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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date June 6,16 <br />..._ .... <br />Name Carl Littrell <br />--- —._._.... <br />Public Works—Eng. <br />BPW Date Next Available <br />Phone Extension 9149 <br />I2eeluued Prior to Submittal to Board <br />BPW Attorney X <br />Attorney Name Clara McDaniels <br />Dept. Attorney ❑ Attorney Name _ <br />Purchasing ❑ <br />_ <br />uafe Item I ylto 12¢q,uu cil %ni Adl Subraessaons _Check the A <br />❑ <br />Professional Services AgreementFll�l-trjr <br />❑ Contract ❑ Proposal <br />❑ <br />Open Market Contract <br />❑ Amendment/Addendum <br />❑ Special Purchase, QPA <br />❑ <br />Bid Opening <br />❑ Bid Award <br />❑ Req. to Advertise ❑ Title Sheet <br />❑ <br />Quote Opening <br />❑ Quote Award <br />❑ Reject Bids/Quotes <br />❑ <br />Proposal Opening <br />❑ CIO & PCA No. _ <br />❑ PCA <br />❑ <br />Chg. Order, No. _ <br />❑ Traffic Control <br />❑ Resolution <br />X Other: Release Easement <br />Ease.fEnen sch <br />Required Information <br />Company or Vendor Name <br />Five Owners, LTC <br />New Vendor <br />❑ Yes❑ If Yes, Approved by Purchasing <br />❑ No <br />MBE/WBE Contractor <br />❑ MBE Completed E-Verify Form Attached ❑ Yes <br />ElWBE ❑ No <br />Project Name <br />......-- <br />Project Number <br />-- -....... .. .....__.._ <br />Funding Source <br />__._.._ <br />Account No. <br />......._ <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Release of Easement allows Five Corners to create a legal lot for developme <br />of "Hayes Towers," an office building to be constructed along South Bend <br />Avenue at Corby Street. <br />For Clrangc Oxders,Only <br />