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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 11/08/2019� <br />Department Public <br />Name Lucb Hurst Works / Eu }ia�a�ccralu <br />BPW Date 11/12/2019 Phone Extension 3057 <br />M1 mmmmmI <br />BPW Attorney ❑ Attorney Name <br />Dept. Attorney <br />Purchasing <br />❑] Attorney Name <br />El <br />Check the <br />Item <br />LJ Professional Services Agreement lJ Contract <br />❑ Open Market Contract <br />Amendment/Addendum <br />❑,, Bid Opening <br />Bid Award <br />❑ Quote Opening <br />El Quote Award <br />❑ Proposal Opening <br />0 C/O & PCA No. <br />Chg. Order, No. <br />❑ Traffic Control <br />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 />Information <br />All Submissions <br />L J', Proposal <br />Special Purchase, QPA <br />Req. to Advertise <br />Reject Bids/Quotes <br />❑ PCA <br />Resolution <br />Ease./Encroach <br />❑ Title Sheet <br />J.W. Wemtz & Son, Inc. <br />Yes If Yes, Approved by Purchasing <br />No <br />MBE Completed E-Verify Form Attached ❑ Yes <br />WBE ❑ No <br />Kizer Mansion Window Renair <br />119-024R <br />West Washington TIF. .............. <br />422-1050-460-42.02 <br />$218,800 <br />_........_............-_._n.............. <br />-Subject to RDDC approval <br />Award BASE BID for window re air at the Kizer Mansion Kizer House <br />._......... ........... <br />For Chi Orders 0 l <br />- � .� ......._ ......... _.._.. _. .� <br />Amount of <br />Increase $ <br />. <br />❑ <br />Decrease ($ ) <br />Previous Amount <br />$ <br />Increase <br />% <br />Current Percent of Change:.. <br />Decrease <br />( /o) <br />New Amount <br />$ <br />Increase <br />% <br />Total Percent of Change: <br />Decrease <br />( %) <br />Time Extension Amount: <br />........... ............... ww_....... mm._ <br />New Completion Date: <br />