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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 11/5/2019 <br />Department Public <br />Name Becca Plantz Works <br />BPW Date 5/28/19 Phone Extension 5998 <br />Required Prior to Submittal to Board <br />BPW Attorney Attorney Name Clara McDaniels <br />Dept. Attorney ❑ Attorney Name <br />Purchasing F-] <br />Check the Apprqprie <br />Ite ItemType l� <br />F] Professional Services Agreement F] Contract <br />E] Open Market Contract EJ Amendment/Addendum <br />F] Bid Opening EJ Bid Award <br />❑] Quote Opening Quote Award <br />EJ Proposal Opening n C/O & PCA No. <br />n Chg. Order, No. E] Traffic Control <br />El Other: <br />Company or Vendor Name <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 />wired Information <br />All Submissions <br />Proposal <br />Special Purchase, QPA <br />[] Req. to Advertise <br />F-] Reject Bids/Quotes <br />n PCA <br />❑ Resolution <br />Ease./Encroach <br />❑ Title Sheet <br />Canadian National <br />..__.�............... <br />❑ Yes F] If Yes, Approved by Purchasing <br />❑ No <br />MBECompleted E-Verify Form Attached ❑ No <br />West Side Quiet Zone <br />.. _....................... <br />117-114 <br />LRSA Ca iital _Proiects <br />251-0608-431.42-96 mmm <br />$29,371 <br />Lump Sum <br />Agleement with Canadian National to install bells at Ford Street and Walni <br />Street <br />For Change Orders On1�IT . � ... ..�............W <br />Amount of Increase $ <br />n Decrease ($ ) <br />Previous Amount $ <br />.................. <br />Increase Increase % <br />Current Percent of Change: Decrease ( % <br />New Amount $ <br />Increase % <br />................................. <br />Total Percent of Change: Decrease <br />Time Extension Amount: <br />New Completion Date: <br />