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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 01/18/2019 Department Public Works <br />Name Toy Villa Division/Bureau Engineering <br />BPW Date 02/12/2019 ....� w�.�... _......._ ...�.e..... ......... <br />Phone Extension 5920 <br />nau mmwmwmm�rm�Huw ^vrwr^-----m^ ..�i..... .w�nmimw!mmm!w!mmmwuwuw! wow mUMMIimimimimimimimi�war�wmvm <br />Ieuired Prior to Submittal to Board <br />Legal ❑ Attorney Name: <br />Controller El 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 />Checkthe <br />Agreement Amendment <br />El Professional Services <br />Bid Opening <br />Quote Opening <br />El Change Order No. <br />Ease/Encroach. <br />Other: <br />Company or Vendor Name <br />)rq riate Item Tyke — <br />Contract <br />Resolution <br />l Bid Award <br />❑ Quote Award <br />❑ C/O & PCA No. <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 />Amount of I � Increase <br />F] Decrease <br />Previous Amount $ <br />................. <br />Current Percent of Change: <br />New Amount$ <br />Total Percent of Chanee: <br />Copy <br />Original <br />❑ <br />❑ <br />El <br />❑ <br />] <br />❑ <br />for All Submissions <br />Proposal <br />❑ Req. to Advertise <br />uired Information <br />Brown & Brown General Contractors„ Inc. <br />Proiect Closeout <br />Addendum <br />❑ Title Sheet <br />❑ Required Contractor's Certification Forms Attached (Non - <br />Collusion, Non-Discrimination, Non -Debarment, E Verif ,Iran etc. <br />;,-nuired For Change Orders�Onl <br />Disoers� <br />al After ADDroval <br />