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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date February 4, 2019 <br />�................. ._-- <br />Name Becca Plantz <br />Department Public Works <br />Division/Bureau Engineering <br />BPW Date February 12, 2019 Phone Extension 5998 <br />'Reddired Prior to Submittal to Board <br />Legal F_� 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 />LJ Agreement Amendment <br />Professional Services <br />E Bid Opening <br />El Quote Opening <br />El Change Order No. <br />F1 Ease/Encroach. <br />Other: <br />Contract <br />�I Resolution <br />Bid Award <br />Quote Award <br />❑ C/O & PCA No. <br />❑ Traffic Control: <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 />)r All Submissions <br />Proposal CI Addendum <br />❑ Req. to Advertise ❑ Title Sheet <br />F-1 PCA <br />R. Yoder _ <br />❑ Yes Fj No .....s, pp Y urchasinsg ... <br />[� If Yes A roved b P <br />MBE WBE <br />No ❑ Yes Name of Com�ny <br />Century Center Storage_ Mezzanine <br />118-036E <br />_._.. _.... ........ <br />Hotel Motel Tax Fund <br />..... <br />7304.42010.000.0099 <br />$104,000.00 <br />Terms of Contract Lump Sum <br />....... ......... _.. <br />Purpose/Description Install a storage mezzanine on the river level of Century Center. <br />❑ Required Contractor's Certification Forms Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) <br />-------------------- <br />v`Z r// ��/� lr /% //rri ;.r// ii / � ////iiiii aiiii%//i� // rr/, ,,,,�-nrr / ;,/d/ ;rre,,;. r „ i%ii',r vii/!,; i //„%�/ / a/ /"j // ✓ r <br />Amount of El Increase $ <br />Decrease $ <br />Previous Amount <br />Current Percent of Change: <br />New Amount <br />Total Percent of Change: <br />Disraersal After <br />Copy <br />Original <br />® <br />❑ Becca Plantz <br />