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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date Februarl 18 2019 <br />Name Scott <br />Department Public <br />Works <br />BPW Date Februar 26 2019 Phone Extension 9245 <br />wumm�mawrmmmwr wwmuw muwuw ffl mw I@u'IuI�W'N'h L. .,�^„ ���,m�9045wu m�w.nrmw <br />....�..._..., wa...e...�... .....��, —. ........_ <br />Re uired. Prior to Submittal to Board <br />BPW Attorney ❑ Attorney Name Clara McDaniels <br />Dept. Attorney Attorney Name <br />Purchasing................_�� <br />E Michael Schmidt <br />Check the App1°o riap t Item vie . 1 <br />E] Professional Services Agreement Contract <br />n Open Market Contract ❑ Amendment/Addendum <br />E] Bid Opening ❑ Bid Award <br />Quote Opening ❑ Quote Award <br />Proposal Opening C/O & PCA No. <br />❑ Chg. Order, No. ❑ Traffic Control <br />Other: <br />rerl br All Submissions <br />Rcgy red Information <br />Proposal <br />❑ Special Purchase, QPA <br />® Req. to Advertise <br />Reject Bids/Quotes <br />E] PCA <br />El Resolution <br />❑ Ease./Encroach <br />❑ Title Sheet <br />Company or Vendor Name <br />Yes] If Yes, Approved by Purchasing <br />New Vendor <br />No <br />MBE/WBE Contractor <br />E] MBE WBE Completed E-Verify Form Attached ❑ No <br />Project Name <br />2019 Street and Sewer Dement Materials <br />Project Number <br />119-008 <br />mmmStreets, Curb & Sid walk, Sewer Concrete, Sewer Ins Water Works' <br />rete rks, <br />Funding Source <br />Parks <br />_ <br />202-0607-431.22-24, .22-30, .22-40, .23-02, .23-03, 23-20, 23-40,W v <br />.39-89, <br />641-0621-792.22-24, .23-02, .23-03, .23-04, 202-0619-431.23-03, .23-24, <br />641-0625-792.22-24, .23-04, 640-0620-811.22-24, .23-04, 620-0640- <br />Account No. <br />606.23-30, 2011..'..101-452.39-89 <br />......... ............ ......mm. �.�.� �..� <br />Amount <br />...............mm,_�......................... <br />Terms of Contract <br />Unit Price <br />Purpose/Description <br />Request to advertise on March 1st and March 8th <br />Amount of <br />Previous Amount <br />❑ Increase <br />Decrease <br />Current Percent of Change <br />New Amount <br />Total Percent of Change: <br />For Ch qp Orders <br />Increase <br />% <br />WW <br />Decrease <br />°/ <br />0 <br />......Increase............. <br />LL <br />...�.%.. <br />Decrease <br />% <br />