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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 9/10/2019 Department Central Services <br />Name Adam Parsons _________________ ..._ _ . . �.�............ _...... <br />.... �........_ <br />Division/Bureau <br />- <br />--- ..................... _... <br />BPW Date 9/24/2019 Phone Extension 9302 <br />auma�rem:����winirsu�uw��paaap a¢rairiNmurv��wiwruuiu��wwwu�w�ww�wiwwmawwru�vevovwe�vv�uw�mrd�a�rvrrw�nw��n= �.�,; rrrcurravuco-..x*����e�:,wr�ruw�,rcm.^m:�u�mia:�� , ;ir�w�r�.�krRrnea�mwr.��s�.:...,.�,au,�w.��smmwa�:�iw�rv�rv�rv�rv�rvw�moumWuuuuuumWiwwwwwww!�rJw�r�rzrr <br />............. ....�s_w,�.. ,�,..____ <br />P quired Prior to Submittal to Board v ww <br />Legal Z Attorney Name: Clara McDaniels <br />Controller 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 A <br />H Agreement Amendment <br />Professional Services <br />El Bid Opening <br />n Quote Opening <br />,] Change Order No. <br />❑ Ease/Encroach. <br />F-1 Other: <br />)rot wte Item T e - <br />�j Contract <br />C1 Resolution <br />ir <br />�d for All Submissions <br />Proposal <br />E] Bid Award ® Req. to Advertise <br />El Quote Award <br />C/O & PCA No. ❑ PCA <br />j Traffic Control: <br />Required Information <br />Addendum <br />❑ Title Sheet <br />Company or Vendor Name TBD _ <br />.. ❑ Yes <br />...[:]...No...............� �❑ If Yes...Approved by <br />New Vendor Purchasing <br />MBE/WBE Contractor _L <br />❑ MBE ❑ WBE <br />MBE/WBE Contractor Requested � [� <br />_.A.� .. <br />q No Yes Nameof Company <br />Project Name City -Wide Plumbing Contract <br />Project Number <br />Funding Source Department Building Maintenance Budgets <br />.... _—......� ...... <br />Account No. Various <br />Amount TBD <br />... <br />Terms of Contract 3 year initial contract; 2 year renewal <br />. ..... <br />Purpose/Description Standardize city facility plumbing repairs under one contractor <br />Current Percent of Change: <br />Ll <br />El <br />