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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date11/21/19................._W..............__.......__......................................................................................................... <br />Name Liz Maradik Department DCI <br />BPW Date 11/26/19 Phone Extension X5821 <br />�... Igh9WATN11NhiIrMIWN IYM4INN4Md9�NV IMNNVM4INN�IdVMMtlW�ONW�MVMNWVMVMONNIqM1MM'�NOIP,�M1MNN��fiN!4NYM'YNWi�R'MNVMYIWIYNIN OIIWtl4bdG//i/G�4e�NNN�'flVfd!MNN <br />R! qq! 11 ed. Prior to Submittal to Board <br />BPW Attorney Attorney Name Clara McDaniels <br />Dept. Attorney Attorney Name <br />._........._..___..............._�......................m... <br />Purchasing <br />_mmm ChecktheAppropriate Item Type - i eq uircul liar All Submissions <br />Professional mServices Agreement Contract <br />Open Market Contract <br />❑ Amendment/Addendum <br />Bid Opening <br />❑ Bid Award <br />E Quote Opening <br />❑, Quote Award <br />Ej Proposal Opening <br />[] 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 />LJ Proposal <br />E] Special Purchase, QPA <br />Req. to Advertise <br />Reject Bids/Quotes <br />PCA <br />Resolution <br />Ease./Encroach <br />❑ Title Sheet <br />The Lakota %roulmm ... <br />Yes If Yes, Approved <br />........................... ..............................................�.w_ w <br />d by Purchasing <br />® No <br />❑ MBE Completed E-Verify Form Attached ❑ Yes <br />❑ WBE ❑ No <br />Desiian Services for Jon Hunt Plaza <br />RWDA TIF <br />NTE $31,120 <br />Schematic design services related to improvements at Jon Hunt Plaza <br />For Change Orders Only <br />Amount ofEl <br />Increase <br />_ �� �...� ��� <br />..... <br />❑ <br />Decrease ('" <br />Previous Amount <br />$ <br />_ ,... _ ..w........ <br />Increase <br />% <br />Current Percent of Change: <br />Decrease <br />%) <br />New Amount <br />$ <br />.....Increase.m..m.....m..............-.........m%..................................m..........................__.................... <br />Total Percent of Change: <br />Decrease ( <br />%) <br />Time Extension Amount: <br />New Completion Date: <br />