Laserfiche WebLink
BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 7/15/19 <br />Department Public <br />Name Becca Plantz Works <br />BPW Date 7/23/19 Phone Extension 5998 <br />��sram�rerr��uuuuuuuuuuuuuuuuumWmWmWuummu�ui�siM��rmrtmrmvwm��umvmv✓�e _ ��� � muuw�mmm�mmmm�mmmmmmmm watnrmm!mm�a�x m wi�wa�mi�ir �m�mwwa <br />Re ired Prior to Submittal to Board <br />BPW Attorney ❑ Attorney Name <br />Dept. Attorney ❑] Attorney Name <br />Purchasing <br />Check the Appropriate Item Type - l r quip <br />❑ Professional Services Agreement 0 Contract <br />❑ Open Market Contract <br />Amendment/Addendum <br />EJ <br />Bid Opening <br />Bid Award <br />Quote Opening <br />El <br />Quote Award <br />Proposal Opening <br />❑ <br />C/O & PCA No. <br />R <br />Chg. Order, No. <br />Traffic Control <br />EJ-Qther�:' <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 />® Req. to Advertise <br />Reject Bids/Quotes <br />E] PCA <br />Resolution <br />Ease./Encroach <br />�❑ Yes If Yes, Approved by n Purchasig <br />E] No <br />® Title Sheet <br />Lump Sum <br />............................................................... ��� ... _.......................�rwwww <br />Upgrades and renovations to the interior office spaces on the low ...............irst, <br />_ er, first, <br />and second floor. <br />For Clyy Orders On <br />Amount of F] <br />Increase $ <br />Decrease �$ <br />Previous Amount <br />$ �w�w�...._....... m...m <br />................._............ww_r <br />......... ........................................... ...o�... <br />Increase <br />/o <br />Current Percent of Change: <br />Decrease <br />% <br />New Amount <br />$ <br />Increase.........................................................� <br />%„ <br />Total Percent of Change: <br />Decrease.%o <br />Time Extension Amount: <br />New Completion Date: <br />