Laserfiche WebLink
BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 10/10/19 <br />Name Alicia Czarnecki Department Engineering <br />BPW Date 10/2/1.9 Phone Extension ......._ 5903 <br />/ rrr r,rii �< /%fir r r':� ✓ �, �i% r :, , <br />%,� //�/ ti///, ��/ .// ��i,,:✓ / e, ,ei// r// ��f i i 6. �" . �r r / % ,�iio��%/// i:: /r r �r%� f//„ <br />BPW Attorney Attorney Name <br />Dept. Attorney r-1 Attorney Name <br />Purchasing <br />LJ Professional Services Agreement Lj Contract Proposal <br />0 Open Market Contract ❑ Amendment/Addendum ❑, Special Purchase, QPA <br />]] Bid Opening Bid Award ® Req. to Advertise ® Title Sheet <br />E] Quote Opening ❑ Quote Award ❑ Reject Bids/Quotes <br />Ej Proposal Opening ❑ C/O & PCA No. PCA <br />❑ Chg. Order, No. ❑ Traffic Control E] Resolution <br />❑ Other: F-1 Ease./Encroach <br />Company or Vendor Name <br />� Y ❑ f Yes, Approved by Purchasing <br />New Vendor Yes I <br />No <br />MBE/WBE Contractor WBE Completed E-Verify Form Attached Nos <br />Project Name Pinhook Park Pavilion Improvements <br />Project Number 118-077B <br />..... ..... .... --- _ ..... .. � � _ ......._ . <br />Funding Source VPA Capital <br />M......_ ................ ........ ....... <br />Account No. 416.0404.453.36.01 <br />Amount _. .._ <br />Terms of Contract <br />Purpose/Description Interior renovation of the existing pavilion at Pinlook Park. <br />Decrease $ <br />Increase % <br />Current Percent of Change: Decrease <br />New Amount <br />g °/a) <br />Increase % <br />Total Percent of Change: Decrease _... �_..._ ........� _. <br />Time Extension Amount: <br />..M <br />New Com lehon Date: <br />