Award Bid - VPA 2019 Chemical Supply - Various

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BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date Name 01 /17/2019 Patrick Sherman Department VPA BPW Date 01/22/2019 Phone Extension 5601 Required Prior to Submittal to Board Legal ® Attorney Name Clara McDaniels Controller ® Controller review is required for all Contracts $5,000.00 or more anc greater than one year in length per the City Purchasing Policy Purchasing ® Michael Schmidt E.......... ..___._....... .... Check the Appropriate Item T e — Required for All Submissions E] Agreement E Professional Services Bid Opening F Quote Opening Change Order No. _ Ease/Encroach. [� Other......_...._......... Contract ❑ Resolution ® Bid Award ❑ Quote Award ❑ C/O & PCA No. El Traffic Control Proposal ❑ Req. to Advertise Required Information ❑ PCA Addendum ❑ Title Sheet Company or Vendor Name Various New Vendor ❑ Yes ® No ❑ If Yes, Approved by Purchasing MBE/WBE Contractor ❑ MBE ❑ WBE MBE/WBE Contractor Requested ❑ No ❑ Yes Name of Company Project Name Venues Parks & Arts 2019 ChemicalmSupplmmmmmmmmmmmm........mm Project Number 1078-2018 Funding Source Various VPA Maintenance funds Account No, Various VPA Maintenance accounts Amount $ Various as listed on bid tab Terms of Contract One year �� ........._..... Purpose/Description 2019 grounds and golf chemicals. ® Required Contractor's Certification Form Attached (Non - Collusion, Non _Discrimination Non Debarment, E-Verify, Iran, etc. Amount of Increase $ Decrease $ Previous Amount $ Current Percent of Change: New Amount $ Total Percent of Change: Copy Original ❑ ❑ 0 ❑ ❑ E] red For Change Orders ..%o................-............. ........ w� Dispersal After Approval