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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date February 28 2019 <br />Name Jacob M. Klosinski Department Utilities <br />BPW Date March 12 2019 Phone Extension Ext. 9496 ........._— w v <br />'�fl19Nfl�91 mmMWMMIWWMW�IIIIW'dXNNdNNNNNN IIIIIIIImIImImIM91WWWIWI <br />........m............................... ...... .,.... ..................�. <br />Bewared Prior to Submittal to Board <br />__ .... .._ _— _ . _ ...... ....�. <br />BPW Attorney ® Attorney Name Clara McDaniels <br />Dept. Attorney Attorney Name Clara McDan.iels <br />Purchasing ® Michael Schmidt Purchasing; Al Greek Director of Utilities <br />Check the Appropriate Item Type -- <br />1-1 Services Agreement F-] Contract <br />F-] <br />Open Market Contract <br />❑ Amendment/Addendum <br />F] <br />Bid Opening <br />❑ Bid Award <br />[:] <br />Quote Opening <br />® Quote Award <br />[� <br />Proposal Opening <br />❑ C/O & PCA No. <br />[� <br />Chg. Order, No. <br />❑ Traffic Control <br />Other: Ratifv Ouote Award <br />. ..._... _...... <br />Reuircd Information <br />All Submissions <br />LJ Proposal <br />E] Special Purchase, QPA <br />0 Req. to Advertise <br />❑ Reject Bids/Quotes <br />[:] PCA <br />Resolution <br />Ease./Encroach <br />❑ Title Sheet <br />Company or Vendor Name F14, s International <br />Yes If YesAro , ppved ------ <br />New Vendor by Purchasing <br />® No <br />MBE/WBE Contractor ❑ WBE Completed E-Verify Form Attached ❑❑ Nos <br />Project Name Or anic Resources FaciIL Flagpole and Installation Services Electrical <br />— ................. Y _ gP .._ (Electrical) <br />Project Number n/a <br />_w <br />Funding Source Utilities, Organic Resources Building Repair &wMaintenance Account <br />Account No. 641-0630-793-36-01 <br />Amount $4,782.00 <br />Terms of Contract Lump Sum — Not to Exceed-- <br />Purpose/Description The Division of Utilities requests the Board of Public Works ratify the Quot, <br />award for the s lbjec t wygrk. The work wqs completed__ in 2018 and approve( <br />by -Public Works and Purchasin . <br />For C �anpS Orders C l "_...__ . <br />Amount of Increase <br />Decrease ($ ) <br />Previous Amount <br />Current Percent of Change: <br />New Amount <br />R <br />Increase % <br />Decrease ( %) <br />Increase % <br />Total Percent of Change: Decrease ( % <br />Time Extension Amount: -- <br />New Completion Date: <br />