R Claim <br />Addendum <br />❑ Title Sheet <br />To assist policy makers and City staff in understanding the role <br />development patterns, play in the cost of infrastructure. This <br />ro`ect builds aeon the Parcel Value Model developed in 2016. <br />For Change Orders Only <br />Amount of u� <br />Increase $ <br />Decrease $ <br />Previous Amount $ <br />