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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date July 3,, 2019 <br />Name Kara Bovles <br />Department: Engineering <br />BPW Date July 9, 2019 Phone Extension 5933 <br />ar�r� iuiwuuwuumr���He -,., � ram ,,,,,,,,,,,*aa�ui�mommrmUrt�i�u��iHix�riHuuuunininmmuuw� irr�r�mm�m�rrc� i,;rudu .. „mmmvmiew�. _,o���,� y�ues���w��mrmxrmw�a.� <br />l�cquire V Prior to Submittal to Board I <br />BPW Attorney _._.._._ Attorney Name Clara McDaniels <br />Dept. Attorney ] Attorney Name <br />Purchasing 1-1 <br />Check the prwo a �atc Item "I ype - ILeyldr <br />Professional Services Agreement Contract <br />Open Market Contract E] Amendment/Addendum <br />Bid Opening] Bid Award <br />E] Quote Opening ❑ Quote Award <br />Proposal Opening I] C/O & PCA No. <br />�] Chg. Order, No. Traffic Control <br />Other: Restated and <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 />Lured Information <br />(')rµAll Submissions <br />❑ Proposal <br />❑ Special Purchase, QPA <br />Req. to Advertise ❑ Title Sheet <br />Reject Bids/Quotes <br />❑ PCA <br />[� Resolution <br />❑ Ease./Encroach <br />St Ameel)h COLUity lc2imaa1 Sewer and Water District <br />E] Yes ❑ If Yes, Approved by Purchasing <br />] No <br />For Change Orders !Only <br />Amount of Increase $ <br />Decrease ($ ) <br />Previous Amount $ <br />Increase % <br />Current Percent of Change: Decrease ( % <br />New Amount $ <br />Increase % <br />Total Percent of Change: Decrease_...%)................................r..� ��.... <br />_..................................................... _... ��� , ....................... <br />Time Extension Amount: <br />..n...._ _. _.� <br />New Completion Date: <br />