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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date February 28 2019 <br />Name Jacob M. Rlosinslti Department Utilities <br />BPW Date March 122019 Phone Extension Ext. 9496 <br />mnrnerv�x� wow �wwwmuuuuuwwwwwuwwwwwwww�wwww��.��--. <br />Inc u� ire_d Prior to Submittal to Board <br />BPW Attorney ® Attorney Name Clara McDaniels <br />Dept. Attorney <br />Purchasing <br />Check the <br />Attorney Name Clara McDaniels <br />Michael Schmidt Prrrchasin . AI Greek Director of Utilities <br />Item Tvve R <br />ILj Professional Services Agreement ❑ Contract <br />R <br />Open Market Contract <br />❑ Amendment/Addendum <br />Bid Opening <br />❑ Bid Award <br />R Quote Opening <br />® Quote Award <br />❑ Proposal Opening <br />❑ C/O & PCA No. <br />Chg. Order, No. <br />F-1 Traffic Control <br />Other: llatifv Ouote Award <br />Rquired Information <br />All Submissions <br />............. <br />Proposal <br />Special Purchase, QPA <br />E] Req. to Advertise <br />❑ Reject Bids/Quotes <br />PCA <br />❑ Resolution <br />Ease./Encroach <br />❑ Title Sheet <br />Company or Vendor Name <br />Underground Pipe & Valve, Inc. <br />New Vendor <br />Yes If Yes, Approved by Purchasing <br />® No <br />MBE/WBE Contractor <br />❑ WBE Completed E-Verify Form Attached ❑❑ Nos <br />Project Name <br />Beck's Lake Control Valve — Materials Procurement <br />Project Number <br />n/a <br />Funding Source <br />Utilities, Sewage Works Operating Funds, Multiple Accounts <br />Account No. <br />641-0630-793-23-62 and 641-0630-793-23-10 <br />Amount <br />$15 246.0w� �.�._............_....a.�d�............._ <br />0 <br />Terms of Contract <br />..,., m t to Exceed <br />Lump Sum—N o�. . .........� <br />Purpose/Description The Division of Utilities re nests the Board of Public Works ratif r the uot, <br />Award for the subject work. The work was com let d in 2018 and a roves, <br />by Public Works and Purchasing. <br />For Chair � Orders Only <br />Increas.. _._..w... <br />�me $ <br />Amount of ❑ __ ... _ ........... _ ... <br />❑, Decrease ($ ) <br />Previous Amount <br />Current Percent of Change: <br />New Amount <br />Increase % <br />Decrease ( % <br />Increase <br />(... <br />Total Percent of Change: Decrease .......% <br />Time Extension Amount: <br />New Completion Date: <br />