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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 02/07/2019 Department Public Works <br />Name Toy WillDivision/Bureau Engineering <br />BPW Date 02/26/2019 Phone Extension 5920 <br />MMMINH111111111HINIM 11111111��91 55M ............ <br />e ie nor o u mitta to Board <br />Prior to SubrNi--- I �to Board <br />Legal E] 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 0 <br />Check the <br />E] Agreement Amendment <br />F] Professional Services <br />Bid Opening <br />Quote Opening <br />E] Change Order No. <br />E] Ease/Encroach. <br />F-1 Other: <br />lropriate Item,Type <br />Contract <br />F-1 Resolution <br />E] Bid Award <br />El Quote Award <br />0 C/O & PCA No. <br />El Traffic Control: <br />Company or Vendor Name <br />New Vendor <br />MBEIWBE 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 increase <br />Decrease <br />Previous Amount $ <br />Current Percent of Change: <br />New Amount $ <br />Total Percent of Change: <br />Copy <br />Original <br />F-1 <br />F1 <br />1-1 <br />1:1 <br />El <br />1:1 <br />for AH Submissions <br />Proposal <br />E] Req. to Advertise <br />ired Information <br />Selqe Construction Co., Inc. <br />Bowman Creek Improvements <br />118-017 <br />Sewer Contractual <br />641.0621.792.63.35 <br />$98,240.00 <br />Protect Closeout <br />Addendum <br />D Title Sheet <br />[:1 Required Contractor's Certification Forms Attached (Non - <br />Collusion, Non -Discrimination , Non Debarment, E-Verify, Iran, etc. <br />o�ed For Change Only <br />- - — - — - ­­­- . . . ...... <br />. ...... . . ........................ <br />Dispersal After Armroval <br />