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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 02/05/2019 <br />Department Public <br />Name Zach Hurst Works,,/ Era ince�~izr <br />BPW Date 02/12/2019 Phone Extension 3057 <br />_.. __.. ..W............. .................. <br />Required Prior to Submittal to Board <br />._,_ <br />BPW Attorney ❑ Attorney Name <br />Dept. Attorney F-I Attorney Name <br />_. _ ...... ......... ................ ._ . _____........... <br />Purchasing El <br />Check the Appropriate Item Type — <br />LJ Professional Services Agreement FJ Contract <br />M Open Market Contract El Amendment/Addendum <br />Bid Opening <br />Bid Award <br />❑, Quote Opening ❑ <br />Quote Award <br />Proposal Opening ❑ <br />C/O & PCA No. <br />E Chg. Order, No. 0 <br />Traffic Control <br />El Other: <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 />red Information <br />All Submissions <br />H Proposal <br />El Special Purchase, QPA <br />❑ Req. to Advertise <br />❑ Reject Bids/Quotes <br />PCA <br />Resolution <br />Ease./Encroach <br />❑ Title Sheet <br />Environmental Glass, Inc. <br />YesC] If Yes, Approved by Purchasing <br />No <br />0 MBE Completed E-Verify Form Attached Nos <br />WBE <br />Liberty Tower Exterior Renovations <br />.... <br />118-086R Division C <br />.... <br />River West TIF <br />................___.... ...............__ ........... __........ <br />324-1050-460-42.02 <br />................ <br />Lump Sum _ <br />--. ..P _..... _ - ._................ <br />Open Market Contract — no bids received during public —ITITITITITITp ITITIT es <br />p g p lic bid process. <br />_ w_ _ .......... <br />-For Chang, Orders nl <br />.. <br />Amount of <br />Increase $ <br />................ _ww <br />❑ <br />Decrease <br />Previous Amount <br />$ ................. <br />Increase <br />... ........... ....... <br />% <br />Current Percent of Change: <br />Decrease <br />�._......._.... _...�....... <br />%) <br />New Amount <br />$ <br />Increase <br />% <br />Total Percent of Change: <br />Decrease <br />( %) <br />Time Extension Amount: <br />........ <br />New Completion Date: <br />_............... <br />__ ............. ._....... � <br />