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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 3/19/2019 <br />Department Public <br />Name Zach Hurst Works <br />BPW Date 3/26/2019 Phone Extension 3057 <br />uuuuuuuuuuuuuuuv� momim uuuuuuuuuumm ;JYIAlUMMIM A <br />_.._...... _.._. _...w . Required Prior w or to Submittal to Board �__ IT� _........_......_� <br />BPW Attorney [� Attorney Name <br />Dept. Attorney] Attorney Name <br />Purchasing ❑ <br />Check the A <br />Item Ty - Requi ed. r All Submissions <br />Professional Services Agreement E] Contract <br />Open Market Contract <br />❑ Amendment/Addendum <br />❑ Bid Opening <br />Bid Award <br />Quote Opening <br />❑ Quote Award <br />Proposal Opening <br />❑ C/O & PCA No. <br />E] Chg. Order, No. <br />El Traffic Control <br />[I 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 />uired Information <br />Proposal <br />Special Purchase, QPA <br />❑ Req. to Advertise <br />® Reject Bids/Quotes <br />PCA <br />Resolution <br />Ease./Encroach <br />Yes( If Yes, Approved by Purchasing <br />No <br />❑ Title Sheet <br />❑ MBE Completed E-Verify Form Attached ❑❑ Nos <br />❑ <br />WBE <br />320 at the Cascade - Com-posite Wall Panels <br />118-074C .,�,� �-.. ._e.�...... <br />River East TIF <br />429-1050-460-42.02 <br />Reject bids for Division Qpertaining to the Composite Wall Panels, for beit <br />non -responsive. <br />.w_ _ ................. <br />For Change Orders Only ... <br />Amount of Increase $ <br />Decrease ($ ) <br />Previous Amount <br />Current Percent of Change <br />New Amount <br />Total Percent of Change: <br />Time Extension Amount: <br />New Completion Date: <br />Increase % <br />Decrease ( %) <br />Increase _ % <br />Decrease (m % <br />