Request to Advertise - Spec J One or More 2019 or Newer Front Wheel Drive Cargo Vans

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BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date April 1, 2019 Name Jeff Hudak Department Central Services BPW .a��kM CNN 35-9316 Date A ri 9 2019 Phone Extension 574-2 Required Prior to Submittal to Board Legal ® Attorney Name Clara McDaniels�mm� _........_____ _._..��_...-_.. _. Controller ❑ Controller review is required for all Contracts $5,000.00 or more and greater than one year in length per the City Purchasing Policy Purchasing ® Michael Schmidt _ Check the A ❑ Agreement E] Professional Services ❑ Bid Opening Quote Opening Change Order No. Ease/Encroach. El Other: Company or Vendor Name New Vendor MBE/WBE Contractor MBE/WBE Contractor Requested Project Name Project Number Funding Source Account No. Amount Terms of Contract Purpose/Description Amount of ,ropriate Item Tyke — �' Contract ❑ Resolution ❑ Bid Award ❑ Quote Award ❑ C/O & PCA No. — ❑ Traffic Control fired for All Submissions Proposal ® Req. to Advertise Required Information No El If Yes, E WBE ❑ PCA Purchas Addendum ❑ Title Sheet F1 No El Yes Name of Company mmmmmmmm Spec J — One (1) or More 2019 or Newer Front Wheel Drive Cargo Van 2019 Water Works Coital Budget .... 622-0640-415-43-02 Bid Opening Date: May 14, 2019 ❑ Required Contractor's Certification Form Attached (Non - Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc. _.. _.. ......m__..m __...RegL ired�For Chan9t Orders Only _.._ Increase $ Decrease � ..� � — ......___...._ ............. ........ __ Previous Amount $ .............. ...... Current Percent of Change,. % New Amount $ Total Percent of Change: % Dispersal After Approval Copy Original ® ❑ Jeff - Hudak ® [�Roxanne .—_.__......_......._...._....�........_..._... �_�... ne Lawson ......_........... . ..._ . �. �.m...._ mm........... ................. ® El Al Greek