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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date <br />Name <br />9/12/19 <br />Michelle Smith <br />Department Utilities — Water <br />BPW Date 10/8/19 Phone Extension 5994 <br />"' Ino t.�G➢Ai„",e1.YMIIIWIIWIWPIVIVIIWI�llV'iNG'� oww �� ffy nINIINIIIIIVIVltl6'iViVItlI01Xl'WIMWV'.NMN i�w[. yyy�y IVINNk/Nl ":yu�IWVWIIINIMmmmm�v uvioiii,, q�y p <br />...a _......... a_ Required to Submittal BWWoard - --- <br />Legal Attorney Name Clara McDaniels <br />Controller review is required for all Contracts $5,000.00 or more <br />Controller E] and greater than one year in length per the City Purchasing <br />Policy <br />Purchasing E <br />Check the <br />Agreement <br />El Professional Services <br />Bid Opening <br />Quote Opening <br />Chg Order No. <br />Ease./Encroach. <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 />)Rptiate Item Type — <br />El Contract <br />EAmendment <br />Bid Award <br />Quote Award <br />E C/O & PCA No. <br />❑ Traffic Control <br />Proposal <br />posal <br />'for AH Submissions <br />❑ Req. to Advertise <br />red Information <br />PCA <br />E] Resolution <br />El Claim <br />Addendum <br />❑ Title Sheet <br />Arcad is . �._....._.._.... . <br />No <br />Yes,"A roved..... _„rcha- --i �...........................— �.....� . <br />pp by Purchasing <br />MBE Completed E-Verify Form Attached Yes <br />WBE (� No <br />AWIA Compliance Gap Analvsis <br />Water Works Enaineeri <br />620-0640-658-3102 <br />Current Percent of Change: _ <br />New Amount $ <br />Total Percent of Change: <br />Time Extension: <br />Dispersal After Approval <br />Copy <br />Original <br />❑` <br />El <br />D <br />0 <br />