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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date March 5 2019 <br />Name David Relos Department DCI <br />BPW Date March 12 2019 Phone Extension 5836 <br />AW IIIIIImmII�II�IIl11�mlmlmmmlllllllllllllllWIIWWIiY I nrs,. JPo' M4YpMV�IVI.11 LlU!NflMIIYFfiii UfO gg I �i✓ flNMYIllif�il <br />_..... ..... Ike uixmodl Prior to Submittal to Board ...... <br />BPW Attorney ® Attorney Name Clara McDaniels <br />Dept. Attorney ® Attorney Name Sandi Kennedy <br />Purchasing <br />Check the A propriate Item'"1qy�� <br />._..,�.m.----- ------- <br />.------------- <br />_------ <br />....... ww <br />Professional Services Agreement Contract <br />Open Market Contract ❑ Amendment/Addendum <br />Bid Opening ❑ Bid Award <br />E] Quote Opening ❑ Quote Award <br />E1 Proposal Opening ❑ C/O & PCA No. <br />Chg. Order, No. ❑ Traffic Control <br />Other: <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 />iced Information <br />All Submissions <br />❑ Proposal <br />[❑ Special Purchase, QPA <br />Req. to Advertise <br />Reject Bids/Quotes <br />EJ PCA <br />® Resolution <br />[l Ease./Encroach <br />of Cotr mun.i.tX.Investment <br />❑ Title Sheet <br />Yes U If Yes, Approved by Purchasing <br />❑ No <br />WBECompleted E-Verify Form Attached ❑ Nos <br />Seitz Park & River Walk Improvements <br />COIT / EDIT <br />$69,055 <br />Approve acquisition of river walk properties and authorize David Relos to <br />act on the Board's behalf. <br />For haale Orders Onl <br />Amount of ❑ <br />Increase $ <br />❑ <br />Decrease ($ ) <br />Previous Amount <br />$ <br />Increase <br />% <br />Current Percent of Change: <br />Decrease <br />(.......____%) <br />New Amount <br />$ <br />.......Increase..___�..W_._....... <br />Total Percent of Change: <br />Decrease <br />( %) <br />Time Extension Amount: <br />New Completion Date: <br />