Laserfiche WebLink
BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date October 1, 2019 <br />Name Andrew Netter <br />Department DCI <br />Division/Bureau Planning <br />BPW Date October 8, 2019 Phone Extension 5931 <br />IVIVIVIVIVIVIVIVIWIW'I�ll4WIIPMYAfNIdmI�YRfMYIIDYIIDYIIDYIUnVNI0101GYt"'—����)p9/y/1{�+ AYk"' NPINq�lllllllllllllllllllllllllllllllV'd!Pf.' �i E✓�r+�+ �lb'J��YNk�N,��p',";,W,W,FI�q��,NIi�Y�y�YB���"X�/,pypgkg!�dp y�y'�y� py,�y,Wy� mexet�iwwsvuyyyyNyp,�y <br />Re uired Prior to Submittal to Board <br />Legal ® 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 />_�. ._ ........ _..- -.___-. _uuu__.. ..-.... <br />Check the o _Egpriate Item Typ- l ulre for All Submissions <br />0 Agreement Amendment .... ..... <br />� Contract ❑ Proposal � Addendum <br />E Professional Services Resolution <br />Bid Opening El Bid Award ® Req. to Advertise ❑ Title Sheet <br />El Quote Opening ❑ Quote Award <br />F] Change Order No. ❑ C/O & PCA No, ❑ PCA <br />[❑ Ease/Encroach. Traffic Control: <br />El Other: <br />Required Information <br />........................... <br />Required Contractor's Certification Forms Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) <br />Rehr wr For Chaggg Orders nI El �...._ . I <br />Amount of Increase $ <br />Decrease <br />,,,,,, .. _.... ... .. <br />Previous Amount <br />f <br />Current Percent of Change: /o <br />New Amount <br />Total Percent of C <br />F11 <br />1-1 <br />u <br />