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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date November 5 2019 <br />Name David Relos Department DCI <br />BPW Date November 12 2019 Phone Extension 5836 <br />H.�/1aEdAN"bNWVNWYWW,4'WWWWWWIRiWI�VWT�MdIIMIIVIVIVIWIW4WIW4WVIVIVIVIVIVIWI — u; ay��v� IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIWIIVIVIVIIVIWIIW.'P'VINIVWIVIVWIVII'INMINkV.MVIVIW.9NW.9NWNNNV'iIW°i�MNMfiRFLv3v,5[�Y' �6W�1W(9 /p,PfpFAllk�W�W;�' <br />Recfuired Prior to Submittal to Board <br />mmmm <br />BPW Attorney ® Attorney Name Clara McDaniels <br />Dept. Attorney ® Attorney Name Sandi Kennedy <br />m.�,...... ................. <br />,............� <br />Purchasing <br />L Professional Services Agreement L Contract <br />Open Market Contract ❑ <br />Amendment/Addendum <br />E] Bid Opening ❑ <br />Bid Award <br />❑ Quote Opening <br />Quote Award <br />❑ Proposal Opening <br />C/O & PCA No. <br />EJ Chg. Order, No. <br />Traffic Control <br />Other: Donation Nereement <br />Company or Vendor Name <br />New Vendor <br />MBE/WBE Contractor <br />Current Percent of Change: <br />New Amount <br />Total Percent of Change: <br />Time Extension Amount: <br />New Combletion Date: <br />rrLr All Submissions <br />❑ Proposal <br />❑ Special Purchase, QPA <br />Req. to Advertise <br />Reject Bids/Quotes <br />PCA <br />❑ Resolution <br />Ease./Encroach <br />ion <br />Clement Properties LLC <br />Yes❑ If Yes, Approved by Purchasing ........................ <br />❑! No <br />MBE Completed E-Verify Form Attached <br />WBE <br />R <br />Increase % <br />Decrease ( % <br />Increase % <br />Decrease ( % <br />❑ Title Sheet <br />❑ Yes <br />❑ No <br />