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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 4-29-19 <br />Department <br />Name Scott Horvath Water Works <br />�BPWmmmDate one Extension �.� _......�_ ....... .��_..............._...._ <br />n 5665 <br />�e�u�l�°ed Prior to Submittal to Board <br />BPW Attorney Attorney Name <br />Dept. Attorney ® Attorney Name <br />Purchasing <br />...._ ._. <br />Check the Aonropri tc Item 1 vp <br />Z Professional Services Agreement Contract <br />EJ 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 />Chg. 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 />°cil.,16r All Submissions <br />Information <br />�f Proposal <br />Special Purchase, QPA <br />Req. to Advertise <br />E] Reject Bids/Quotes <br />PCA <br />E] Resolution <br />Ease./Encroach <br />❑ Title Sheet <br />Bac Meter <br />c� <br />Yes If Yes, Approved by Purchasing <br />® No <br />❑ MBE Completed E-Verify Form Attached ❑ Yes <br />❑ WBE FJNo <br />Beacon Meter Readin2 Software mm <br />IT Innovation Fund 279 ( IT Allocation <br />279- 6672-41.5_..-363"....._..._ w ............. <br />-04 <br />$20 700..f?er ..._...year <br />Until 3-25-2022 <br />This is what we use to read the water meters for our monthly <br />billing.,,_,,,,,, <br />V For Cl�r a� gers Only m ,, www <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 ( %) <br />