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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 9/16/19 Department Public Works <br />Name Kyle Silveus� Division/Bureau Engineering <br />BPW Date 9/24/19 Phone Extension 9083 <br />rm ri � rr... a�mmw oum�m oiooiooimMuwmmmmmmmuiui. uw ou mm.... +.. r 000mm MPMMmmmmmmuuuuuuuummmmmmm o i <br />e uir ..v_.. _.__.. <br />edgPrior to Submittal to Board <br />Legal El Attorney Name: <br />Controller Ei Controller review is required for all Contracts $5,000.00 or more and <br />greater than one year in length per the City Purchasing Policy <br />Purchasing <br />Check the <br />_J Agreement <br />El Professional Services <br />E] Bid Opening <br />Quote Opening <br />® Change Order No. 3 <br />El Ease/Encroach. <br />Other: <br />Wopriate Item Tyre o _j <br />[� Contract <br />❑ Resolution <br />] Bid Award <br />Quote Award <br />�]C/O &PCA No. <br />❑ Traffic Control: <br />Company or Vendor Name <br />New Vendor <br />MBE/WBE Contractor <br />MBE/WBE Contractor Requested <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Required Infor <br />for All wSubmissions <br />Q Proposal Addendum <br />Ej Req. to Advertise ❑ Title Sheet <br />on <br />❑ PCA <br />Lincoln Way East Corridor Improvements <br />117-055A <br />TIF ..�.. <br />Park Bond... <br />452-1101-452.31-06 <br />$ ,025.00 <br />Install drywell to resolve drainage issue <br />Copy <br />Original <br />® <br />Patrick Sherman <br />