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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date <br />Name <br />Tour Villa <br />Is <br />Department Engineering <br />BPW Date 10/22/2019 Phone Extension 5920 <br />@INQIN@IIPIoI@NIIWIM@@ImmmmmmIWWIWI'NIIIIIIIIIIIIIIIIIIIIIIW NN9NWWI N <br />..............w..W..........7................—.........�...,.�,m. ....---- .... ---------------- <br />Required Prior to Submittal to Board <br />BPW Attorney Attorney Name <br />Dept. Attorney n Attorney Name <br />Purchasing E] <br />Check the Appropriate Item Tv e .- <br />[l Professional Services Agreement [:] Contract <br />Ej <br />Open Market Contract <br />❑ Amendment/Addendum <br />E] <br />Bid Opening <br />❑ Bid Award <br />Quote Opening]]' <br />Quote Award <br />❑ Proposal Opening <br />C/O & PCA No.. <br />® Chg. Order, No. 1 <br />0 <br />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 />_Required Information <br />?dl fr° All Submissions <br />❑ Proposal <br />EJ Special Purchase, QPA <br />El Req. to Advertise <br />Reject Bids/Quotes <br />PCA <br />❑ Resolution <br />Ease./Encroach <br />❑ Title Sheet <br />Bowen I ngrL..`orfaoration �...................... aw <br />❑ Yes ❑ If Yes, Approved by Purchasing <br />No <br />MBE Completed E-Verify Form Attached ❑ Yes <br />WBE ❑ No <br />Olive Water Treatment Plant Improvements <br />---- __w P _........................... ........... <br />118-024 <br />324.1,050.460.42.02 <br />Approval of C.O.1 <br />For Cane Or ders Onlry <br />::... .mom_..... � .......��w�� —..................... ........� <br />Amount of ❑ Increase $ �._ ............................. <br />Decrease 0 <br />Previous Amount $ 1,796,470.00 <br />Increase _ % <br />Current Percent of Change: Decrease (23.29% o <br />New Amount $ 1,378,109.00 <br />Increase <br />Total Percent of Change: Decrease (23mm29w% <br />Time Extension Amount: <br />New Completion Date:._._.... <br />