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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 7/26/2019 <br />Name Lory Timmer Department DCI <br />�.. ��. —_... .............w� . <br />BPW Date 8/13/2019 <br />Phone Extension.�gAwN�N,584...... <br />1 <br />�;�WiJa�W@W,W�W��9.N�iiAN/N/.:NFr'A.°idl1�' , �w�uuu �C�AWBI�tiNWYip"WdW'�' Y�Uw%%/N31i,1tY,�"ID18 PoI%WWY�S'�uwn.:-uu�y,'PFM�iIlVllltt�f�f��.'Y�e,'.svi' ' Yff'finY L"dtl� <br />.�,� ...... ,.,. _ .�,..�... .......,�,�....�.� ,.,�.........�,�,�,�....ww..� .�..� .... _. Clara Board <br />.�o..v.� ::.::_..: .� ......�..�.�... �...�.. <br />e atom t� nor to Submittal to <br />PW Attorney ® Attorney Name C , iel <br />�B... <br />Dept. Attorney Attorney Name Sandra Kennedy <br />Purchasing ® Michael Schmidt <br />,p. Hate Item Type -- <br />Professional Services Agreement 2 Contract <br />Open Market Contract ❑I Amendment/Addendum <br />E] Bid Opening ❑ Bid Award <br />❑] Quote Opening El Quote Award <br />❑ Proposal Opening C/O & PCA No. <br />El Chg. Order, No. ❑ Traffic Control <br />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 />$30,000.00 <br />201 /31 /2019 <br />All Submissions <br />Proposal <br />❑ Special Purchase, QPA <br />E] Req. to Advertise <br />Reject Bids/Quotes <br />PCA <br />Resolution <br />Ease./Encroach <br />Subsidize the cost_of operati_ ng a lctc�s shelter <br />❑ Title Sheei <br />.,..... _ _. ......... <br />For Cha�� �e.:.Orders O��l.� u_ .... <br />Amount of crease $ <br />Decrease�_.. ..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 />% <br />Increase <br />% <br />Decrease........ <br />% <br />