Laserfiche WebLink
BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 12/18/2018 <br />............._ <br />_ Department Public Works <br />Name Kyle Silveus <br />mm..�.............__..................._ <br />Division/Bureau Engineering <br />BPW Date 12/20/2018 <br />nriau urr w .wren, <br />Phone Extension 9083 <br />mmrr a mmaaiu�uuuuuuuuuuuwmuumWuuumimumuwu�uuwiw+ummu uwa� �aum�r [�MIMIimimimim0000imm0000mmmmmmmmimimuuuuuuuuuuuummuuuuuuuum <br />Required Prior to Submittal to Board <br />Legal ❑ <br />Attorney Name: Clara McDaniels <br />Controller ❑ <br />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 />Michael Schmidt <br />Check the A Ry e euir...dfr <br />E] <br />Agreement <br />El <br />.A.._.l_..S...uu_b�m�issions .. <br />Contract El Proposal 0 Addendum <br />l <br />Professional Services <br />F <br />Resolution <br />E] <br />Bid Opening <br />❑ Bid Award ® Req. to Advertise ® Title Sheet <br />IE] Quote Opening <br />El Quote Award <br />Change Order No. <br />❑ <br />C/O & PCA No. ❑ PCA <br />[� Ease/Encroach. <br />El <br />Traffic Control <br />Other: <br />Company or Vendor Name <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 />111 <br />Amount of ❑ Increase <br />E] Decrease <br />................. <br />Previous Amount $ <br />Current Percent of Change <br />New Amount <br />Total Percent of Change:. <br />Copy <br />Original <br />❑ <br />❑ <br />E <br />❑ <br />..._._._._�aired Information f <br />TBD <br />��.�.�.�.�.�.�.�.�.�..... <br />.......�........... <br />Dis <br />oarsal After Acoroval <br />0J <br />