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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 'Mal l 7 019 <br />Name.Andrew Netter Department DCI <br />.....�e...—_m � _ <br />BPW Daqy,� <br />nmdl�-kf',�� alHw�M . Phone EXtewalnllllllliu ......... <br />n 5931 <br />' 1,IMN­MM " pryYRIIO Nkkkku�(.NM� <br />iced Prior to Submittal to Board <br />ne ..... <br />BPW Attorney AttorneyName la a McD—anic _ s <br />_. 6 .. . _.�.......ro <br />Dept. Attorney <br />Purchasing <br />Professional Sci-vies <br />Open Market Contra <br />❑ Bid Opening <br />E] Quote Opening <br />Proposal Opening <br />Chg. Order, No. <br />Other: <br />[I Attorney Name <br />❑ Michael Schmidt <br />Mgr et meta L] Contract <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 />Sandra Kennedy <br />n Amendment/Addendum <br />E] Bid Award <br />[❑ Quote Award <br />0 C/O & PCA No. <br />❑ Traffic Control <br />aired Information <br />'r All P oposabmissions --' . <br />Special Purchase, QPA <br />Req. to Advertise ❑ Title Sheet <br />Reject Bids/Quotes <br />PCA <br />'Resolution, <br />Ease./Encroach <br />❑YWorks466 Cc. a n Lr� i De rcl Ippic 'o poi ation <br />e If Yes, Approved by Purchasing ��- <br />® No <br />❑ MBE Completed E-Verify Form Attached � Yes <br />❑ WBE [I No <br />�rtv Transfer for New HoLrsi Construction-466 Works <br />�.�.. <br />18JO15 _...----- <br />a �.... _. _. _,_ ....... ............. _ ....... <br />14.2019 <br />Transfer residential constructionper ne <br />w <br />Housing Construction Agreement and Firs Addendum 466 <br />Works <br />..._...� .._ .. $ _ age Orders O> <br />For Chaj <br />Amount of El Increase <br />[:1 Decrease $ ) � � <br />Previous Amount <br />Incr '...— ... <br />ease / <br />$ 0 <br />Current Percent of Change: Decrease /o) <br />New Amount <br />Increase /o <br />Total Percent of Change: Decrease %) <br />Time Extension Amount: <br />New Completion Date: <br />