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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date June 28, 2019 <br />Name Charlotte Brach Department Engineering <br />BPW Date Julv 9, 2019 Phone Extension 9246 <br />'i1'" 4fi MgWWN�I"eYOpNN�OMtlMtl�MNNN lV i W01111 <br />.. �... � etuired Pnor to Submittal to Board <br />BPW Attorney Attorney Name Clara McDaniels <br />Dept. Attorney ❑ Attorney Name <br />Purchasing <br />Check the A <br />Item Tvi <br />® Professional Services Agreement Contract <br />Open Market Contract <br />❑ Amendment/Addendum <br />Bid Opening <br />❑ Bid Award <br />Quote Opening <br />❑ Quote Award <br />❑ Proposal Opening <br />❑ C/O & PCA No. <br />0 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 />Proposal <br />Special Purchase, QPA <br />E] Req. to Advertise <br />Reject Bids/Quotes <br />[❑ PCA <br />Resolution <br />Ease./Encroach <br />A. Dzierla AIA & Associates, Inc. <br />YesL If Yes, Approved by Purchasing <br />No <br />❑ Title Sheet <br />❑ WBE Completed E-Verify Form Attached NoF]es <br />Vested Interest Building Roof Repair <br />w —�,,,.......................�.�.�.�.�.�.�........�.�.�.�...�.�s_...�. <br />119-049 <br />RWDA TIF...m.._ .......................m <br />324-1050-460-42.02 <br />$3,800 <br />Lumn Sum <br />Joseph A. Dzierla has been hired to provide bid specifications and drawings <br />for repairing the roof on the Vested Interest Building, owned by David Zikei <br />For Cha:!�g Orders wOnl <br />..W _...... <br />Amount of Increase $ <br />Ej Decrease ($ ) <br />Previous Amount $ <br />Increase <br />Current Percent of Change: Decrease <br />New Amount $ <br />Increase <br />Total Percent of Change: Decrease <br />Time Extension Amount:. <br />New Completion Date: <br />a/o <br />