Laserfiche WebLink
BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date February 20. 2019 <br />Department Department Comm <br />Name Angelina B i I I o Investment <br />BPW Date 3/12/2019 Phone Extension 5838 <br />u�wi"ww"ur�mr"ww"u mrarvrmmwmuewmrrp... �.� . mm„u ���rnia��uu;�mdmrm e� �mN�mi�u.wuuwwwwuuwwwwmmuiui � � � ummHUHUHUHuuuummmmmmuuuuuumumwuwuwuwiuiui u� <br />Re wired Pr►or to Submittal to Board <br />�:.. _ ___.....www m� .... ....::.m......:: <br />Legal Attorney Name Sandra Kennedy <br />Controller review is required for all Contracts $5,000.00 or more <br />Controller ❑ and greater than one year in length per the City Purchasing <br />Policy <br />Purchasing F-1 <br />Check the A <br />Agreement <br />Professional Services <br />El Bid Opening <br />❑ Quote Opening <br />❑ Chg Order No. <br />FI Ease./Encroach. <br />Other: �m <br />Company or Vendor Name <br />New Vendor <br />MBE/WBE Contractor <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />►riate Item <br />Contract <br />F-j Bid Award <br />Quote Award <br />�]C/O &PCANo <br />Traffic Control <br />Required for All Submissions <br />E] Proposal ....................... ww❑ Addendum <br />❑ Req. to Advertise ❑ Title Sheet <br />El PCA <br />Resolution <br />F� Claim <br />Rewired Information �._........... <br />The g Fund <br />0 Yes Industrial R If Yeos y Approved by Purchasing <br />No <br />Ej MBE Completed E-Verify Form Attached <br />WBE <br />211 1001.339.03.00 <br />6,470 annually <br />❑ Yes <br />❑ No <br />Contract between the Industrial Revolving Fund and City for City <br />services to the IRF. <br />------------- <br />For Change Orders <br />Amount of Increase <br />❑ Decrease $ <br />Previous Amount $ <br />