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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 10/14/2019 <br />Department Public <br />Name Iach Hurst Works I Engineering_ <br />BPW Date 10/22/2019 Phone Extension 3057 <br />IIIIIIIMMMMMMM NMMMIMMMAMpY1tl MMMB wwww MIMIMMMItldI NPM�� pMpMMMl <br />1 e u red, Prior to Submittal to Board <br />BPW Attorney ❑ Attorney Name <br />Dept. Attorney El <br />Purchasing n <br />Professional Services Agreement <br />Open Market Contract <br />❑ Bid Opening <br />E] Quote Opening <br />F-] Proposal Opening <br />Chg. Order, No. 1 <br />H Other: <br />Attorney Name <br />LJ Contract <br />El Amendment/Addendum <br />❑ Bid Award <br />[l Quote Award <br />1:1I C/O & PCA No. <br />Traffic Control <br />Company or Vendor Name Brite Electric, Inc. <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 />M <br />All Submissions <br />Proposal <br />F-1 Special Purchase, QPA <br />F�'' Req. to Advertise ❑ Title Sheet <br />❑ Reject Bids/Quotes <br />❑ PCA <br />Resolution <br />Ease./Encroach <br />Yes" If Yes, Approved by Purchasing <br />No <br />❑ MBE Completed E-Verify Form Attached Nos <br />❑ <br />WBE <br />Technology Resource Center —low-voltage installation services <br />118-090 .........�._.�_ <br />IT Professional Services <br />279-0672-415.31-06 <br />This change order adds in data ports which were �csted during. <br />construction. <br />For Chang Orders t nl ......::......... <br />Amount ._._w <br />of Decrease e $ 2,850.00 ..._W..... _................................. ......__.. 6- <br />❑ ($ ) <br />Previous Amount $ 35,900.00 <br />Increase..._........................w <br />7.94% <br />Current Percent of Change: Decrease ( % <br />New Amount $ 38,750.00 <br />Increase 7.94% <br />Total Percent of Change: Decrease ( % <br />Time Extension Amount: <br />New Completion Date: <br />