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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 5/2/19 <br />Department Public <br />Name Becca Plantz Works <br />BPW Date 5/14/19 Phone Extension 5998 <br />_��............. _w ........ .. —6� <br />Rec iirc�l Prior to Submittal to Board <br />BPW Attorney ❑ Attorney Name Clara McDaniels <br />Dept. Attorney Attorney Name <br />Purchasing ❑ <br />Check the <br />Item T..... issions <br />Professional Services Agreement ❑ Contract <br />EJ Open Market Contract <br />❑ Amendment/Addendum <br />Bid Opening <br />0 Bid Award <br />❑ Quote Opening <br />® Quote Award <br />Proposal Opening <br />0 C/O & PCA No. <br />0Chg. Order, No. <br />❑ Traffic Control <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 />arilre 1. Information <br />L Proposal <br />❑l Special Purchase, QPA <br />F Req. to Advertise <br />Reject Bids/Quotes <br />❑ PCA <br />❑ Resolution <br />Ease./Encroach <br />❑ Title Sheet <br />R. Yoder Constr=tiorl, Inc. <br />..Yes If Yes, ,......�. ___ _.,, .. _ ....�.� ......... <br />❑ Approved by Purchasing <br />® No <br />❑ WBE Completed E-Verify Form Attached Nos <br />Century enter Upgrades and Renovations.................��.............�W........................................m����, <br />118-104AR������������� „w <br />Hotel Motel Tax Fund <br />7304.42010.000.0099 <br />$89,500.00 <br />Lump Sum <br />Award quote iormrenovating the Century Centerofficespaces. <br />--------Cling .......w_w� ..... ..m....Increase <br />.. .......... _... <br />... <br />El <br />Amount of <br />$ <br />_. <br />0 <br />Decrease ($ <br />Previous Amount <br />il <br />$ <br />.............. <br />Increase.............................��__ <br />/o........................................................,...........................................................�.�...._.. <br />Current Percent of Change: <br />Decrease <br />( %) <br />New Amount <br />$ <br />Increase <br />......�....... /° <br />TotalPercent of Change: <br />Decrease <br />m.,.,.,.__..�..............................................n.�.........._ �_ <br />Time Extension Amount: <br />............n.,....%).....................................................�r�-......................................................................_. <br />New Completion Date: <br />