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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 11/01/2019 <br />/ Department Public <br />Name _ .......TO�Villaa...... ._v Works ........._ _. _...... <br />BPW Date 11/12/2019 Phone Extension 5920 <br />rior to Submittal to Board <br />BPW Attorney ❑ Attorney Name <br />Dept. Attorney E] <br />Purchasing ❑ <br />Attorney Name <br />Check the Appropriate Item <br />❑ Professional Services Agreement F] Contract <br />Open Market Contract Amendment/Addendum <br />E] Bid Opening E] Bid Award <br />Quote Opening ❑ Quote Award <br />] Proposal Opening ] C/O & PCA No. <br />❑ Chg. Order, No. Traffic Control <br />Other: <br />w_ Required Informati, <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 />ons <br />�] Proposal <br />❑ Special Purchase, QPA <br />❑ Req. to Advertise <br />❑ Reject Bids/Quotes <br />® PCA <br />Resolution <br />Ease./Encroach <br />❑ Title Sheet <br />Acorn Landscaping <br />❑ YesE] If Yes, Approved by Purchasing <br />❑] No <br />MBE Completed E-Verify Form Attached ❑ Yes <br />❑ WBE ❑ No <br />y xdsc in:. <br />Century Center Exterior Laa ._ <br />118-101 <br />Hotel Motel Tax Fund 2019 mmWUWWWuu <br />mmIT _..... <br />304.42010.000.0099 - <br />..................... <br />$136,280.08 <br />Project Closeocat <br />C. <br />For Chan ,e Orders Only <br />Amount of <br />Increase $ <br />_ ... <br />] <br />Decrease ($ ) <br />Previous Amount <br />$ <br />Increase <br />% <br />Current Percent of Change: <br />Decrease ( <br />%) <br />New Amount <br />$ __............. <br />Increase <br />..................... <br />% <br />Total Percent of Change: <br />Decrease <br />Time Extension Amount: <br />New Completion Date: <br />