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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 5/10/2019 <br />Name Dare Bucl'kenme er Department DCI <br />m...... <br />BPW Date <br />2/2019 Phone Extension 5328iiiiiiiiiiiiiiiinimi <br />l ec i 'd Prior to Submittal to Board <br />W Attorney Attorney Name <br />Dept. Attorney ❑, Attorney Name Sandra Kennedy <br />Purchasing <br />Check the App o ar gat Item l c u <br />Opensional Contces ract actAgreement �'', Contract <br />p ❑ Amendment/Addendum <br />Bid Opening Bid Award <br />❑' Quote Opening Quote Award <br />Proposal Opening ❑I C/O & PCA No. <br />❑ Chg. Order, No. ❑ Traffic Control <br />E 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 />LJ Proposal <br />Special Purchase, QPA <br />E Req. to Advertise <br />❑ Reject Bids/Quotes <br />PCA <br />Resolution <br />Ease./Encroach <br />❑ Title Sheet <br />Early Childhood Alliance <br />.. ....A. .. ...... � �..... <br />Yes ❑ If Yes, Approved by Purchasing <br />® No <br />MBE Completed E-Verify Form Attached Yes <br />Fj WBE ❑ No <br />Pathways On Demand Proeram <br />EDIT <br />404-1001-460-39.30 <br />$11,427.30 <br />Training programs to train necessary skills to under skilled workers to meel <br />labor needs in the community. <br />._.�....w....._ ForwChaii Orders Only <br />..._..... <br />Amount of ❑ Increase $ <br />Decrease$ ) <br />Previous Amount $ <br />Current Percent of Change <br />New Amount <br />Increase % <br />Decrease ( % <br />Increase % <br />Total Percent of Change: Decrease <br />Time Extension Amount: <br />New Completion Date: <br />