Laserfiche WebLink
BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 08/29/19 <br />Name Alicia Czarnecki Department Engineering <br />BPWDate 09/10/19 — ._......., _..... ....._..�...... �.............. __.n.. �m�W........ <br />maPhone Extension 5903 <br />p= �'kllNllul A omo , ua m ��w�wun mrtnn mmouuuummwwm�.mo <br />IT ___ l:ec�fred Prior to Submittal to Board <br />y � Attorney Name <br />Dept. Attorney El Attorney Name <br />Purchasing <br />check the Appropnatc Item Type —. <br />� Professional Services Agreement ❑ Contract <br />El Open Market Contract El Amendment/Addendum <br />Bid Opening F-1 Bid Award <br />❑ Quote Opening E Quote Award <br />[] Proposal Opening ❑ C/O & PCA No. <br />E] Chg. Order, No. El Traffic Control <br />71 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 />All Submissions <br />Proposal <br />LJ Special Purchase, QPA <br />El Req. to Advertise <br />E Reject Bids/Quotes <br />El PCA <br />Resolution <br />Ease./Encroach <br />ec !red Information <br />Yes If Yes A pp roved b....... �.. <br />urchas.ingin---._ <br />y P <br />No <br />❑ Title Sheet <br />I re ate ,� Master Plan for the redqvelo n ent of�thc,l' orris "fhcater exterior <br />pl4z,a.wand the John Hunt Memorial„Plaza. <br />For <br />Orders <br />Cif <br />Amount of ❑ <br />Increase $ <br />Decrease $ <br />Previous Amount <br />$ <br />......�......_. ... .......,.m..................�........,.,,,,,..,,........ <br />Increase �. <br />%� .... r �...- ------ <br />Current Percent of Change: <br />Decrease <br />%) <br />New Amount <br />$ <br />Increase <br />/o �.. ����� ..._...�......�.. <br />Total Percent of Change: <br />Decrease <br />/o) <br />Time Extension Amount: <br />New Completion Date: <br />