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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 />/20 <br />PW Date 8/13 19 Extension 5841 <br />. ..e <br />S _... Board <br />BPW AttorneyAttorney Name Clara <br />ea Li <br />Prior to Submittal to <br />Y lel��onnels <br />Dept. Attorney E, Attorney Name Sandra Kennedy <br />Purchasing ® Michael Schmidt �����.�. _����....................����� <br />Check the lypqm- <br />. <br />Professional Services Agreement ® Contract <br />El Open Market Contract ❑ Amendment/Addendum <br />Bid Opening ❑ Bid Award <br />Quote Opening El Quote Award <br />Proposal Opening ❑ C/O & PCA No. <br />Chg. Order, No. ❑ Traffic Control <br />EJ Other: <br />Information <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 />All Submissions <br />� J Proposal <br />F] Special Purchase, QPA <br />Req. to Advertise <br />E] Reject Bids/Quotes <br />E] PCA <br />El Resolution <br />Ease./Encroach <br />Near Northwest Ncii"gym.. �b<.��°��o����l, Inc. ,.. <br />E] No <br />If Yes Approved by Purchasing <br />❑ Title Sheel <br />increase <br />_� <br />For Chag Orders Onl.. <br />y _._ _ _ .. <br />El <br />Amount of ease <br />❑ Decrease ($ <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 />R. <br />Increase <br />% <br />Decrease <br />Increase <br />% <br />Decrease..�n....��.......... <br />............._ <br />(. <br />