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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 8/28/19 ...... .................. _w _.__ ........_ <br />Department Public <br />Name Scott Kreeger Works <br />BPW Date 9/10/19 Phone Extension 9245 <br />�� mmirmmmraaamm <br />Required Prior to Submittal to Board <br />..................... .. ............... <br />BPW Attorney F] Attorney Name Clara McDaniels <br />Dept. Attorney [] Attorney Name <br />Purchasing 1] <br />Check the Aimro mate Item Tune — <br />L Professional Services Agreement LJ Contract <br />❑ <br />Open Market Contract <br />E] <br />Amendment/Addendum <br />E Bid Opening <br />E, <br />Bid Award <br />[: Quote Opening <br />El <br />Quote Award <br />F-] Proposal Opening <br />❑ C/O & PCA No. <br />Chg. Order, No. <br />® Traffic Control: <br />Residential Hai dieap <br />Parkin <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 />❑ Req. to Advertise <br />E] Reject Bids/Quotes <br />PCA <br />Resolution <br />Ease./Encroach <br />❑ Title Sheet <br />❑ Yes ❑ Pur <br />chasing <br />g W If Yes, Approved by P <br />❑ No <br />MBE Completed E-Verify Form Attached ❑ Yes <br />❑ WBE ❑ No <br />g m_m m residential Handicap Parking <br />217 E Poa on St. Residential ......... ...... <br />Recommend Denial. Resident has an --attached rasa e with direct access <br />use. to house <br />For Chan emmOrders Only <br />Amount of Increase $ <br />❑ Decrease ($ <br />Previous Amount $ <br />Increase % <br />Current Percent of Changer Decrease ( m% <br />New Amount $ <br />—Increase ____............._o <br />�o <br />Total Percent of Change: Decrease _ ( .... % <br />Time Extension Amount:. <br />New Completion Date: <br />