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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date <br />Name <br />12/14/2018 <br />Amv Shirk <br />Purchasing E] <br />Check the P <br />L_J Agreement <br />F-1 Professional Services <br />n Bid Opening <br />El Quote Opening <br />Chg Order No. <br />Ease./Encroach. <br />Other: Disr)osal <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 />R Contract <br />F-1 Amendment <br />E] Bid Award <br />El Quote Award <br />F-1 C/O & PCA No, <br />E] Traffic Control <br />Department Admin & Finance <br />for All Submissions <br />Proposal E! Addendum <br />El Req. to Advertise El Title Sheet <br />uired Information <br />�A , <br />esolutiona I� <br />laim <br />... ... El Yes ❑ If Yes, Approved by Purchasing . ............... <br />0 No <br />El MBE Completed E-Verify Form Attached El Yes <br />F-1 WBE El No <br />Amount of Increase <br />Decrease <br />Previous Amount $ <br />Current Percent of Change: <br />New Amount $ <br />Total Percent of Change: <br />Time Extension: <br />Dispersal After Approval <br />Copy <br />Original <br />El <br />1-1 <br />El <br />F] <br />11 <br />0 <br />