Request to Advertise - Privet Lane Culvert Replacement Project No 118-013B

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BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 10/15/2019..�.. .....� Name Becca Plantz Department Public Works BPW Date 10/22/19 Phone Extension 5998 M mired Prior to Submittal to Board _._......... _ _..... .._.. �.......__ ................... ...._............... _. BPW Attorney ® Attorney Name Clara McDaniels Dept. Attorney El Attorney Name Purchasing ❑ Check the Anorovt at Item Tvin - H Professional Services Agreement H Contract ❑ Open Market Contract ❑ Amendment/Addendum ❑ Bid Opening ❑ Bid Award Quote Opening ❑ Quote Award 0 Proposal Opening ❑ C/O & PCA No. E, Chg. Order, No. ❑ Traffic Control R Other: Company or Vendor Name New Vendor MBE/WBE Contractor Project Name Project Number Funding Source Account No. Amount Terms of Contract Purpose/Description All Submissions LJ Proposal ❑ Special Purchase, QPA ® Req. to Advertise Reject Bids/Quotes [] PCA F ] Resolution Ease./Encroach ❑ Title Sheet e ........... _._....... El Yes ❑IfYes Approved b Purchasng [� j No E] MBE WBE Completed E-Verify Form Attached EJ Nos Privet Lane Culvert Replacement Projwect ...............a. ._..... _ _.. LRSA Major Projects 251-00608-431.42-96 Unit Price lZemo vi g.and replac ng 1afli cxistin culvert on Privet [..an(, ..... rders _ly For Change O_________ ____- . _�.m.................�. Amount of Increase $ ........ _.... � " ❑ Decrease ............. .....w.w"�� i Previous Amount S Current Percent of Change: New Amount Total Percent of Change: Time Extension Amount: New Completion Date: R ..................w�..... . Increase /o Decrease % Increase % Decrease ( %