Laserfiche WebLink
BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 6/13/2019 <br />Department <br />Name Toy Villa ® Engineering, <br />BPW Date 6/25/2019 Phone Extension 5920 <br />�� �� �������� wiwuw�vwuuuuuumm�mmmmmmmmmwimimi�v uwmwuumw�wiw.w.mwm.�rurv�i.... vx�mww�r�rv�mvuvuuura�i�u�uuuuuuuuuuuuuuuuuuuuuuuuuuuuuuumuumwmwuwimuwimuwwM.w mrmum�a�rx ��, <br />..,,�.�,,...._........__.. <br />Rc�.cd Prior to Submittal to Board <br />BPW Attorney Attorney Name <br />Dept. Attorney Attorney Name <br />Purchasing 1:1 <br />Check the Appropriate Item Type ,.-• <br />E Professional Services Agreement n Contract <br />[l Open Market Contract ❑ Amendment/Addendum <br />❑] Bid Opening <br />❑ Bid Award <br />❑ Quote Opening <br />Quote Award <br />E] Proposal Opening <br />® C/O & PCA No. 1 Final <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 />Information <br />All Submissions <br />H Proposal <br />E] Special Purchase, QPA <br />Req. to Advertise <br />[:] Reject Bids/Quotes <br />PCA <br />F] Resolution <br />Ease./Encroach <br />❑ Title Sheet <br />Riet 1 ily Construction Inc <br />_._W........... Yes...... .�. ... LL Co., ____ .�...... . . . .._._ . w..........� ___m� <br />If Yes, Approved by Purchasing <br />No <br />MBECompleted E-Verify Form Attached ❑ Nos <br />McKm ey Avenue&..Freemont...Park Improvements .................................___................................................ <br />118-072 <br />LRSA..... <br />251.0608.431.42.96................................................. <br />Project Closeout <br />............ <br />For Chang Orders Only <br />Amount of Increase <br />Decrease $ 3,484.00) <br />Previous Amount $ 92,017.00 <br />Increase % <br />Current Percent of Change: Decrease <br />New Amount $ 88,533.00 <br />Increase /o <br />Total Percent of Change: Decrease (3.79% <br />Time Extension Amount:, <br />w... ..................... <br />New Completion Date: <br />