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BOARD OF ]PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date August 7, 2018 <br />Name Tara Weigand <br />Department <br />Division/Bureau <br />Public Works <br />Engineering <br />BPW Date August 14, 2018 Phone Extension 5998 <br />.M_Ie ..uiied Prior to aubmitta <br />..� �-..�_�.... .......... _.._._..__.._.........._..,.9�� ..�.. <br />I to Board <br />Legal ® Attorney Name: Clara McDaniels <br />Controller ❑ Controller review is required for all Contracts $5,000.00 or more and <br />greater than one year in length per the City Purchasing Policy <br />Purchasing ❑ <br />_ Check the <br />Agreement Amendment <br />® Professional Services <br />Bid Opening <br />El Quote Opening <br />Change Order No. <br />Ease/Encroach. <br />F] Other: <br />Company or Vendor Name <br />" priate Item Type - <br />Contract <br />El Resolution <br />EBid Award <br />❑ Quote Award <br />❑ C/O & PCA No. <br />❑ Traffic Control: <br />New Vendor <br />MBEANBE Contractor <br />MBE/WBE Contractor Requested <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Amount of LJ Increase <br />Decrease <br />Previous Amount $ <br />Current Percent of Change: <br />New Amount <br />Total Percent of <br />for All.. ul <br />ITProposal <br />Req. to Advertise <br />PCA <br />Addendum <br />❑ Title Sheet <br />Crumlish and Crumlish Architects, Inc. <br />Yes [] No If Yes, Approved by <br />Purchasing _ <br />�B E�WB E....­�__�­....._._......_.._.�_�­�.­�­­�..... <br />.... �.�.... __...�........... <br />No Yes Name of Comrmm....w.w <br />2018 County City Buildincg Remodel <br />CO I T.. �.......................................... _ �......... <br />404-0617-431.36-01 <br />$ 25,500,00 <br />Lump Sum <br />Design Services for remodels for Admin and Finance„ <br />Required Contractor's Certification Forms Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) <br />H <br />DispersalmAfter Approval <br />Copy <br />Original <br />® <br />❑ Kara Boyles, City Engineer <br />® <br />❑ Adam Parsons, Central Services <br />