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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 05/06/2019 <br />...... _ <br />Name Jeff Hudak Department Central Services <br />BPW Date 05/14/2019 Phone Extension 574 235 9316 <br />„ <br />_.... _ .Reu.. a.........o B®� lireoS�mittal toard <br />Legal Attorney Namea 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 />Gheck the <br />Agreement <br />Professional Services <br />Bid Opening <br />Quote Opening <br />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 />)ro )date Item Type 1 e:p <br />.� Contract <br />Amendment <br />Bid Award <br />[.,. Quote Award <br />C/O & PCA No. <br />Traffic Control <br />.l for All Submissions <br />Proposal <br />Addendum <br />❑ Req. to Advertise ❑ Title Sheet <br />aired Information <br />❑ PCA <br />❑ Resolution <br />��.�] Claim <br />�—j 'des [ _ J Yes, Approved by Purchasing <br />No <br />mq MBE Completed E-Verify Form Attached - Yes <br />WBE �.m.J No <br />Spec G — Two (2) more or less 3 Yard Front End Rubber Tire <br />Loaders <br />9 Sewer Department Capital Budget <br />2019 642 0 21t 415.43 02 (S Budg <br />et <br />M_ <br />(Sewer) <br />622-0640-415.43 02 (W,ater) <br />$475,318.00 $177,781.00 Sewer ($297,.. <br />537 00 Water) <br />Opening Bid Date: <br />For Charge Orders Onl <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: <br />Copy Original <br />® El <br />® ❑ <br />Dispersal After Approval <br />Jeff Hudak <br />� .... <br />Roxanne Lawson & Al Greek <br />Terri Swift <br />