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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 08/06/2019 <br />Department Public <br />Name Zach Hwrst Works / En2ineeriniz <br />BPW Date 08/13/2019 Phone Extension 3057 <br />.. <br />letuird Prior to Submittal to Board <br />BPW Attorney ❑ Attorney Name������ <br />Dept. Attorney <br />❑ Attorney Name <br />Purchasing <br />mm..p....-___._.__..... <br />Check the Appropriate Item 'T, eITm Re <br />Professional Services Agreement ❑ Contract <br />Open Market Contract <br />❑ <br />Amendment/Addendum <br />❑ Bid Opening <br />El <br />Bid Award <br />❑ Quote Opening <br />❑ <br />Quote Award <br />Proposal Opening <br />C/O & PCA No. <br />Chg. Order, No. <br />J 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 />Amount of <br />17 <br />Previous Amount <br />Current Percent of Change: <br />New Amount <br />uired Information <br />All Submissions <br />Proposal <br />❑ Special Purchase, QPA <br />® Req. to Advertise <br />[� Reject Bids/Quotes <br />PCA <br />❑ Resolution <br />Ease./Encroach <br />® Title Sheet <br />Cat,. uest to advertise for window r q air at the Direr Mansion iz rMouse) <br />Increase $ fry <br />.�—. <br />Decrease $ ............ <br />$ <br />Increase <br />Decrease /o r <br />Increase % <br />Total Percent of Change: Decrease ( % <br />Time Extension Amount: <br />New Completion Date: <br />