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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 11/1/2019 <br />Department Public <br />Name Becca Plantz Works <br />BPW Date 11/12/19 Phone Extension 5998 <br />mm P MMMMMMMMIMm WM.WIMMW NN <br />WE Prior to Submittal to Board <br />_... _ ....._._._.._ ........ ............. <br />BPW Attorney ® Attorney Name Clara McDaniels <br />Dept. Attorney F-1 Attorney Name <br />Purchasing ❑ <br />..... Check the Appropdat Item plype —. . <br />[�mProfessional Services Agreement ❑ Contract <br />❑ Open Market Contract E Amendment/Addendum <br />Bid Opening E] Bid Award <br />E] Quote Opening 0 Quote Award <br />E] Proposal Opening ❑ C/O & PCA No. <br />F] Chg. Order, No. ❑ Traffic Control <br />Other: <br />Information <br />�t All Submissions <br />❑ Proposal <br />Special Purchase, QPA <br />Req. to Advertise <br />E] Reject Bids/Quotes <br />F-1 PCA <br />Resolution <br />Ease./Encroach <br />❑ Title Sheet <br />Company or Vendor Name <br />Lawson -Fisher Associates P.C. <br />❑ Yes If Yes, Approved by Purchasing <br />New Vendor <br />® No <br />MBE/WBE Contractor <br />❑❑ MBE Completed E-Verify Form Attached ❑❑ Nos <br />Project Name <br />City Standards <br />Project Number <br />115-116 <br />Funding Source <br />........... .................__ .. _W... _ ...... <br />Engineering Professional Services <br />Account No. <br />101-0602-431.31-06 <br />Amount <br />... �_._ ...�.......... �...... <br />$10,000 (Original Contract: $31,700, New Total: $41,70( <br />Terms of Contract <br />Hourly not to Exceed <br />Purpose/Description <br />Revise and su )l -,nj Cat Standards and Specifications. <br />�_.._w._ _ ........�._ - <br />....m .._. r "lea ��e Orders 0����`wwwww�.._...�:._. <br />._..�w ...,..� _ <br />Amount of ❑ <br />.... ww <br />Increase $ _._ ..._...._........— .......... <br />❑ <br />Decrease ($ <br />. ......... �._.... ..�� .._...... <br />Previous Amount <br />��.�.��.�..�... <br />Current Percent of Change: <br />New Amount <br />Increase % <br />Decrease (% <br />Increase % <br />Total Percent of Change:. Decrease <br />Time Extension Amount: <br />New Completion Date: <br />