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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 07/18/2019 <br />Department Public <br />Name Zach Hurst Works <br />BPW Date 07/23/2019 Phone Extension 3057 <br />awimUm <br />Rctuired Prior to Submittal to Board <br />..�.�....._,..._.....�. <br />BPW Attorney El Attorney Name <br />Dept. Attorney Attorney Name Sandra Kennedy <br />..................................................................m.................. ............... <br />Purchasing]' <br />Check the Ao 1oEt t lc„Item ` :X�� <br />E Professional Services Agreement El Contract <br />F Open Market Contract ❑ Amendment/Addendum <br />EJ Bid Opening ❑ Bid Award <br />Quote Opening ❑ Quote Award <br />❑ Proposal Opening ❑ C/O & PCA No. <br />Chg. Order, No. ❑ Traffic Control <br />EI.Other:- <br />Rp.q ai r e'd Information <br />All Submissions <br />ILJ Proposal <br />Special Purchase, QPA <br />® Req. to Advertise <br />Reject Bids/Quotes <br />❑ PCA <br />❑ Resolution <br />Ease./Encroach <br />For ChanOrders Only <br />Amount of ❑ <br />Increase $ <br />.._.... ................................. <br />Decrease <br />Previous Amount <br />$ <br />Increase <br />/o <br />Current Percent of Change: <br />Decrease <br />%) <br />.................... <br />New Amount <br />$ <br />Increase <br />_ /o <br />Total Percent of Change: <br />Decrease <br />%) <br />Time Extension Amount: <br />New Completion Date: <br />® Title Sheet <br />