|
BOARD OF PUBLIC WORKS
<br />AGENDA ITEM REVIEW REQUEST FORM
<br />Date 05/06/2016
<br />Name Jeff Hudak
<br />Department Central Services
<br />BPW Date 05/14/2019 Phone Extension 574 235 9316
<br />,,a ....i,,,; ,�. .�,,,, y�;, �..1r.JRlNis wdi ,�rtni �¢,,,ii,� ��,� ir„ti� 72vf,.rva..S ✓,�u)➢�`FLI%, is ,,, ,i ;mile „�,�,, ,;, .Y,, ,. rnv .r ,�m�v�,��� ui.�w[,^�:.:Yfil➢.U96f,'r,°ld d ii ,,,,
<br />Rocfuired Prior to Submittal to Board _...._ _� .... ..... .. _ .........
<br />Legal Attorney Name Clara McDaniels
<br />Controller review is required for all Contracts $5,000.00 or more
<br />Controller ❑ and greater than one year in length per the City Purchasing
<br />Policy
<br />Purchasing ❑ Michael Schmidt
<br />Check the .Aow c�-.ate Item Type —
<br />„.] Agreement
<br />El Professional Services
<br />�,,,I' Bid Opening
<br />El Quote Opening
<br />E] Chg Order No.
<br />Ease./Encroach.
<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 />Copy
<br />Original
<br />E
<br />El
<br />®
<br />❑
<br />®
<br />El
<br />[--, Contract
<br />El Amendment
<br />Bid Award
<br />] Quote Award
<br />El C/O & PCA No
<br />❑ Traffic Control
<br />for All Submissions
<br />Proposal
<br />❑ Req. to Advertise
<br />uired Information
<br />❑ PCA
<br />❑ Resolution
<br />Claim
<br />Addendum
<br />❑ Title Sheet
<br />Yes 'If No Yes, Approved by Purchasing
<br />E,�
<br />( MBE Completed E-Verify Form Attached El Yes
<br />WBE ❑ No
<br />Spec B — Two (2) more or less 2018 or newer27 Cubic Yard
<br />Single Arm Side Loading Refuse Trucks
<br />2019 Solid Waste Capital Lease & Interest
<br />8.0
<br />st
<br />611-0610-415.38.01 Interest:6110 610-415.32
<br />$719„498.00
<br />..... ... _
<br />— ........ _ _
<br />Opening Bid Date:
<br />For Ghan
<br />Orders Only
<br />Dispersal After Approval
<br />Jeff Hudak
<br />Kelly Smith & Susan Zeeb
<br />AI�Greek
<br />
|