Laserfiche WebLink
BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 3/" /1 <br />Department Waste <br />Name Water <br />BPW Date 3/26/19 Phone Extension 5795 <br />Required Prior ......���� �.._.���....._W_ ......... ..��_.__ ._ <br />q tto Submittal to Board <br />BPW Attorney mmITITITIT WWW �j, Attorney Name McDaniels/Keened <br />Dept. Attorney 0 Attorney Name <br />Purchasing F <br />Check the <br />Professional Services Agreement <br />❑ Open Market Contract <br />Bid Opening <br />EJ Quote Opening <br />Proposal Opening <br />Chg. Order, No. <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 />Amount <br />of <br />Previous Amount <br />Item "l' lae l � rati lbr All Submissions <br />LJ Contract <br />Amendment/Addendum <br />Bid Award <br />El Quote Award <br />C/O & PCA No. <br />Traffic Control <br />Information <br />H Proposal <br />El Special Purchase, QPA <br />FJ Req. to Advertise <br />E] Reject Bids/Quotes <br />❑ PCA <br />❑ Resolution <br />[:] Ease./Encroach <br />is <br />--_�-__S_ e_ rvices��.Ca�a it�Lne Landfill <br />❑ Title Sheel <br />Lj YesLJ If Yes, Approved by Purchasing <br />X No <br />MBE Completed E-Verify Form Attached El Yes <br />WBE ❑ No <br />Amen4ed-Special Waste Di posal Agreement <br />Waste Water <br />641-0630-793.63-3 6 <br />2019 $30.28 per ton, 2020 $31 19 per ton, 2021 $32.,13 per ton <br />Three years mm <br />�.. .... —w_w_----wwww <br />ma_Lal WaqS � <br />For Change Orders Onl <br />Increase $ <br />❑ Decrease($ <br />Current Percent of Change: <br />New Amount <br />Total Percent of Change: <br />Time Extension Amount: <br />New Completion Date: <br />Increase % <br />....................................................... <br />Decrease ( %) <br />Increase % <br />Decrease �..m..�..................�.�w�w�w� <br />