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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 2/18/2019 <br />Name Sue Ellen Doudrick Department Enn.. <br />...................-- _. _. -------- -------- -.._._.....------ _____ <br />BPW Date 2/26/2019 Phone Extension 5922 <br />Required,Prior to Submittal to Board <br />BPW Attorney ® Attorney Name Clara McDaniels <br />Dept. Attorney ❑ Attorney Name <br />Purchasing ® <br />Michael Schmidt <br />Check the <br />Appropriate tern Tync Submissions <br />® <br />Professional Services Agreement <br />❑ Contract ❑ <br />Proposal <br />❑ <br />Open Market Contract <br />❑ Amendment/Addendum ❑ <br />Special Purchase, QPA <br />❑ <br />Bid Opening <br />❑ Bid Award ❑ <br />Req. to Advertise ❑ Title Sheet <br />❑ <br />Quote Opening <br />❑ Quote Award ❑ <br />Reject Bids/Quotes <br />❑ <br />Proposal Opening <br />❑ C/O & PCA No. _ ❑ <br />PCA <br />❑ <br />Chg. Order, No. <br />❑ Traffic Control ❑ <br />Resolution <br />_ <br />Other <br />❑ <br />Ease./Encroach <br />Required Information <br />Company or Vendor Name <br />N/A <br />New Vendor <br />❑ Yes❑ If Yes, Approved by Purchasing, <br />❑ No <br />MBE/WBE Contractor <br />� WBE MBE Completed E-VerifyForm Attached El Yes <br />❑ No <br />Project Name <br />Seitz Park Reconstruction <br />Project Number <br />..... -... ......... _ ......._ .. <br />119-093 <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Seitz Park Reconstruction will include making improvements to and adding <br />new infrastructure such as a new restroom building, lighting, parking lot, <br />landscaping, curb & gutter, handrail, etc. which in some areas these features <br />will encroach into the Gintz Avenue ROW(east side of Stephenson Mills), <br />which has been occupied as pedestrian walkway with existing cub, tree, anc <br />retaining walls for many years now. A roadway existed many years ago. <br />