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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 02/19/2019 <br />Department Public <br />Name Zach Hurst Works / En ineerin <br />__ __......._ _v <br />BPW Date 02/2 /20,19 Phone Extension 3057 <br />.... mm HMMM�HHNPJi�mwmmam�uwiwra .. vim .-, -. �imimmmuuuuuumiMiuiuuMmmM inm rc <br />..................�.......W... .�.. ,,,..� e..�._ ....— ......�_....—..m.._. <br />...�. required Prior to Submittal to Board <br />BPW Attorney ❑ Attorney Name <br />Dept. Attorney ❑ Attorney Name <br />Purchasing El <br />Check the Appropriate Item 'type —Required <br />r. quiree <br />Professional Services Agreement �] Contract <br />❑ Open Market Contract <br />❑ Amendment/Addendum <br />Bid Opening <br />❑ Bid Award <br />Quote Opening <br />❑ Quote Award <br />] Proposal Opening <br />C/O & PCA No. <br />]I Chg. Order, No. <br />Traffic Control <br />E] Other: <br />uired Information <br />Company or Vendor Name <br />All Submissions <br />L] Proposal <br />[:1 Special Purchase, QPA <br />® Req. to Advertise <br />❑ Reject Bids/Quotes <br />] PCA <br />E] Resolution <br />Ease./Encroach <br />New Vendor U YesU If Yes, Approved by Purchasing <br />❑ No <br />MBE/WBE Contractor ❑ WBE Completed E-Verify Form Attached <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Tech Resource Center <br />8-090 <br />River West TIF <br />. .�..�_�.�............_ ��.....� <br />32 -1050-460-42.02 <br />❑ Title Sheet <br />❑ Yes <br />❑ No <br />Request to advertise for building fit -out iwor the'rech Resource Center at <br />Ignition Park. <br />For Clung Orders Only <br />Amount of <br />Increase $ <br />Decrease ($ j <br />Previous Amount <br />$Increa <br />t4C <br />orks <br />Current Percent of Change: <br />Decrease <br />%) <br />New Amount <br />$ <br />Increase <br />°o° <br />Total Percent of Change: <br />Decrease <br />�) <br />Time Extension Amount: <br />New Completion Date: <br />