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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date June J, 2019. <br />Name Scott <br />Department Public <br />Works <br />BPW Date Jane 11 2019 Phone Extension 9245 <br />IMMUNE �M IVNNb9M II!91WNiY�YW��tlIW�M9IW.YIW�Wi�VNMM1m...... / <br />._.� ._ .............. _... ....................... <br />ITITIT IT ITmm mm... o red Prior to Submittal to Board �m <br />................._ ... <br />...................... <br />BPW Attorney ® Attorney Name Clara McDaniels <br />Dept. Attorney Attorney Name <br />Purchasing ® Michael Schmidt <br />Check the Appropriate Item Type - <br />❑ Professional Services Agreement R Contract <br />Open Market Contract <br />❑ Amendment/Addendum <br />E] Bid Opening <br />® Bid Award <br />Quote Opening <br />EJ Quote Award <br />❑ Proposal Opening <br />n C/O & PCA No. <br />[] Chg. Order, No. <br />El 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 />Proposal <br />LJ Special Purchase, QPA <br />® Req. to Advertise <br />❑ Reject Bids/Quotes <br />PCA <br />❑ Resolution <br />Ease./Encroach <br />❑ Title Sheet <br />Core and Main LP <br />............. <br />............. <br />............ <br />.�� m.� ......_ <br />❑ Yes[:] If Yes, Approved by Purchasing <br />�] No <br />❑ MBE Completed E-Verify Form Attached ❑ Nos <br />❑ <br />WBE <br />DIP + Valves + Hvdrants Material Bid <br />119-034 <br />Water Works Operations <br />620-0640-606.23.62 <br />$702,159.00 <br />Unit Price Not to Exceed <br />Awardbase bid <br />For <br />oChange Orders my <br />Amount of <br />- _ ___M m...._._. _ . <br />Increase $ <br />E] <br />Decrease ) <br />Previous Amount <br />$ �� <br />....... w — <br />Increase <br />.. <br />_ % <br />Current Percent of Change: <br />Decrease <br />(_wwwwwwww m-%) - <br />New Amount <br />$ <br />Increase <br />/o <br />Total Percent of Change: <br />Decrease <br />J. %) _.�.._.....✓ <br />Time Extension Amount: <br />New Completion Date: <br />