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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 08/20/2019 <br />Department Public <br />Name Zach Hurst........�����..........������..���..����������........ <br />Works <br />BPW Date 08/27/2019 Phone Extension 3057 <br />mmm nnlmmm w <br />Required Prior to Submittal toBoard <br />BPW Attorney Attorney Name <br />Dept. Attorney Attorney Name <br />_�......._........................._..._._......_._ ww <br />Purchasing <br />.. _.. <br />Check the � pr ri to Item ;,Iymm ���to <br />❑ Professional Services Agreement ❑ Contract <br />]I Open Market Contract ❑ Amendment/Addendum <br />Bid Opening ❑ Bid Award <br />[] Quote Opening ❑] Quote Award <br />Proposal Opening F] C/O & PCA No.. <br />[� 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 />d Information <br />LJ Proposal <br />[] Special Purchase, QPA <br />F I Req. to Advertise <br />® Reject Bids/Quotes <br />PCA <br />Resolution <br />�] Ease./Encroach <br />❑ Title Sheet <br />❑ Yes ❑ If Yes, Approved by µPurchasing.._.._ <br />❑ No <br />❑ WBE Completed E-Verify Form Attached Nos <br />315 & 319 W. Jefferson Exterior Renovations — Division D <br />...... ............................._.....�.... —.,� �_._..�........�.�.�.�.�.�......�.�.�.�.�.....................-........- <br />119-064, Div. D <br />RWDA TIF <br />.......... <br />324-1050-460- .................. ................... <br />42.02 <br />Reject all bids for electrical repairs for bud etar reasons — Division D. <br />For Change Order <br />.._. Increase <br />Amount of <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 />Increase % <br />Decrease ( % <br />Increase % <br />Decrease.(..._ .............% <br />