Traffic Control Device - Stop Sign Riverside at Lafayette

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BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date June 28 2019 Department Public Name Charlotte Brach Works BPW Date JuIX 9 2019 Phone Extension 9246 oimimuummimuuummmmmmumumimimuuuuuuuuuuuuwu uv�wwwr�r�r�r�r�r�ursi�ueesw m I/MdHI/N/hi9: Required Prior to Submittal Board �...� ........ �........_ _........_...... _..w_.._L.._ d BPW Attorney _ Attorney Name Dept. Attorney E] Attorney Name Purchasing Check the Appropriatc Item Type ,.- F-1 Professional Services Agreement Contract F] Open Market Contract Ej Amendment/Addendum Bid Opening ❑ Bid Award E] Quote Opening ❑ Quote Award ❑ Proposal Opening C/O & PCA No. Chg. Order, No. ® Traffic Control FI Other: Company or Vendor Name New Vendor MBE/WBE Contractor Project Name Project Number Funding Source Account No. Amount Terms of Contract Purpose/Description RCgUir d Information All Submissions Proposal ❑ Special Purchase, QPA E] Req. to Advertise Reject Bids/Quotes PCA IEI Resolution Ease./Encroach ❑ Title Sheet ..........._.. -- — Ye s❑] If Yes, Approved by Purchasing No MBE Completed E-Verify Form Attached ❑ Yes WBE ❑ No Lafavette & Riverside STOP TR 19-007 Install stop signs on Riverside at Lafayette to make the intersection an all - way stop. For Clean Ye, Orders Only .. Amount of Increase $ ,,,..� .... ..... ................_.......... __.. .. ❑ Decrease f$ Previous Amount $ ................................................. ................. Increase Current Percent of Change: Decrease % New Amount $ Increase % ................................................... Total Percent of Change: Decrease % Time Extension Amount: New Comoletion Date: