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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 />wrm.a��rrm�r✓�r�n�^m�N:rva�w�uiiwew.��Wv�wrvev�ux u�mamum�uru�wwmmmuuuuuuuuuuuuuuuuuuuuuuuuuuuuumrr�rmrerm�i�rsi�a�� �.� � ;ter ,... �mm�mmr�mom00000000m�mmiomi�omwwu�m r� ��� »�snoxas.�srnrrar r,� <br />._..... �. ... �..w �. ............ <br />Re uired Prior mWWW ' r to Submittal to Board <br />Legal ® Attorney Name: Clara McDaniels� ................. <br />Controller 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 ❑ <br />Check the , <br />Agreement Amendment <br />❑ Professional Services <br />l Bid Opening <br />El Quote Opening <br />El Change Order No. <br />El Ease/Encroach. <br />F Other: <br />Company or Vendor Name <br />Tgpriate Item Type - <br />El Contract <br />Fj Resolution <br />0 Bid Award <br />Quote Award <br />El C/O &PCANo. <br />❑ 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 />d Proposal <br />® Req. to Advertise <br />ired Information <br />❑ PCA <br />Addendum <br />❑ Title Sheet <br />0' _. � If Yes, Approved <br />�....� <br />Yes No by <br />Purchasine <br />MBE L WBE <br />No Yes................. Name of Com <br />Sale of City Property 901 E. Miner <br />018-1050-460-31.25 <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 property. <br />LJ Required Contractor's Certification Forms Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) <br />wired ..._._...._ _. mwy::.:.... mm.For Chan On .__. _w w.�. _..__.. _.... <br />Amount of EJ Increase $ m <br />Decrease $ <br />Previous Amount <br />e: % I v . <br />Current Percent of Chang $ <br />Il rovvg <br />New Amount <br />Total Percent of C <br />Copy <br />Original <br />® <br />❑ <br />El <br />1-1 <br />❑ <br />❑ <br />Andrew Netter <br />I After <br />