Laserfiche WebLink
BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 02/15/2019 Department Public Works <br />Name Toy Villa Division/Bureau Engineering <br />�....... ---- m _ __........_. <br />BPW Date 02/26/2019 Phone Extension 5920 <br />iwimim umuwce,�.re®awnvunmmo,uwrrwmvm�wa!wAwwu!wwwwwwwwwwwwwwwwwwwwuwwwiwwu�nrcwuru nwwwommmmomama�w�mwwu mmmomomomwmm m„wumremmwma . <br />Required Prior to Submittal to Board.. w <br />Legal ❑ Attorney Name: <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 />E] Agreement Amendment <br />Professional Services <br />❑ Bid Opening <br />❑ Quote Opening <br />F❑ Change Order No. <br />EI Ease/Encroach. <br />F-1' Other: <br />�ropnate Item Type <br />El Contract <br />Resolution <br />El Bid Award <br />El Quote Award <br />El 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 />Terms of Contract <br />Purpose/Description <br />for All Submissions <br />J Proposal w <br />❑ Req. to Advertise <br />Required Information <br />Addendum <br />❑ Title Sheet <br />Larson -Danielson Construction Co., Inc. <br />. ............................. <br />[❑ Yes Z No ❑ If Yes„ A py� by Purchasing <br />MBE 0 WBE <br />No Yes Name of mCo an _... <br />�. .. P__ -y�.� �. ........- - .....� <br />Morris Theater Mezzanine Handrails <br />118-081 <br />Morris Performing Arts Center Capital <br />..� 101.0404.453.36.01 <br />Project Closeout. <br />❑ Required Contractor's Certification Forms Attached (Non - <br />Collusion Non -Discrimination, Non -Debarment, E-Verify, Iran„ etc. <br />c uired For Chang Orders Only <br />Amount of Increase $ <br />El Decrease $ <br />Previous Amount $ <br />