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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 10/2/2019 <br />Department Public <br />Name Bccca Plantz Works <br />BPW Date 10/08/19 Phone Extension 5998 <br />uuuuuummmmmmmm� 000mmmmmmmummmmmmw�mmmmwm�mwmmmmwunm mmuuuuuuuumuuuuuuuumwmumwi� may rm <br />_.. _ ... qm al to Board <br />_l e t d Prior to Submittal ...... <br />BPW Attorney Attorney Name Clara McDaniels <br />Dept. Attorney Attorney Name <br />Purchasing <br />Check the Apprni ift Item <br />[❑ Professional Services Agreement Contract <br />❑ Open Market Contract ❑ Amendment/Addendum <br />Bid OpeningBid Award <br />❑ Quote Opening EJ Quote Award <br />❑ Proposal Opening ❑ C/O & PCA No. <br />❑I Chg. Order, No. ❑ Traffic Control <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 />UI Proposal <br />❑ Special Purchase, QPA <br />® Req. to Advertise <br />❑ Reject Bids/Quotes <br />PCA <br />El Resolution <br />Ease./Encroach <br />❑ Title Sheet <br />Yes 0 If Yes, Approved bymPurchasing ...----------- <br />................w <br />® No <br />MBE WBE Completed E-Verify Form Attached D Yes <br />No <br />Main & Colfax Parking Structure Paint Removal <br />119-078R <br />Parking Garages <br />601-0462-645.36-01 <br />Lump Sum <br />Remove failin ceilin coatin in the Main &Colfax Pa..r...k.... <br />in2 Structure. <br />Amount of Increase <br />Decrease <br />Previous Amount $ <br />Current Percent of Change <br />New Amount <br />E.9 <br />Increase % <br />Decrease 1' % <br />Increase % <br />Total Percent of Change: ��_... �.�.�.�................ <br />e: Decrease <br />Time Extension Amount: <br />New Completion Date: <br />