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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 10/03/2019 Department Public Works <br />Name Toy Villa Division/Bureau Engineering <br />BPW Date 10/22/2019 Phone Extension 5920 <br />A ... lu NPMMMMM p nffiI4N"W ff�W .' , llll IIMq VIVPoOII ;p/m. IIVhNMNW.I'y INYWWNIM <br />euired Prior to Submittal to Board <br />� Attorney Name: <br />Controller F, 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 1:1 <br />Check the A <br />I❑ Agreement _,... WWWWW... <br />�] Professional Services <br />�] Bid Opening <br />Quote Opening <br />] Change Order No. <br />❑ Ease/Encroach. <br />❑ Other: <br />pro riate,,Item Type —IRNO <br />Contract <br />] Resolution <br />❑ Bid Award <br />El Quote Award <br />® C/O & PCA No. 1 Final <br />❑ Traffic Control: <br />Company or Vendor Name <br />New Vendor <br />MBE/WBE Contractor <br />MBE/WBE Contractor Requested <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Copy <br />Original <br />El <br />F-1 <br />E] <br />❑ <br />)r All Submissions <br />Proposal <br />E] Req. to Advertise <br />❑ PCA <br />wired <br />. Ike Information <br />Slatile Roofingand Sheet Metal Co, Inc. <br />[� Yes No ❑ If Yes, Approved b Purchas <br />.. <br />WBE <br />BE Yes Name of Counpany <br />yNo ❑�. <br />LibertyTowerRenovations <br />118-086R Division A <br />RW.D.....� �.. <br />A TIF <br />1050.460.42.02 <br />140.50 <br />Project Closeout <br />Addendum <br />❑ Title Sheet <br />