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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date July 16, 2019 <br />Name Charlotte Brach Department Engineering <br />BPW Date Jul 23 2019 Phone Extension 9246 <br />mnwa�mo�oi0000mmmimimi�ii�mimimmmmimimimi�m�.wu�,�,�r..w�,. �M,k!,p,�000m000 i�uuuuuwvmw�wwan�miv�r»� ...�W.H�,���,�ueu�annmvrrmnm� uuow�;r�armmw�aummu��rwr�m�rrrtm���m�... ,�i�nNarr��;rr� <br />�; irgd Prior to Submittal to Board <br />BPW�Attorney � Attorney <br />Name <br />Dept. Attorney Attorney Name <br />Purchasing �] <br />Check the Ate <br />❑ Professional Services Agreement <br />❑ Open Market Contract <br />❑ Bid Opening <br />Quote Opening <br />Proposal Opening <br />Chg. Order, No. <br />E] 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 />Its Item I <br />Contract <br />❑ Amendment/Addendum <br />❑ Bid Award <br />® Quote Award <br />C/O & PCA No. <br />Traffic Control <br />uired Information <br />All Submissions <br />Proposal <br />[_J Special Purchase, QPA <br />0 Req. to Advertise ❑ Title Sheet <br />❑ Reject Bids/Quotes <br />❑ PCA <br />Resolution <br />Ease./Encroach <br />Ritschard Bros ., Inc. <br />.............. .. ._... <br />❑Yes If Yes Approved by Purchasing .......................m. <br />® No <br />❑ MBE Completed E-Verify Form Attached Yes <br />❑ WBE [� No <br />2019 Demolitions. Phase I <br />119-035 <br />WWCDA TIF/RWDA TIF/E........D.............. IT <br />422.1050.460.42.01 /324.105 .4 0.460.42........1 <br />01/408.1050....�.....................� <br />460.36.01 <br />115,365.00 <br />Base Bid -.._. ............... <br />. <br />For "haq%q Orders !tl _ <br />Amount of <br />Increase $ <br />_.� __..._..m <br />Decrease ($ ) <br />Previous Amount $ <br />Increase % <br />Current Percent of Change: Decrease <br />New Amount _ <br />Increase /o <br />Total Percent of Change: Decrease %) <br />Time Extension Amount: <br />New Completion Date: <br />