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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date July 2019 <br />Name David Relos Department DCI <br />yMAfla ate Jul 23 2019 Phone Extension 5836 <br />µ , , rOMPAYAN w= _ <br />k c � ud Prior to Submittal _.......... aw <br />_ w..... N to Board <br />_.. ®__.� ...... . 6 ........�.........._... _..... <br />BPW AttorneyAttorney Name Clara McDaniels <br />Dept. Attorney M Attorney Name Sandi Kennedy <br />...... .... .. ---- .................. <br />Purchasing <br />mm Check the A .p opriate Item1-1111 l c yi <br />Z Professional Services Agreement <br />[—] Contract <br />Open Market Contract <br />❑ Amendment/Addendum <br />E] Bid Opening <br />Bid Award <br />Quote Opening <br />❑ Quote Award <br />Proposal Opening <br />[:] C/O & PCA No. <br />❑ Chg. Order, No. <br />E, Traffic Control <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 />Information <br />_............. _ <br />��l ,�� All Submissions, <br />LJ Proposal <br />[]! Special Purchase, QPA <br />EJ Req. to Advertise <br />❑ Reject Bids/Quotes <br />PCA <br />�❑ Resolution <br />Eas..... <br />Four right of way clean up / street dedications <br />.............................................. ---- ._..n...,...n..m.,....m,.,........................................... <br />..T <br />COT I EDL...- - -- <br />408-1050-460-31.11 <br />$29,50 <br />❑ Title Sheet <br />Survey services to prepare legal descriptions, create outlots, and ultimately <br />dedicate the street. <br />................. <br />For Change Ord <br />ers Only <br />Amount of El Increase $ <br />❑ Decrease <br />.............. _m.��............................................................._. <br />Previous Amount $ <br />Current Percent of Change: <br />New Amount <br />Total Percent of Change: <br />Time Extension Amount: <br />New Completion Date: <br />Increase % <br />Decrease ( %) <br />Increase % <br />Decrease ( % <br />