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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Dept. Attorney E Attorney Name <br />Purchasing <br />ervices Agreeme tmm��l� Contract <br />Professional S Check t e �o �r�ate Item "l <br />❑ Open Market Contract El Amendment/Addendum <br />❑ Bid Opening ❑ Bid Award <br />Quote Opening ❑ Quote Award <br />El Proposal Opening 0 C/O & PCA No. <br />0 Chg. Order, No. El Traffic Control <br />EI_Other: <br />.......... <br />a <br />All Submissions _.... <br />L_J Proposal <br />El Special Purchase, QPA <br />El Req. to Advertise <br />Reject Bids/Quotes <br />❑j PCA <br />Resolution <br />❑ Title Sheei <br />etAed�...Information <br />� ... <br />Companyor Vendor Name <br />._.. & Veatch �o�• oration <br />Ye <br />New Vendor <br />IfYes pp ,�...�. .. sin ....��_.............. � ... mm� <br />� es, Approved b Purchasing <br />g <br />® No <br />MBE/WBE Contractor <br />❑ MBE Completed E-Verify Form Attached ❑ Yes <br />❑ No <br />Project Name <br />at <br />Water Treatment � <br />t Improvements Sequencing Plan <br />.....� _.. ..,.,.,-.�.._�M....... <br />Project Number <br />................a................� e�_. �_ . �...n_�..�.........�....��.. <br />119 03 <br />Funding Source <br />Water Capital <br />�e <br />Account No. <br />06 0-658-3102 <br />Amount <br />_ <br />Terms of Contract <br />Lump Sum; 5 months <br />.. <br />This data <br />o-Purpose/Description project nclude fasks t <br />model prmodel <br />calibration, and construction <br />sequencing of major capital impovnm( <br />g <br />2019-2022.. <br />..w� .. �. � _ ..... <br />For C,lia age OrdersmOit <br />Amount of <br />El <br />_..... <br />Increase $ <br />.�............���.�....... <br />�m <br />Decrease <br />Previous Amount <br />$ <br />..��.�............�.�.��,_�......%...............��.—...................�__�............m.......____..��........wv_.�.�...�..............��......��. <br />Increase <br />Current Percent of Change: <br />�.� <br />0 <br />Decrease ( /o) <br />New Amount <br />Increase /o <br />Total Percent of Change: <br />Decrease ( % <br />Time Extension Amount: <br />w ...... ate: <br />...._ me�Completionm.D_ <br />.��..m..n� <br />