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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date5/2/19.......................................................................................................................... ��...._........e.e.e. — <br />Name Kim Thompson_--- Utilities <br />BPW Date 5-14-19 Phone Extension 5969 <br />� flflWk+WMlIUUUAUAU55 gHHHNF�WIMYiINfilhSfiiN�VFkNFHAfMNANHkHkI�/,il/e� WMI�I�pMINImItlIMIi�IIIIIIIIIIMINIIIPIIW'NIII'W4WWIWI�llV�WWWW!BMW':�VIDINWPoMViVIVdV9iV1�Wi�VIP� <br />1... <br />lc urn cd Prior to Submittal to ............._........ ...... <br />.... _ ......._.. _...... ..__� ._ . Board <br />BPW Attorney ® Attorney Name Clara McDaniels <br />Dept. Attorney F-I Attorney Name <br />Purchasing <br />Check the A p omiat Item "I`v re — <br />® Professional Services Agreement Contract <br />❑ Open Market Contract <br />❑ Amendment/Addendum <br />E] 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 />ElOther: <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 />uir d Information <br />All Submissions <br />LJ Proposal <br />Special Purchase, QPA <br />❑] Req. to Advertise <br />E] Reject Bids/Quotes <br />EI PCA <br />E] Resolution <br />Ease./Encroach <br />------- <br />❑ Title Sheei <br />Infosend <br />❑j Yes❑ If Yes, Approved by Purchas <br />ing <br />Z No <br />�I MBE Completed E-Verify Form Attached ElNos <br />WBEBill Print and Mailing <br />Water Operations and Maintenance <br />620-0640-657.31-35 <br />Various fees based on pieces and sizes <br />3 vears <br />_Integrate with the current and new CIS system to print and mail bills. <br />....n.. <br />........ <br />For Chan eOrders Only. ... ....... <br />Amount of � <br />Increase <br />Decrease <br />Previous Amount <br />$ ---- <br />_ ...._.n.....� ��.....�.�. <br />__..._......................................................._.....................r�........... <br />Increase <br />rease <br />.......... .... <br />% <br />Current Percent of Change: <br />Decrease <br />( %) <br />New Amount <br />$ <br />Increase <br />% <br />Total Percent of Change: <br />Decrease <br />( %) <br />Time Extension Amount: <br />New Completion Date: <br />m. .............. <br />