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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date May 7y,2019............................................... _ <br />Name Pam Mever _ Department DCI <br />BPW t Ma 4 2019 PhExtension 5845 <br />9 �A µl, � my='HA«y �AA w �one ��IN�HIMMEHIaMMUffil MENNOMP, <br />uired. Prior to Submittal to Board <br />BPW Attorney [ Attorney Name Clara McDaniels <br />Dept. Attorney [v]� Attorney Naive Sandra Kennedy <br />Purchasing <br />...n .... <br />[v]� Michael Schmidt <br />Check the At)Dropr late Item d Vpe — l ec}uir ed <br />ProfessionalAgreement CContract <br />Open aac <br />[Amendment/Addendum <br />0 Bid Opening <br />❑ Bid Award <br />Quote Opening <br />E] 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 />Information <br />All Submissions <br />H Proposal <br />[- Special Purchase, QPA <br />Req. to Advertise <br />❑ Reject Bids/Quotes <br />PCA <br />Resolution <br />Ease./Encroach <br />.... <br />❑466 Works Comm uPD�vcYi.u..ent C <br />�aporation <br />Yes ❑If Yes' Approved b Purchasing <br />R No <br />For C'haulge OrdersOnly <br />Amount of ❑I 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 (..w % <br />❑ Title Sheet <br />