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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 08/19/2019._....._._ .— �.�.._._..�.�......._ <br />Department Public <br />_.. wm <br />Name To Villa .......Ww, w Works,........ --- <br />BPW Date 08/27/2019 Phone Extension 5920 <br />.mm Required Prior to Submittal to Board <br />_........_.... _.................... ......-w. <br />BPW Attorney F-I Attorney Name <br />Dept. Attorney Attorney Name <br />Purchasing ❑ <br />Check the Appropriate Item "Fype,- <br />Professional Services Agreement ❑ Contract <br />Open Market Contract <br />❑ Amendment/Addendum <br />❑j <br />Bid Opening <br />❑ Bid Award <br />E <br />Quote Opening <br />F-1 <br />Quote Award <br />Proposal Opening <br />❑ <br />C/O & PCA No. <br />❑ <br />Chg. Order, No. <br />❑ 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 />All Submissions <br />❑ Proposal <br />❑ Special Purchase, QPA <br />EI Req. to Advertise <br />Reject Bids/Quotes <br />® PCA <br />❑ Resolution <br />Ease./Encroach <br />Skyline Plastcrin Inc. <br />❑ Yes❑ If Yes, Approved by Purchasing <br />No <br />❑ MBE Completed E-Verify Form Attached <br />❑ WBE <br />320 at the Cascade — Exterior Insulation and Finish S <br />River East TIF <br />429-1050-46.�.�... ...�.�... <br />0-42.02 <br />��....................................w�....uw <br />$561,500.00 <br />Pro'ecd t Closeout <br />❑ Title Sheet <br />Fj Yes <br />No <br />. ... .. For ers OI ....ww._...... <br />Change, Ordn� ...... <br />Amount of El Increase $ „W <br />Decrease$._._._._ <br />Previous Amount $ <br />Current Percent of Change: <br />New Amount <br />Increase % <br />Decrease ( % <br />Increase % <br />Total Percent of Change: Decrease <br />Time Extension Amount: <br />New Completion Date: <br />