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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />......... ............ ._........................... ...... _........___ <br />Date 8/28/19 <br />....... <br />Department Code <br />Name Tracy Skibins Enforcement <br />BPW Date 9/5/19 Phone Extension 9325 <br />Required Prior to Submittal to Board <br />BPW Attorney Attorney Name Clara McDaniels <br />Dept. Attorney Z Attorney Name <br />Purchasing ❑ <br />Tom Panowicz <br />Check the Appropriate Item T e — Re uin <br />.... <br />El Professional Services Agreement ❑ Contract <br />El Open Market Contract E[ Amendment/Addendum <br />Bid Opening [:] Bid Award <br />❑ Quote Opening 0 Quote Award <br />❑ Proposal Opening [-] C/O & PCA No. <br />❑ Chg. Order, No. ❑ Traffic Control <br />® Other: Emergency <br />Demolition Services Quote for <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 />nissions <br />U Proposal <br />❑ Special Purchase, QPA <br />Req. to Advertise ❑ Title Sheet <br />❑ Reject Bids/Quotes <br />❑ PCA <br />[ Resolution <br />�[ Ease./Encroach <br />Yyc If Y Excavating ... ___........... .. <br />Yes, Approved by Purchasing <br />® No <br />❑ MBE Completed E-Verify Form Attached Yes <br />❑ WBE] No <br />Emergency Demo of 1824 S Franklin St. <br />Code Enforcement demo funds and CDBG funds <br />$165,338.00 <br />Emergency demo of 1824 S. Franklin, due to fire damage. The <br />structure is unsafe. <br />For �ha�� Orders ��ti�; . <br />m <br />Amount of ❑ Increase $_ <br />❑ Decrease........ <br />Previous Amount $ <br />Increase % <br />Current Percent of Change: Decrease_% <br />New Amount $ <br />Increase % <br />............ ..... <br />Total Percent of Change: Decrease ( %) <br />Time Extension Amount: - nmm <br />New Completion Date: <br />