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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date November 5, 2019 <br />Name Andrew Netter <br />Department DCI <br />Division/Bureau Planning <br />BPW Date 11/12/2019 Phone Extension 5931 <br />i uu�rc�;e +�a�,ww�aem. ��yx�x , ,.+.xauwaew�riauwwwwwwwri :: .�.. r�a�n;nu��uwuwrva�:::... �noam,�mmuuuuuuu�r�ewmwra�r�r�w�mw� �ss�c�ara�a uzmet�nw r� <br />.� --------- <br />.._...... <br />_...... <br />.._�.�. <br />,,,,Required Prior to Submittal to Board'! <br />Legal ® Attorney Name: Clara McDaniels <br />Controller El Controller review is required for all Contracts $5,000.00 or more and <br />greater than one year in length per the City Purchasing Policy <br />Purchasing El <br />Check the A <br />_......... _........... <br />E] Agreement Amendment <br />EI Professional Services <br />Bid Opening <br />El Quote Opening <br />Change Order No. <br />0 Ease/Encroach. <br />Other: <br />Company or Vendor Name <br />iro iri to Item Type — <br />El Contract <br />❑ Resolution <br />Bid Award <br />❑ Quote Award <br />❑ C/O & PCA No. <br />0 Traffic Control: — <br />New Vendor <br />MBE/WBE Contractor <br />MBE/WBE Contractor Requested <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />for All Submissions <br />Proposal <br />® Req. to Advertise <br />Required Information <br />018-1050-460-31.25 <br />❑ PCA <br />Addendum <br />❑ Title Sheet <br />Request to advertise the sale of City property, 901 E. Miner for <br />$12,650. Bidders will be requested to submit bids that detail <br />specific intentions for use of the site. Bids will be evaluated <br />based on the future intended use of aroperty. <br />LJ Required Contractor's Certification Forms Attached (Non <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) <br />Amount of El Increase $ <br />❑ Decrease $ <br />... <br />Previous Amount $ � h�� .� <br />Current Percent of Change: /o <br />