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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date February 18, 2019 <br />Name Andrew Netter <br />Department DCI <br />Division/Bureau Planning <br />BPW Date 2/26/2019 Phone Extension 5931 <br />uuuwm000000ma�w .. .��.�.��r.�y��rr�rwu�awwu���w ,,, r�.�,��rra�mm�mimw�,�nw,amarvnam»x ,,:... � � � ,. ouuuuuuuuuuuuuuwm�r�,�m�✓�im��r� vs.. wiWuuwiuuuumuwruv.�.w������. .. m� <br />Required - Prior to Submittal to _ � ..... - <br />tl to Board <br />Legal ® Attorney Name: Clara McDaniels <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 11 <br />Check t_i <br />EJ Agreement Amendment <br />❑ Professional Services <br />❑ Bid Opening <br />F1 Quote Opening <br />❑ Change Order No. <br />�] Ease/Encroach. <br />Other: <br />Company or Vendor Name <br />)❑ Contract Ty �e. ..._Ro uire� Proposal <br />P <br />I <br />Resolution <br />❑ Bid Award ® Req. to Advertise <br />�I Quote Award <br />C/O & PCA No. ❑ PCA <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 />Reaiuired Information <br />Addendum <br />❑ Title Sheet <br />... <br />El Yes.0....�.�.................... � .......__..,_.n..._ <br />If Yes, Approved b <br />Purchasina <br />MBEH WBE <br />INo ....j Yes Name of Coma a <br />1143 E. Corbv Blvd. <br />$2,910 <br />Terms of Contract <br />Purpose/Description Disposition of Civil City property. Petitioned by Five Corners <br />..Charles aes. <br />Required Contractor's.... Certification_ Forms Attached (N <br />on - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) <br />Jgquired For Cha! e Orders ON <br />Amount ofEl w� <br />i n cea a .. u. _ <br />r ... <br />4.� <br />Previous Amount $ Works <br />