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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Datem08/20/2019 ..........................................................................................._ <br />Department Public <br />Name Zach Hurst Works <br />BPW Date 08/27/2019 Phone Extension 3057 <br />mn555555mmmmm WW.UmmmOWmmmWml EMI eimlmmmmmmlmlmlllllliiin mWWWmmmmmVmmmmmmmtlN <br />�.. _ .... ...... _ _..--------- <br />. '... ei' mPnor to Submittal to Board <br />BPW Attorney [] Attorney Name mm <br />Dept. Attorney <br />Attorney Name <br />Purchasing <br />Check the A � > r ato Item w l pe -- ,l c� r All Submissions <br />Professional Services Agreement Contract ❑ Proposal <br />❑ <br />Open Market Contract <br />❑ Amendment/Addendum Special Purchase, QPA <br />❑ <br />Bid Opening <br />® Bid Award <br />E ],' Req. to Advertise ❑ Title Sheet <br />Quote Opening <br />F� Quote Award E] Reject Bids/Quotes <br />�] <br />Proposal Opening <br />C/O & PCA No. ❑ PCA <br />Chg. Order, No. <br />❑ Traffic Control ❑ Resolution <br />GOther <br />❑ <br />Ease./Encroach <br />'Required Information <br />Company or Vendor Name <br />Slatile Roofing and Sheet Metal Co., Inc. <br />E] YesF] If Yes, Approved by Purchasing <br />New Vendor <br />No <br />MBE/WBE Contractor <br />WBE Completed E-Verify Form Attached Nos <br />Project Name <br />315 & 319 W. Jefferson Exterior Renovations — Division A <br />Project Number <br />..... � , —..........._........._................................... w.... _......._.. <br />119-064, Div. A <br />Funding Source <br />RWDA TIF <br />Account No. <br />._..._._.__..........._.........................._�wm�_____ <br />324-1050-460-42.02 <br />Amount <br />$55,812.00 <br />Terms of Contract <br />,,,,,,,,,,,. .. ......... ......... ......�............ ._. <br />Lump Sum <br />Purpose/Description <br />Award roofs ca,g bid — Division. A. <br />._._ <br />.. w :. w <br />_... W ..... _..... . <br />For haN e OrdersmOnl .. . <br />Amount of <br />�] <br />Increase $ <br />Decrease ($ ) <br />Previous Amount <br />$ <br />Increase % .._ ......... <br />Current Percent of Change: <br />Decreased %) <br />New Amount <br />$ ..._. �...._......._.._........�.�.� .� .�....�_� <br />.._ _ o. <br />Increase /o <br />Total Percent of Change: <br />Decrease ( %) <br />Time Extension Amount: <br />New Completion Date: <br />............................................................�.�.�.....w. ..................� <br />