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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 01 /08/2019 Department Public Works <br />Name �.. Toy �V�.l�la �........................ _M..�. <br />Division/Bureau Engineering <br />BPW Date 01/22/2019 Phone Extension 5920 <br />�n�wmm�mimimHUHiwuuu�nui�r�ia m�ummmm�urw.u�muuw!�i�ivrti �uuwu�uu�m��vv sam�rxrt�rrtra�u ru�ruw�uiow� <br />....,.,...,. ,�......�,m.....�.. �,.. ...._... <br />.... <br />.......... <br />..,._ <br />Required Prior to Submittal to Board <br />Legal ❑ Attorney Name: Clara McDaniels <br />Controller ❑ 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 />Check the <br />❑ Agreement Amendment <br />❑ Professional Services <br />Bid Opening <br />Quote Opening <br />(l Change Order No. <br />El Ease/Encroach. <br />F� Other: General Release <br />Company or Vendor Name <br />ropriate Item Type — Rew <br />EI Contract <br />Resolution <br />F-1 Bid Award <br />Quote Award <br />® C/O & PCA No.1 Final <br />❑ Traffic Control: <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 />Copy <br />Original <br />�d for All mSubmissions <br />❑ Proposal <br />❑ Req. to Advertise <br />❑ PCA <br />Required Information <br />Walsh & Kellv <br />El Yes No <br />Purchasin. <br />nc. <br />Addendum <br />❑ Title Sheet <br />If Yes, Approved by <br />MBE ❑ WBE <br />No �] Yes Name of Company <br />Navarre Street Milling and Asphalt Overl <br />117-128 <br />LSRA / Street Maintenance <br />1.060 31.36.10 <br />