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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date <br />Name <br />7/25/2019 <br />a Plantz <br />Department Public <br />Works <br />BPW Date 8/13/2019 Phone Extension 5998 <br />•• �Ni .� �mmuuum�m�uumHuumHUHiHiHiHUHUHUHUHiHiHiHuuuuwuwuwuwuwuwuuiuiuiui� � �u%�zwwvn rsi:��aemamewmw�..�..,� .. .�a�u <br />_ .. <br />Required Prio... ��._... _m.. ...... _ _ _�._... <br />' r to Submittal to Board <br />BPW Attorney Attorney Name Clara McDanlcls <br />Dept. Attorney ❑ Attorney Name <br />Purchasing 11 <br />Check the Appi-opriat Item Tw - <br />................. <br />�] Professional Services Agreement (❑❑ Contract <br />Open Market Contract ❑ Amendment/Addendum <br />Bid Opening Bid Award <br />[] <br />Quote Opening ® Quote Award <br />❑ <br />Proposal Opening ❑ C/O & PCA No, <br />❑ <br />Chg. Order, No. F 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 />fired Information <br />All Submissions <br />Proposal <br />H Special Purchase, QPA <br />Req. to Advertise <br />Reject Bids/Quotes <br />❑ PCA <br />❑ Resolution <br />Ease./Encroach <br />❑ Title Sheet <br />Martell Electric„ LLC <br />�........ .. If Yes............ ................. .�..._ <br />Ye , Approved by Purchasing <br />® No <br />MBE Completed E-Verify Form Attached Yes <br />WBE No <br />Century_Center River Lights <br />119-056��� <br />Hotel Motel Tax Fund <br />7304.42010.000.009 <br />$9,800.00 <br />Lump Sum <br />Install lighting, on the cascade and trianale windows in the existing <br />the Century Center. <br />_....... ...... <br />KK <br />For leang eOrders On1v� <br />Amount of ❑ <br />Increase $ <br />❑ <br />Decrease �$ <br />Previous Amount <br />$ <br />Increase.........................� <br />_.............. <br />Current Percent of Change: <br />Decrease <br />_..................................................._....._ <br />%) <br />New Amount <br />$ <br />a <br />Increase <br />/o <br />Total Percent of Change: <br />Decrease <br />/o <br />Time Extension Amount: <br />New Completion Date: <br />