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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 6/11/2019 <br />Department Public <br />Name...,, Toy Villa Works..�_...... <br />BPW Date 6/25/2019 Phone Extension 5920 <br />iuir�rcw��r� u,���uuuuuuuuuuWuuuumWuuuuuuuumwwww�uww�wrux,mi�uwwr��,, .ay. ..,.. m�uwmumu�wrviwwwm �rmr,�miimcr��ax�muuuuuuuuuuuuuuuuuuuuuuuuuwmwum¢uu� <br />..- ................m. <br />RNui� cd Prior to Submittal to Board <br />BPW Attorney ❑ Attorney Name <br />Dept. Attorney Attorney Name <br />Purchasing ❑ <br />Check the Appropriate Item Type <br />Professional Services Agreement ❑ Contract <br />Open Market Contract <br />El Amendment/Addendum <br />❑] Bid Opening <br />❑ Bid Award <br />E] Quote Opening <br />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 />ouired Information <br />Prgj' c�Closeout <br />All Submissions <br />jj Proposal <br />Special Purchase, QPA <br />Req. to Advertise <br />E] Reject Bids/Quotes <br />El PCA <br />❑ Resolution <br />�] Ease./Encroach <br />❑ Title Sheet <br />�] Yes <br />No <br />�... <br />..... ......... <br />For Chuiix�e Orders z ._... <br />_ <br />Amount of <br />.. <br />Increase $ <br />Decrease ($ 36 000 00) <br />Previous Amount <br />$ 540,000.00 p m <br />......Increase �..�...._�.�............................%......._.....��.................�............................................m..�.�..�.......�....�r <br />w _............... <br />Current Percent of Change: <br />........................................................... ..............m..m _. <br />Decrease <br />New Amount <br />_%............................._���� . .......... ��..._....................................... <br />$ 504,000.00 <br />Increase % <br />Total Percent of Change: <br />m..... ............... ... . <br />Decrease <br />Time Extension Amount: <br />New Completion Date: <br />........... ...-- ..............m�� <br />